NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
69801 Incision of fluid canal of inner ear with infusion of drugs 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 6,979 services ▲ 0.3% YoY · 2,801 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $157.25 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
83
Named-group FFS services
5,817
FFS of Medicare
49%
Services YoY
+0.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~12,168 services

5,817 observed fee-for-service (48%) · ~6,351 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 — 69801 (CY2024)
TN 975 AL 909 TX 798 FL 751 AZ 455

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

Named-group submitted charges
$8.5M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$942K
Avg charge / svc
$1,464
Avg allowed / svc
$209
Avg payment / svc
$162
Average charge per group
$315 83 groups · avg submitted charge / service $7,876
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 69801 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 GACEK EAR AND SINUS CENTER LLC MOBILE AL NURSE PRACTITIONER 2 531 $1,617,426 $3,046 58.4% (251) 340-7970
2 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 280 $462,000 $1,650 28.7% (901) 761-9720
3 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 257 $119,832 $466 56.5% (480) 847-1193
4 MID-SOUTH EAR NOSE AND THROAT PC GERMANTOWN TN NURSE PRACTITIONER 32 239 $227,050 $950 24.5% (901) 755-5300
5 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 207 $142,209 $687 27.6% (407) 200-2700
6 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 204 $211,500 $1,037 27.2% (561) 391-3333
7 NORTH ALABAMA ENT ASSOCIATES HUNTSVILLE AL OTOLARYNGOLOGY 26 191 $205,380 $1,075 21.0% (256) 536-9300
8 WITHAM MEMORIAL HOSPITAL LEBANON IN NURSE PRACTITIONER 104 160 $260,960 $1,631 54.8% —
9 ASSOCIATES IN OTOLARYNGOLOGY OF NJ, LLC WEST ORANGE NJ QUALIFIED AUDIOLOGIST 14 143 $171,600 $1,200 54.8% (973) 243-0600
10 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 139 $78,650 $566 100.0% (816) 478-4200
11 SOUTHEAST TEXAS EAR, NOSE AND THROAT, LLP BEAUMONT TX OTOLARYNGOLOGY 14 135 $213,000 $1,578 16.9% (409) 212-8111
12 ALABAMA EAR PC BIRMINGHAM AL OTOLARYNGOLOGY 4 131 $239,468 $1,828 14.4% (205) 598-4799
13 EAR MEDICAL GROUP PA SAN ANTONIO TX PHYSICIAN ASSISTANT 7 106 $131,896 $1,244 13.3% (210) 614-6070
14 MICHIGAN EAR INSTITUTE PLLC FARMINGTON HILLS MI QUALIFIED AUDIOLOGIST 36 105 $94,500 $900 68.6% (248) 865-4444
15 JACKSON EAR CLINIC PA FLOWOOD MS OTOLARYNGOLOGY 3 95 $48,750 $513 100.0% (601) 981-2825
16 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 94 $262,010 $2,787 39.7% (914) 963-8588
17 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 88 $295,532 $3,358 43.3% (843) 792-1414
18 CENTRAL TEXAS SINUS AND ALLERGY, PLLC COLLEGE STATION TX OTOLARYNGOLOGY 7 88 $44,000 $500 11.0% (979) 764-3090
19 TRACY BYERLY II MD PA FREDERICKSBURG TX PHYSICIAN ASSISTANT 3 85 $51,085 $601 10.7% —
20 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 83 $285,120 $3,435 22.1% (714) 456-5731
21 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 83 $155,347 $1,872 22.1% (562) 698-0811
22 ARIZONA EAR CENTER PC PHOENIX AZ OTOLARYNGOLOGY 2 83 $84,147 $1,014 18.2% (602) 307-9919
