NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
82043 Urine microalbumin (protein) level CPT · General Laboratory test
Classification Test › General Laboratory › Clinical Chemistry (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4.43M services ▲ 10.2% YoY · 3.36M beneficiaries (CY2024, Medicare FFS)
Medicare paid $25.0M · $5.65 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,109
Named-group FFS services
559,275
FFS of Medicare
49%
Services YoY
+10.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,129,969 services

559,275 observed fee-for-service (49%) · ~570,694 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; 1 state without payer-mix data excluded. How we scale

Top states — 82043 (CY2024)
CA 551,290 NJ 498,461 FL 468,070 TX 447,410 NC 369,992

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

Named-group submitted charges
$15.6M
Named-group allowed amount
$3.1M
Named-group Medicare payments
$3.1M
Avg charge / svc
$28
Avg allowed / svc
$6
Avg payment / svc
$6
Average charge per group
$6 1,109 groups · avg submitted charge / service $300
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 82043 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 19,087 $220,634 $12 4.1% (941) 255-3535
2 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 10,466 $313,980 $30 9.8% (630) 469-9200
3 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 9,977 $229,471 $23 9.6% (617) 421-1000
4 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 9,686 $305,703 $32 7.8% (865) 938-3627
5 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 9,032 $313,230 $35 7.3% (423) 698-0927
6 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 7,718 $130,685 $17 5.8% (914) 241-1050
7 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 7,273 $225,463 $31 5.0% (614) 451-9612
8 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 5,988 $143,712 $24 3.1% (520) 547-5725
9 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 5,787 $147,982 $26 30.3% (502) 937-2209
10 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 5,751 $287,550 $50 4.8% (762) 235-3340
11 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 5,047 $121,128 $24 4.2% —
12 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 4,794 $77,789 $16 13.5% (651) 406-8860
13 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 4,626 $74,016 $16 3.5% (845) 703-6999
14 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 4,582 $91,990 $20 5.6% (410) 757-7600
15 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 4,476 $107,414 $24 0.9% (908) 273-4300
16 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 4,331 $92,776 $21 1.2% (910) 341-1540
17 NORMAN UROLOGY ASSOCIATES PC NORMAN OK PHYSICIAN ASSISTANT 10 4,300 $51,600 $12 10.7% (405) 360-9966
18 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 4,297 $90,237 $21 5.1% (757) 595-9880
19 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 4,249 $55,237 $13 19.1% —
20 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 4,229 $126,388 $30 3.4% (423) 926-8181
21 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 4,060 $121,800 $30 1.1% (910) 662-6000
22 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 3,788 $314,120 $83 2.9% (785) 354-9591
23 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 3,775 $308,915 $82 3.5% (847) 459-1160
24 PRIMARY CARE ASSOCIATES, PC ANDERSON SC FAMILY PRACTICE 11 3,713 $66,834 $18 9.1% (864) 716-6008
25 LAGRANGE INTERNAL MEDICINE, PC LAGRANGE GA INTERNAL MEDICINE 8 3,520 $70,400 $20 3.0% (706) 882-9341
26 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 3,518 $193,490 $55 0.8% (903) 614-3200
27 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 3,382 $101,460 $30 3.3% —
28 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 3,358 $221,628 $66 0.9% (704) 838-8210
29 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 3,326 $73,172 $22 16.9% (515) 239-4400
30 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 3,309 $105,888 $32 0.7% (817) 920-0484
31 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 3,301 $92,551 $28 9.3% (612) 863-4000
32 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 3,276 $137,763 $42 15.3% (225) 246-9790
33 NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA INTERNAL MEDICINE 144 3,272 $42,536 $13 0.6% (415) 391-9686
34 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 3,243 $87,561 $27 13.4% (662) 377-5300
35 FAMILY PHYSICIANS OF SPARTANBURG, PC SPARTANBURG SC FAMILY PRACTICE 10 3,135 $169,290 $54 7.7% (864) 576-9201
36 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 3,110 $80,860 $26 0.7% (512) 346-6611
37 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 3,103 $55,854 $18 2.3% (518) 782-3700
38 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 3,008 $120,320 $40 0.5% (415) 600-1020
39 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 3,008 $56,700 $19 0.7% (903) 533-0644
40 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 3,005 $30,050 $10 2.4% (731) 422-0213
41 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 2,980 $178,800 $60 7.3% (843) 497-5929
42 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 2,950 $45,570 $15 9.9% (574) 647-7275
43 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 2,909 $46,544 $16 17.7% (501) 562-4838
44 MEDICAL ASSOCIATES OF THE SHOALS, P.C. SHEFFIELD AL NURSE PRACTITIONER 24 2,760 $41,400 $15 2.1% 2563834447104
45 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 2,756 $35,608 $13 2.2% (901) 261-0700
