NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated 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 473,883 services ▼ 7.5% YoY · 297,600 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.0M · $4.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
409
Named-group FFS services
135,815
FFS of Medicare
49%
Services YoY
-7.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~270,836 services

135,815 observed fee-for-service (50%) · ~135,021 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 — 85651 (CY2024)
CA 143,755 NJ 57,775 NY 46,974 FL 28,321 TX 21,450

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

Named-group submitted charges
$2.6M
Named-group allowed amount
$565K
Named-group Medicare payments
$565K
Avg charge / svc
$19
Avg allowed / svc
$4
Avg payment / svc
$4
Average charge per group
$4 409 groups · avg submitted charge / service $155
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 85651 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 8,670 $173,400 $20 18.5% (631) 751-3000
2 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 4,791 $87,165 $18 3.3% (310) 659-7878
3 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 4,494 $89,880 $20 56.2% (417) 624-0050
4 ADVANCED INTERNAL MEDICINE GROUP PC GREENVALE NY INTERNAL MEDICINE 5 3,570 $39,509 $11 7.6% (516) 352-8100
5 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 3,177 $63,540 $20 48.3% (318) 388-5830
6 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 2,552 $11,319 $4 5.4% (845) 342-4774
7 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 2,520 $50,400 $20 1.8% (909) 982-0099
8 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 2,419 $24,190 $10 11.3% 2104772626242
9 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 2,316 $32,424 $14 34.1% (617) 421-1000
10 ARTHRITIS AND RHEUMATIC DISEASES WILLIAMSBURG VA NURSE PRACTITIONER 4 2,224 $68,985 $31 19.8% (757) 585-2194
11 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 2,136 $10,193 $5 10.5% (847) 800-0998
12 R.S. VENUTURUPALLI, M.D. INC BEVERLY HILLS CA RHEUMATOLOGY 7 2,067 $121,953 $59 1.4% 3106520010120
13 ELAYNE K GARBER MD A MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 2 2,054 $30,990 $15 1.4% (310) 854-3539
14 VMD PRIMARY PROVIDERS EASTERN MICHIGAN PC NOVI MI PHYSICIAN ASSISTANT 64 2,043 $36,774 $18 27.3% —
15 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 2,033 $18,297 $9 19.4% (301) 345-5600
16 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 1,955 $15,640 $8 1.4% (310) 278-3400
17 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 1,762 $93,866 $53 22.0% (913) 258-2116
18 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 1,745 $43,625 $25 19.7% (252) 321-8474
19 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,690 $59,325 $35 3.6% (516) 295-4481
20 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 1,684 $18,105 $11 2.9% (201) 837-7788
21 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 1,646 $57,610 $35 1.1% (818) 996-4077
22 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 1,539 $30,780 $20 7.2% (806) 358-0200
23 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 1,529 $18,348 $12 5.4% (561) 495-0600
24 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 1,425 $14,250 $10 21.3% (205) 750-0030
25 PRINCETON MEDICAL GROUP,P.A. PRINCETON NJ INTERNAL MEDICINE 36 1,376 $59,168 $43 2.4% (609) 924-9300
26 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 1,360 $16,320 $12 21.0% (770) 536-9864
27 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 1,262 $18,930 $15 5.9% (806) 771-2400