23 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 79 $71,485 $905 64.2% —
24 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 77 $67,452 $876 68.8% —
25 BALANCE AND EAR CENTER, INC RICHMOND VA QUALIFIED AUDIOLOGIST 4 68 $75,224 $1,106 51.9% (804) 288-3277
26 MID-ATLANTIC ENT ANNAPOLIS MD OTOLARYNGOLOGY 6 65 $23,783 $366 42.2% (410) 573-9191
27 ARKANSAS OTOLARYNGOLOGY CENTER PA LITTLE ROCK AR OTOLARYNGOLOGY 27 63 $31,500 $500 100.0% (501) 221-5050
28 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 63 $33,865 $538 8.4% (305) 689-5437
29 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 62 $69,440 $1,120 75.6% —
30 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 57 $32,739 $574 7.1% (972) 984-1050
31 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 53 $24,923 $470 68.8% (502) 629-2398
32 BRYAN D FRIEDMAN DO LLC PAYSON AZ OTOLARYNGOLOGY 3 52 $27,680 $532 11.4% (480) 664-0125
33 SPARTANBURG EAR, NOSE AND THROAT - HEAD AND NECK SURGERY, PA GREER SC OTOLARYNGOLOGY 12 51 $91,510 $1,794 25.1% (864) 582-2900
34 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 49 $63,377 $1,293 24.1% —
35 RAPHAEL E NWOJO MD PA ODESSA TX OTOLARYNGOLOGY 2 49 $21,903 $447 6.1% (432) 653-1484
36 ALBANY ENT AND ALLERGY SERVICES PC ALBANY NY PHYSICIAN ASSISTANT 48 49 $19,600 $400 20.7% (518) 701-2000
37 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 49 $111,036 $2,266 13.0% (310) 423-0674
38 THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA ORLANDO FL PHYSICIAN ASSISTANT 46 48 $37,495 $781 6.4% (407) 644-4883
39 CHRISTOPHER M SHAARI MD PC HACKENSACK NJ OTOLARYNGOLOGY 2 47 $211,500 $4,500 18.0% (201) 342-8060
40 OTORHINOLARYNGOLOGY ASSOCIATES PC PALMERTON PA PHYSICIAN ASSISTANT 4 46 $18,400 $400 30.9% (610) 824-5050
41 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 44 $103,400 $2,350 35.8% (314) 747-3000
42 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 44 $132,384 $3,009 16.9% (914) 963-8588
43 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 42 $113,610 $2,705 11.2% (925) 462-7060
44 CAPITAL OTOLARYNGOLOGY HEAD AND NECK SURGEONS, PA AUSTIN TX OTOLARYNGOLOGY 9 41 $30,750 $750 5.1% (513) 339-4040
45 SHOHET EAR ASSOCIATES MEDICAL GROUP INC NEWPORT BEACH PA QUALIFIED AUDIOLOGIST 11 38 $31,500 $829 25.5% (949) 631-4327
46 PRIVIA MEDICAL GROUP WASHINGTON PLLC WALLA WALLA WA NURSE PRACTITIONER 73 38 $63,422 $1,669 46.3% 50952537201405
47 LENOX HILL HOSPITAL MEDICAL PC NEW YORK NY OTOLARYNGOLOGY 30 37 $291,422 $7,876 15.6% (212) 434-4500
48 CAROLINA EAR AND HEARING CLINIC PC RALEIGH NC OTOLARYNGOLOGY 5 35 $122,640 $3,504 53.0% 9198764327204
49 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 35 $85,925 $2,455 24.3% (617) 523-7900
50 ADVANCED ENT AND ALLERGY PLLC LOUISVILLE IN OTOLARYNGOLOGY 38 35 $14,420 $412 12.0% 50289301591188
51 METRO EAR NOSE AND THROAT ASSOCIATES, PA PLANO TX OTOLARYNGOLOGY 2 35 $49,200 $1,406 4.4% (972) 781-1462
52 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 35 $105,602 $3,017 4.4% (214) 633-5555
53 SHOHET EAR ASSOCIATES MEDICAL GROUP INC NEWPORT BEACH CA QUALIFIED AUDIOLOGIST 11 34 $27,900 $821 9.0% (949) 631-4327
54 EAR NOSE AND THROAT CONSULTANTS PC SOUTHFIELD MI QUALIFIED AUDIOLOGIST 31 33 $33,000 $1,000 21.6% (248) 569-5985
