NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
73580 Review by radiologist of knee joint image CPT · Standard X-ray imaging
Classification Imaging › Standard X-ray › X-ray - Lower Extremity (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 11,608 services ▼ 13.4% YoY · 6,006 beneficiaries (CY2024, Medicare FFS)
Medicare paid $957K · $82.44 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
56
Named-group FFS services
5,463
FFS of Medicare
49%
Services YoY
-13.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,898 services

5,463 observed fee-for-service (50%) · ~5,435 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 — 73580 (CY2024)
IL 2,324 CA 1,806 FL 1,755 TX 685 WA 655

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

Named-group submitted charges
$2.0M
Named-group allowed amount
$562K
Named-group Medicare payments
$443K
Avg charge / svc
$369
Avg allowed / svc
$103
Avg payment / svc
$81
Average charge per group
$88 56 groups · avg submitted charge / service $1,616
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 73580 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 KARAS PC ORLAND PARK IL PHYSICIAN ASSISTANT 10 1,349 $561,786 $416 58.0% (214) 289-8282
2 METRO EMERGENCY PHYSICIAN LLC KANSAS CITY MO EMERGENCY MEDICINE 57 269 $94,777 $352 45.3% (816) 932-2000
3 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 250 $104,231 $417 14.2% (239) 334-7000
4 FAMILY HEALTH ENTERPRISES INC LADY LAKE FL FAMILY PRACTICE 4 233 $62,211 $267 13.3% (352) 259-7994
5 ATLANTA OSTEOARTHRITIS CENTER LLC MARIETTA GA EMERGENCY MEDICINE 2 232 $81,200 $350 43.8% (404) 800-8533
6 NOVUS PAIN AND PHYSICAL MEDICINE - FLORIDA LLC BRADENTON FL NURSE PRACTITIONER 13 167 $66,466 $398 9.5% (301) 722-0484
7 EUGENE J LIU MD PC SCARSDALE NY PAIN MANAGEMENT 2 153 $95,780 $626 32.8% (914) 693-1050
8 POST ACUTE MEDICAL PLLC TOLUCA MN NURSE PRACTITIONER 337 142 $57,311 $404 78.5% (877) 883-9430
9 EDWARD HOSPITAL NAPERVILLE IL EMERGENCY MEDICINE 99 135 $56,543 $419 5.8% (312) 355-0450
10 CEVENE CARE CLINIC INC ROCKFORD IL CHIROPRACTIC 4 122 $17,380 $142 5.2% (815) 639-9900
11 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 112 $19,190 $171 100.0% (203) 688-4242
12 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA OK NURSE PRACTITIONER 373 111 $26,085 $235 60.3% (907) 966-8611
13 JOSEPH DANIELS DO BENBROOK TX PHYSICIAN ASSISTANT 4 110 $78,711 $716 16.1% (817) 731-9400
14 PHOENIX INTEGRATED MEDICAL CENTER WINTER PARK AL CHIROPRACTIC 4 104 $34,841 $335 87.4% (407) 637-8300
15 RENUVA HEALTH, LLC OVERLAND PARK KS NURSE PRACTITIONER 2 97 $17,169 $177 100.0% (913) 667-2298
16 PAIN RELIEF CENTER PA UNION CITY NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 80 $48,000 $600 28.8% (201) 662-5437
17 ROCKFORD HEALTH PHYSICIANS ROCKFORD IL DIAGNOSTIC RADIOLOGY 516 77 $32,066 $416 3.3% (815) 971-2000
18 APG NETWORK, LLC EDWARDSVILLE IN NURSE PRACTITIONER 18 76 $6,615 $87 100.0% (888) 363-8333
19 CITRUS RIDGE MEDICAL CENTERS INC DAVENPORT FL CHIROPRACTIC 3 75 $28,500 $380 4.3% (863) 256-5030
20 MEDWELL LLC MIDLAND PARK NJ GENERAL PRACTICE 11 72 $19,500 $271 25.9% (201) 819-1081
21 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 69 $14,490 $210 84.1% (301) 774-0500
22 SYCAMORE MEDICAL ASSOCIATES LLC SYCAMORE IL NURSE PRACTITIONER 12 69 $12,351 $179 3.0% (815) 748-3040
23 NEBRASKA SPINE CENTER, LLP OMAHA NE PHYSICIAN ASSISTANT 35 66 $11,750 $178 78.6% (402) 496-5517
24 JOINT REGENERATION AND ANTI-AGING OF PEACHTREE CITY FL NURSE PRACTITIONER 2 65 $17,802 $274 3.7% (678) 834-5526
25 APG NETWORK, LLC EDWARDSVILLE IL NURSE PRACTITIONER 18 62 $5,260 $85 2.7% (888) 363-8333
26 MOORESTOWN SPINE SPORTS AND WELLNESS MOORESTOWN PA PHYSICAL MEDICINE AND REHABILITATION 3 62 $16,508 $266 23.9% (856) 661-7900
