NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
82465 Cholesterol 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 89,721 services ▼ 7.8% YoY · 69,618 beneficiaries (CY2024, Medicare FFS)
Medicare paid $382K · $4.25 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
66
Named-group FFS services
16,133
FFS of Medicare
49%
Services YoY
-7.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~31,974 services

16,133 observed fee-for-service (50%) · ~15,841 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 — 82465 (CY2024)
CA 16,579 FL 12,147 NJ 10,102 AZ 6,731 MN 5,740

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

Named-group submitted charges
$492K
Named-group allowed amount
$69K
Named-group Medicare payments
$69K
Avg charge / svc
$30
Avg allowed / svc
$4
Avg payment / svc
$4
Average charge per group
$4 66 groups · avg submitted charge / service $68
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 82465 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 5,438 $244,710 $45 32.8% 3108549898159
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,545 $76,350 $30 37.8% (800) 603-0558
3 OTTAWA FAMILY PHYSICIANS, CHARTERED OTTAWA KS FAMILY PRACTICE 11 915 $18,300 $20 42.8% (785) 242-1620
4 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 534 $8,544 $16 30.6% (757) 595-9880
5 IK MEDICAL PC BROOKLYN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 527 $13,175 $25 15.1% (718) 759-0105
6 CARDIOVASCULAR INTERVENTIONS PA ORLANDO FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 424 $4,240 $10 3.5% (407) 896-7899
7 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 406 $4,060 $10 15.2% (614) 451-9612
8 JPB MEDICAL GROUP INC VAN NUYS CA INTERNAL MEDICINE 4 357 $8,925 $25 2.2% (818) 785-0300
9 UNITED INDIAN HEALTH SERVICES, INC. ARCATA CA PHYSICIAN ASSISTANT 27 314 $11,932 $38 1.9% (707) 825-5000
10 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 288 $6,624 $23 6.0% (910) 662-6000
11 FAMILY HEALTH CARE OF SIOUXLAND PLC SIOUX CITY IA FAMILY PRACTICE 48 276 $2,733 $10 29.5% (712) 239-4300
12 SOUTHERN PLAINS MEDICAL CENTER INC CHICKASHA OK NURSE PRACTITIONER 13 273 $12,558 $46 18.3% (405) 224-8111
13 FLAGLER MEDICAL ASSOCIATES PA WEST PALM BEACH FL INTERNAL MEDICINE 9 271 $1,528 $6 2.2% (561) 659-7411
14 ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC MASSAPEQUA NY INTERNAL MEDICINE 5 233 $3,495 $15 6.7% (516) 798-1116
15 MERCY SPECIALTY CLINIC CLINTON IA NURSE PRACTITIONER 66 215 $14,620 $68 23.0% (563) 243-2511
16 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 202 $2,222 $11 17.1% —
17 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 162 $2,754 $17 16.5% (573) 331-3000
18 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 148 $2,664 $18 8.4% (617) 421-1000
19 FAMILY HEALTH CARE OF SIOUXLAND PLC SIOUX CITY SD FAMILY PRACTICE 48 146 $1,473 $10 36.5% (712) 239-4300
20 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 146 $2,336 $16 1.2% (239) 561-9622
21 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 146 $2,482 $17 73.4% 57429632003973
22 CLAY PLATTE FAMILY MEDICINE CLINIC KANSAS CITY MO FAMILY PRACTICE 25 130 $1,175 $9 13.2% (816) 994-8787
23 PRIMARY CARE SPECIALISTS, INC. NORFOLK VA FAMILY PRACTICE 3 121 $846 $7 6.9% (757) 942-8020
24 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 118 $3,894 $33 34.5% (608) 785-0940
25 THINK AKSARBEN LLC OMAHA NE FAMILY PRACTICE 73 117 $710 $6 49.6% (402) 991-7000
26 MERCY SPECIALTY CLINIC CLINTON ND NURSE PRACTITIONER 66 110 $7,480 $68 100.0% (563) 243-2511
27 PREFERRED PRIMARY CARE PHYSICIANS, INC. CARNEGIE PA FAMILY PRACTICE 87 98 $980 $10 4.5% (412) 249-1663
28 SYCUAN TRIBAL GOVERNMENT EL CAJON CA CLINICAL SOCIAL WORKER 4 98 $1,019 $10 0.6% (619) 445-0707
29 PRIMARY CARE GROUP, LLC MEMPHIS TN NURSE PRACTITIONER 109 92 $1,420 $15 7.1% (901) 387-2900
30 BUFFALO MEDICAL GROUP, P.C. WILLIAMSVILLE NY PHYSICIAN ASSISTANT 237 84 $840 $10 2.4% (716) 630-1000
