NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody CPT · General Laboratory test
Classification Test General Laboratory Immunoassay (CMS RBCS)
First observed 2020
National scale 104,577 services ▼ 55.0% YoY · 54,464 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.3M · $41.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
23
Named-group FFS services
10,049
FFS of Medicare
49%
Services YoY
-55.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~21,076 services

10,049 observed fee-for-service (48%) · ~11,027 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 — 86769 (CY2024)

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$411K
Named-group Medicare payments
$411K
Avg charge / svc
$130
Avg allowed / svc
$41
Avg payment / svc
$41
Average charge per group
$50 23 groups · avg submitted charge / service $250
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 86769 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 86769 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 ENDOCRINE ASSOCIATES OF LONG ISLAND, PC SMITHTOWN NY ENDOCRINOLOGY 2 4,517 $451,700 $100 premium 31.8% (631) 265-5545
2 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 2,089 $522,250 $250 premium 100.0% (417) 624-0050
3 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 601 $54,090 $90 premium 2.4% (310) 659-7878
4 ANDREW CHUNG, M.D. PLLC DALLAS TX PHYSICIAN ASSISTANT 5 599 $89,850 $150 premium 8.8% (214) 823-4200
5 RONALD C FAGAN MD PC FARMINGDALE NY INTERNAL MEDICINE 4 393 $21,615 $55 premium 2.8% (516) 752-7000
6 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 370 $36,895 $100 premium 21.5% (901) 261-0700
7 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 262 $14,410 $55 premium 1.8% (516) 536-2221
8 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 188 $9,400 $50 premium 0.7%
9 HUDSON VALLEY HEALTH GROUP, LLP NEW WINDSOR NY HEMATOLOGY/ONCOLOGY 3 184 $27,600 $150 premium 1.3% (845) 565-9800
10 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 146 $8,760 $60 premium 0.6% (818) 842-7145
11 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 124 $13,020 $105 premium 1.8% (241) 823-4800
12 DANDJ GRACE TEAM LLC FORT WORTH TX INTERNAL MEDICINE 5 116 $16,997 $147 premium 1.7% (817) 449-2555
13 BETHANY MEDICAL CENTER HIGH POINT NC PHYSICIAN ASSISTANT 63 112 $7,616 $68 premium 1.9% (336) 883-0029
14 CENTRAL FLORIDA MEDICAL ASSOCIATES, INC ORANGE CITY FL FAMILY PRACTICE 3 82 $6,929 $84 premium 0.6% (386) 774-0401
15 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 44 $4,400 $100 premium 100.0% (270) 781-4043
16 ROSS D. NOCHIMSON, M.D.,P.A. LAUDERHILL FL INTERNAL MEDICINE 4 43 $2,775 $65 premium 0.3%
17 ELI WERCBERGER DO PLLC BROOKLYN NJ INTERNAL MEDICINE 2 42 $4,200 $100 premium 0.2% (917) 627-2130
18 NAVA HEALTH MEDICAL GROUP, LLC MONTVALE MD FAMILY PRACTICE 6 34 $2,865 $84 premium 4.8% (800) 762-6282
19 VANTAGE MEDICAL ASSOCIATES PC FAR ROCKAWAY NY NURSE PRACTITIONER 56 31 $1,705 $55 premium 0.2% (516) 792-1600
20 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 23 $1,932 $84 premium 0.2% (516) 407-2727
21 ADVANCED INTERNAL MEDICINE GROUP PC GREENVALE NY INTERNAL MEDICINE 5 21 $2,142 $102 premium 0.1% (516) 352-8100
22 INTERNAL MEDICINE ASSOCIATES, P.C. MACON GA INTERNAL MEDICINE 9 16 $2,400 $150 premium 1.7% (478) 745-1191
23 BABYLON MEDICAL PRACTICE, P.C. BABYLON NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 12 $1,200 $100 premium 0.1% (631) 661-2277

*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 →