NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
83036 Hemoglobin a1c level CPT · General Laboratory test
Classification Test › General Laboratory › Blood Count (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 14.39M services ▲ 3.7% YoY · 9.29M beneficiaries (CY2024, Medicare FFS)
Medicare paid $136.6M · $9.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4,616
Named-group FFS services
3,073,263
FFS of Medicare
49%
Services YoY
+3.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,179,060 services

3,073,263 observed fee-for-service (50%) · ~3,105,797 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; 4 states without payer-mix data excluded. How we scale

Top states — 83036 (CY2024)
NJ 1,600,296 CA 1,584,844 FL 1,374,394 TX 1,256,185 NC 1,081,255

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

Named-group submitted charges
$119.4M
Named-group allowed amount
$29.0M
Named-group Medicare payments
$29.0M
Avg charge / svc
$39
Avg allowed / svc
$9
Avg payment / svc
$9
Average charge per group
$3 4,616 groups · avg submitted charge / service $327
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 83036 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 41,950 $818,097 $20 3.1% (941) 255-3535
2 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 35,311 $822,750 $23 8.7% (865) 938-3627
3 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 34,315 $1,338,277 $39 10.2% (617) 421-1000
4 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 29,736 $1,486,652 $50 7.9% (630) 469-9200
5 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 29,149 $932,784 $32 4.6% (914) 241-1050
6 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 28,323 $2,217,951 $78 24.3% (502) 937-2209
7 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 23,621 $543,221 $23 4.3% (614) 451-9612
8 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 21,452 $976,071 $46 18.1% (612) 863-4000
9 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 17,520 $768,936 $44 8.0% —
10 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 16,425 $574,805 $35 5.3% (757) 595-9880
11 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 16,214 $713,416 $44 7.4% (803) 744-4900
12 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 13,012 $346,594 $27 4.2% —
13 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 12,735 $318,540 $25 2.7% (520) 547-5725
14 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 12,536 $661,255 $53 1.2% (704) 384-8200
15 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 12,475 $355,410 $28 3.1% (901) 261-0700
16 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 12,226 $645,456 $53 1.1% (910) 662-6000
17 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 12,190 $825,671 $68 3.2% (847) 459-1160
18 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 11,955 $1,084,185 $91 17.2% (402) 354-8163
19 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 11,820 $355,807 $30 4.1% (410) 757-7600
20 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 11,719 $566,284 $48 1.1% (704) 667-1000
21 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 11,546 $336,126 $29 0.9% (817) 514-4000
22 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 11,528 $576,400 $50 1.8% (631) 751-3000
23 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 11,168 $458,098 $41 5.6% (662) 377-5300
24 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 10,753 $461,764 $43 2.7% (901) 226-3882
25 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 10,232 $1,270,995 $124 4.7% (864) 587-3000
26 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 10,225 $394,972 $39 9.8% (225) 246-9790
27 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 10,132 $354,638 $35 0.9% (910) 341-1540
28 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 10,031 $252,695 $25 0.7% —
29 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 9,965 $438,100 $44 0.8% (512) 346-6611
30 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 9,953 $367,921 $37 11.5% (515) 239-4400
31 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 9,728 $621,639 $64 0.6% (415) 600-1020
32 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 9,468 $252,228 $27 0.8% (210) 614-8612
33 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 9,446 $356,405 $38 0.8% (713) 512-7500
34 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 9,428 $329,674 $35 2.3% (865) 632-5885
35 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 9,369 $188,349 $20 13.0% —
36 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 9,344 $252,288 $27 10.6% (501) 562-4838
37 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 9,249 $369,420 $40 0.6% (908) 273-4300
38 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 9,155 $249,388 $27 7.7% (651) 406-8860
39 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 9,076 $235,920 $26 2.9% —
40 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 8,941 $294,738 $33 1.4% (845) 703-6999
41 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 8,941 $357,445 $40 2.2% —
42 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 8,872 $285,041 $32 2.2% (770) 219-7777
43 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 8,839 $88,613 $10 1.4% (845) 342-4774
44 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 8,828 $525,415 $60 5.2% (317) 338-2345
