NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
84155 Total protein level, blood 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 647,853 services ▲ 7.6% YoY · 478,607 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.3M · $3.55 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
72
Named-group FFS services
31,615
FFS of Medicare
49%
Services YoY
+7.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~61,852 services

31,615 observed fee-for-service (51%) · ~30,237 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 — 84155 (CY2024)
NJ 113,153 TX 100,726 CA 70,478 FL 62,216 NC 57,281

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

Named-group submitted charges
$822K
Named-group allowed amount
$113K
Named-group Medicare payments
$113K
Avg charge / svc
$26
Avg allowed / svc
$4
Avg payment / svc
$4
Average charge per group
$6 72 groups · avg submitted charge / service $112
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 84155 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTHWEST CANCER CENTERS PC DYER IN HEMATOLOGY/ONCOLOGY 26 11,004 $451,164 $41 58.1% (812) 220-4476
2 MUSC AFFILIATE PHYSICIANS GREENVILLE SC PHYSICIAN ASSISTANT 52 3,446 $44,798 $13 77.1% (864) 603-5600
3 APEX CARDIOLOGY CONSULTANTS INGLEWOOD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 2,376 $34,880 $15 3.4% (310) 672-3900
4 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,510 $18,120 $12 8.7% (516) 295-4481
5 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 1,219 $18,285 $15 1.7% (818) 996-4077
6 COMPREHENSIVE UROLOGY MEDICAL GROUP LOS ANGELES CA UROLOGY 6 1,151 $17,265 $15 1.6% (310) 278-8330
7 ABRAHAM ISHAAYA M D A PROFESSIONAL CORPORATION LOS ANGELES CA INTERNAL MEDICINE 2 708 $10,620 $15 1.0% —
8 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 699 $10,485 $15 6.7% (617) 421-1000
9 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 679 $16,975 $25 2.9% (800) 603-0558
10 MISSISSIPPI RHEUMATOLOGY AND OSTEOPOROSIS CENTER PLLC FLOWOOD MS INTERNAL MEDICINE 3 658 $25,004 $38 43.1% (601) 420-0034
11 JPB MEDICAL GROUP INC VAN NUYS CA INTERNAL MEDICINE 4 649 $16,225 $25 0.9% (818) 785-0300
12 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 507 $18,252 $36 10.1% (918) 710-4112
13 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 497 $8,946 $18 1.7% —
14 PROGRESSIVE REHABILITATION ASSOCIATES LLC IOWA CITY IA ORTHOPEDIC SURGERY 272 466 $2,622 $6 51.9% (319) 354-2429
15 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 422 $17,302 $41 6.1% (719) 577-2555
16 VIDRINE COMMUNITY CLINIC, LLC VILLE PLATTE LA FAMILY PRACTICE 2 400 $6,000 $15 17.2% (337) 222-2515
17 QUYNH MAI CLINIC LLC KENNER LA FAMILY PRACTICE 2 344 $5,160 $15 14.8% (504) 463-2200
18 TOTAL ACCESS URGENT CARE PC SAINT LOUIS MO PHYSICIAN ASSISTANT 133 323 $2,177 $7 44.1% (314) 961-2255
19 BENDER MEDICAL GROUP INC FORT COLLINS CO FAMILY PRACTICE 5 315 $4,725 $15 4.6% (970) 482-8881
20 ARCH HEALTH PARTNERS INC POWAY CA PHYSICIAN ASSISTANT 161 251 $1,757 $7 0.4% (858) 485-0050
21 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 251 $3,263 $13 28.0% (515) 239-4400
22 MEDFIELD INTERNAL MEDICINE, PLLC MEDFIELD MA NURSE PRACTITIONER 3 225 $3,375 $15 2.2% (508) 359-8141
23 KC BARIATRIC LLC LENEXA KS PHYSICIAN ASSISTANT 15 218 $3,270 $15 1.3% (913) 677-6319
24 ADULT PRIMARY CARE CENTER LTD OAK LAWN IL NURSE PRACTITIONER 5 202 $12,040 $60 1.8% (708) 636-1601
25 KELLY S SEGARS MD PC IUKA MS FAMILY PRACTICE 5 172 $5,332 $31 11.3% (662) 423-1000
26 CAREMED CLINIC LLC MARIANNA FL INTERNAL MEDICINE 3 171 $1,368 $8 0.3% (850) 526-3314
27 DR EDUARDO SAMANIEGO - PRIMARY MEDICAL CARE LLC NEWARK NJ FAMILY PRACTICE 2 156 $1,560 $10 0.1% (973) 333-4480
28 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 149 $16,660 $112 1.3% 21722384006209
29 LEGACY MD MEDICAL GROUP INC CALEXICO CA FAMILY PRACTICE 13 143 $1,430 $10 0.2% (760) 550-1685
30 AVANCE CARE PA RALEIGH NC PHYSICIAN ASSISTANT 236 127 $1,905 $15 0.2% (919) 747-3033
31 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 117 $1,170 $10 3.8% (651) 406-8860
32 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 111 $3,108 $28 0.4% (614) 451-9612
