NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
83874 Myoglobin (muscle 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 16,385 services ▼ 9.0% YoY · 11,017 beneficiaries (CY2024, Medicare FFS)
Medicare paid $207K · $12.63 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
5,281
FFS of Medicare
49%
Services YoY
-9.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,930 services

5,281 observed fee-for-service (53%) · ~4,649 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 — 83874 (CY2024)
CA 4,322 NJ 3,218 NY 1,871 TX 1,124 AL 797

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

Named-group submitted charges
$156K
Named-group allowed amount
$67K
Named-group Medicare payments
$67K
Avg charge / svc
$30
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$13 39 groups · avg submitted charge / service $159
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 83874 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 1,999 $39,553 $20 62.1% (732) 845-2200
2 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NY ENDOCRINOLOGY 13 1,177 $21,935 $19 62.9% (732) 845-2200
3 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 422 $6,203 $15 22.6% (845) 342-4774
4 HASTINGS INTERNAL MEDICINE ASSOCIATES PC HASTINGS NE INTERNAL MEDICINE 6 242 $3,146 $13 82.9% (402) 463-2454
5 THE URGENT CARE ASSOCIATES OF TEXAS PLLC MAGNOLIA TX EMERGENCY MEDICINE 20 118 $5,310 $45 10.5% (281) 789-3400
6 MICHUMI PLLC NEWPORT NEWS VA PHYSICIAN ASSISTANT 40 115 $5,750 $50 39.2% (757) 369-9446
7 OMID VESAL, MD, MEDICAL CORPORATION IRVINE CA FAMILY PRACTICE 2 95 $2,455 $26 2.2% (949) 222-2722
8 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 86 $3,655 $42 18.1% (864) 885-0058
9 BRUCE L BOROS MD PA KEY LARGO FL NURSE PRACTITIONER 17 81 $12,312 $152 12.2% (305) 294-0011
10 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 80 $2,240 $28 27.3% —
11 CARDIOVASCULAR INTERVENTIONS PA ORLANDO FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 57 $2,337 $41 8.6% (407) 896-7899
12 COLONIAL FAMILY PRACTICE LLC SUMTER SC DIAGNOSTIC RADIOLOGY 57 55 $2,132 $39 11.6% (803) 773-5227
13 SALINE HEART GROUP PA BENTON AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 55 $3,025 $55 32.9% (501) 315-4008
14 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 52 $2,860 $55 4.6% —
15 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 47 $2,397 $51 47.5% (662) 377-5300
16 LEGACY URGENT CARE PA FRISCO TX EMERGENCY MEDICINE 156 46 $7,310 $159 4.1% (972) 625-6020
17 MULBERRY MEDICAL ASSOCIATES, P.C MONTGOMERY AL INTERNAL MEDICINE 4 41 $2,050 $50 5.1% (334) 265-6153
18 HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA TALLAHASSEE FL INTERNAL MEDICINE 224 40 $2,080 $52 6.0% (850) 325-5000
19 BRUCE L BOROS MD PA KEY LARGO TN NURSE PRACTITIONER 17 37 $5,624 $152 16.0% (305) 294-0011
20 SHOALS PRIMARY CARE, LLC SHEFFIELD AL NURSE PRACTITIONER 43 31 $1,705 $55 3.9% (256) 383-4473
21 LOVELACE FAMILY MEDICINE PA PROSPERITY SC FAMILY PRACTICE 8 28 $840 $30 5.9% (803) 364-4852
22 HEALTHSTAR PHYSICIANS OF HOT SPRINGS PLLC HOT SPRINGS AR NURSE PRACTITIONER 57 28 $840 $30 16.8% (501) 651-4500
23 RANDY D WALKER, MD, PLLC DE QUEEN AR NURSE PRACTITIONER 10 27 $810 $30 16.2% (870) 584-3000
24 URGENT CARE NORTHWEST PC JASPER AL NURSE PRACTITIONER 14 25 $1,175 $47 3.1% (205) 387-2253
25 MYRAH KEATING SMITH COMMUNITY HEALTH CENTER ST JOHN VI EMERGENCY MEDICINE 2 23 $1,121 $49 100.0% —
26 THE URGENT CARE ASSOCIATES OF TEXAS PLLC MAGNOLIA NV EMERGENCY MEDICINE 20 21 $945 $45 31.3% (281) 789-3400
27 FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LEXINGTON KY NURSE PRACTITIONER 21 20 $1,100 $55 100.0% (859) 977-2120
28 HANNIBAL REGIONAL HEALTHCARE SYSTEM INC HANNIBAL MO NURSE PRACTITIONER 265 19 $1,881 $99 27.1% (573) 248-1300
29 TOTAL ACCESS URGENT CARE PC SAINT LOUIS MO PHYSICIAN ASSISTANT 133 18 $1,153 $64 25.7% (314) 961-2255
30 ESS OF CROCKETT, LLC CROCKETT MS EMERGENCY MEDICINE 16 18 $810 $45 18.2% (936) 931-3891
31 SOUTHERN CARE INTERNAL MEDICINE PC HOOVER AL NURSE PRACTITIONER 3 18 $1,232 $68 2.3% (205) 547-2323
32 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 17 $510 $30 0.4% (323) 525-1111
33 FAMILY MEDICAL CLINIC OF NORTH MS INC SOUTHAVEN MS NURSE PRACTITIONER 13 16 $1,264 $79 16.2% (662) 890-5555
34 LEGACY URGENT CARE PA FRISCO LA EMERGENCY MEDICINE 156 16 $2,543 $159 55.2% (972) 625-6020
35 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 14 $543 $39 3.0% (803) 395-3400
36 STAR URGENT CARE, PLLC MAGNOLIA TX PHYSICIAN ASSISTANT 7 14 $1,862 $133 1.2% (281) 583-1980
37 WEST WICHITA FAMILY PHYSICIANS, P.A. WICHITA KS FAMILY PRACTICE 37 13 $481 $37 10.2% —
38 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE LA PHYSICIAN ASSISTANT 322 13 $650 $50 44.8% (757) 410-4488
39 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 12 $576 $48 17.1% (573) 331-3000
40 FARHAD MELAMED M D A MEDICAL CORPORATION BEVERLY HILLS CA INTERNAL MEDICINE 3 12 $432 $36 0.3% (310) 657-8400
41 U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES CROE AGENCY MT NURSE PRACTITIONER 100 11 $913 $83 44.0% (406) 638-4616
42 BENDER MEDICAL GROUP INC FORT COLLINS CO FAMILY PRACTICE 5 11 $429 $39 19.3% (970) 482-8881
43 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 11 $308 $28 1.7% (813) 751-3375

*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 →