NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
84146 Prolactin (milk producing hormone) 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 159,311 services ▼ 8.7% YoY · 125,939 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.0M · $18.95 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
110
Named-group FFS services
19,702
FFS of Medicare
49%
Services YoY
-8.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~39,917 services

19,702 observed fee-for-service (49%) · ~20,215 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 — 84146 (CY2024)
CA 28,007 NJ 23,285 FL 17,427 TX 16,673 NY 13,460

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

Named-group submitted charges
$1.2M
Named-group allowed amount
$372K
Named-group Medicare payments
$372K
Avg charge / svc
$63
Avg allowed / svc
$19
Avg payment / svc
$19
Average charge per group
$19 110 groups · avg submitted charge / service $250
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 84146 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 4,162 $291,340 $70 14.9% 3108549898159
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,729 $122,370 $71 12.8% (631) 751-3000
3 EDWARD CONDON MEDICAL PC COMMACK NY ENDOCRINOLOGY 2 1,543 $134,241 $87 11.5% (631) 462-2200
4 COMPREHENSIVE UROLOGY MEDICAL GROUP LOS ANGELES CA UROLOGY 6 1,372 $106,301 $77 4.9% (310) 278-8330
5 NAUSHIN SIDDIQUI PHYSICIAN PC EAST MEADOW NY INTERNAL MEDICINE 2 675 $26,995 $40 5.0% (516) 481-2000
6 NAVA HEALTH MEDICAL GROUP, LLC MONTVALE MD FAMILY PRACTICE 6 670 $25,969 $39 28.4% (800) 762-6282
7 ENDOCRINOLOGY CONSULTANTS, PC ENGLEWOOD NJ ENDOCRINOLOGY 9 638 $52,606 $82 2.7% (201) 567-8999
8 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 511 $20,440 $40 3.8% (516) 536-2221
9 MURRAY HILL UROLOGY PC NEW YORK NY PATHOLOGY 5 455 $12,353 $27 3.4% (212) 686-1140
10 LEGACY HEALTHCARE SERVICES INC DURHAM FL INTERNAL MEDICINE 3859 431 $30,170 $70 2.5% (919) 419-9600
11 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 368 $15,683 $43 11.9% (901) 261-0700
12 EAST COAST MEDICAL ASSOCIATES, INC. BOCA RATON FL ENDOCRINOLOGY 6 360 $16,128 $45 2.1% (561) 391-1085
13 GULFVIEW MEDICAL INSTITUTE PLLC PORT CHARLOTTE FL NURSE PRACTITIONER 5 345 $12,250 $36 2.0% (941) 505-2100
14 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 287 $8,137 $28 1.2% (732) 845-2200
15 INTERVENTIONAL PAIN CONSULTANTS CLEVELAND TN NURSE PRACTITIONER 16 247 $8,645 $35 8.0% (423) 339-9581
16 CROSSPOINTE MEDICAL CLINIC CYPRESS TX FAMILY PRACTICE 5 234 $9,070 $39 1.4% (281) 463-1400
17 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 229 $8,931 $39 1.3% (352) 726-9707
18 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 227 $12,067 $53 1.4% (210) 614-8612
19 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 224 $17,696 $79 1.3% (713) 512-7500
20 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 216 $8,304 $38 1.2% (352) 693-3378
21 ENDOCRINE AND DIABETES PA LIVINGSTON NJ ENDOCRINOLOGY 2 203 $5,536 $27 0.9% (973) 322-7200
22 JEFFREY G OGDEN MD PC OREM UT PHYSICIAN ASSISTANT 3 190 $5,700 $30 43.5% (801) 764-0200
23 ENDOCRINOLOGY ASSOCIATES P A DTD SCOTTSDALE AZ ENDOCRINOLOGY 10 171 $9,063 $53 3.1% (602) 266-8463
24 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NY ENDOCRINOLOGY 13 169 $4,691 $28 1.3% (732) 845-2200
25 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 163 $12,714 $78 1.0% —
26 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 163 $24,124 $148 0.6% —
27 ENDOCRINE ASSOCIATES OF ROCKLAND LLP POMONA NY ENDOCRINOLOGY 4 157 $5,809 $37 1.2% (845) 362-3111
