NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87430 Detection test by immunoassay technique for streptococcus, group a (strep) 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 22,541 services ▲ 42.1% YoY · 21,339 beneficiaries (CY2024, Medicare FFS)
Medicare paid $368K · $16.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
166
Named-group FFS services
14,191
FFS of Medicare
49%
Services YoY
+42.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~27,348 services

14,191 observed fee-for-service (52%) · ~13,157 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 — 87430 (CY2024)
MS 3,076 TX 2,172 CA 2,134 OK 1,795 AL 1,791

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

Named-group submitted charges
$638K
Named-group allowed amount
$231K
Named-group Medicare payments
$231K
Avg charge / svc
$45
Avg allowed / svc
$16
Avg payment / svc
$16
Average charge per group
$14 166 groups · avg submitted charge / service $119
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 87430 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 990 $74,250 $75 46.4% (916) 681-8852
2 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 971 $33,014 $34 54.1% (405) 254-9690
3 REDMED LLC PONTOTOC MS NURSE PRACTITIONER 55 632 $28,896 $46 20.5% (662) 489-4044
4 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 548 $27,978 $51 54.6% (856) 247-7260
5 QUAD INTERMED COMPANY LLC LAUREL MS FAMILY PRACTICE 43 498 $15,960 $32 16.2% (601) 425-4893
6 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 485 $48,917 $101 22.3% —
7 ANDERSON MEDICAL PC DBA EMERGENCY ONE KINGSTON NY PHYSICIAN ASSISTANT 22 410 $18,450 $45 49.0% (845) 338-5600
8 NCHMD INC NAPLES FL NEUROLOGY 515 359 $16,122 $45 31.7% (239) 436-5100
9 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY TX PHYSICIAN ASSISTANT 642 349 $11,866 $34 16.1% (405) 254-9690
10 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 307 $8,289 $27 91.6% (801) 475-3100
11 VALLEY REGIONAL ENTERPRISES, INC WINCHESTER VA PHYSICIAN ASSISTANT 58 298 $10,519 $35 29.9% (540) 536-2232
12 DOCTORS MED CARE OF JACKSONVILLE, P.C. JACKSONVILLE AL NURSE PRACTITIONER 7 289 $4,784 $17 16.1% (256) 435-7300
13 CLEARCHOICEMD, PLLC LEBANON NH PHYSICIAN ASSISTANT 89 274 $16,122 $59 38.1% (603) 276-3260
14 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR NURSE PRACTITIONER 316 270 $11,610 $43 36.2% (479) 338-8000
15 BAPTIST OUTPATIENT SERVICES INC MIAMI FL DIAGNOSTIC RADIOLOGY 185 265 $27,153 $102 23.4% (786) 596-3880
16 MARION GENERAL HOSPITAL MARION IN NURSE PRACTITIONER 119 212 $5,482 $26 33.7% (765) 660-6000
17 EAST MOUNTAIN HEALTH PHYSICIANS INC MARTINSBURG WV NURSE PRACTITIONER 94 184 $6,495 $35 34.8% (304) 350-3200
18 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 174 $3,828 $22 17.3% (973) 971-5596
19 CARMICAL MEDICAL PLLC MONTICELLO AR NURSE PRACTITIONER 8 155 $3,908 $25 20.8% (870) 224-4411
20 AIC URGENT CARE. PLLC LA MARQUE TX NURSE PRACTITIONER 18 154 $4,535 $29 7.1% (281) 886-8964
21 CLEARCHOICEMD, PLLC LEBANON VT PHYSICIAN ASSISTANT 89 140 $8,238 $59 66.0% (603) 276-3260
22 PHYSICIANS URGENT CARE CORINTH MS NURSE PRACTITIONER 12 136 $6,256 $46 4.4% (662) 287-7138
23 NCHMD INC NAPLES IN NEUROLOGY 515 128 $5,760 $45 20.3% (239) 436-5100
24 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 118 $3,894 $33 15.5% (423) 495-2620
25 NCHMD INC NAPLES IL NEUROLOGY 515 113 $5,085 $45 47.3% (239) 436-5100
26 IMMEDIATE CARE OF OKLAHOMA LLC NORMAN OK NURSE PRACTITIONER 33 111 $5,994 $54 6.2% (405) 307-6900
27 REDMED LLC PONTOTOC TN NURSE PRACTITIONER 55 110 $5,049 $46 14.5% (662) 489-4044
28 MID-SOUTH HOME CARE SERVICES LLC VESTAVIA MS NURSE PRACTITIONER 96 109 $5,014 $46 3.5% (205) 761-5195