28 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 1,160 $35,960 $31 60.8% (414) 351-4009
29 ALBERTO, ALBERTO, GABRIEL AND JIMENEZ MEDICAL ASSOCIATES, P.A. TOMS RIVER NJ INTERNAL MEDICINE 3 1,153 $5,213 $5 2.0% (732) 240-0404
30 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 1,138 $18,208 $16 2.4% (631) 628-5000
31 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 1,114 $8,912 $8 15.9% (541) 773-2233
32 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 1,111 $23,331 $21 15.9% (601) 264-6000
33 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 1,081 $15,646 $14 5.0% (903) 533-0644
34 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 1,074 $10,740 $10 14.4% (248) 477-0552
35 CAROLINA RHEUMATOLOGY AND NEUROLOGY MYRTLE BEACH SC RHEUMATOLOGY 6 1,037 $26,796 $26 27.2% (843) 692-0968
36 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 1,031 $14,434 $14 16.2% 57429632003973
37 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 1,012 $25,300 $25 9.7% —
38 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 1,007 $32,068 $32 9.0% —
39 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 998 $10,000 $10 0.7% (323) 525-1111
40 THE CENTER FOR RHEUMATOLOGY LLP ALBANY NY NURSE PRACTITIONER 10 978 $24,450 $25 2.1% (518) 489-4471
41 HEARTBEAT CARDIOVASCULAR MEDICAL GROUP GLENDALE CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 943 $9,430 $10 0.7% (818) 243-9600
42 OREGON ONCOLOGY SPECIALISTS LLP SALEM OR PHYSICIAN ASSISTANT 41 931 $11,926 $13 13.3% (503) 485-0350
43 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 831 $15,789 $19 9.4% (910) 662-6000
44 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 819 $44,121 $54 26.9% (913) 258-2116
45 ARTHRITIS CARE SPECIALISTS OF MARYLAND, P.A. COLUMBIA MD RHEUMATOLOGY 7 784 $14,230 $18 7.5% (410) 992-7440
46 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 774 $21,672 $28 8.7% (910) 295-5511
47 RHEUMATOLOGY ASSOCIATES, PC BETTENDORF IA RHEUMATOLOGY 6 774 $6,192 $8 19.3% (563) 359-4440
48 JPB MEDICAL GROUP INC VAN NUYS CA INTERNAL MEDICINE 4 738 $14,760 $20 0.5% (818) 785-0300
49 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 728 $5,089 $7 20.5% (402) 393-3110
50 ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA LINDEN NJ PHYSICIAN ASSISTANT 47 715 $9,159 $13 1.2% —
51 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 677 $12,863 $19 17.8% —
52 RHEUMATOLOGY ASSOCIATES OF LI LLP SMITHTOWN NY RHEUMATOLOGY 10 648 $9,720 $15 1.4% (631) 360-7778
53 ARTHRITIS CENTERS OF TEXAS, P.A. DALLAS TX RHEUMATOLOGY 4 630 $2,897 $5 2.9% (214) 823-6503
54 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 625 $9,375 $15 9.2% (413) 774-6301
55 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 614 $12,894 $21 17.3% (402) 354-8163
56 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 596 $10,126 $17 1.3% (914) 682-0700
57 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 595 $6,348 $11 1.3% (516) 407-2727
58 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 593 $10,081 $17 1.3% —
59 WESTSIDE INTERNAL MEDICINE SANTA MONICA CA INTERNAL MEDICINE 8 562 $2,687 $5 0.4% (310) 829-7762
60 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 561 $6,047 $11 1.2% (201) 837-7788
61 RHEUMATOLOGY CONSULTANTS, PLLC KNOXVILLE TN RHEUMATOLOGY 7 554 $2,999 $5 18.5% (865) 602-7983
62 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 518 $6,636 $13 13.6% (864) 885-0058
63 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 516 $6,708 $13 4.6% (757) 595-9880
64 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 486 $16,038 $33 2.3% —