33 NEPHROLOGY ASSOCIATES PC AUGUSTA GA NEPHROLOGY 18 110 $1,100 $10 0.7% (706) 722-6900
34 GRACE INTERNAL MEDICINE LLC SIMPSONVILLE SC FAMILY PRACTICE 2 105 $1,365 $13 2.3% (864) 535-6855
35 ESTATE VENTURES LLC PALM COAST FL NEUROLOGY 2 105 $1,427 $14 0.2% 9042303006104
36 LAWN MEDICAL CENTER, S.C. OAK LAWN IL FAMILY PRACTICE 11 104 $8,840 $85 0.9% (708) 425-5500
37 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 103 $1,545 $15 2.7% (301) 942-7600
38 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 92 $656 $7 0.8% (615) 385-3751
39 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 89 $890 $10 2.9% —
40 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 87 $870 $10 0.1% (352) 693-3378
41 MERCY EAST AMBULATORY SERVICES LLC SAINT LOUIS MO PHYSICIAN ASSISTANT 105 74 $499 $7 10.1% (314) 293-4023
42 TOTAL ACCESS URGENT CARE PC SAINT LOUIS IL PHYSICIAN ASSISTANT 133 68 $458 $7 0.6% (314) 961-2255
43 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 63 $2,079 $33 2.6% (414) 351-4009
44 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 62 $1,302 $21 0.4% (315) 472-7504
45 ATRIUS HEALTH INC BOSTON NY NURSE PRACTITIONER 1196 62 $930 $15 0.4% (617) 421-1000
46 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 62 $2,542 $41 6.3% (703) 280-5390
47 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 58 $1,946 $34 7.9% (314) 747-3000
48 SELECT PHYSICAL THERAPY OF WEST DENVER LIMITED PARTNERSHIP LOVELAND CO ORTHOPEDIC SURGERY 443 58 $870 $15 0.8% (970) 667-7755
49 FRIENDSHIP MEDICAL CLINIC LLC ECRU MS NURSE PRACTITIONER 9 58 $348 $6 3.8% (662) 488-8799
50 NEBRASKA PAIN INSTITUTE LLC LINCOLN NE PHYSICIAN ASSISTANT 9 48 $880 $18 2.6% (402) 488-7246
51 MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO NURSE PRACTITIONER 580 36 $243 $7 4.9% (314) 872-9192
52 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 36 $360 $10 3.7% —
53 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 34 $510 $15 0.0% (908) 273-4300
54 THE AUSTIN DIAGNOSTIC CLINIC PLLC AUSTIN TX NEPHROLOGY 86 33 $480 $15 0.0% (512) 447-2211
55 PIONEER HEALTH CARE , LLC HATTIESBURG MS NURSE PRACTITIONER 5 32 $372 $12 2.1% (601) 550-3153
56 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 31 $1,271 $41 0.0% (254) 724-2663
57 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 31 $248 $8 3.1% —
58 TOTAL ACCESS URGENT CARE PC SAINT LOUIS PA PHYSICIAN ASSISTANT 133 29 $195 $7 0.6% (314) 961-2255
59 ATRIUS HEALTH INC BOSTON NH NURSE PRACTITIONER 1196 28 $420 $15 31.5% (617) 421-1000
60 INTERVENTIONAL PARTNERS PLLC FRISCO TX PODIATRY 93 26 $520 $20 0.0% (972) 712-4161
61 ARKANSAS PAIN CARE CLINICS, PA LITTLE ROCK AR ANESTHESIOLOGY 2 18 $360 $20 7.2% (501) 918-9192
62 ST ELIZABETH MEDICAL CENTER, INC EDGEWOOD KY NURSE PRACTITIONER 185 18 $738 $41 6.7% (859) 301-2237
63 SOUTHWEST INTERNAL MEDICINE, P. C. ST GEORGE UT INTERNAL MEDICINE 3 16 $112 $7 9.3% (435) 628-9200
64 GROUPO MEDICO DOMINICANO PLLC NEW YORK NY FAMILY PRACTICE 8 15 $90 $6 0.1% (212) 928-3900
65 MISSISSIPPI UROLOGY CLINIC PLLC JACKSON MS PHYSICIAN ASSISTANT 14 15 $150 $10 1.0% (601) 353-9900
66 PHYSICIANS URGENT CARE CORINTH MS NURSE PRACTITIONER 12 15 $180 $12 1.0% (662) 287-7138
67 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 15 $150 $10 0.5% (612) 672-7422
68 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 15 $180 $12 16.9% (603) 929-1195
69 PRESIDENT AND FELLOWS OF HARVARD COLLEGE CAMBRIDGE MA INTERNAL MEDICINE 98 13 $195 $15 0.1% (617) 495-4414
70 KNOX COMMUNITY HOSPITAL MOUNT VERNON OH NURSE PRACTITIONER 115 13 $364 $28 0.0% (740) 393-9000
71 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 13 $169 $13 0.3% —
72 PERMANENTE MEDICAL GROUP INC SANTA CLARA MA INTERNAL MEDICINE 10890 12 $180 $15 0.1% (408) 851-1000
73 MERCY HOSPITAL LINCOLN TROY MO NURSE PRACTITIONER 31 12 $81 $7 1.6% (636) 528-6755
74 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 12 $120 $10 0.1% (731) 422-0213
75 MESA FAMILY PRACTICE PC FARMINGTON NM FAMILY PRACTICE 5 12 $150 $12 1.7% (505) 325-2323
76 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 11 $143 $13 0.1% (770) 219-7777

*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 →