NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver CPT · Musculoskeletal procedure
Classification Procedure Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 12,311 services ▲ 1.9% YoY · 12,074 beneficiaries (CY2024, Medicare FFS)
Medicare paid $71.2M · $5780.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
219
Named-group FFS services
5,175
FFS of Medicare
49%
Services YoY
+1.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,434 services

5,175 observed fee-for-service (50%) · ~5,259 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 64590 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$4.6M
Named-group allowed amount
$898K
Named-group Medicare payments
$713K
Avg charge / svc
$884
Avg allowed / svc
$174
Avg payment / svc
$138
Average charge per group
$230 219 groups · avg submitted charge / service $4,754
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 64590 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 64590 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 BBI DFW PROFEE PLLC MCKINNEY AR UROLOGY 3 244 $488,000 $2,000 premium 26.7% (855) 224-4351
2 FIRST UROLOGY PSC LOUISVILLE IN UROLOGY 55 153 $82,750 $541 premium 54.8% (812) 282-3899
3 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 144 $79,740 $554 premium 6.3% (352) 726-9707
4 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 134 $167,320 $1,249 premium 30.5% (410) 825-5454
5 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 123 $62,751 $510 premium 5.4% (904) 396-1725
6 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 93 $57,753 $621 premium 8.4% (512) 788-9688
7 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 93 $73,213 $787 premium 4.1% (239) 291-6970
8 OXFORD UROLOGY ASSOCIATES PLLC OXFORD MS UROLOGY 17 71 $40,729 $574 premium 10.3%
9 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 67 $57,199 $854 premium 27.9% (610) 579-3577
10 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 64 $68,053 $1,063 premium 5.8%
11 UROLOGY CARE OF CENTRAL FLORIDA, PA OCALA FL PATHOLOGY 2 59 $39,707 $673 premium 2.6% (352) 351-0029
12 UROGYNECOLOGY ASSOCIATES LLC FLOWOOD MS NURSE PRACTITIONER 3 58 $33,930 $585 premium 8.5% (769) 243-6141
13 ADVANCED UROLOGY OF GA-EAST, PC SNELLVILLE GA UROLOGY 17 57 $58,053 $1,018 premium 13.4% (678) 344-8900
14 FLORIDA PAIN RELIEF GROUP PLLC TAMPA FL NURSE PRACTITIONER 82 56 $187,888 $3,355 premium 2.5% (813) 739-7493
15 STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION EAST SETAUKET NY UROLOGY 37 56 $112,000 $2,000 premium 16.8% (631) 444-6270
16 NORMAN UROLOGY ASSOCIATES PC NORMAN OK PHYSICIAN ASSISTANT 10 54 $38,601 $715 premium 17.3% (405) 360-9966
17 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 51 $38,352 $752 premium 19.5% (502) 629-2398
18 SOUTHERN UROGYNECOLOGY LLC WEST COLUMBIA SC CERTIFIED NURSE MIDWIFE (CNM) 5 50 $37,185 $744 premium 14.9% (803) 457-7000
19 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 47 $34,968 $744 premium 14.1%
20 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 45 $52,920 $1,176 premium 4.1%
21 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 44 $38,368 $872 premium 4.0% (817) 920-0484
22 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 44 $21,604 $491 premium 1.9% (386) 231-6000
23 WOODLANDS MEDICAL SPECIALISTS P A PENSACOLA FL PHYSICIAN ASSISTANT 51 43 $49,106 $1,142 premium 1.9% (850) 696-4000
24 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 37 $16,280 $440 premium 17.0% (757) 452-3599
25 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE FL UROLOGY 36 35 $30,521 $872 premium 1.5% (904) 483-2310
26 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 35 $28,000 $800 premium 3.8% (260) 484-8830
27 UROLOGY ASSOCIATES PC NASHVILLE TN UROLOGY 43 34 $13,158 $387 premium 6.6% (615) 250-9200
28 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 33 $18,084 $548 premium 1.4% (850) 474-8000