29 AMC URGENT CARE PLUS LLC PONCA CITY OK PHYSICIAN ASSISTANT 13 105 $2,625 $25 5.8% (580) 762-2366
30 VELOCITY URGENT CARE LLC WILLIAMSBURG VA PHYSICIAN ASSISTANT 81 103 $2,575 $25 10.3% (757) 984-6140
31 FAMILY FIRST CLINIC OF CLARKSDALE PLLC CLARKSDALE MS NURSE PRACTITIONER 2 103 $4,120 $40 3.3% (662) 592-4170
32 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 97 $3,395 $35 24.1% —
33 DOCTORS MED CARE OF GADSDEN, P.C. GADSDEN AL NURSE PRACTITIONER 8 96 $1,523 $16 5.4% (256) 547-2153
34 AMG-CROCKETT, LLC LAWRENCEBURG TN NURSE PRACTITIONER 37 94 $2,370 $25 12.4% —
35 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY EMERGENCY MEDICINE 29 92 $3,772 $41 11.0% (212) 844-6000
36 UMC PHYSICIANS LUBBOCK TX NURSE PRACTITIONER 107 84 $4,200 $50 3.9% (806) 761-0450
37 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 83 $3,664 $44 9.9% (212) 263-9700
38 WEST GEORGIA INTERNAL MEDICINE PC CARROLLTON GA INTERNAL MEDICINE 7 82 $4,920 $60 30.3% —
39 FAIRFIELD MEDICAL ASSOCIATES, PA. WINNSBORO SC FAMILY PRACTICE 3 82 $3,280 $40 20.4% 8036356461122
40 AMERICAS EXPRESS URGENT CARE LLC CHEYENNE WY NURSE PRACTITIONER 6 81 $6,075 $75 62.8% (307) 426-4060
41 SUGARLOAF MEDICAL P.C. SUWANEE GA INTERNAL MEDICINE 5 80 $4,000 $50 29.5% (770) 831-3018
42 FAST PACE MEDICAL CLINIC PLLC COLLINWOOD AL NURSE PRACTITIONER 779 79 $1,310 $17 4.4% (931) 724-9000
43 BENEWAH MEDICAL CENTER PLUMMER ID PHYSICIAN ASSISTANT 28 76 $1,824 $24 65.5% —
44 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC. OKLAHOMA CITY OK MENTAL HEALTH COUNSELOR 58 76 $3,352 $44 4.2% (405) 948-4900
45 MCBROOM CLINIC PA LA GRANGE TX FAMILY PRACTICE 8 75 $3,375 $45 3.5% —
46 CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY NURSE PRACTITIONER 43 68 $2,312 $34 26.3% (859) 737-6555
47 NEWTON CLINIC PC NEWTON IA FAMILY PRACTICE 21 68 $1,360 $20 45.3% (641) 792-2112
48 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA GA NURSE PRACTITIONER 459 67 $2,211 $33 24.7% (423) 495-2620
49 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 67 $1,809 $27 8.8% (865) 938-3627
50 CAREWELL URGENT CARE CENTERS OF MA, PC SOUTH DENNIS MA PHYSICIAN ASSISTANT 53 66 $3,883 $59 7.2% (508) 694-7901
51 ST JOHN URGENT CARE CLINICS INC TULSA OK NURSE PRACTITIONER 31 66 $3,036 $46 3.7% (918) 748-1300
52 NORTH CENTRAL TEXAS COMMUNITY HEALTH CARE CENTER INC WICHITA FALLS TX FAMILY PRACTICE 9 64 $2,240 $35 2.9% (940) 766-6306
53 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 61 $2,196 $36 8.0% (615) 867-7925
54 STOPWATCH URGENT CARE CENTERS LLC AUBURN AL NURSE PRACTITIONER 36 60 $991 $17 3.4% (334) 502-1117
55 URGENT CARE CENTERS OF CENTRAL MASSACHUSETTS LLC WORCESTER MA PHYSICIAN ASSISTANT 24 60 $3,530 $59 6.6% (774) 420-2111
56 FAST TRACK URGENT CARE SAN ANTONIO TX PHYSICIAN ASSISTANT 37 58 $2,726 $47 2.7% (210) 906-8478
57 REDWOOD COAST MEDICAL SERVICES, INC. GUALALA CA MARRIAGE AND FAMILY THERAPIST 7 56 $2,240 $40 2.6% —
58 CAREWELL URGENT CARE CENTERS OF MA, PC SOUTH DENNIS MS PHYSICIAN ASSISTANT 53 55 $3,236 $59 1.8% (508) 694-7901
59 BEST URGENT CARE, PLLC WILLIS TX NURSE PRACTITIONER 5 54 $1,458 $27 2.5% (936) 228-7598
60 YOUR DOCTOR'S OFFICE, PC MONTGOMERY AL NURSE PRACTITIONER 5 54 $972 $18 3.0% (334) 676-4076
61 ST JOSEPHS MEDICAL GROUP PC PATERSON NJ NURSE PRACTITIONER 228 49 $2,471 $50 4.9% (973) 754-6331
62 WEBB FAMILY MEDICAL CLINIC PLLC WATER VALLEY MS NURSE PRACTITIONER 3 47 $1,222 $26 1.5% (662) 714-4460
63 KAELA THURMAN NP AND ASSOCIATE PLLC LIBERTY HILL TX NURSE PRACTITIONER 2 47 $1,786 $38 2.2% (512) 548-5373
64 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 46 $2,707 $59 5.0% (508) 334-1000