28 DIABETES AND ENDOCRINOLOGY CONSULTANTS, PC WEST NYACK NY ENDOCRINOLOGY 5 156 $6,240 $40 1.2% (845) 358-6266
29 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 153 $8,495 $56 0.9% (561) 659-6336
30 ARKANSAS UROLOGY, P.A. RUSSELLVILLE AR UROLOGY 37 143 $9,600 $67 39.0% (501) 219-8900
31 DIABETES AND ENDOCRINE CENTER OF MS JACKSON MS ENDOCRINOLOGY 9 128 $5,760 $45 58.2% (601) 326-4255
32 CONSULTANTS IN PAIN MANAGEMENT, P.C. CHATTANOOGA TN NURSE PRACTITIONER 11 121 $7,986 $66 3.9% (423) 648-8480
33 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 114 $6,270 $55 31.1% (501) 562-4838
34 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 110 $9,020 $82 0.7% (806) 358-8331
35 ELI WERCBERGER DO PLLC BROOKLYN NJ INTERNAL MEDICINE 2 106 $6,360 $60 0.5% (917) 627-2130
36 SANDR WE CARE MEDICAL PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 2 92 $9,200 $100 0.7% (718) 743-5300
37 AMARILLO UROLOGY ASSOCIATES LLP AMARILLO TX UROLOGY 15 87 $6,024 $69 0.5% (806) 355-9447
38 ENDOCRINOLOGY ASSOCIATES INC ROANOKE VA PHYSICIAN ASSISTANT 4 83 $3,403 $41 9.9% (540) 344-3276
39 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 80 $10,240 $128 0.3% (415) 600-1020
40 ASSOCIATED PAIN SPECIALISTS, PC KNOXVILLE TN PHYSICIAN ASSISTANT 12 79 $1,531 $19 2.5% (865) 558-3476
41 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 72 $5,328 $74 0.6% (910) 341-1540
42 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 65 $5,070 $78 1.8% (617) 421-1000
43 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 62 $3,410 $55 0.2% (818) 842-7145
44 ENDOCRINOLOGY CONSULTANTS OF EAST TN KNOXVILLE TN NURSE PRACTITIONER 37 61 $6,494 $106 2.0% (865) 637-8812
45 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 60 $2,907 $48 0.4% (516) 407-2727
46 PROFESSIONAL RESOURCE MANAGMENT OF WIREGRASS, LLC DOTHAN AL FAMILY PRACTICE 10 59 $2,950 $50 1.7% (334) 712-1170
47 HEALTHSTAR PHYSICIANS PC MORRISTOWN TN NURSE PRACTITIONER 90 56 $3,808 $68 1.8% —
48 CENTER FOR MEN'S HEALTH, INC. TULSA OK FAMILY PRACTICE 2 55 $2,915 $53 6.1% (918) 622-2500
49 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 55 $3,300 $60 2.3% (770) 536-9864
50 LOUISIANA FAMILY MEDICINE CLINIC 1 JONESBORO LA FAMILY PRACTICE 6 53 $2,120 $40 3.4% (318) 259-1569
51 DIABETES AND ENDOCRINE ASSOCIATES OF THE TREASURE COAST LLC VERO BEACH FL NURSE PRACTITIONER 3 49 $6,517 $133 0.3% (772) 299-3003
52 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 48 $4,800 $100 1.8% (630) 469-9200
53 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 47 $2,053 $44 2.0% (410) 825-5454
54 THOMAS C JONES, M.D., P.C. MACON GA NURSE PRACTITIONER 13 47 $5,029 $107 2.0% (478) 746-8626
55 BAY PARKWAY PHYSICIANS, PC BROOKLYN NY FAMILY PRACTICE 3 46 $1,686 $37 0.3% (718) 234-6767
56 TOWER UROLOGY INC LOS ANGELES AZ UROLOGY 13 45 $3,150 $70 0.8% 3108549898159
57 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 45 $2,970 $66 0.3% (315) 478-4185
58 FAIRBANKS UROLOGY FAIRBANKS AK UROLOGY 4 44 $4,576 $104 68.8% (907) 452-1761
59 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 44 $2,684 $61 1.0% —
60 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN FL NURSE PRACTITIONER 462 39 $2,808 $72 0.2% (631) 751-3000
61 NEW YORK UNIVERSITY NEW YORK FL DIAGNOSTIC RADIOLOGY 5704 36 $1,620 $45 0.2% (212) 263-9700
62 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 33 $1,617 $49 28.0% (203) 730-8789
63 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 31 $1,550 $50 1.0% (901) 226-3882