65 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 476 $5,236 $11 4.5% (410) 535-2005
66 THROGS NECK MEDICAL SERVICES PC BRONX NY INTERNAL MEDICINE 2 472 $11,328 $24 1.0% (917) 482-4803
67 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 469 $4,652 $10 1.0% (845) 469-4211
68 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 459 $7,344 $16 11.5% (515) 239-4400
69 ALLIED MEDICAL ASSOCIATES PC BROOKLYN NY INTERNAL MEDICINE 3 454 $4,550 $10 1.0% (718) 251-7191
70 UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY MOBILE AL INTERNAL MEDICINE 85 449 $4,490 $10 6.7% (251) 633-8880
71 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 444 $24,864 $56 4.2% (814) 693-0300
72 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 443 $9,746 $22 0.3% (818) 842-7145
73 ATLANTA CENTER FOR MEDICINE II PC DECATUR GA INTERNAL MEDICINE 6 437 $19,446 $44 6.7% (404) 296-3111
74 FARHAD MELAMED M D A MEDICAL CORPORATION BEVERLY HILLS CA INTERNAL MEDICINE 3 430 $10,750 $25 0.3% (310) 657-8400
75 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 423 $9,306 $22 10.6% (515) 343-1000
76 TUSKALOOSA INTERNAL MEDICINE LLC TUSCALOOSA AL INTERNAL MEDICINE 9 421 $5,052 $12 6.3% (205) 759-2582
77 THE GREENVILLE CLINIC GREENVILLE MS NURSE PRACTITIONER 8 416 $14,085 $34 6.0% (662) 332-9872
78 PARDO FORSTOT BACA AND ALBOUKREK PA BOCA RATON FL RHEUMATOLOGY 6 416 $2,968 $7 1.5% (561) 955-7100
79 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 414 $11,592 $28 25.3% —
80 RISE UP REHAB, LLC SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 116 413 $1,775 $4 1.9% (210) 572-4954
81 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 412 $6,180 $15 1.9% (806) 796-3000
82 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 382 $12,224 $32 3.6% (301) 982-9800
83 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 380 $5,700 $15 3.6% (410) 757-7600
84 HUDSON VALLEY HEALTH GROUP, LLP NEW WINDSOR NY HEMATOLOGY/ONCOLOGY 3 377 $3,393 $9 0.8% (845) 565-9800
85 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 374 $37,654 $101 1.8% 21722384006209
86 RHEUMATOLOGY CLINIC LLC MEDFORD PA RHEUMATOLOGY 3 369 $2,952 $8 3.5% (541) 773-2233
87 HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES LAKE WORTH FL HEMATOLOGY/ONCOLOGY 11 366 $4,758 $13 1.3% (561) 965-1864
88 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 366 $9,150 $25 18.8% (252) 321-8474
89 DEERBROOK MEDICAL ASSOCIATES LIBERTYVILLE IL INTERNAL MEDICINE 3 363 $12,342 $34 1.8% (847) 367-7340
90 RHEUMATOLOGY ASSOCIATES OF BALTIMORE LLC BALTIMORE MD RHEUMATOLOGY 7 352 $5,280 $15 3.4% (410) 494-1888
91 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 351 $11,232 $32 3.1% (703) 280-5390
92 MEDICAL SPECIALISTS ASSOCIATED DALLAS TX INTERNAL MEDICINE 11 349 $5,341 $15 1.6% 2146928541213
93 EAST COOPER RHEUMATOLOGY, PA MOUNT PLEASANT SC RHEUMATOLOGY 2 344 $17,028 $50 9.0% (843) 881-9971
94 PMR VIRGINIA HOLDING LLC RICHMOND VA NURSE PRACTITIONER 19 335 $4,355 $13 3.0% (804) 344-9848
95 DONALD F NORTMAN MD A MEDICAL CORPORATION LOS ANGELES CA NEPHROLOGY 2 329 $8,225 $25 0.2% (310) 659-1668
96 MED INSTITUTE BEVERLY HILLS CA NURSE PRACTITIONER 8 327 $4,189 $13 0.2% (310) 256-2426
97 LINCOLN INTERNAL MEDICINE ASSOCIATES, PC LINCOLN NE INTERNAL MEDICINE 11 316 $3,756 $12 8.9% (402) 421-3240
98 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 311 $4,371 $14 0.2% (310) 423-0674
99 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 310 $2,782 $9 0.2% (619) 515-2454
100 SCIOMETRIX INC MENANDS CA INTERNAL MEDICINE 45 308 $15,400 $50 0.2% (248) 369-3315

Showing the top 100 of 409 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 →