NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
75572 Ct scan of heart structure with contrast CPT · CT Scan imaging
Classification Imaging › CT Scan › CT/CTA - Chest (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 57,691 services ▲ 22.7% YoY · 56,167 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.2M · $72.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

267

Named groups billing this code
Named-group FFS services

28,850

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+22.7%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~58,351 services

28,850 observed fee-for-service (49%) · ~29,501 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 — 75572 (CY2024)
PA 4,729 NC 3,999 CA 3,877 MA 3,441 NY 2,751

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

Billed → allowed → paid
Named-group submitted charges
$12.0M
Named-group allowed amount
$2.6M
Named-group Medicare payments
$2.0M
Avg charge / svc
$416
Avg allowed / svc
$92
Avg payment / svc
$71
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$106 267 groups · avg submitted charge / service $1,955
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 75572 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 1,085 $506,490 $467 31.5% (617) 724-0287
2 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 921 $158,412 $172 19.5% —
3 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 760 $281,321 $370 44.6% (404) 605-5000
4 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 630 $226,524 $360 18.3% (617) 732-5500
5 HEALTHTEXAS PROVIDER NETWORK DALLAS PA PHYSICIAN ASSISTANT 2482 545 $162,203 $298 11.5% —
6 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 511 $615,649 $1,205 13.2% (858) 455-9100
7 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 457 $564,492 $1,235 20.6% (904) 953-2000
8 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 436 $110,735 $254 35.2% (206) 364-0500
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 423 $450,143 $1,064 15.4% (212) 263-9700
10 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 410 $115,210 $281 10.3% (919) 881-0160
11 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 352 $82,720 $235 20.7% —
12 SOUTHERN NEW HAMPSHIRE RADIOLOGY CONSULTANTS PC BEDFORD NH DIAGNOSTIC RADIOLOGY 42 333 $83,250 $250 39.3% (603) 627-1661
13 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 324 $98,820 $305 18.5% (614) 293-8000
14 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 298 $145,424 $488 7.7% (877) 827-7463
15 MECKLENBURG RADIOLOGY ASSOCIATES PA CHARLOTTE NC DIAGNOSTIC RADIOLOGY 94 293 $87,900 $300 7.3% (704) 332-1291
16 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 293 $67,155 $229 23.0% (503) 494-8311
17 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 283 $79,806 $282 53.6% (502) 937-2209
18 EVANSVILLE RADIOLOGY PC EVANSVILLE IN DIAGNOSTIC RADIOLOGY 29 282 $69,936 $248 21.7% (812) 422-3254
19 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 281 $83,631 $298 12.1% —
20 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 271 $60,162 $222 18.1% (520) 694-0111
21 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 269 $83,708 $311 15.8% —
22 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 260 $351,237 $1,351 17.4% (800) 603-0558
23 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 251 $79,818 $318 6.3% (828) 213-1740
24 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 247 $62,738 $254 25.0% —
25 CLEVELAND CLINIC FLORIDA WESTON PA NURSE PRACTITIONER 720 245 $77,881 $318 5.2% (954) 659-5000
26 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 238 $99,473 $418 14.0% —
27 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 234 $138,476 $592 5.9% (704) 667-1000
28 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 234 $88,590 $379 6.8% —
29 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 233 $74,756 $321 12.1% (612) 863-4000
30 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 226 $157,974 $699 5.7% (919) 350-7270
31 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 225 $91,455 $406 10.2% (239) 343-9888
32 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 218 $50,140 $230 86.9% (601) 292-4261
33 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 210 $115,500 $550 8.1% (804) 282-2685
34 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 209 $81,038 $388 12.3% (404) 778-7525
35 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 209 $54,222 $259 5.2% (919) 684-8111
36 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 209 $117,249 $561 12.3% (309) 683-5050
37 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 206 $50,548 $245 11.7% —
38 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 200 $84,370 $422 5.2% (800) 926-8273
39 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC MECHANICSBURG PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 198 $40,194 $203 4.2% (717) 731-0101
40 STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY DIAGNOSTIC RADIOLOGY 59 198 $94,050 $475 7.2% (631) 638-2121
41 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 191 $46,031 $241 7.4% (434) 924-5959
42 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 185 $39,035 $211 13.6% (405) 608-3800
43 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 183 $100,538 $549 14.8% (248) 898-5058
44 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 179 $36,621 $205 18.3% (913) 588-1227
45 RADIOLOGY AND IMAGING INC SPRINGFIELD WI DIAGNOSTIC RADIOLOGY 60 177 $47,613 $269 12.8% (413) 827-7400
46 TOLEDO RADIOLOGICAL ASSOCIATES INC COLDWATER OH DIAGNOSTIC RADIOLOGY 51 176 $44,704 $254 10.0% (517) 279-5400