29 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 33 $17,820 $540 premium 1.4%
30 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 32 $10,496 $328 premium 5.2% (602) 843-1265
31 RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. SOUTH PITTSBURG TN NURSE PRACTITIONER 2 32 $21,920 $685 premium 6.2% (423) 837-5801
32 VILLAGES REGIONAL HOSPITAL PHYSICIAN SERVICES LLC SUMMERFIELD FL DIAGNOSTIC RADIOLOGY 196 32 $16,928 $529 premium 1.4% (352) 255-3615
33 BBI DFW PROFEE PLLC MCKINNEY TX UROLOGY 3 31 $34,524 $1,114 premium 2.8% (855) 224-4351
34 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL UROLOGY 60 31 $12,400 $400 premium 20.1% (251) 433-1895
35 GENESISCARE USA OF FLORIDA LLC CAPE CORAL FL UROLOGY 175 30 $17,703 $590 premium 1.3%
36 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 30 $14,718 $491 premium 1.3% (321) 434-8878
37 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 30 $34,080 $1,136 premium 10.6% (314) 567-6071
38 K SASSE SURGICAL ASSOCIATES, PROFESSIONAL CORPORATION RENO NV PHYSICIAN ASSISTANT 6 30 $22,442 $748 premium 37.0% (775) 829-7999
39 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 30 $27,132 $904 premium 8.7% (415) 600-1020
40 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 28 $22,405 $800 premium 1.2% (305) 273-4641
41 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 28 $24,136 $862 premium 3.1%
42 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 28 $26,873 $960 premium 15.5% (978) 741-4133
43 FLORIDA UROLOGY PARTNERS LLP TAMPA FL UROLOGY 65 28 $18,732 $669 premium 1.2% (813) 258-9565
44 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 27 $46,800 $1,733 premium 4.4% (800) 603-0558
45 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 27 $18,252 $676 premium 9.6% (573) 882-2667
46 UROLOGY SPECIALISTS CHARTERED SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 45 26 $18,746 $721 premium 24.5% (605) 336-0635
47 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 26 $21,138 $813 premium 2.8% (501) 202-2093
48 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 26 $15,029 $578 premium 1.1% (561) 616-9988
49 ST. LUKES UROLOGY, LLC SAINT LOUIS MO UROLOGY 11 26 $25,870 $995 premium 9.2% (636) 685-7830
50 AUC UROLOGISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 28 25 $19,573 $783 premium 7.5% (843) 347-2450
51 MISSISSIPPI UROLOGY CLINIC PLLC JACKSON MS PHYSICIAN ASSISTANT 14 24 $15,360 $640 premium 3.5% (601) 353-9900
52 NEW ENGLAND CENTER FOR UROGYNECOLOGY LLC WELLESLEY MA OBSTETRICS/GYNECOLOGY 3 24 $18,439 $768 premium 13.3% (617) 340-6446
53 TOGETHER WOMEN'S HEALTH MEDICAL GROUP OF ALABAMA PC BIRMINGHAM AL OBSTETRICS/GYNECOLOGY 23 24 $13,680 $570 premium 15.6% (205) 877-2950
54 UNIFIED WOMENS HEALTHCARE OF TEXAS PLLC MCKINNEY TX OBSTETRICS/GYNECOLOGY 184 24 $19,410 $809 premium 2.2% (972) 542-8884
55 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE MS UROLOGY 60 24 $9,600 $400 premium 3.5% (251) 433-1895
56 STAR CLINIC LLC PEORIA AZ OBSTETRICS/GYNECOLOGY 8 24 $16,176 $674 premium 3.9% (623) 271-8666
57 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 23 $5,286 $230 premium 21.7% (605) 322-5180
58 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 22 $10,186 $463 premium 2.0% (210) 614-7414
59 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 22 $19,506 $887 premium 16.1% (973) 971-5596
60 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 22 $13,398 $609 premium 8.4% (859) 578-5880
61 MINNESOTA UROLOGY, PA WOODBURY MN PHYSICIAN ASSISTANT 81 22 $48,400 $2,200 premium 27.5% (651) 999-6800
62 ST. DOMINIC MEDICAL ASSOCIATES LLC MADISON MS NURSE PRACTITIONER 124 22 $14,102 $641 premium 3.2%
63 LINCOLN OB-GYN P.C. LINCOLN NE OBSTETRICS/GYNECOLOGY 7 21 $12,138 $578 premium 9.1% (402) 483-7641
64 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 21 $30,858 $1,469 premium 14.2% (708) 482-4500
