NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
84439 Thyroxine (thyroid chemical), free 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 5.40M services ▲ 2.7% YoY · 3.80M beneficiaries (CY2024, Medicare FFS)
Medicare paid $47.7M · $8.83 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,106
Named-group FFS services
782,652
FFS of Medicare
49%
Services YoY
+2.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,603,617 services

782,652 observed fee-for-service (49%) · ~820,965 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 — 84439 (CY2024)

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

Named-group submitted charges
$28.6M
Named-group allowed amount
$6.9M
Named-group Medicare payments
$6.9M
Avg charge / svc
$37
Avg allowed / svc
$9
Avg payment / svc
$9
Average charge per group
$9 1,106 groups · avg submitted charge / service $455
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 84439 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 84439 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 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 23,068 $416,147 $18 premium 3.6% (941) 255-3535
2 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 14,159 $389,487 $28 premium 4.7% (914) 241-1050
3 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 12,045 $306,436 $25 premium 7.7% (901) 261-0700
4 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 9,632 $442,946 $46 premium 7.9% (630) 469-9200
5 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 8,796 $189,931 $22 premium 5.6% (865) 938-3627
6 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 8,047 $201,215 $25 premium 3.7% (520) 547-5725
7 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 7,467 $298,907 $40 premium 24.8% (502) 937-2209
8 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 7,415 $183,447 $25 premium 1.4% (210) 614-8612
9 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 7,016 $172,390 $25 premium 1.4% (903) 533-0644
10 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 6,701 $201,015 $30 premium 1.0% (561) 659-6336
11 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 6,627 $145,794 $22 premium 3.6% (614) 451-9612
12 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 6,560 $308,320 $47 premium 1.5% (910) 662-6000
13 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 5,846 $187,072 $32 premium 26.9% (515) 239-4400
14 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 5,730 $297,908 $52 premium 6.1% (757) 595-9880
15 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 5,659 $282,950 $50 premium 0.9% 3108549898159
16 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 5,419 $168,993 $31 premium 0.8% (239) 561-9622
17 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 5,132 $189,884 $37 premium 1.0% (713) 512-7500
18 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 5,112 $140,280 $27 premium 1.7% (631) 751-3000
19 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 4,976 $94,544 $19 premium 26.8%
20 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 4,929 $246,450 $50 premium 1.1% (910) 341-1540
21 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 4,782 $102,284 $21 premium 0.9% (806) 358-8331
22 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 4,759 $76,436 $16 premium 3.0% (615) 385-3751
23 SCKE INC LAGUNA HILLS CA ENDOCRINOLOGY 20 4,723 $283,380 $60 premium 0.8% (949) 916-9100
24 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 4,680 $363,540 $78 premium 8.6% (843) 497-5929
25 ENDOCRINOLOGY CONSULTANTS OF EAST TN KNOXVILLE TN NURSE PRACTITIONER 37 4,502 $329,044 $73 premium 2.9% (865) 637-8812
26 HORIZONS DIAGNOSTICS, L.L.C. COLUMBUS GA FAMILY PRACTICE 23 4,477 $96,032 $21 premium 3.2% (706) 322-0304
27 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 4,466 $111,650 $25 premium 18.4% (501) 562-4838
28 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 4,384 $276,192 $63 premium 4.7%
