NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
64617 Injection of chemical for paralysis of nerve muscles on side of voice box CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2014
National scale 8,227 services ▲ 5.3% YoY · 3,401 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2M · $141.21 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
76
Named-group FFS services
6,534
FFS of Medicare
49%
Services YoY
+5.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,365 services

6,534 observed fee-for-service (49%) · ~6,831 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 — 64617 (CY2024)
CA 908 FL 745 TN 711 PA 439 NY 385

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

Named-group submitted charges
$6.7M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$907K
Avg charge / svc
$1,029
Avg allowed / svc
$191
Avg payment / svc
$139
Average charge per group
$214 76 groups · avg submitted charge / service $4,242
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 64617 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 711 $712,320 $1,002 100.0% (615) 322-5000
2 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 360 $230,788 $641 100.0% (847) 674-5585
3 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 242 $113,834 $470 55.1% (215) 662-2777
4 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 230 $364,608 $1,585 94.3% (404) 778-7525
5 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 215 $101,580 $472 100.0% (206) 364-0500
6 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 175 $118,512 $677 23.5% (305) 689-5437
7 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 171 $200,255 $1,171 65.3% (617) 523-7900
8 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 167 $118,229 $708 43.8% (336) 713-9800
9 THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA ORLANDO FL PHYSICIAN ASSISTANT 46 163 $105,328 $646 21.9% (407) 644-4883
10 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 159 $211,667 $1,331 87.4% (843) 792-1414
11 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 133 $222,600 $1,674 14.6% (310) 794-1110
12 ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC GLENDALE AZ OTOLARYNGOLOGY 22 133 $88,440 $665 100.0% (602) 938-3205
13 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 127 $123,000 $969 83.6% (225) 765-1765
14 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 126 $160,965 $1,278 67.0% (734) 763-5459
15 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 126 $56,575 $449 16.9% (561) 391-3333
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 119 $170,208 $1,430 13.1% (800) 926-8273
17 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 118 $95,058 $806 13.0% (650) 723-4000
18 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 118 $120,776 $1,024 31.0% (704) 295-3414
19 LAWRENCE OTOLARYNGOLOGY ASSOCIATES, LLC LAWRENCE KS OTOLARYNGOLOGY 12 111 $91,783 $827 54.7% (785) 841-1107
20 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 106 $64,660 $610 11.7% (800) 872-2273
21 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 105 $139,848 $1,332 14.1% (352) 265-8990
22 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 104 $268,500 $2,582 27.0% (212) 746-5454
23 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 104 $152,096 $1,462 29.5% (214) 633-5555
24 OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC COLUMBUS OH OTOLARYNGOLOGY 67 99 $100,915 $1,019 32.5% (614) 366-3687
25 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 97 $151,904 $1,566 31.8% —
26 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON DC PHYSICIAN ASSISTANT 685 93 $92,017 $989 61.2% (202) 715-4000
27 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 92 $65,919 $717 45.3% (913) 588-1227
28 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 83 $57,596 $694 100.0% —
29 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP SYRACUSE NY OTOLARYNGOLOGY 18 83 $50,610 $610 21.6% (315) 464-4633
30 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 71 $51,439 $724 9.5% —
31 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 67 $73,530 $1,097 100.0% (601) 815-4775
32 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 66 $50,826 $770 73.3% (888) 484-3258
33 HENRY FORD HEALTH ST JOHN HOSPITAL DETROIT MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 337 62 $16,704 $269 33.0% (313) 343-4000
34 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 61 $56,451 $925 56.0% (314) 747-3000
35 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 61 $193,786 $3,177 38.1% (908) 273-4300
36 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 60 $74,878 $1,248 72.3% (319) 678-8201
37 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 58 $22,620 $390 7.8% —
38 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 57 $45,070 $791 14.8% (914) 963-8588
39 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 55 $43,945 $799 100.0% (205) 934-3460
40 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 54 $78,728 $1,458 17.7% —
41 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 50 $47,625 $952 33.6% (720) 777-1234
42 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 49 $36,613 $747 34.5% (503) 494-8311
43 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 48 $146,976 $3,062 55.2% (608) 287-2050
44 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 48 $32,300 $673 44.0% (314) 977-7455
45 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 47 $77,211 $1,643 6.3% (904) 953-2000
46 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY NC OTOLARYNGOLOGY 19 46 $36,072 $784 12.1% 8283222183266
47 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 43 $86,592 $2,014 17.1% (507) 284-2511
48 UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY PA BALTIMORE MD OTOLARYNGOLOGY 17 40 $16,520 $413 29.9% (410) 328-6866
49 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 40 $42,403 $1,060 11.3% —
50 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 39 $132,203 $3,390 44.8% (414) 955-4263
51 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 38 $16,380 $431 41.3% (757) 446-7900
52 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 35 $13,384 $382 9.9% (210) 363-6936
53 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 35 $16,327 $466 3.9% (415) 600-1020
54 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 35 $67,827 $1,938 13.4% (617) 724-0287
55 ENT AND ALLERGY OF DELAWARE LLC NEWARK DE OTOLARYNGOLOGY 42 35 $23,940 $684 100.0% (302) 998-0300
56 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 35 $148,474 $4,242 9.1% (212) 263-9700
57 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 34 $43,456 $1,278 3.7% (714) 456-5731
58 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 33 $30,900 $936 35.9% (434) 924-5959
59 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 31 $15,708 $507 100.0% (502) 629-2398
60 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 31 $14,071 $454 10.2% (513) 584-1000
61 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 30 $59,280 $1,976 7.8% (212) 305-8559
62 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 30 $13,110 $437 11.5% (781) 983-9088
63 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 30 $19,619 $654 3.3% (949) 364-4361
64 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 28 $61,500 $2,196 7.3% (212) 241-4812
65 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 26 $36,478 $1,403 32.9% (203) 688-4242
66 MANNING,JOHNSON AND SPENCER, PA SPRINGDALE AR OTOLARYNGOLOGY 10 26 $5,557 $214 36.1% (479) 750-2080
67 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 26 $21,461 $825 9.9% —
68 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 26 $24,196 $931 6.8% (984) 215-5556
69 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 25 $17,280 $691 16.4% (318) 675-8700
70 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 24 $32,383 $1,349 6.3% (919) 684-8111
71 OU HEALTH PARTNERS INC OKLAHOMA CITY OH PHYSICIAN ASSISTANT 1160 24 $28,256 $1,177 7.9% (405) 271-4311
72 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLE SC OTOLARYNGOLOGY 21 23 $17,597 $765 12.6% (864) 572-7001
73 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 22 $17,980 $817 5.0% —
74 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 21 $26,464 $1,260 22.8% (804) 828-9000
75 SOUTHWEST IDAHO EAR NOSE AND THROAT BOISE ID OTOLARYNGOLOGY 15 21 $18,573 $884 100.0% (208) 336-4368
76 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 18 $23,106 $1,284 10.7% (801) 581-2121

*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 →