27 PHOENIX INTEGRATED MEDICAL CENTER WINTER PARK FL CHIROPRACTIC 4 60 $20,101 $335 3.4% (407) 637-8300
28 OVERLEA-FULLERTON CHIROPRACTIC CENTER PC WESLEY CHAPEL FL CHIROPRACTIC 3 53 $14,516 $274 3.0% (813) 994-6008
29 MEDWELL LLC MIDLAND PARK NY GENERAL PRACTICE 11 52 $15,500 $298 11.1% (201) 819-1081
30 ERICKSON HEALTH MEDICAL GROUP OF FLORIDA PA NAPLES FL NURSE PRACTITIONER 4 50 $19,900 $398 2.8% (239) 325-6550
31 AFFILIATED KNEE PAIN SPECIALISTS PLLC SHELBY TOWNSHIP MI NURSE PRACTITIONER 7 49 $11,053 $226 19.0% (866) 207-5105
32 EMERGENCY COVERAGE LLC RICHMOND NC EMERGENCY MEDICINE 755 49 $13,420 $274 14.4% (804) 289-4500
33 ALL BE HEALTHY LLC BLOOMFIELD NJ PHYSICAL THERAPIST IN PRIVATE PRACTICE 97 49 $9,290 $190 17.6% (732) 784-3578
34 DESERT ORTHOPEDICS CENTER PLLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 10 46 $74,202 $1,613 69.7% (877) 821-4657
35 SOUTHEASTERN MEDICAL PA SUNSET BEACH NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 46 $5,152 $112 13.5% (910) 575-5750
36 CARE MEDICAL CENTER LLC VALDOSTA GA NURSE PRACTITIONER 27 44 $16,720 $380 8.3% (229) 241-8925
37 ATLANTIC MEDICAL PC BROOKLYN NY PAIN MANAGEMENT 4 42 $9,320 $222 9.0% (718) 677-9700
38 DR. PAUL LONG, LLC HILTON HEAD ISLAND SC INTERNAL MEDICINE 3 40 $7,150 $179 46.5% —
39 DESERT ORTHOPEDICS CENTER PLLC SCOTTSDALE TN PHYSICIAN ASSISTANT 10 39 $63,130 $1,619 57.4% (877) 821-4657
40 TEXIENNE PHYSICIANS MEDICAL ASSOCIATION PLLC SHENANDOAH TX FAMILY PRACTICE 4 35 $14,202 $406 5.1% —
41 ST LOUIS PAIN CENTER LLC SAINT LOUIS MO NURSE PRACTITIONER 2 35 $15,102 $431 5.9% (314) 846-2100
42 SERGEY V BOGDAN MD PC BROOKLYN NY INTERVENTIONAL PAIN MANAGEMENT 3 33 $5,610 $170 7.1% (718) 265-7700
43 K PAUL GERSTENBERG, D O, P A PORT NECHES TX FAMILY PRACTICE 5 31 $9,300 $300 4.5% (409) 210-3336
44 BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION POMONA CA INTERVENTIONAL PAIN MANAGEMENT 2 29 $2,610 $90 1.6% (909) 865-9500
45 TRI-COUNTY FAMILY MEDICINE PLLC GUN BARREL CITY TX NURSE PRACTITIONER 4 27 $4,050 $150 3.9% (903) 887-1092
46 TRANSITIONAL CARE SERVICES LLC WATERFORD MI NURSE PRACTITIONER 49 25 $5,640 $226 9.7% (855) 466-3631
47 APG NETWORK, LLC EDWARDSVILLE MO NURSE PRACTITIONER 18 25 $2,485 $99 4.2% (888) 363-8333
48 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 24 $6,546 $273 27.9% (864) 885-0058
49 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 23 $9,674 $421 12.7% (763) 581-5400
50 ORTHOMED PAIN RELIEF CENTERS LLC SARASOTA FL PAIN MANAGEMENT 2 22 $8,756 $398 1.3% (941) 371-7171
51 TRI-STATE PHYSICIANS AND PHYSICAL THERAPY CLINIC PC SOUTH SIOUX CITY IA CHIROPRACTIC 6 22 $3,615 $164 18.8% (402) 494-5173
52 ARROWHEAD FAMILY HEALTH CENTER PC GLENDALE AZ PHYSICIAN ASSISTANT 14 20 $6,880 $344 30.3% (623) 334-4000
53 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 20 $15,958 $798 4.3% (212) 263-9700
54 INTEGRATED REHAB CONSULTANTS LLC CHICAGO NE PHYSICAL MEDICINE AND REHABILITATION 164 18 $2,697 $150 21.4% (773) 224-5900
55 AIM-AXNESS INTEGRATIVE MEDICINE PLLC BAXTER MN INTERNAL MEDICINE 2 16 $3,310 $207 8.8% (218) 454-5050
56 SHOSHONE MEDICAL CENTER KELLOGG ID EMERGENCY MEDICINE 22 15 $4,125 $275 17.6% (208) 784-1227
57 BAILEY SPINE AND WELLNESS LLC ST AUGUSTINE FL CHIROPRACTIC 3 15 $3,300 $220 0.9% (904) 342-4941
58 ADVANCED PHYSICAL MEDICINE AND REHABILITATION LLC UTICA NY INTERVENTIONAL PAIN MANAGEMENT 6 13 $8,086 $622 2.8% (315) 765-8448
59 DR EDWIN W MALDONADO MD PL WELLINGTON FL ANESTHESIOLOGY 3 13 $1,674 $129 0.7% (561) 578-4582
60 MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO NURSE PRACTITIONER 580 12 $3,205 $267 2.0% (314) 872-9192
61 BEACH MEDICAL SPECIALISTS LLC INDIAN HARBOUR BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 12 $12,000 $1,000 0.7% (321) 773-9898

*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 →