65 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 20 $17,160 $858 premium 7.2% (888) 484-3258
66 LAKELAND SURGICAL CLINIC PLLC JACKSON MS GENERAL SURGERY 15 20 $13,500 $675 premium 2.9% (601) 982-3202
67 KANSAS CITY UROLOGY CARE PA OVERLAND PARK MO UROLOGY 73 20 $9,380 $469 premium 7.1% (913) 341-7985
68 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 20 $13,957 $698 premium 3.9% (615) 612-2146
69 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 20 $12,210 $610 premium 0.9% (239) 449-7979
70 SOUTHERN SHORES UROGYNECOLOGY AND PELVIC RECONSTRUCTIVE SURGERY PC MYRTLE BEACH SC NURSE PRACTITIONER 2 20 $14,880 $744 premium 6.0% (843) 895-2120
71 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 20 $43,376 $2,169 premium 13.5% (217) 545-8000
72 WOMENS CENTER AT BROOKSIDE LLC LEES SUMMIT MO OBSTETRICS/GYNECOLOGY 2 20 $10,448 $522 premium 7.1% (816) 333-5005
73 OPTUM MEDICAL GROUP RHODES P C LAS VEGAS NV NURSE PRACTITIONER 57 20 $7,252 $363 premium 24.7% (702) 724-8787
74 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 19 $28,440 $1,497 premium 23.8% (507) 284-2511
75 NEW ENGLAND UROLOGY BEVERLY MA NURSE PRACTITIONER 2 19 $14,250 $750 premium 10.5% (978) 232-9400
76 SOUTHLAND URO GYNECOLOGY, LLC AMERICUS GA NURSE PRACTITIONER 9 19 $16,796 $884 premium 4.5% (229) 474-6933
77 UROLOGY GROUP PC GERMANTOWN TN UROLOGY 17 18 $11,700 $650 premium 3.5% (901) 767-8158
78 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 18 $15,727 $874 premium 2.9% (480) 834-5111
79 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 18 $10,694 $594 premium 1.6% (214) 691-9377
80 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 18 $16,431 $913 premium 36.0% (515) 343-1000
81 NASHVILLE UROLOGY PC NASHVILLE TN PHYSICIAN ASSISTANT 2 18 $13,104 $728 premium 3.5% (615) 270-8060
82 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 18 $12,816 $712 premium 6.0% (513) 246-7000
83 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 18 $10,622 $590 premium 0.8% (954) 772-2136
84 UNIVERSITY UROGYNECOLOGY ASSOCIATION PC VOORHEES NJ OBSTETRICS/GYNECOLOGY 9 18 $6,390 $355 premium 13.1% (856) 325-6622
85 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 17 $17,952 $1,056 premium 4.0% (478) 738-0404
86 SURGICAL ASSOCIATES, P.C. LINCOLN NE GENERAL SURGERY 12 17 $12,988 $764 premium 7.3% (402) 441-4760
87 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 17 $35,292 $2,076 premium 0.7% (954) 659-5000
88 FEMALE PELVIC MEDICINE INSTITUTE OF VIRGINIA PC MIDLOTHIAN VA NURSE PRACTITIONER 2 17 $7,299 $429 premium 7.8% (804) 523-2533
89 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 17 $14,050 $826 premium 5.7% (614) 396-2684
90 PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC TUCSON AZ NURSE PRACTITIONER 24 17 $6,783 $399 premium 2.8% (520) 829-6776
91 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 17 $25,942 $1,526 premium 56.7% (503) 239-6673
92 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 17 $16,745 $985 premium 5.1% (315) 478-4185
93 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 16 $11,316 $707 premium 3.1% (865) 691-3061
94 ZACHARY C COHEN MD APC SAN DIEGO CA PHYSICIAN ASSISTANT 15 16 $39,132 $2,446 premium 4.6% (858) 571-3630
95 INTEGRATED PAIN ASSOCIATES PLLC KILLEEN TX NURSE PRACTITIONER 32 16 $10,234 $640 premium 1.4% (254) 245-9175
96 TRICITY COLO-RECTAL SURGERY LTD GILBERT AZ COLORECTAL SURGERY (PROCTOLOGY) 4 16 $3,920 $245 premium 2.6% (480) 835-5302
97 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 16 $14,880 $930 premium 10.8% (630) 469-9200
98 FLETCHER HOSPITAL INC HENDERSONVILLE NC PHYSICIAN ASSISTANT 290 16 $7,856 $491 premium 10.3%
99 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 16 $59,168 $3,698 premium 11.7% (908) 273-4300
100 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 16 $19,136 $1,196 premium 3.1% (615) 322-5000

Showing the top 100 of 219 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →