NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
84436 Thyroxine (thyroid chemical), total 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 885,693 services ▼ 6.7% YoY · 680,531 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.0M · $6.73 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
142
Named-group FFS services
60,825
FFS of Medicare
49%
Services YoY
-6.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~122,071 services

60,825 observed fee-for-service (50%) · ~61,246 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 — 84436 (CY2024)

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$408K
Named-group Medicare payments
$408K
Avg charge / svc
$26
Avg allowed / svc
$7
Avg payment / svc
$7
Average charge per group
$7 142 groups · avg submitted charge / service $121
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 84436 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 84436 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 5,936 $207,760 $35 premium 8.7% (631) 751-3000
2 DIABETES AND ENDOCRINOLOGY CONSULTANTS, PC WEST NYACK NY ENDOCRINOLOGY 5 3,516 $70,320 $20 premium 5.2% (845) 358-6266
3 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 3,028 $48,472 $16 premium 3.1% (310) 278-3400
4 ENDOCRINE ASSOCIATES OF ROCKLAND LLP POMONA NY ENDOCRINOLOGY 4 2,973 $59,460 $20 premium 4.4% (845) 362-3111
5 MEDEMERGE LLC GREEN BROOK NJ PHYSICIAN ASSISTANT 21 2,241 $78,435 $35 premium 1.3% (732) 968-8900
6 VALLEY DIAGNOSTIC MEDICAL CENTER RAMSEY NJ INTERNAL MEDICINE 6 2,105 $105,210 $50 premium 1.2% (201) 327-0500
7 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 1,889 $13,452 $7 premium 2.8% (845) 342-4774
8 BEAUMONT INTERNAL MEDICINE AND GERIATRIC ASSOC. BEAUMONT TX NURSE PRACTITIONER 17 1,764 $35,280 $20 premium 1.8% (409) 898-2994
9 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 1,570 $28,260 $18 premium 39.6% (501) 562-4838
10 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 1,519 $26,384 $17 premium 0.9% (201) 464-8888
11 CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC LAFAYETTE LA NURSE PRACTITIONER 142 1,357 $40,710 $30 premium 30.6% (337) 289-8429
12 VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER MIDLOTHIAN VA ENDOCRINOLOGY 15 1,295 $13,015 $10 premium 20.1% (804) 423-3636
13 CARLOS PORTU MD PLLC NAPLES FL NURSE PRACTITIONER 4 1,194 $35,820 $30 premium 0.9% (239) 235-7908
14 RAVI PATEL M D INC BAKERSFIELD CA HEMATOLOGY/ONCOLOGY 20 1,185 $29,625 $25 premium 1.2% (661) 322-2206
15 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 1,168 $35,040 $30 premium 10.5%
16 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 1,136 $30,307 $27 premium 1.7% (914) 241-1050
17 CENTRAL MEDICAL ASSOCIATES PLLC ELIZABETHTOWN KY NURSE PRACTITIONER 10 1,055 $10,550 $10 premium 46.3% (270) 986-7392
18 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 1,002 $25,050 $25 premium 0.7% (561) 659-6336
19 PASTEUR MEDICAL ASSOCIATES PA SAN ANTONIO TX INTERNAL MEDICINE 7 920 $6,337 $7 premium 0.9% (210) 614-4000
20 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 918 $22,950 $25 premium 0.9% (817) 920-0484
21 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 900 $25,200 $28 premium 8.1% (617) 421-1000
22 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 831 $20,775 $25 premium 21.0% (479) 361-2585
23 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 830 $16,600 $20 premium 10.0% (410) 757-7600
24 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 775 $24,025 $31 premium 13.0% (702) 952-2140
25 AVENTURA ENDOCRINE ASSOCIATES PA AVENTURA FL ENDOCRINOLOGY 2 749 $18,725 $25 premium 0.5% (305) 937-3000
26 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 714 $28,917 $40 premium 0.7% (903) 614-3200
27 AYLO HEALTH, LLC STOCKBRIDGE GA NURSE PRACTITIONER 112 682 $20,460 $30 premium 2.7% (770) 914-0116