29 DIABETES AND ENDOCRINE CENTER OF MS JACKSON MS ENDOCRINOLOGY 9 4,380 $157,680 $36 premium 17.1% (601) 326-4255
30 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 4,161 $165,750 $40 premium 13.6% (225) 246-9790
31 ENDOCRINOLOGY ASSOCIATES P A DTD SCOTTSDALE AZ ENDOCRINOLOGY 10 4,151 $103,775 $25 premium 1.9% (602) 266-8463
32 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 4,070 $101,750 $25 premium 0.8% (817) 514-4000
33 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 4,028 $140,980 $35 premium 2.2%
34 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 3,935 $323,973 $82 premium 0.8% (817) 920-0484
35 OCALA FAMILY MEDICAL CENTER INC OCALA FL NURSE PRACTITIONER 60 3,866 $69,743 $18 premium 0.6% (352) 237-4133
36 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 3,835 $134,225 $35 premium 3.9% (410) 535-2005
37 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 3,827 $95,675 $25 premium 2.4% (629) 255-2115
38 EAST COAST MEDICAL ASSOCIATES, INC. BOCA RATON FL ENDOCRINOLOGY 6 3,784 $75,423 $20 premium 0.6% (561) 391-1085
39 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 3,662 $91,550 $25 premium 2.0% (256) 705-4224
40 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 3,582 $107,850 $30 premium 3.7% (410) 757-7600
41 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 3,561 $131,477 $37 premium 2.5%
42 MEDICAL ASSOCIATES OF THE SHOALS, P.C. SHEFFIELD AL NURSE PRACTITIONER 24 3,546 $141,840 $40 premium 1.9% 2563834447104
43 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 3,529 $84,696 $24 premium 3.8%
44 CLAY PLATTE FAMILY MEDICINE CLINIC KANSAS CITY MO FAMILY PRACTICE 25 3,448 $69,000 $20 premium 13.5% (816) 994-8787
45 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 3,425 $52,943 $15 premium 0.5% (732) 845-2200
46 TRYON MEDICAL PARTNERS, PLLC CHARLOTTE NC INTERNAL MEDICINE 145 3,393 $47,502 $14 premium 0.8% (704) 495-6334
47 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 3,314 $102,734 $31 premium 3.4%
48 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 3,272 $82,454 $25 premium 1.1% (845) 469-4211
49 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 3,242 $103,623 $32 premium 2.1% (865) 632-5885
50 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 3,228 $86,287 $27 premium 3.5%
51 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 3,176 $82,576 $26 premium 1.0% (518) 782-3700
52 DIABETES AND ENDOCRINE ASSOCIATES OF THE TREASURE COAST LLC VERO BEACH FL NURSE PRACTITIONER 3 3,171 $161,721 $51 premium 0.5% (772) 299-3003
53 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 3,162 $98,022 $31 premium 2.2% (770) 536-9864
54 COVENANT MEDICAL GROUP LUBBOCK TX NURSE PRACTITIONER 227 3,128 $118,864 $38 premium 0.6% (806) 725-5844
55 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 3,086 $226,211 $73 premium 3.3% (703) 437-0001
56 MUSC AFFILIATE PHYSICIANS GREENVILLE SC PHYSICIAN ASSISTANT 52 3,073 $89,308 $29 premium 5.7% (864) 603-5600
57 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 3,050 $51,934 $17 premium 1.9% (423) 926-8181
58 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 3,045 $54,810 $18 premium 16.4% (801) 773-4840
59 ADVANCED INTERNAL MEDICINE GROUP PC GREENVALE NY INTERNAL MEDICINE 5 2,991 $82,282 $28 premium 1.0% (516) 352-8100
60 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 2,924 $90,502 $31 premium 0.6% (241) 823-4800
61 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 2,902 $203,140 $70 premium 1.9% (615) 867-7925
62 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 2,888 $72,200 $25 premium 1.8% (731) 422-0213
63 ENDOCRINOLOGY CONSULTANTS, PC ENGLEWOOD NJ ENDOCRINOLOGY 9 2,813 $104,724 $37 premium 0.4% (201) 567-8999
64 ENDOCRINE AND DIABETES PA LIVINGSTON NJ ENDOCRINOLOGY 2 2,762 $36,376 $13 premium 0.4% (973) 322-7200
65 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 2,679 $106,187 $40 premium 1.7% (901) 226-3882
