NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
69210 Removal of impacted ear wax CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1.30M services ▲ 2.8% YoY · 991,014 beneficiaries (CY2024, Medicare FFS)
Medicare paid $38.9M · $29.91 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
3,009
Named-group FFS services
953,211
FFS of Medicare
49%
Services YoY
+2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,917,328 services

953,211 observed fee-for-service (50%) · ~964,117 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; 2 states without payer-mix data excluded. How we scale

Top states — 69210 (CY2024)
CA 193,197 FL 148,951 NY 111,659 NJ 64,670 PA 64,264

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

Named-group submitted charges
$138.3M
Named-group allowed amount
$39.7M
Named-group Medicare payments
$28.3M
Avg charge / svc
$145
Avg allowed / svc
$42
Avg payment / svc
$30
Average charge per group
$33 3,009 groups · avg submitted charge / service $922
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 69210 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SINU-CLEAR INC MONTCLAIR CA NURSE PRACTITIONER 2 39,113 $3,793,961 $97 20.2% (909) 621-4751
2 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 36,149 $10,031,081 $277 32.4% (914) 963-8588
3 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 26,418 $2,794,392 $106 17.7% (561) 391-3333
4 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 22,712 $2,519,056 $111 15.2% (305) 595-6200
5 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 15,147 $3,785,675 $250 23.4% (914) 963-8588
6 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 9,242 $1,840,479 $199 21.7% (617) 523-7900
7 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 8,625 $1,051,783 $122 17.2% (847) 674-5585
8 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 8,550 $1,094,277 $128 27.6% (843) 766-7103
9 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 6,358 $984,742 $155 4.3% (904) 396-1725
10 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 6,199 $1,043,847 $168 3.2% —
11 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 6,163 $721,195 $117 9.7% (281) 492-7827
12 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 5,997 $899,980 $150 9.3% (908) 273-4300
13 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 5,747 $555,795 $97 3.9% (727) 791-1368
14 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 5,352 $1,891,606 $353 4.8% —
15 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 5,276 $871,475 $165 4.7% (914) 241-1050
16 MOBILE MEDICAL INC PERRYSBURG OH NURSE PRACTITIONER 83 4,914 $260,442 $53 13.0% 24852821166
17 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 4,614 $1,831,661 $397 12.2% —
18 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 4,567 $4,281,860 $938 4.1% (212) 263-9700
19 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 4,288 $825,983 $193 2.2% (415) 600-1020
20 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 4,206 $927,371 $220 11.2% (443) 275-1337
21 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 4,011 $470,340 $117 13.0% (704) 295-3414
22 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 3,580 $376,530 $105 5.6% —
23 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE CA OTOLARYNGOLOGY 8 3,432 $274,735 $80 1.8% (760) 340-4566
24 ONSIGHT INC EAST LANSING MI PODIATRY 24 3,364 $178,292 $53 12.6% 24852821166
25 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 3,130 $524,474 $168 1.6% (916) 681-8852
26 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 3,056 $334,861 $110 6.1% —
27 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 3,004 $428,996 $143 4.6% (856) 433-2535
28 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 2,979 $384,877 $129 16.4% 9854465079110