55 MARK H MONTGOMERY MD PA BONITA SPRINGS FL OTOLARYNGOLOGY 2 32 $15,048 $470 4.3% (239) 495-6200
56 COLORADO SPRINGS EAR ASSOCIATES COLORADO SPRINGS CO QUALIFIED AUDIOLOGIST 8 31 $21,390 $690 38.3% (719) 667-1327
57 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 31 $38,615 $1,246 47.0% (704) 295-3414
58 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 30 $33,600 $1,120 37.0% —
59 VALLEY ENT PC SCOTTSDALE FL OTOLARYNGOLOGY 71 30 $17,739 $591 4.0% (480) 847-1193
60 SINUS AND SNORING SPECIALISTS AUSTIN TX PHYSICIAN ASSISTANT 7 30 $21,103 $703 3.8% (512) 596-1424
61 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 27 $31,563 $1,169 10.3% (908) 273-4300
62 ROCKY MOUNTAIN EAR NOSE AND THROAT CENTER PC MISSOULA MT QUALIFIED AUDIOLOGIST 20 27 $15,822 $586 100.0% (406) 541-3937
63 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 27 $61,589 $2,281 32.9% —
64 OTOLARYNGOLOGY ASSOCIATES OF TENNESSEE PC NASHVILLE TN OTOLARYNGOLOGY 23 26 $26,000 $1,000 2.7% (615) 340-4000
65 BUTLER AND BURNS EAR NOSE AND THROAT ASSOCIATES AUSTIN TX OTOLARYNGOLOGY 43 26 $18,824 $724 3.3% (512) 454-0392
66 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 26 $76,596 $2,946 18.1% (508) 334-1000
67 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 26 $92,638 $3,563 16.9% (443) 275-1337
68 ENGLEWOOD EAR NOSE AND THROAT PC ENGLEWOOD FL OTOLARYNGOLOGY 8 25 $49,675 $1,987 3.3% (201) 816-9800
69 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 24 $30,000 $1,250 5.3% (520) 795-7750
70 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 23 $11,000 $478 5.1% (800) 603-0558
71 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES ROCHESTER NY OTOLARYNGOLOGY 34 23 $22,770 $990 9.7% (585) 276-4480
72 MARK S. ROBERTSON, P.C. ALBANY OR OTOLARYNGOLOGY 2 22 $6,930 $315 100.0% (541) 967-0404
73 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 22 $17,274 $785 14.8% (215) 662-2777
74 TEXAS EAR AND VESTIBULAR INSTITUTE PLANO TX OTOLARYNGOLOGY 2 22 $13,381 $608 2.8% (469) 678-2211
75 PEORIA EAR NOSE AND THROAT GROUP SC PEORIA IL QUALIFIED AUDIOLOGIST 17 20 $17,075 $854 24.4% (309) 589-5900
76 OTOLARYNGOLOGY ASSOCIATES PC FAIRFAX VA OTOLARYNGOLOGY 30 20 $20,000 $1,000 15.3% (703) 383-8130
77 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 19 $11,590 $610 2.5% (904) 396-1725
78 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 18 $46,217 $2,568 11.7% (410) 502-4340
79 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 18 $6,300 $350 16.1% (614) 538-2424
80 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 17 $15,487 $911 15.2% (419) 874-3246
81 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 17 $28,526 $1,678 1.7% (615) 322-5000
82 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 17 $12,408 $730 20.7% —
83 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 16 $61,872 $3,867 4.3% (310) 794-1110
84 ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC SUN CITY WEST AZ OTOLARYNGOLOGY 3 16 $5,296 $331 3.5% (623) 975-1660
85 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 15 $7,740 $516 7.4% (843) 766-7103
86 TENNESSEE EAR, NOSE AND THROAT CONSULTANTS, PC KNOXVILLE TN QUALIFIED AUDIOLOGIST 26 14 $23,440 $1,674 1.4% (865) 693-6065

*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 →