NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
77089 Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk CPT · Standard X-ray imaging
Classification Imaging Standard X-ray (CMS RBCS)
First observed 2022
National scale 65,987 services ▲ 45.5% YoY · 65,671 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.8M · $27.36 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
102
Named-group FFS services
36,151
FFS of Medicare
49%
Services YoY
+45.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~74,036 services

36,151 observed fee-for-service (49%) · ~37,885 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 — 77089 (CY2024)

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

Named-group submitted charges
$5.9M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$998K
Avg charge / svc
$163
Avg allowed / svc
$40
Avg payment / svc
$28
Average charge per group
$38 102 groups · avg submitted charge / service $960
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 77089 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 77089 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 3,265 $682,385 $209 premium 53.9% (904) 953-2000
2 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 2,916 $374,121 $128 premium 99.5% (617) 421-1000
3 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 1,454 $290,150 $200 premium 37.5% (843) 497-5929
4 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 1,360 $107,440 $79 premium 22.4% (941) 366-1888
5 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 1,249 $171,113 $137 premium 42.7%
6 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 1,088 $82,688 $76 premium 29.4% (252) 634-3278
7 LEBOVIC SCHWIMER AND GOLDBERG MEDICAL GROUP BEVERLY HILLS CA DIAGNOSTIC RADIOLOGY 3 1,048 $471,600 $450 premium 19.8% (310) 394-2761
8 MEDICAL CLINIC OF HOUSTON, LLP HOUSTON TX INTERNAL MEDICINE 65 1,038 $42,438 $41 premium 13.6% (713) 526-5511
9 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 1,032 $231,462 $224 premium 19.5% (800) 926-8273
10 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 1,004 $119,935 $119 premium 19.0% (559) 459-6000
11 NEW MEXICO CLINICAL RESEARCH AND OSTEOPOROSIS CENTER, INC ALBUQUERQUE NM INTERNAL MEDICINE 4 1,003 $50,150 $50 premium 31.8% (505) 855-5525
12 ELIZABETH WENDE BREAST CARE LLC ROCHESTER NY DIAGNOSTIC RADIOLOGY 7 987 $148,050 $150 premium 13.6% (585) 442-2190
13 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 882 $273,420 $310 premium 12.2% (212) 305-8559
14 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 872 $417,606 $479 premium 21.6% (314) 747-3000
15 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 870 $33,060 $38 premium 33.1% (515) 270-7222
16 ARTHRITIS AND OSTEOPOROSIS CONSULTANTS OF THE CAROLINAS PA CHARLOTTE NC RHEUMATOLOGY 13 803 $93,951 $117 premium 21.7% (704) 342-0252
17 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 738 $154,242 $209 premium 9.7% (713) 592-5433
18 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 727 $63,249 $87 premium 23.1% (505) 841-1234
19 RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC HUNTSVILLE AL RHEUMATOLOGY 10 592 $42,032 $71 premium 74.0% (256) 551-6510
20 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 587 $46,467 $79 premium 7.7% (210) 614-8612
21 MANGROVE MEDICAL GROUP CHICO CA NURSE PRACTITIONER 9 568 $26,972 $47 premium 10.7% 5303450064268
22 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 561 $538,560 $960 premium 31.5% (608) 287-2050
23 IMAGING FOR WOMEN LLC KANSAS CITY MO DIAGNOSTIC RADIOLOGY 3 495 $84,200 $170 premium 12.3% (816) 453-2700
24 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 477 $29,206 $61 premium 12.9% (828) 258-9533
25 MORI BEAN AND BROOKS INC ORANGE PARK NM DIAGNOSTIC RADIOLOGY 947 448 $68,096 $152 premium 14.2% (904) 399-5550
26 RHEUMATOLOGY AND OSTEOPOROSIS SERVICES, P.C. LINCOLN NE NURSE PRACTITIONER 10 411 $51,375 $125 premium 88.4% (402) 464-9000
27 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 365 $76,285 $209 premium 12.5% (217) 366-1200