28 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 637 $15,288 $24 premium 0.5% (321) 622-8730
29 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 599 $26,955 $45 premium 0.9% (252) 635-6777
30 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 536 $10,302 $19 premium 0.8% (845) 469-4211
31 ENCOMPASS MEDICAL GROUP PA KANSAS CITY MO FAMILY PRACTICE 46 535 $10,165 $19 premium 25.6% (816) 942-8200
32 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 523 $10,460 $20 premium 0.8% (516) 295-4481
33 ALBERTO, ALBERTO, GABRIEL AND JIMENEZ MEDICAL ASSOCIATES, P.A. TOMS RIVER NJ INTERNAL MEDICINE 3 466 $4,376 $9 premium 0.3% (732) 240-0404
34 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 459 $22,032 $48 premium 1.8% (770) 284-3150
35 VALDOSTA FAMILY MEDICINE ASSOCIATES, P.C. VALDOSTA GA NURSE PRACTITIONER 36 448 $18,816 $42 premium 1.8% 22924414001251
36 WEST WICHITA FAMILY PHYSICIANS, P.A. WICHITA KS FAMILY PRACTICE 37 419 $8,380 $20 premium 4.2%
37 BRUYNINCKX MEDICAL LLC RAYVILLE LA INTERNAL MEDICINE 2 418 $8,360 $20 premium 9.4% (318) 376-2189
38 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 404 $6,120 $15 premium 0.4% (323) 525-1111
39 CAROLINA ONCOLOGY SPECIALIST PA CHARLOTTE NC HEMATOLOGY/ONCOLOGY 16 394 $5,516 $14 premium 0.6% (704) 342-9577
40 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN PA NURSE PRACTITIONER 462 375 $13,125 $35 premium 4.3% (631) 751-3000
41 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 365 $12,775 $35 premium 1.4% (762) 235-3340
42 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 355 $10,650 $30 premium 0.5% (910) 662-6000
43 FAMILY PHYSICIANS, PA WINDER GA FAMILY PRACTICE 2 353 $10,590 $30 premium 1.4% (770) 867-9186
44 INTERNAL MEDICINE ASSOCIATES OF PLANO PA PLANO TX FAMILY PRACTICE 23 337 $8,425 $25 premium 0.3% (972) 981-7500
45 EAST COAST MEDICAL ASSOCIATES, INC. BOCA RATON FL ENDOCRINOLOGY 6 328 $4,908 $15 premium 0.2% (561) 391-1085
46 PRIMARY CARE GROUP, LLC MEMPHIS TN NURSE PRACTITIONER 109 328 $8,064 $25 premium 1.9% (901) 387-2900
47 BEACON HEALTH ALLIANCE PC CHATTANOOGA TN INTERNAL MEDICINE 13 320 $10,240 $32 premium 1.8% (423) 756-5779
48 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 320 $10,240 $32 premium 0.3%
49 SHOALS PRIMARY CARE, LLC SHEFFIELD AL NURSE PRACTITIONER 43 320 $7,360 $23 premium 1.0% (256) 383-4473
50 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 314 $8,164 $26 premium 0.2% (239) 561-9622
51 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 297 $8,910 $30 premium 1.7% (901) 226-3882
52 LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC ATLANTA GA INTERNAL MEDICINE 74 286 $8,008 $28 premium 1.1%
53 COMMONWEALTH PRIMARY CARE RICHMOND VA FAMILY PRACTICE 66 285 $5,700 $20 premium 4.4% (804) 288-1800
54 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 283 $8,207 $29 premium 0.2% (908) 273-4300
55 THE GREENVILLE CLINIC GREENVILLE MS NURSE PRACTITIONER 8 268 $13,083 $49 premium 22.5% (662) 332-9872
56 HERNANDO PASCO PRIMARY CARE LLC BROOKSVILLE FL NURSE PRACTITIONER 88 265 $3,710 $14 premium 0.2% (352) 596-3032
57 VINEVILLE INTERNAL MEDICINE LLC MACON GA NURSE PRACTITIONER 24 263 $2,304 $9 premium 1.0% (478) 405-0045
58 SOLAIMAN CHOWDHURY MEDICAL CARE PC EAST ISLIP NY NURSE PRACTITIONER 4 247 $12,350 $50 premium 0.4% (631) 581-0090
59 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 237 $7,347 $31 premium 3.7% (540) 982-0237
60 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 213 $7,042 $33 premium 0.6%
61 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 203 $5,235 $26 premium 0.3%
62 MARYLAND ENDOCRINE, P.A. COLUMBIA MD ENDOCRINOLOGY 11 201 $5,025 $25 premium 2.4%
63 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 187 $5,797 $31 premium 2.9% (703) 280-5390
64 MISSION MEDICAL CARE PC ROCKVILLE CENTRE NY NURSE PRACTITIONER 51 186 $6,510 $35 premium 0.3% (212) 803-3339
65 KIRKPATRICK FAMILY CARE, PS LONGVIEW WA PHYSICIAN ASSISTANT 11 180 $3,478 $19 premium 3.0%
66 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 163 $5,379 $33 premium 3.7% (337) 436-1370
67 ST MARYS PHYSICIAN SERVICES LLC RUSSELLVILLE AR NURSE PRACTITIONER 48 157 $9,420 $60 premium 4.0% (479) 968-2345
68 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 144 $2,304 $16 premium 23.3% (801) 475-3100
69 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL KY RHEUMATOLOGY 22 139 $6,672 $48 premium 6.1% (770) 284-3150
70 HARRISONBURG FAMILY PRACTICE ASSOCIATES PC HARRISONBURG VA FAMILY PRACTICE 7 138 $4,830 $35 premium 2.1% (540) 433-9151
71 MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA FAYETTEVILLE AR FAMILY PRACTICE 106 130 $3,510 $27 premium 3.3% (479) 521-0200
72 PERMANENTE MEDICAL GROUP INC SANTA CLARA NJ INTERNAL MEDICINE 10890 129 $4,515 $35 premium 0.1% (408) 851-1000
73 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 124 $2,356 $19 premium 0.1% 2104772626242
74 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 104 $1,976 $19 premium 1.7% (206) 309-1760
75 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 101 $1,515 $15 premium 2.5%
76 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 100 $3,500 $35 premium 0.1% (973) 971-5596
77 OPTUM MEDICAL GROUP RHODES P C LAS VEGAS NV NURSE PRACTITIONER 57 93 $2,883 $31 premium 1.6% (702) 724-8787
78 INTERNAL MEDICINE ASSOCIATES, P.C. MACON GA INTERNAL MEDICINE 9 91 $4,641 $51 premium 0.4% (478) 745-1191
79 FAMILY MEDCENTERS PA DERBY KS FAMILY PRACTICE 16 85 $2,125 $25 premium 0.9% 31678869631150
80 VALLEY CANCER ASSOCIATES PA HARLINGEN TX MEDICAL ONCOLOGY 3 83 $1,286 $16 premium 0.1% (956) 364-2131
81 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 82 $2,132 $26 premium 3.9% (573) 331-3000
82 SOUTHVIEW MEDICAL GROUP, PC BIRMINGHAM AL INTERNAL MEDICINE 39 82 $1,066 $13 premium 0.3% (205) 933-4640
83 HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES LAKE WORTH FL HEMATOLOGY/ONCOLOGY 11 79 $1,027 $13 premium 0.1% (561) 965-1864
84 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 78 $1,092 $14 premium 0.1% (561) 295-6962
85 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 77 $3,080 $40 premium 0.1%
86 PREMIER INDEPENDENT PHYSICIANS GROUP INC EULESS TX PHYSICIAN ASSISTANT 40 75 $1,717 $23 premium 0.1% (817) 896-6344
87 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 73 $2,044 $28 premium 0.1% (713) 512-7500
88 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 72 $1,800 $25 premium 0.3% (602) 274-6506
89 FAMILY MEDICAL GROUP OF TEXARKANA TEXARKANA TX NURSE PRACTITIONER 12 69 $2,898 $42 premium 0.1%
90 ENDWELL FAMILY PHYSICIANS LLP ENDWELL NY FAMILY PRACTICE 26 67 $2,345 $35 premium 0.1% (607) 754-3863
91 WELLMED MEDICAL GROUP PA SAN ANTONIO TX NURSE PRACTITIONER 673 66 $726 $11 premium 0.1% (210) 523-1411
92 HONEYCOMB MEDICAL GROUP PLC MEMPHIS TN NURSE PRACTITIONER 18 62 $1,366 $22 premium 0.4% (901) 582-7660
93 BELLOR LEICHTLING SAWAY AND SCHNEIDER PC COLUMBIA MD INTERNAL MEDICINE 21 55 $1,100 $20 premium 0.7% (410) 964-5300
94 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 55 $1,045 $19 premium 0.0% (850) 863-8150
95 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 55 $1,375 $25 premium 1.4% (501) 227-7596
96 VILLAGEMD OF SOUTHEAST TEXAS PA HOUSTON TX NURSE PRACTITIONER 227 54 $756 $14 premium 0.1% (346) 646-4218
97 MEDICAL SPECIALISTS WRENS GA FAMILY PRACTICE 8 52 $1,248 $24 premium 0.2% (706) 547-7008
98 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 50 $1,450 $29 premium 0.3% (731) 664-0002
99 ARTHRITIS CENTERS OF TEXAS, P.A. DALLAS TX RHEUMATOLOGY 4 49 $337 $7 premium 0.0% (214) 823-6503
100 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 49 $931 $19 premium 2.3% (573) 556-5771

Showing the top 100 of 142 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 →