29 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 2,918 $336,605 $115 7.7% (410) 266-3900
30 VIRGINIA EAR NOSE AND THROAT ASSOCIATES PC NORTH CHESTERFIELD VA OTOLARYNGOLOGY 33 2,823 $255,420 $90 8.6% (804) 484-3700
31 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 2,791 $377,497 $135 6.6% (508) 771-1800
32 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 2,772 $321,552 $116 5.5% (630) 469-9200
33 CENTRAL COAST HEAD AND NECK SURGEONS A M C INC SALINAS CA OTOLARYNGOLOGY 14 2,741 $509,826 $186 1.4% (408) 422-8798
34 CENTERS FOR ADVANCED ENT CARE LLC BETHESDA MD QUALIFIED AUDIOLOGIST 102 2,707 $428,180 $158 7.2% (301) 652-8847
35 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 2,674 $333,225 $125 1.8% (863) 680-7780
36 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 2,632 $247,730 $94 11.3% (480) 847-1193
37 SONORAN EAR NOSE AND THROAT TUCSON AZ QUALIFIED AUDIOLOGIST 14 2,629 $260,271 $99 11.3% (520) 600-7970
38 TOTAL ELDER CARE, LLC DALLAS TX NURSE PRACTITIONER 3 2,609 $156,540 $60 4.1% (214) 244-9452
39 JEFFREY LEIDER MD PLLC FT WRIGHT KY NURSE PRACTITIONER 20 2,608 $138,224 $53 16.0% 24852821166
40 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 2,556 $486,573 $190 4.0% (972) 984-1050
41 FLORIDA GULF COAST EAR NOSE AND THROAT LLC NAPLES FL OTOLARYNGOLOGY 12 2,539 $252,575 $99 1.7% (239) 514-2225
42 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 2,506 $563,300 $225 2.2% (212) 241-4812
43 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 2,489 $764,425 $307 2.2% (212) 746-5454
44 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 2,449 $353,430 $144 3.8% (732) 362-3663
45 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 2,426 $223,387 $92 3.8% —
46 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 2,389 $402,965 $169 7.3% —
47 CARECONNECTMD CA PC COSTA MESA CA NURSE PRACTITIONER 28 2,373 $230,181 $97 1.2% (888) 789-9585
48 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 2,355 $313,435 $133 1.2% (562) 698-0811
49 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 2,261 $299,411 $132 12.3% (901) 755-5300
50 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 2,187 $257,187 $118 19.7% (816) 478-4200
51 BOSTON ENT ASSOCIATES PC NEEDHAM MA OTOLARYNGOLOGY 9 2,174 $294,300 $135 5.1% (781) 444-4722
52 OCEAN OTOLYARNGOLOGY LLC TOMS RIVER NJ QUALIFIED AUDIOLOGIST 7 2,168 $113,856 $53 3.4% (732) 281-0100
53 CV ENT SURGICAL GROUP WEST HILLS CA OTOLARYNGOLOGY 3 2,160 $223,782 $104 1.1% (818) 888-7878
54 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 2,149 $369,036 $172 3.3% (856) 354-2211
55 HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC HAMPTON VA PHYSICIAN ASSISTANT 23 2,148 $200,833 $93 6.6% (757) 825-2500
56 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 2,126 $254,429 $120 6.9% (919) 684-8111
57 JOSEPH M CAPO MD PC LEVITTOWN NY OTOLARYNGOLOGY 13 2,077 $344,864 $166 1.9% (516) 731-6644
58 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 2,077 $440,522 $212 11.3% (615) 612-2146
59 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 2,066 $305,415 $148 1.9% (212) 271-4364
60 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 2,032 $125,842 $62 17.3% (205) 212-3540
61 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 2,013 $192,457 $96 5.3% (614) 538-2424
62 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 2,006 $469,404 $234 1.0% (310) 829-6789
63 ENT AND ALLERGY OF DELAWARE LLC NEWARK DE OTOLARYNGOLOGY 42 2,002 $240,381 $120 30.6% (302) 998-0300
64 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 1,944 $282,025 $145 1.7% (518) 262-3277
65 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 1,892 $310,014 $164 8.8% (425) 313-5422
66 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 1,862 $618,025 $332 12.3% (414) 421-8400