28 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 352 $70,400 $200 premium 8.7% (417) 624-0050
29 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 345 $30,015 $87 premium 60.1%
30 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES LLC NAPLES FL RHEUMATOLOGY 75 331 $30,981 $94 premium 5.5% (239) 596-5220
31 PASTEUR MEDICAL ASSOCIATES PA SAN ANTONIO TX INTERNAL MEDICINE 7 323 $13,425 $42 premium 4.2% (210) 614-4000
32 TIMOTHY S JOHNSTON MD PC MERCED CA FAMILY PRACTICE 9 320 $32,000 $100 premium 6.0% 20934984592245
33 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 311 $72,670 $234 premium 80.8% (203) 688-4242
34 RHEUMATOLOGY ASSOCIATES PA STUART FL RHEUMATOLOGY 5 311 $12,576 $40 premium 5.1% (772) 283-8380
35 ENDOCRINOLOGY ASSOCIATES P A DTD SCOTTSDALE AZ ENDOCRINOLOGY 10 297 $14,850 $50 premium 43.9% (602) 266-8463
36 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 295 $19,889 $67 premium 3.9% (806) 358-8331
37 EAST RIVER MEDICAL IMAGING PC NEW YORK NY DIAGNOSTIC RADIOLOGY 10 295 $44,250 $150 premium 4.1% (212) 288-7615
38 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 250 $41,673 $167 premium 6.2% (417) 875-3000
39 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 240 $40,075 $167 premium 49.6% (507) 389-8509
40 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 238 $28,560 $120 premium 23.3% (201) 837-7788
41 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 245 219 $36,750 $168 premium 5.4% (417) 269-5158
42 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 206 $28,840 $140 premium 5.6% (252) 744-1406
43 R. BAUER VAUGHTERS, III, MD, INC. AIKEN SC NURSE PRACTITIONER 2 198 $15,048 $76 premium 5.1% (803) 648-3130
44 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 193 $26,811 $139 premium 39.9%
45 JOSHUA P JUNE DO LANSING MI RHEUMATOLOGY 5 174 $17,400 $100 premium 41.4% (517) 272-9700
46 BLACK RIVER HEALTH INC BLACK RIVER FALLS WI DIAGNOSTIC RADIOLOGY 60 172 $50,912 $296 premium 9.7%
47 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 160 $43,680 $273 premium 92.5% (859) 258-4568
48 LEBANON INTERNAL MEDICINE ASSOCIATES PC LEBANON PA PHYSICIAN ASSISTANT 17 150 $9,000 $60 premium 18.3% (717) 273-6706
49 WOMENS IMAGING CENTER DENVER CO DIAGNOSTIC RADIOLOGY 3 148 $12,399 $84 premium 25.8% (303) 321-2273
50 ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD MOUNT VERNON IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 21 146 $29,200 $200 premium 5.0% (618) 242-3778
51 ARTHRITIS CENTERS OF TEXAS, P.A. DALLAS TX RHEUMATOLOGY 4 143 $5,789 $40 premium 1.9% (214) 823-6503
52 WEST UNIVERSITY INTERNAL MEDICINE, P.L.L.C. HOUSTON TX INTERNAL MEDICINE 5 134 $5,457 $41 premium 1.8% (713) 662-2777
53 RADIOLOGY ASSOCIATES OF VENICE AND ENGLEWOOD PA VENICE FL DIAGNOSTIC RADIOLOGY 8 129 $10,027 $78 premium 2.1% (941) 486-3483
54 UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY MOBILE AL INTERNAL MEDICINE 85 128 $13,623 $106 premium 16.0% (251) 633-8880
55 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 127 $18,923 $149 premium 1.7% (713) 566-5000
56 SOUTH TEXAS SPINAL CLINIC, P.A. SAN ANTONIO TX ORTHOPEDIC SURGERY 24 124 $15,252 $123 premium 1.6% (210) 614-6432
57 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 117 $12,226 $104 premium 1.9% (305) 273-4641
58 KIRKPATRICK FAMILY CARE, PS LONGVIEW WA PHYSICIAN ASSISTANT 11 116 $9,860 $85 premium 20.0%
59 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 107 $10,165 $95 premium 2.9% (252) 355-4357
60 SIMONA SCUMPIA MD PA AUSTIN TX ENDOCRINOLOGY 2 106 $10,546 $99 premium 1.4% (512) 467-2727
61 LUBBOCK KIDNEY AND BLOOD PRESSURE CLINIC P A HOBBS TX INTERNAL MEDICINE 2 101 $12,120 $120 premium 1.3% (806) 793-8447
62 BUFFALO RHEUMATOLOGY AND MEDICINE PLLC ORCHARD PARK NY RHEUMATOLOGY 11 99 $6,930 $70 premium 1.4% (716) 675-2500
63 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 97 $11,640 $120 premium 1.3% (201) 837-7788
64 G DEAN STROBEL MD PA SHERMAN TX NURSE PRACTITIONER 5 94 $6,298 $67 premium 1.2% (903) 957-0275