46 NEPHROLOGY ASSOCIATES PC AUGUSTA GA NEPHROLOGY 18 2,748 $41,220 $15 2.3% (706) 722-6900
47 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 2,499 $174,930 $70 0.6% —
48 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 2,493 $291,681 $117 2.3% (217) 366-1200
49 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,485 $106,855 $43 1.7% —
50 OCALA FAMILY MEDICAL CENTER INC OCALA FL NURSE PRACTITIONER 60 2,440 $28,226 $12 0.5% (352) 237-4133
51 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 2,345 $30,485 $13 2.8% —
52 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 2,337 $21,306 $9 1.9% (865) 632-5885
53 EAST COAST MEDICAL ASSOCIATES, INC. BOCA RATON FL ENDOCRINOLOGY 6 2,276 $22,702 $10 0.5% (561) 391-1085
54 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 2,223 $44,496 $20 1.9% (770) 219-7777
55 HILLCREST FAMILY HEALTH CENTER WACO TX FAMILY PRACTICE 62 2,214 $90,663 $41 0.5% (254) 202-7800
56 GENESIS HEALTHCARE, INC DARLINGTON SC NURSE PRACTITIONER 32 2,174 $63,133 $29 5.3% (843) 393-7452
57 ADVANCED UROLOGY ASSOCIATES OF FLORIDA PL VERO BEACH FL OBSTETRICS/GYNECOLOGY 6 2,144 $25,728 $12 0.5% (772) 562-7220
58 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 2,141 $34,641 $16 1.6% (845) 469-4211
59 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 2,116 $36,691 $17 0.4% (559) 228-9660
60 CLINICAL UROLOGY ASSOCIATES, P.C. GADSDEN AL UROLOGY 11 2,092 $12,552 $6 1.6% (256) 492-4040
61 THOMAS C JONES, M.D., P.C. MACON GA NURSE PRACTITIONER 13 2,085 $52,125 $25 1.8% (478) 746-8626
62 VILLAGEMD OF SOUTHEAST TEXAS PA HOUSTON TX NURSE PRACTITIONER 227 2,079 $24,948 $12 0.5% (346) 646-4218
63 UROLOGY GROUP OF ATHENS, P.C. ATHENS GA NURSE PRACTITIONER 6 2,056 $61,680 $30 1.7% (706) 543-6261
64 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 2,050 $20,969 $10 0.4% (732) 845-2200
65 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 2,035 $61,050 $30 0.6% (704) 384-8200
66 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 2,027 $32,432 $16 2.4% —
67 PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL CAPE CORAL FL FAMILY PRACTICE 40 2,006 $22,066 $11 0.4% (239) 574-1988
68 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 1,997 $131,802 $66 11.5% (402) 354-8163
69 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 1,949 $27,286 $14 0.4% (941) 366-1888
70 FORE RIVER UROLOGY LLC SOUTH PORTLAND ME UROLOGY 9 1,936 $30,976 $16 39.3% (207) 518-6617
71 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 1,925 $128,975 $67 6.4% (317) 338-2345
72 ENDOCRINOLOGY CONSULTANTS OF EAST TN KNOXVILLE TN NURSE PRACTITIONER 37 1,924 $125,272 $65 1.5% (865) 637-8812
73 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 1,891 $35,929 $19 9.9% (270) 781-4043
74 SUMMIT MEDICAL GROUP ARIZONA LLC GLENDALE AZ NURSE PRACTITIONER 158 1,888 $22,656 $12 1.0% (888) 698-6727
75 DIABETES AND ENDOCRINE CENTER OF MS JACKSON MS ENDOCRINOLOGY 9 1,866 $55,980 $30 7.7% (601) 326-4255
76 ENDOCRINE AND DIABETES PA LIVINGSTON NJ ENDOCRINOLOGY 2 1,831 $15,472 $8 0.4% (973) 322-7200
77 NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC NORTH SYRACUSE NY NEPHROLOGY 4 1,820 $65,520 $36 1.4% —
78 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 1,801 $27,015 $15 5.5% (541) 382-2811
79 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 1,796 $26,940 $15 2.2% (410) 535-2005
80 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 1,767 $23,071 $13 2.5% (425) 339-5442
81 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 1,754 $24,097 $14 0.4% (806) 358-8331
82 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 1,753 $11,535 $7 1.3% (845) 342-4774
83 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 1,724 $43,100 $25 8.8% (515) 343-1000
84 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 1,719 $123,768 $72 0.5% (910) 295-5511
85 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 1,671 $58,485 $35 7.5% (801) 773-4840
86 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 1,670 $36,216 $22 0.5% (919) 684-8111
87 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 1,669 $81,756 $49 1.3% (914) 682-0700
88 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 1,668 $35,860 $21 1.4% (770) 536-9864
89 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 1,649 $41,225 $25 2.0% (443) 393-3788
90 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 1,633 $48,990 $30 1.3% (615) 867-7925
91 CLINICS OF NORTH TEXAS LLP WICHITA FALLS TX FAMILY PRACTICE 33 1,632 $65,248 $40 0.4% (940) 766-3551
92 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 1,622 $37,306 $23 1.6% (413) 774-6301
93 ALASKA UROLOGY LLC ANCHORAGE AK PHYSICIAN ASSISTANT 22 1,614 $52,750 $33 43.1% (907) 563-3103
94 ENDOCRINOLOGY ASSOCIATES P A DTD SCOTTSDALE AZ ENDOCRINOLOGY 10 1,605 $19,260 $12 0.8% (602) 266-8463
95 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,587 $42,607 $27 3.9% —
96 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 1,572 $68,072 $43 0.3% (850) 863-8150
97 BIRMINGHAM INTERNAL MEDICINE ASSOCIATES, LLC HOOVER AL NURSE PRACTITIONER 124 1,568 $18,126 $12 1.2% (205) 814-7206
98 BUFFALO MEDICAL GROUP, P.C. WILLIAMSVILLE NY PHYSICIAN ASSISTANT 237 1,543 $18,516 $12 1.2% (716) 630-1000
99 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 1,543 $22,297 $14 1.2% (516) 407-2727
100 COLONIAL FAMILY PRACTICE LLC SUMTER SC DIAGNOSTIC RADIOLOGY 57 1,537 $26,652 $17 3.8% (803) 773-5227

Showing the top 100 of 1,109 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 →