67 ALBANY ENT AND ALLERGY SERVICES PC ALBANY NY PHYSICIAN ASSISTANT 48 1,833 $247,000 $135 1.6% (518) 701-2000
68 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 1,819 $240,240 $132 4.3% (617) 421-1000
69 THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA ORLANDO FL PHYSICIAN ASSISTANT 46 1,812 $258,813 $143 1.2% (407) 644-4883
70 OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC NORMAN OK OTOLARYNGOLOGY 15 1,802 $180,666 $100 17.2% (405) 364-2666
71 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 1,801 $348,020 $193 0.9% (925) 462-7060
72 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,783 $411,232 $231 0.9% (310) 423-0674
73 LAKE ENT AND FPS, PA LEESBURG FL NURSE PRACTITIONER 9 1,752 $175,200 $100 1.2% (352) 728-2404
74 ASSOCIATES IN OTOLARYNGOLOGY OF NJ, LLC WEST ORANGE NJ QUALIFIED AUDIOLOGIST 14 1,735 $260,250 $150 2.7% (973) 243-0600
75 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 1,713 $288,357 $168 8.3% (314) 567-6071
76 EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK FREDERICKSBURG VA OTOLARYNGOLOGY 11 1,683 $260,865 $155 5.1% (540) 371-1226
77 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,679 $306,925 $183 0.9% (858) 455-9100
78 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,677 $277,198 $165 3.3% —
79 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NJ INTERNAL MEDICINE 550 1,658 $274,395 $165 2.6% (201) 894-3158
80 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO CA OTOLARYNGOLOGY 34 1,653 $273,450 $165 0.9% (916) 736-3399
81 MICHIGAN EAR INSTITUTE PLLC FARMINGTON HILLS MI QUALIFIED AUDIOLOGIST 36 1,643 $196,280 $119 6.1% (248) 865-4444
82 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 1,606 $308,210 $192 8.7% (615) 322-5000
83 PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. WINSTON SALEM NC OTOLARYNGOLOGY 28 1,588 $298,197 $188 5.1% (336) 768-3361
84 PINNACLE ENT ALLIANCE LLC HAVERTOWN PA QUALIFIED AUDIOLOGIST 67 1,579 $173,185 $110 2.5% 6104466900230
85 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 1,578 $220,755 $140 7.3% (253) 428-2200
86 SHOHET EAR ASSOCIATES MEDICAL GROUP INC NEWPORT BEACH CA QUALIFIED AUDIOLOGIST 11 1,573 $125,190 $80 0.8% (949) 631-4327
87 EAR, NOSE, AND THROAT ASSOCIATES OF MANATEE, PA BRADENTON FL OTOLARYNGOLOGY 11 1,562 $151,220 $97 1.0% (941) 748-2455
88 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 1,554 $501,684 $323 0.8% (310) 794-1110
89 EAR, NOSE, AND THROAT SPECIALIST- CHEROKEE SINUS CENTER CANTON GA NURSE PRACTITIONER 11 1,549 $201,524 $130 6.4% (770) 345-6600
90 SOUTHSHORE OTOLARYNGOLOGY PC ROCKVILLE CENTRE NY OTOLARYNGOLOGY 3 1,548 $218,603 $141 1.4% 516678030318
91 COASTAL CAROLINA OTOLARYNGOLOGY ASSOCIATES, PA MYRTLE BEACH SC OTOLARYNGOLOGY 7 1,545 $83,931 $54 5.0% (843) 449-6449
92 FLORENCE EARS NOSE AND THROAT PC FLORENCE SC OTOLARYNGOLOGY 4 1,533 $134,787 $88 5.0% (843) 665-2900
93 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 1,524 $213,360 $140 10.6% (515) 343-1000
94 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 1,522 $206,004 $135 4.0% (513) 246-7000
95 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,514 $332,955 $220 0.8% (650) 723-4000
96 DRS. GIRGIS AND ASSOCIATES, S.C. HINSDALE IL QUALIFIED AUDIOLOGIST 11 1,496 $348,127 $233 3.0% (630) 323-6400
97 PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA PHYSICIAN ASSISTANT 314 1,476 $120,032 $81 6.8% (360) 428-2500
98 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 1,474 $124,424 $84 3.9% —
99 MICHAEL BUBLIK MD PC GLENDALE CA OTOLARYNGOLOGY 2 1,472 $179,584 $122 0.8% (818) 649-1433
100 EAR, NOSE AND THROAT CONSULTANTS OF NEVADA HENDERSON NV OTOLARYNGOLOGY 15 1,466 $159,473 $109 27.2% (702) 792-6700

Showing the top 100 of 3,009 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 →