66 TEXOMACARE DENISON TX FAMILY PRACTICE 48 2,642 $47,556 $18 premium 0.5% (903) 416-7544
67 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 2,629 $58,983 $22 premium 0.4% (201) 464-8888
68 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 2,566 $47,458 $18 premium 0.4% (352) 693-3378
69 ENDOCRINE ASSOCIATES OF LONG ISLAND, PC SMITHTOWN NY ENDOCRINOLOGY 2 2,563 $153,780 $60 premium 0.8% (631) 265-5545
70 ROCKLAND ENDOCRINE AND DIABETES SERVICES, P.C. SUFFERN NY ENDOCRINOLOGY 12 2,519 $88,165 $35 premium 0.8% (845) 357-3838
71 FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LEXINGTON KY NURSE PRACTITIONER 21 2,420 $84,700 $35 premium 8.0% (859) 977-2120
72 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 2,412 $73,788 $31 premium 8.0% (270) 781-4043
73 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 2,395 $55,204 $23 premium 0.8%
74 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 2,337 $136,064 $58 premium 5.2% (405) 692-9300
75 THOMAS C JONES, M.D., P.C. MACON GA NURSE PRACTITIONER 13 2,307 $235,314 $102 premium 1.6% (478) 746-8626
76 ENDOCRINOLOGY ASSOCIATES INC ROANOKE VA PHYSICIAN ASSISTANT 4 2,305 $87,590 $38 premium 2.5% (540) 344-3276
77 IDL MEDICAL PA BOYNTON BEACH FL FAMILY PRACTICE 2 2,301 $51,243 $22 premium 0.4% (305) 788-5539
78 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 2,289 $137,340 $60 premium 4.2% (803) 744-4900
79 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 2,253 $177,987 $79 premium 0.5% (910) 295-5511
80 ARIZONA ENDOCRINOLOGY CENTER PLC PHOENIX AZ ENDOCRINOLOGY 10 2,246 $71,872 $32 premium 1.0% (602) 439-9623
81 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 2,229 $20,529 $9 premium 0.7% (845) 342-4774
82 CARDIOVASCULAR CARE INC LOS ALAMITOS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 2,183 $39,294 $18 premium 0.4% (562) 594-1772
83 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 2,171 $132,431 $61 premium 0.5% (704) 838-8210
84 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,153 $120,568 $56 premium 1.2%
85 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 2,140 $42,030 $20 premium 0.5% (336) 610-1300
86 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 2,139 $66,309 $31 premium 0.3% (321) 622-8730
87 WEST WICHITA FAMILY PHYSICIANS, P.A. WICHITA KS FAMILY PRACTICE 37 2,120 $55,128 $26 premium 1.8%
88 LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC ATLANTA GA INTERNAL MEDICINE 74 2,116 $78,292 $37 premium 1.5%
89 NEWPORT CENTER MEDICAL GROUP NEWPORT BEACH CA INTERNAL MEDICINE 5 2,109 $115,995 $55 premium 0.3% (949) 720-4920
90 FAMILY PHYSICIANS OF SPARTANBURG, PC SPARTANBURG SC FAMILY PRACTICE 10 2,108 $94,860 $45 premium 3.9% (864) 576-9201
91 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 2,095 $142,460 $68 premium 0.5% (252) 635-6777
92 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 2,089 $51,050 $24 premium 6.5% (574) 647-7275
93 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 2,067 $130,221 $63 premium 5.4% (719) 577-2555
94 APEX CARDIOLOGY CONSULTANTS INGLEWOOD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 2,065 $43,654 $21 premium 0.3% (310) 672-3900
95 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 2,058 $53,508 $26 premium 2.1% (443) 393-3788
96 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 2,041 $193,895 $95 premium 0.3% (850) 863-8150
97 FLAGLER MEDICAL ASSOCIATES PA WEST PALM BEACH FL INTERNAL MEDICINE 9 2,023 $22,835 $11 premium 0.3% (561) 659-7411
98 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 2,014 $64,448 $32 premium 0.3% (310) 423-0674
99 ARROYO OAKS MEDICAL ASSOCIATES INC THOUSAND OAKS CA INTERNAL MEDICINE 11 1,993 $49,825 $25 premium 0.3% 80549510665000
100 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 1,990 $210,940 $106 premium 1.6% (217) 366-1200

Showing the top 100 of 1,106 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 →