65 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 94 $12,110 $129 premium 3.6% (515) 239-4400
66 SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC ROSWELL NM NURSE PRACTITIONER 9 87 $9,973 $115 premium 2.8% (575) 623-9101
67 NEIGHBORHOOD IMPROVEMENT PROJECT, INC AUGUSTA GA PHYSICIAN ASSISTANT 65 84 $6,384 $76 premium 46.4% (706) 790-4440
68 ARTHRITIS ASSOCIATES OF FLORIDA, PA PALM HARBOR FL RHEUMATOLOGY 4 81 $4,617 $57 premium 1.3% (727) 773-9793
69 CCF NEW YORK MEDICAL SERVICES, PC NEW YORK NJ DIAGNOSTIC RADIOLOGY 6 79 $6,715 $85 premium 7.7% (216) 218-3938
70 UTAH ORTHOPAEDICS LLC WASHINGTON TERRACE UT OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 5 78 $8,970 $115 premium 100.0% (801) 917-8000
71 RUTGERS HEALTH-RWJ PRIMARY MEDICINE GROUP NEW BRUNSWICK NJ INTERNAL MEDICINE 53 78 $14,274 $183 premium 7.6% (732) 235-6968
72 BONE HEALTH CLINIC LLC LENEXA MO NURSE PRACTITIONER 2 78 $7,862 $101 premium 1.9% (913) 535-8905
73 OTTAWA FAMILY PHYSICIANS, CHARTERED OTTAWA KS FAMILY PRACTICE 11 76 $9,120 $120 premium 4.9% (785) 242-1620
74 BONE HEALTH CLINIC LLC LENEXA KS NURSE PRACTITIONER 2 70 $7,056 $101 premium 4.5% (913) 535-8905
75 CALIFORNIA MANAGED IMAGING MEDICAL GROUP INC SANTA BARBARA CA DIAGNOSTIC RADIOLOGY 64 68 $16,020 $236 premium 1.3% (800) 841-4236
76 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 66 $7,656 $116 premium 0.9% (214) 633-5555
77 RHEUMATOLOGY ASSOCIATES P.A. PORTLAND ME RHEUMATOLOGY 10 64 $4,285 $67 premium 37.6% (207) 774-5761
78 KIDNEY AND HYPERTENSION PLC GRAND FORKS ND NURSE PRACTITIONER 7 62 $12,400 $200 premium 100.0%
79 GLENWOOD MEDICAL ASSOCIATES PC GLENWOOD SPRINGS CO FAMILY PRACTICE 16 58 $5,988 $103 premium 10.1% (970) 945-8503
80 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU NJ DIAGNOSTIC RADIOLOGY 648 58 $15,892 $274 premium 5.7% (808) 691-8200
81 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 52 $5,772 $111 premium 0.7%
82 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 51 $2,550 $50 premium 1.7%
83 REAGAN MEDICAL CENTER LLC LAWRENCEVILLE GA PHYSICIAN ASSISTANT 17 49 $7,840 $160 premium 27.1% (678) 344-8700
84 CASS COUNTY MEMORIAL HOSPITAL ATLANTIC IA NURSE PRACTITIONER 65 46 $1,748 $38 premium 1.8% (712) 243-3250
85 SOUTHERN ORTHOPAEDIC ALLIANCE PLLC MOBILE AL PHYSICIAN ASSISTANT 105 46 $3,770 $82 premium 5.8% (251) 435-2663
86 NORTHEAST OKLAHOMA RADIOLOGY PHYSICIANS LLC BARTLESVILLE OK DIAGNOSTIC RADIOLOGY 3 45 $5,850 $130 premium 10.1% (918) 333-7200
87 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 44 $6,028 $137 premium 1.5% (630) 469-9200
88 BENEFIS HOSPITALS INC GREAT FALLS MT PHYSICIAN ASSISTANT 400 44 $3,388 $77 premium 38.3% (406) 455-5000
89 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 43 $3,280 $76 premium 0.6% (806) 353-7000
90 CLINICA LAS AMERICAS GUAYNABO, INC BAYAMON PR GENERAL PRACTICE 50 39 $1,594 $41 premium 100.0% (787) 789-1996
91 GMG HEALTH SYSTEMS ASSOCIATES PA SAN ANTONIO TX NURSE PRACTITIONER 118 37 $3,617 $98 premium 0.5% (210) 509-2603
92 AMICUS ARTHRITIS AND OSTEOPOROSIS CENTER INC WHITTIER CA RHEUMATOLOGY 4 34 $10,200 $300 premium 0.6% (562) 758-6600
93 ORTHOTENNESSEE PC KNOXVILLE TN PHYSICIAN ASSISTANT 157 32 $3,520 $110 premium 62.7% (865) 558-4400
94 RADIOLOGY ASSOCIATES OF VENICE AND ENGLEWOOD PA VENICE MN DIAGNOSTIC RADIOLOGY 8 25 $1,946 $78 premium 5.2% (941) 486-3483
95 ARTHRITIS CENTERS OF TEXAS, P.A. DALLAS AR RHEUMATOLOGY 4 25 $1,008 $40 premium 1.0% (214) 823-6503
96 EDMUND J. MACLAUGHLIN, MD, LLC EASTON MD RHEUMATOLOGY 6 25 $1,500 $60 premium 1.9% (410) 819-6545
97 HILLCREST FAMILY HEALTH CENTER WACO TX FAMILY PRACTICE 62 24 $2,048 $85 premium 0.3% (254) 202-7800
98 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 23 $3,818 $166 premium 4.0% (720) 777-1234
99 BENEFIS HOSPITALS INC GREAT FALLS SD PHYSICIAN ASSISTANT 400 23 $1,825 $79 premium 4.2% (406) 455-5000
100 NORTHWEST RADIOLOGY NETWORK P C CARMEL IN DIAGNOSTIC RADIOLOGY 19 22 $2,992 $136 premium 38.6% (317) 328-5062

Showing the top 100 of 102 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 →