64 HEALTHBEAT, PLLC CHESTNUT HILL MA PHYSICIAN ASSISTANT 4 31 $2,140 $69 0.9% (617) 277-5000
65 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 31 $1,488 $48 0.2% (241) 823-4800
66 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 30 $1,950 $65 1.9% (225) 246-9790
67 TRIDENT PAIN CENTER LLC N CHARLESTON SC PHYSICIAN ASSISTANT 17 28 $5,600 $200 3.0% (843) 797-3636
68 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 28 $700 $25 0.2% (214) 691-9377
69 LUDMILA B BESS MD A PROFESSIONAL CORPORATION LOS ANGELES CA OBSTETRICS/GYNECOLOGY 2 28 $2,270 $81 0.1% 3239348877228
70 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 27 $1,323 $49 4.7% (541) 382-2811
71 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 27 $1,613 $60 0.2% (336) 610-1300
72 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 26 $2,080 $80 10.4% (317) 859-7222
73 ABERCROMBIE RADIOLOGICAL CONSULTANTS INC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 54 24 $465 $19 0.8% 86555898623215
74 MISSION MEDICAL CARE PC ROCKVILLE CENTRE NY NURSE PRACTITIONER 51 23 $1,656 $72 0.2% (212) 803-3339
75 AMERICAN MEDICAL TODAY PC BROOKLYN NY INTERNAL MEDICINE 10 23 $1,035 $45 0.2% (718) 306-5025
76 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 22 $2,288 $104 0.2% (910) 295-5511
77 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 20 $1,500 $75 0.1% (323) 525-1111
78 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 20 $1,700 $85 5.4% —
79 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 20 $1,419 $71 0.6% (865) 691-3061
80 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 20 $820 $41 4.6% —
81 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 20 $1,660 $83 0.7% (620) 669-2500
82 INTERNAL MEDICINE ASSOCIATES OF PALESTINE, PA PALESTINE TX ENDOCRINOLOGY 3 20 $1,000 $50 0.1% (903) 729-3993
83 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 19 $3,401 $179 0.7% (217) 366-1200
84 KANDASWAMY JAYARAJ MD PA BEAUMONT TX NURSE PRACTITIONER 3 19 $950 $50 0.1% (409) 833-6900
85 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 19 $910 $48 0.6% (251) 665-8000
86 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 19 $1,045 $55 1.0% (206) 309-1760
87 DIABETES AND ENDOCRINOLOGY ASSOCIATES, INC. PROVIDENCE RI ENDOCRINOLOGY 5 19 $855 $45 7.6% (401) 351-7100
88 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 18 $568 $32 0.1% (914) 241-1050
89 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 18 $2,124 $118 0.2% (704) 838-8210
90 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 18 $1,692 $94 0.2% (252) 355-4357
91 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 18 $4,320 $240 0.1% (718) 875-4848
92 FORT WAYNE ENDOCRINOLOGY PC FORT WAYNE IN NURSE PRACTITIONER 3 17 $935 $55 6.8% (260) 436-1248
93 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 17 $867 $51 0.1% (850) 863-8150
94 ADVANCED PHYSICIANS P C FOREST HILLS NY OBSTETRICS/GYNECOLOGY 7 17 $4,250 $250 0.1% (718) 360-9550
95 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 16 $752 $47 3.7% (801) 773-4840
96 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 16 $771 $48 0.1% (201) 464-8888
97 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 16 $672 $42 0.7% (856) 424-3323
98 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 16 $310 $19 0.5% (423) 926-8181
99 THE AUSTIN DIAGNOSTIC CLINIC PLLC AUSTIN TX NEPHROLOGY 86 16 $1,197 $75 0.1% (512) 447-2211
100 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 16 $1,168 $73 11.5% (515) 239-4400

Showing the top 100 of 110 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 →