NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86140 Measurement c-reactive protein for detection of infection or inflammation 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 2.33M services ▲ 1.5% YoY · 1.47M beneficiaries (CY2024, Medicare FFS)
Medicare paid $11.8M · $5.07 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
470
Named-group FFS services
319,276
FFS of Medicare
49%
Services YoY
+1.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~637,358 services

319,276 observed fee-for-service (50%) · ~318,082 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 — 86140 (CY2024)
CA 310,061 NJ 280,320 TX 235,850 FL 217,873 NC 183,928

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

Named-group submitted charges
$8.1M
Named-group allowed amount
$1.6M
Named-group Medicare payments
$1.6M
Avg charge / svc
$25
Avg allowed / svc
$5
Avg payment / svc
$5
Average charge per group
$5 470 groups · avg submitted charge / service $156
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86140 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 13,214 $237,839 $18 13.9% (480) 443-8400
2 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 8,601 $154,818 $18 23.3% —
3 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 7,866 $122,201 $16 3.3% (214) 540-0700
4 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 5,648 $78,987 $14 2.4% (210) 265-8851
5 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 5,054 $90,972 $18 35.2% (843) 572-4840
6 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 5,044 $136,088 $27 10.0% (630) 469-9200
7 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 4,883 $122,075 $25 5.2% (315) 475-7669
8 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 4,792 $201,264 $42 1.5% (310) 659-7878
9 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 4,446 $120,042 $27 29.4% (417) 624-0050
10 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 4,391 $306,817 $70 29.0% (913) 258-2116
11 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 3,872 $54,494 $14 6.3% (901) 261-0700
12 OMID S. SHAYE, M.D., A MEDICAL CORPORATION WEST HILLS CA HEMATOLOGY/ONCOLOGY 3 3,718 $38,518 $10 1.2% (818) 346-1773
13 HASTINGS INTERNAL MEDICINE ASSOCIATES PC HASTINGS NE INTERNAL MEDICINE 6 3,679 $19,117 $5 36.4% (402) 463-2454
14 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 3,668 $128,380 $35 2.0% (828) 258-9533
15 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 3,452 $137,128 $40 1.5% (806) 358-8331
16 MISSISSIPPI RHEUMATOLOGY AND OSTEOPOROSIS CENTER PLLC FLOWOOD MS INTERNAL MEDICINE 3 3,321 $149,445 $45 20.9% (601) 420-0034
17 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 3,215 $64,300 $20 22.8% (318) 388-5830
18 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 3,180 $38,160 $12 1.5% (239) 561-9622
19 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 3,127 $182,570 $58 6.2% —
20 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 3,122 $71,806 $23 20.9% (319) 247-3010
21 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 3,085 $46,275 $15 21.4% (501) 562-4838
22 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 3,075 $33,825 $11 5.6% (410) 744-0661
23 ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC WICHITA KS RHEUMATOLOGY 11 2,943 $73,575 $25 5.0% 31661248151280
24 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 2,880 $123,840 $43 9.7% (952) 893-1959
25 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 2,848 $42,720 $15 5.4% (509) 838-6500
26 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 2,705 $210,990 $78 1.5% (252) 635-6777
27 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 2,679 $58,938 $22 4.3% (731) 664-0002
28 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 2,522 $58,006 $23 4.6% (301) 942-7600
29 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 2,516 $60,384 $24 1.1% (512) 346-6611
30 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 2,491 $79,712 $32 3.1% (330) 670-4026
31 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 2,477 $44,586 $18 4.5% (770) 531-3711
32 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 2,440 $51,240 $21 5.0% (617) 421-1000
33 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 2,434 $63,284 $26 0.8% (909) 982-0099
34 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 2,422 $33,908 $14 1.0% 2104772626242
35 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 2,415 $108,675 $45 1.3% (910) 762-1182
36 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 2,317 $164,507 $71 9.6% (262) 785-0777
37 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 2,256 $33,840 $15 42.0% (208) 887-9500
38 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 2,254 $42,826 $19 15.1% (515) 239-4400
39 RHEUMATOLOGY ASSOCIATES PC SPRINGFIELD MA RHEUMATOLOGY 4 2,251 $90,040 $40 4.6% —
40 COLUMBUS ARTHRITIS CENTER, INC. COLUMBUS OH PHYSICIAN ASSISTANT 19 2,249 $72,573 $32 2.8% —
41 ARTICULARIS RHEUMATOLOGY SPECIALISTS OF TENNESSEE PLLC KNOXVILLE TN NURSE PRACTITIONER 5 2,224 $28,912 $13 3.6% (865) 896-3377
42 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 2,178 $32,670 $15 3.5% (423) 826-0800
43 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,152 $139,880 $65 2.3% (800) 603-0558
44 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 2,133 $15,735 $7 4.2% (847) 800-0998
45 R.S. VENUTURUPALLI, M.D. INC BEVERLY HILLS CA RHEUMATOLOGY 7 2,077 $43,617 $21 0.7% 3106520010120