65 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 46 $2,254 $49 6.2% (479) 314-5175
66 MED HELP 280 LLC BIRMINGHAM AL FAMILY PRACTICE 14 45 $1,260 $28 2.5% (205) 408-1231
67 ELLIS COUNTY MEDICAL ASSOCIATES ENNIS TX NURSE PRACTITIONER 7 44 $1,320 $30 2.0% 9728754700320
68 FAST PACE MEDICAL CLINIC PLLC COLLINWOOD TN NURSE PRACTITIONER 779 44 $1,980 $45 5.8% (931) 724-9000
69 RIPLEY MEDICAL CLINIC INC RIPLEY TN FAMILY PRACTICE 2 42 $1,260 $30 5.5% (731) 635-4741
70 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HOT SPRINGS AR NURSE PRACTITIONER 192 41 $1,722 $42 5.5% —
71 KELLER FAMILY MEDICAL CENTER, PLLC KELLER TX FAMILY PRACTICE 2 40 $2,000 $50 1.8% (817) 431-2573
72 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 40 $1,520 $38 6.3% —
73 WEST WICHITA FAMILY PHYSICIANS, P.A. WICHITA KS FAMILY PRACTICE 37 39 $1,809 $46 27.9% —
74 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NJ EMERGENCY MEDICINE 29 39 $1,599 $41 3.9% (212) 844-6000
75 SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY IA FAMILY PRACTICE 10 36 $684 $19 24.0% (712) 252-2477
76 ALLIANCE XPRESS CARE LLC DUBLIN VA NURSE PRACTITIONER 16 36 $2,160 $60 3.6% (540) 960-2231
77 LV STABLER PRIMARY CARE LLC GREENVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 35 $502 $14 2.0% (334) 382-2681
78 MIDWEST MEDICAL CLINIC LLC DAVENPORT IA INFECTIOUS DISEASE 2 35 $875 $25 23.3% (563) 499-5466
79 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE KY FAMILY PRACTICE 622 35 $945 $27 13.5% (865) 938-3627
80 ONEIL ENTERPRISES INC LAKEWOOD CA PHYSICIAN ASSISTANT 18 34 $918 $27 1.6% (562) 452-0038
81 EASTERN SHORE URGENT CARE LLC CHESTERTOWN MD NURSE PRACTITIONER 9 34 $1,020 $30 70.8% (410) 498-4848
82 MAINLINE HEALTH SYSTEMS INC MONTICELLO AR NURSE PRACTITIONER 59 34 $857 $25 4.6% (870) 367-6246
83 SANDHILLS MEDICAL FOUNDATION, INC. MC BEE SC FAMILY PRACTICE 26 33 $1,716 $52 8.2% (843) 335-8291
84 REGIONAL FAMILY MEDICINE, PA MOUNTAIN HOME AR FAMILY PRACTICE 8 33 $545 $17 4.4% (870) 425-6971
85 MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO NURSE PRACTITIONER 580 32 $1,344 $42 28.8% (314) 872-9192
86 PALM BEACH COUNTY FIRE FIGHTERS HEALTH CLINIC LLC WEST PALM BEACH FL NURSE PRACTITIONER 14 32 $672 $21 2.8% (561) 969-6663
87 CANNON MEMORIAL HOSPITAL PICKENS SC NURSE PRACTITIONER 28 31 $1,860 $60 7.7% (864) 878-2435
88 BENEWAH MEDICAL CENTER PLUMMER WA PHYSICIAN ASSISTANT 28 31 $744 $24 68.9% —
89 PEAK HEALTH AND WELLNESS, LLC BUTTE MT PHYSICIAN ASSISTANT 27 31 $1,829 $59 100.0% (406) 430-1034
90 ALTHEACARE LLC VARDAMAN MS NURSE PRACTITIONER 2 31 $1,457 $47 1.0% (662) 567-1282
91 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 30 $1,765 $59 3.3% (617) 421-1000
92 EXPRESS CARE OF CLEVELAND, LLC CLEVELAND MS NURSE PRACTITIONER 16 30 $810 $27 1.0% (662) 579-3958
93 SOUTHERN MEDICAL CONSULTANTS LLC BENTONIA MS NURSE PRACTITIONER 19 29 $986 $34 0.9% (662) 998-8900
94 OCEANS MISSISSIPPI MEDICAL GROUP LLC BILOXI MS NURSE PRACTITIONER 10 29 $1,334 $46 0.9% (228) 388-0691
95 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 29 $1,189 $41 2.9% —
96 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 29 $2,175 $75 1.4% (415) 600-1020
97 DERRY MEDICAL CENTER, PA DERRY NH FAMILY PRACTICE 106 28 $700 $25 3.9% (603) 537-1300
98 SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY NE FAMILY PRACTICE 10 27 $513 $19 100.0% (712) 252-2477
99 LOCKPORT EXPRESS MEDICAL GROUP INC LOCKPORT IL NURSE PRACTITIONER 6 27 $1,161 $43 11.3% (815) 588-1111
100 TIPPAH COUNTY HOSPITAL RIPLEY MS NURSE PRACTITIONER 23 27 $945 $35 0.9% (662) 837-9221

Showing the top 100 of 166 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 →