47 AHS OKLAHOMA HEART LLC TULSA OK PHYSICIAN ASSISTANT 136 175 $66,500 $380 12.8% (918) 592-0999
48 CARDIOLOGY ASSOCIATES OF MOBILE INC MOBILE AL PHYSICIAN ASSISTANT 52 169 $129,664 $767 27.0% (251) 460-0078
49 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 165 $65,211 $395 16.8% (319) 678-8201
50 LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN NURSE PRACTITIONER 241 163 $37,001 $227 12.5% (260) 434-6339
51 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 163 $27,221 $167 9.3% —
52 VISTA RADIOLOGY, PC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 68 159 $51,039 $321 14.2% (865) 546-9484
53 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 156 $26,052 $167 11.4% (918) 502-4720
54 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 155 $64,404 $416 12.5% (734) 763-5459
55 NEW YORK UNIVERSITY NEW YORK TN DIAGNOSTIC RADIOLOGY 5704 152 $161,795 $1,064 13.5% (212) 263-9700
56 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 149 $52,150 $350 11.5% (317) 338-2345
57 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 146 $61,320 $420 23.3% (256) 265-2372
58 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 143 $36,834 $258 13.8% (843) 848-1440
59 RADIOLOGY AND IMAGING INC SPRINGFIELD MA DIAGNOSTIC RADIOLOGY 60 142 $38,198 $269 4.1% (413) 827-7400
60 MIDWEST HEART AND VASCULAR SPECIALISTS LLC OVERLAND PARK KS CARDIOVASCULAR DISEASE (CARDIOLOGY) 81 140 $36,380 $260 14.3% (816) 523-7088
61 HEART HOSPITAL OF SOUTH DAKOTA LLC SIOUX FALLS SD NURSE PRACTITIONER 67 139 $14,738 $106 78.5% (605) 977-7000
62 MORAN ROWEN AND DORSEY INC ORANGE CA DIAGNOSTIC RADIOLOGY 35 136 $43,384 $319 3.5% (714) 628-3305
63 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 136 $47,192 $347 13.2% —
64 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 133 $39,304 $296 5.7% (214) 633-5555
65 SPECTRUM HEALTHCARE PARTNERS PA PORTLAND ME DIAGNOSTIC RADIOLOGY 281 132 $35,244 $267 91.7% (207) 828-2160
66 PROFESSIONAL SERVICE FUND OF DEBORAH HEART AND LUNG CENTER BROWNS MILLS PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 121 132 $48,180 $365 2.8% (609) 893-6611
67 ROCKINGHAM RADIOLOGISTS ROCKINGHAM VA DIAGNOSTIC RADIOLOGY 11 127 $26,162 $206 4.9% (540) 432-8951
68 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE MI PHYSICIAN ASSISTANT 593 124 $39,432 $318 10.0% (828) 213-1740
69 PHYSICIANS OF CAPE COD HOSPITAL HYANNIS MA NURSE PRACTITIONER 318 123 $38,720 $315 3.6% (774) 552-6000
70 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 122 $44,286 $363 51.0% (304) 388-5432
71 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 117 $65,565 $560 11.3% (803) 395-3400
72 RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC BRYN MAWR PA DIAGNOSTIC RADIOLOGY 72 116 $42,804 $369 2.5% (484) 337-4371
73 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 116 $102,544 $884 3.0% (650) 723-4000
74 MEMPHIS RADIOLOGICAL PC MEMPHIS TN DIAGNOSTIC RADIOLOGY 51 114 $42,864 $376 10.2% (901) 561-6000
75 WINCHESTER RADIOLOGISTS PC WINCHESTER VA DIAGNOSTIC RADIOLOGY 79 112 $44,352 $396 4.3% (540) 686-1600
76 STRAUB CLINIC AND HOSPITAL HONOLULU HI NURSE PRACTITIONER 431 112 $23,296 $208 38.1% (808) 522-4000
77 CATHOLIC HEALTH INITIATIVES-IOWA CORP WEST DES MOINES IA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 110 $26,730 $243 11.2% (515) 358-8000
78 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 108 $40,824 $378 4.7% (254) 724-2663
79 AMERICAN RADIOLOGY CONSULTANTS PLLC DALLAS TX DIAGNOSTIC RADIOLOGY 121 108 $32,832 $304 4.7% (214) 820-3216
80 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI PHYSICIAN ASSISTANT 469 106 $20,458 $193 8.6% (989) 633-8018
81 AMERICAN RADIOLOGY CONSULTANTS PLLC DALLAS MO DIAGNOSTIC RADIOLOGY 121 105 $31,920 $304 6.2% (214) 820-3216
82 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 105 $205,245 $1,955 7.6% (414) 421-8400
83 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 104 $35,568 $342 4.5% (817) 321-0470
84 OSU RADIOLOGY LLC COLUMBUS CA DIAGNOSTIC RADIOLOGY 174 103 $31,415 $305 2.7% (614) 293-8315
85 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 103 $27,089 $263 2.2% (215) 662-2777
86 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 98 $20,580 $210 5.6% —
87 HEALTHTEXAS PROVIDER NETWORK DALLAS MN PHYSICIAN ASSISTANT 2482 98 $29,167 $298 5.1% —
88 THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 722 96 $30,135 $314 2.4% (336) 832-7000
89 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 96 $22,736 $237 7.8% (253) 428-2200
90 ALEXIAN BROTHERS SPECIALTY GROUP ELK GROVE VILLAGE IL NURSE PRACTITIONER 44 95 $16,815 $177 5.6% (847) 437-5500
91 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 94 $26,414 $281 2.4% (984) 215-5556
92 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 93 $93,000 $1,000 14.9% (205) 795-5390
93 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 93 $16,368 $176 7.5% —
94 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 92 $16,836 $183 2.4% (530) 332-4470
95 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 92 $28,152 $306 2.3% (336) 713-9800
96 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 91 $50,888 $559 6.6% (608) 287-2050
97 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 89 $64,703 $727 2.2% (252) 635-6777
98 CARDIOVASCULAR ASSOCIATION, P.L.L.C. HUMBLE TX INTERVENTIONAL CARDIOLOGY 52 88 $56,760 $645 3.8% (281) 446-6656
99 RADIOLOGY REGIONAL CENTER P A FORT MYERS FL DIAGNOSTIC RADIOLOGY 52 85 $50,346 $592 3.8% (239) 936-2316
100 ELLIOT PROFESSIONAL SERVICES MANCHESTER NH PHYSICIAN ASSISTANT 394 85 $25,585 $301 10.0% (603) 552-1670

Showing the top 100 of 267 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 →