46 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 2,039 $28,546 $14 13.6% (515) 270-7222
47 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 1,998 $35,964 $18 20.9% (317) 844-6444
48 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 1,971 $72,927 $37 1.1% (910) 341-1540
49 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 1,948 $38,960 $20 28.6% (270) 781-4043
50 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 1,932 $48,300 $25 3.5% (443) 393-3788
51 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 1,925 $11,277 $6 2.1% (914) 241-1050
52 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 1,909 $25,681 $13 3.1% (865) 938-3627
53 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 1,753 $17,530 $10 2.1% (440) 333-3332
54 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,693 $25,410 $15 1.8% (516) 295-4481
55 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 1,686 $17,467 $10 0.7% (806) 353-7000
56 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 1,672 $20,064 $12 0.8% (561) 495-0600
57 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 1,668 $43,368 $26 0.7% (806) 358-0200
58 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 1,662 $41,550 $25 0.6% (201) 837-7788
59 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,656 $57,960 $35 0.5% (415) 600-1020
60 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 1,654 $66,160 $40 0.5% (818) 996-4077
61 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 1,644 $87,374 $53 3.0% (770) 284-3150
62 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 1,636 $49,023 $30 30.4% (208) 234-1300
63 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 1,630 $39,120 $24 2.6% (901) 226-3882
64 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 1,626 $29,268 $18 2.9% (770) 536-9864
65 PAIN TREATMENT CENTERS OF AMERICA PLLC LITTLE ROCK AR NURSE PRACTITIONER 69 1,599 $29,773 $19 11.1% —
66 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 1,591 $39,775 $25 11.1% (479) 361-2585
67 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 1,591 $20,683 $13 10.7% (541) 382-2811
68 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 1,567 $26,639 $17 88.8% (603) 929-1195
69 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 1,484 $8,072 $5 1.6% (845) 342-4774
70 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 1,465 $23,298 $16 10.4% (225) 246-9790
71 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 1,426 $28,520 $20 2.3% (205) 750-0030
72 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 1,411 $30,797 $22 0.5% (908) 273-4300
73 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 1,328 $19,920 $15 1.4% (845) 703-6999
74 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 1,325 $15,569 $12 2.5% (425) 339-5442
75 LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC LAFAYETTE LA NURSE PRACTITIONER 12 1,261 $22,698 $18 8.9% 3372377801206
76 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 1,249 $18,735 $15 2.0% —
77 GULFVIEW MEDICAL INSTITUTE PLLC PORT CHARLOTTE FL NURSE PRACTITIONER 5 1,205 $12,384 $10 0.6% (941) 505-2100
78 HILLCROFT MEDICAL CLINIC ASSOC SUGAR LAND TX FAMILY PRACTICE 30 1,198 $34,742 $29 0.5% (713) 781-4600
79 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 1,190 $84,000 $71 2.0% (913) 258-2116
80 IK MEDICAL PC BROOKLYN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 1,178 $117,800 $100 1.3% (718) 759-0105
81 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 1,171 $10,539 $9 1.9% (629) 255-2115
82 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 1,169 $80,661 $69 4.8% (414) 351-4009
83 KEN C ARAKAWA M D INC HONOLULU HI PHYSICIAN ASSISTANT 4 1,165 $79,465 $68 10.7% (808) 528-3888
84 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 1,164 $20,988 $18 0.5% (903) 533-0644
85 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 1,162 $41,832 $36 0.6% (704) 838-8210
86 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 1,160 $46,400 $40 2.1% (762) 235-3340
87 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 1,156 $10,404 $9 0.6% (252) 321-8474
88 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 1,146 $28,650 $25 2.1% —
89 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 1,145 $15,144 $13 12.0% (574) 647-7275
90 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 1,131 $59,943 $53 7.9% (843) 497-5929
91 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 1,111 $9,999 $9 7.5% (541) 773-2233
92 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 1,109 $24,398 $22 2.1% (206) 309-1760
93 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 1,105 $70,720 $64 2.2% (217) 366-1200
94 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 1,102 $39,672 $36 0.5% (806) 771-2400
95 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 1,099 $16,485 $15 0.5% (241) 823-4800
96 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 1,095 $30,660 $28 0.5% —
97 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 1,079 $21,580 $20 1.7% (615) 867-7925
98 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,049 $24,127 $23 7.3% —
99 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 1,018 $11,198 $11 13.5% —
100 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 1,009 $11,957 $12 1.8% (202) 296-3449

Showing the top 100 of 470 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 →