NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
76873 Ultrasound scan of prostate through rectum CPT · Ultrasound imaging
Classification Imaging › Ultrasound › Ultrasound - Nonspecific (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,382 services ▼ 5.9% YoY · 2,263 beneficiaries (CY2024, Medicare FFS)
Medicare paid $242K · $101.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

42

Named groups billing this code
Named-group FFS services

1,382

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-5.9%

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

~2,707 services

1,382 observed fee-for-service (51%) · ~1,325 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 — 76873 (CY2024)
CA 521 FL 383 MD 337 AZ 149 TX 141

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
$621K
Named-group allowed amount
$183K
Named-group Medicare payments
$142K
Avg charge / svc
$449
Avg allowed / svc
$132
Avg payment / svc
$103
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
$150 42 groups · avg submitted charge / service $958
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 76873 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HARNE,SONG AND WOO, M.D.,P.A. FOREST HILL MD UROLOGY 3 170 $63,750 $375 50.4% (410) 879-4879
2 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE FL UROLOGY 36 101 $55,353 $548 26.4% (904) 483-2310
3 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA RADIATION ONCOLOGY 31 83 $46,812 $564 15.9% (310) 825-9304
4 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 80 $28,000 $350 56.7% (512) 324-7300
5 EAST VALLEY UROLOGY CENTER PLC MESA AZ UROLOGY 9 71 $36,113 $509 47.7% (480) 219-1010
6 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 59 $34,830 $590 77.6% (732) 362-3663
7 ORANGE COUNTY UROLOGY ASSOCIATES INC A MEDICAL GROUP LAGUNA HILLS CA UROLOGY 18 54 $32,191 $596 10.4% (949) 855-1101
8 MUNSON MEDICAL CENTER TRAVERSE CITY MI PHYSICIAN ASSISTANT 378 51 $11,220 $220 52.0% (231) 935-8000
9 LAS VEGAS UROLOGY LLP LAS VEGAS NV UROLOGY 50 46 $15,857 $345 71.9% (702) 233-0727
10 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 41 $11,192 $273 59.4% (601) 264-6000
11 KENNETH M TOKITA MD INC IRVINE CA DIAGNOSTIC RADIOLOGY 2 38 $23,180 $610 7.3% (949) 417-1100
12 ARIZONA BLOOD AND CANCER SPECIALISTS, PLLC TUCSON AZ MEDICAL ONCOLOGY 15 37 $19,352 $523 24.8% (520) 689-7022
13 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 36 $34,493 $958 6.9% (310) 794-8492
14 MATTHEW CAVEY MD PA FORT WORTH TX RADIATION ONCOLOGY 2 34 $18,122 $533 24.1% (817) 761-1844
15 ALLAWAY AND PAROUSIS UROLOGY MD PA CUMBERLAND MD UROLOGY 5 26 $5,200 $200 7.7% (301) 724-0132
16 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 25 $14,906 $596 4.8% —
17 GORDON GRADO MD INC SCOTTSDALE AZ RADIATION ONCOLOGY 6 24 $8,328 $347 16.1% (480) 614-6300
18 UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY FULLERTON CA UROLOGY 3 23 $11,507 $500 4.4% (714) 870-5970
19 UROLOGY ASSOCIATES OF DELAWARE PA DOVER DE UROLOGY 7 19 $6,574 $346 17.1% 3027361320103
20 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 19 $5,719 $301 63.3% (573) 882-2667
21 FREDERICK HEALTH MEDICAL GROUP LLC FREDERICK MD PHYSICIAN ASSISTANT 202 18 $6,300 $350 5.3% (240) 215-6310
22 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 18 $9,234 $513 4.7% (407) 896-1100
23 COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC COLORADO SPRINGS CO UROLOGY 20 18 $8,047 $447 45.0% (719) 531-7007
24 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 17 $7,922 $466 22.4% —
25 T JOSEPH RAOOF MD INC ENCINO CA INTERNAL MEDICINE 2 17 $5,100 $300 3.3% (818) 788-5060
26 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 17 $8,211 $483 43.6% (205) 795-5390
27 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 17 $4,709 $277 22.7% (984) 215-5556
28 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 16 $6,048 $378 16.3% (248) 898-5058
29 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 15 $5,160 $344 10.6% (254) 724-2663
30 MICHAEL P. ZAHALSKY, MD PA CORAL SPRINGS FL UROLOGY 13 15 $7,890 $526 3.9% (954) 714-8200
31 FARHAD MELAMED M D A MEDICAL CORPORATION BEVERLY HILLS CA INTERNAL MEDICINE 3 15 $5,250 $350 2.9% (310) 657-8400
32 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE VA UROLOGY 36 14 $7,672 $548 51.9% (904) 483-2310
33 UROPARTNERS LLC WESTCHESTER IL UROLOGY 130 13 $10,140 $780 39.4% (708) 486-0076
34 UROLOGY CENTER OF FLORIDA PA POMPANO BEACH FL UROLOGY 2 13 $2,730 $210 3.4% (954) 941-3333
35 SIMI-SAN FERNANDO VALLEY UROLOGY ASSOCIATES SIMI VALLEY CA UROLOGY 3 13 $4,940 $380 2.5% 8055830944104
36 AMERICAN ONCOLOGIC ASSOCIATES OF MICHIGAN PC PONTIAC MI RADIATION ONCOLOGY 9 13 $8,632 $664 13.3% (248) 338-0300
37 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 13 $3,265 $251 100.0% (541) 768-7700
38 RADIATION ONCOLOGY ASSOCIATES PC FAIRFAX VA RADIATION ONCOLOGY 23 13 $2,860 $220 48.1% (571) 472-0606
39 SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. CHARLOTTE NC RADIATION ONCOLOGY 53 13 $2,717 $209 17.3% (704) 333-7376
40 COUNTY OF VENTURA VENTURA CA FAMILY PRACTICE 279 12 $6,324 $527 2.3% (805) 654-3306
41 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 12 $4,032 $336 8.5% (903) 606-5560
42 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE MS UROLOGY 36 11 $6,028 $548 15.9% (904) 483-2310
43 PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. ALBANY GA NURSE PRACTITIONER 70 11 $3,300 $300 14.7% (229) 312-7001
44 SCION CANCER CARE, LLC GADSDEN AL NURSE PRACTITIONER 2 11 $1,650 $150 28.2% (256) 494-4965

*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 →