45 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 8,812 $276,558 $31 1.6% —
46 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 8,661 $176,854 $20 12.1% (801) 261-8346
47 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 8,606 $258,180 $30 1.4% (518) 782-3700
48 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 8,253 $476,498 $58 2.2% (630) 933-4800
49 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 8,116 $284,060 $35 2.0% (629) 255-2115
50 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 8,107 $146,121 $18 2.0% (423) 926-8181
51 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 8,104 $254,926 $31 4.8% —
52 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 8,080 $292,052 $36 6.9% (270) 781-4043
53 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 7,955 $184,049 $23 6.5% —
54 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 7,929 $363,825 $46 0.6% (817) 920-0484
55 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 7,846 $203,996 $26 1.9% (731) 422-0213
56 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 7,685 $278,351 $36 1.4% —
57 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 7,660 $260,440 $34 2.0% (217) 423-2889
58 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 7,659 $193,911 $25 4.5% (574) 647-7275
59 PROHEALTH PHYSICIANS PC WALLINGFORD CT PHYSICIAN ASSISTANT 215 7,560 $264,710 $35 18.1% (203) 265-9600
60 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 7,452 $253,368 $34 0.5% (310) 423-0674
61 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 7,399 $295,960 $40 2.2% —
62 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 7,157 $687,072 $96 1.9% (217) 366-1200
63 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 7,087 $192,199 $27 1.1% (845) 469-4211
64 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 7,050 $383,796 $54 0.4% (916) 983-7476
65 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 7,004 $406,232 $58 3.2% (843) 497-5929
66 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 6,959 $229,647 $33 2.4% (410) 535-2005
67 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 6,952 $187,701 $27 9.7% (801) 773-4840
68 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 6,873 $219,936 $32 2.4% —
69 TRYON MEDICAL PARTNERS, PLLC CHARLOTTE NC INTERNAL MEDICINE 145 6,850 $205,551 $30 0.6% (704) 495-6334
70 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 6,787 $297,546 $44 3.4% (601) 292-4261
71 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 6,634 $159,753 $24 3.9% —
72 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 6,623 $143,071 $22 0.5% (806) 358-8331
73 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 6,604 $301,432 $46 2.1% (703) 437-0001
74 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 6,587 $704,134 $107 0.6% (910) 296-0941
75 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 6,479 $298,034 $46 0.6% (704) 838-8210
76 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 6,477 $207,857 $32 7.5% —
77 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 6,267 $156,675 $25 2.0% (757) 410-4488
78 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 6,165 $209,463 $34 1.5% (770) 536-9864
79 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 6,134 $237,292 $39 5.2% (952) 993-3123
80 ENDOCRINOLOGY CONSULTANTS OF EAST TN KNOXVILLE TN NURSE PRACTITIONER 37 6,132 $448,444 $73 1.5% (865) 637-8812
81 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 6,073 $161,015 $27 0.5% (903) 533-0644
82 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 6,031 $360,480 $60 0.5% —
83 VILLAGEMD OF SOUTHEAST TEXAS PA HOUSTON TX NURSE PRACTITIONER 227 6,025 $151,151 $25 0.5% (346) 646-4218
84 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 5,988 $140,875 $24 0.4% (201) 464-8888
85 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 5,926 $207,410 $35 1.5% (615) 867-7925
86 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 5,914 $195,162 $33 2.1% —
87 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 5,778 $371,298 $64 1.9% (703) 562-2110
88 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 5,734 $179,938 $31 4.9% (502) 928-1050
89 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 5,718 $285,900 $50 0.4% 3108549898159
90 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 5,716 $201,282 $35 4.9% —
91 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 5,641 $126,755 $22 2.5% (425) 339-5442
92 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 5,582 $362,830 $65 0.5% (910) 295-5511
93 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 5,578 $194,138 $35 6.5% (515) 343-1000
94 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 5,510 $418,602 $76 4.7% (502) 629-2398
95 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 5,469 $220,171 $40 1.5% —
96 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 5,468 $266,764 $49 0.4% (241) 823-4800
97 SUMMIT MEDICAL GROUP ARIZONA LLC GLENDALE AZ NURSE PRACTITIONER 158 5,441 $136,029 $25 1.2% (888) 698-6727
98 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 5,436 $331,596 $61 0.4% (903) 614-3200
99 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 5,401 $235,995 $44 0.8% (631) 628-5000
100 MVHE INC DAYTON OH INTERNAL MEDICINE 389 5,367 $325,139 $61 1.0% (937) 252-1831

Showing the top 100 of 4,616 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 →