31 OMAHA TRIBE OF NEBRASKA MACY IA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 20 79 $789 $10 8.4% (402) 837-5381
32 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 60 $1,320 $22 2.7% (901) 226-3882
33 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 56 $1,120 $20 1.6% (631) 751-3000
34 NEPHROLOGY HYPERTENSION ASSOCIATES OF CNY, PC NORTH SYRACUSE NY NEPHROLOGY 4 55 $1,320 $24 1.6% —
35 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 52 $624 $12 1.5% (518) 782-3700
36 TOWER UROLOGY INC LOS ANGELES AZ UROLOGY 13 51 $2,295 $45 0.8% 3108549898159
37 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 48 $720 $15 0.3% (310) 423-0674
38 PREMIER MEDICAL CLINIC TALLAHASSEE FL INTERNAL MEDICINE 2 44 $1,100 $25 0.4% (850) 584-3278
39 DAVID J. SMITH MD PC GRAND LEDGE CA FAMILY PRACTICE 17 40 $1,520 $38 0.2% (517) 627-2181
40 MERCY SPECIALTY CLINIC CLINTON IL NURSE PRACTITIONER 66 39 $2,652 $68 2.4% (563) 243-2511
41 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 36 $756 $21 0.6% (612) 863-4000
42 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 36 $540 $15 3.0% (256) 705-4224
43 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 35 $315 $9 40.7% (801) 773-4840
44 LAC COURTE OREILLES GOVERNING BOARD HAYWARD WI NURSE PRACTITIONER 18 34 $1,360 $40 9.9% (715) 638-5100
45 ELI WERCBERGER DO PLLC BROOKLYN NJ INTERNAL MEDICINE 2 34 $1,020 $30 0.3% (917) 627-2130
46 SHOALS PRIMARY CARE, LLC SHEFFIELD AL NURSE PRACTITIONER 43 30 $450 $15 2.5% (256) 383-4473
47 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 29 $928 $32 0.6% (910) 295-5511
48 METROPOLITAN COMMUNITY HEALTH SERVICES INC WASHINGTON NC NURSE PRACTITIONER 24 28 $255 $9 0.6% (252) 940-0602
49 PRINCETON MEDICAL GROUP,P.A. PRINCETON NJ INTERNAL MEDICINE 36 27 $1,134 $42 0.3% (609) 924-9300
50 BILTMORE MEDICAL ASSOCIATES PA ASHEVILLE NC INTERNAL MEDICINE 10 26 $113 $4 0.5% (828) 258-1188
51 FAMILY CARE HEALTH CENTERS SAINT LOUIS MO FAMILY PRACTICE 49 23 $803 $35 2.3% 31448116151306
52 OTTAWA FAMILY PHYSICIANS, CHARTERED OTTAWA MO FAMILY PRACTICE 11 22 $440 $20 2.2% (785) 242-1620
53 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 22 $264 $12 2.2% (816) 472-5157
54 AMITE COUNTY MEDICAL SERVICES INC LIBERTY MS NURSE PRACTITIONER 8 21 $315 $15 0.9% (601) 657-4326
55 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 20 $280 $14 0.2% (260) 484-8830
56 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 19 $190 $10 22.1% (801) 475-3100
57 PHYSICIAN PRIMECARE, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 77 19 $414 $22 0.7% (210) 921-4200
58 KANSAS MEDICAL CENTER LLC ANDOVER KS EMERGENCY MEDICINE 51 19 $636 $34 0.9% (316) 300-4911
59 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 18 $313 $17 0.3% (952) 993-3123
60 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 17 $255 $15 0.9% (770) 536-9864
61 DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC. AVA MO NURSE PRACTITIONER 24 16 $464 $29 1.6% (417) 683-5739
62 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 16 $70 $4 0.5% (845) 342-4774
63 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 15 $555 $37 25.4% —
64 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 15 $330 $22 1.2% (901) 226-3882
65 BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS ASHLAND WI NURSE PRACTITIONER 13 14 $644 $46 4.1% (715) 682-7133
66 PIONEER MEDICAL ASSOCIATES PC WARREN MI INTERNAL MEDICINE 23 14 $140 $10 1.4% (586) 573-5890
67 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 13 $338 $26 0.1% (850) 863-8150
68 NEWTON FAMILY PHYSICIANS PA NEWTON NC FAMILY PRACTICE 10 13 $130 $10 0.3% (828) 465-3928
69 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 11 $187 $17 0.6% (770) 219-7777
70 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 11 $165 $15 0.7% (217) 423-2889
71 SOUTH CENTRAL CLINICS, INC LAUREL MS NURSE PRACTITIONER 123 11 $253 $23 0.5% (601) 649-2863
72 CLARKSVILLE MEDICAL GROUP, P.A. CLARKSVILLE AR FAMILY PRACTICE 6 11 $121 $11 14.7% (479) 754-8384

*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 →