NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87420 Detection test by immunoassay technique for respiratory syncytial virus (rsv) CPT · General Laboratory test
Classification Test › General Laboratory › Immunoassay (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,714 services ▲ 109.0% YoY · 3,522 beneficiaries (CY2024, Medicare FFS)
Medicare paid $50K · $13.54 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
37
Named-group FFS services
1,244
FFS of Medicare
49%
Services YoY
+109.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,497 services

1,244 observed fee-for-service (50%) · ~1,253 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 — 87420 (CY2024)
TX 1,355 CA 428 FL 280 DE 258 NJ 195

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

Named-group submitted charges
$71K
Named-group allowed amount
$17K
Named-group Medicare payments
$17K
Avg charge / svc
$57
Avg allowed / svc
$14
Avg payment / svc
$14
Average charge per group
$9 37 groups · avg submitted charge / service $150
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 87420 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ONEIL ENTERPRISES INC LAKEWOOD CA PHYSICIAN ASSISTANT 18 107 $2,485 $23 25.0% (562) 452-0038
2 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 98 $4,410 $45 50.3% (732) 477-5600
3 CENTRAL VALLEY URGENT CARE MEDICAL GROUP INC FRESNO CA NURSE PRACTITIONER 5 90 $6,300 $70 21.0% (559) 225-4706
4 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 72 $2,520 $35 25.7% —
5 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 58 $2,233 $38 100.0% 57429632003973
6 COMMUNITYMED PLLC WICHITA FALLS TX PHYSICIAN ASSISTANT 49 55 $8,250 $150 4.1% (940) 488-4616
7 GADSDEN REGIONAL PHYSICIAN GROUP PRACTICE LLC GADSDEN AL FAMILY PRACTICE 35 55 $2,420 $44 34.6% (256) 413-6240
8 ALLIANCE XPRESS CARE LLC DUBLIN VA NURSE PRACTITIONER 16 53 $3,180 $60 31.4% (540) 960-2231
9 VELOCITY URGENT CARE LLC WILLIAMSBURG VA PHYSICIAN ASSISTANT 81 50 $1,166 $23 29.6% (757) 984-6140
10 MASOUD KHORSAND- SAHBAIE MD P A ROSWELL NM HEMATOLOGY/ONCOLOGY 18 45 $630 $14 100.0% (575) 627-9500
11 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 41 $1,558 $38 24.3% —
12 ELITE TOTAL WELLNESS PLLC MCKINNEY TX NURSE PRACTITIONER 2 36 $5,400 $150 2.7% (469) 915-5069
13 HMTS INC IRVINE CA PHYSICIAN ASSISTANT 115 35 $805 $23 8.2% (949) 557-0000
14 INTERVENTIONAL PARTNERS PLLC FRISCO TX PODIATRY 93 25 $3,750 $150 1.8% (972) 712-4161
15 WILLIAMSON MEDICAL GROUP, LLC FRANKLIN TN NURSE PRACTITIONER 69 25 $625 $25 100.0% (615) 435-7780
16 DNA MEDICAL PARTNERS, APMC BURBANK CA PHYSICIAN ASSISTANT 4 25 $575 $23 5.8% (818) 482-2273
17 TMC PROVIDER GROUP PLLC SAN ANTONIO TX PHYSICIAN ASSISTANT 218 24 $744 $31 1.8% (210) 698-6617
18 MEDICAL ASSOCIATES PROFESSIONAL SERVICES, LLC CANTON AL FAMILY PRACTICE 27 24 $408 $17 15.1% (770) 479-5535
19 LEGACY URGENT CARE PA FRISCO TX EMERGENCY MEDICINE 156 23 $3,450 $150 1.7% (972) 625-6020
20 DCS MEDICAL PA BRYAN TX NURSE PRACTITIONER 149 21 $3,150 $150 1.5% (979) 703-1832
21 CAPITAL AREA PRIMARY CARE, PLLC GEORGETOWN TX FAMILY PRACTICE 19 20 $1,440 $72 1.5% (512) 763-4060
22 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 20 $820 $41 62.5% (443) 393-3788
23 ELITE ORTHOPAEDICS OF IRVING PLLC DENTON TX PHYSICIAN ASSISTANT 55 18 $2,700 $150 1.3% (940) 384-3535
24 CORNERSTONE THERAPY AND BALANCE CENTER LLC SHREVEPORT LA FAMILY PRACTICE 102 18 $900 $50 58.1% —
25 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 17 $153 $9 1.3% (214) 599-8624
26 FORSYTH MEMORIAL HOSPITAL INC WINSTON SALEM NC PHYSICIAN ASSISTANT 620 17 $646 $38 8.9% (336) 277-2620
27 KELLER FAMILY MEDICAL CENTER, PLLC KELLER TX FAMILY PRACTICE 2 16 $672 $42 1.2% (817) 431-2573
28 MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO NURSE PRACTITIONER 580 15 $2,250 $150 50.0% (314) 872-9192
29 DOCTOR'S OFFICE LLC PRESCOTT AZ FAMILY PRACTICE 5 14 $844 $60 35.0% (928) 776-6400
30 LV STABLER PRIMARY CARE LLC GREENVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 14 $196 $14 8.8% (334) 382-2681
31 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 14 $672 $48 1.0% (903) 606-5560
32 ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC FAMILY PRACTICE 110 13 $559 $43 100.0% (864) 271-9773
33 ALLIANCE XPRESS CARE LLC DUBLIN WV NURSE PRACTITIONER 16 13 $780 $60 100.0% (540) 960-2231
34 CHRISTUS TRINITY CLINIC TYLER LA NURSE PRACTITIONER 1495 13 $624 $48 41.9% (903) 606-5560
35 WH SERVICES DALLAS LLC GAINESVILLE TX EMERGENCY MEDICINE 4 13 $1,950 $150 1.0% (940) 665-1751
36 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 13 $742 $57 100.0% (508) 973-5919
37 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 12 $456 $38 37.5% (240) 215-1138
38 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 11 $455 $41 2.6% (714) 871-3006
39 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 11 $429 $39 10.4% (618) 236-8000

*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 →