NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87591 Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique CPT · Molecular Testing
Classification Test › Molecular Testing › Infectious Agent Detection by DNA/RNA (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 255,271 services ▲ 16.3% YoY · 204,624 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.8M · $34.35 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
64
Named-group FFS services
9,805
FFS of Medicare
49%
Services YoY
+16.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~19,544 services

9,805 observed fee-for-service (50%) · ~9,739 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 — 87591 (CY2024)
TX 58,135 CA 40,929 NJ 30,328 PA 22,928 FL 21,524

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

Named-group submitted charges
$969K
Named-group allowed amount
$336K
Named-group Medicare payments
$336K
Avg charge / svc
$99
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$40 64 groups · avg submitted charge / service $250
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 87591 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORMAN UROLOGY ASSOCIATES PC NORMAN OK PHYSICIAN ASSISTANT 10 1,782 $148,120 $83 21.5% (405) 360-9966
2 PHOENIX UROLOGY OF ST JOSEPH INC SAINT JOSEPH MO UROLOGY 5 816 $61,200 $75 33.0% (816) 232-8877
3 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 770 $54,217 $70 3.6% (352) 726-9707
4 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 694 $67,340 $97 1.7% (408) 871-3400
5 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 624 $54,912 $88 47.1% (662) 349-1964
6 BORO PARK OBSTETRICS AND GYNECOLOGY P.C. BROOKLYN NY OBSTETRICS/GYNECOLOGY 17 485 $71,780 $148 6.3% 71897227001121
7 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 424 $41,883 $99 32.0% (615) 221-4400
8 MAYER J SAAD MD PC WESTBURY NY PHYSICIAN ASSISTANT 42 421 $82,171 $195 5.5% (516) 333-1444
9 ARIZONA STATE UROLOGY LLC GLENDALE AZ UROLOGY 3 357 $18,921 $53 3.2% (602) 337-8500
10 ANTHONY MARTIN MILLS M D A MEDICAL CORPORATION WEST HOLLYWOOD CA PHYSICIAN ASSISTANT 12 342 $34,200 $100 0.8% (310) 550-1010
11 GARDEN STATE UROLOGY LLC WHIPPANY PA UROLOGY 2 153 $6,049 $40 0.7% —
12 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 148 $16,213 $110 0.7% (305) 273-4641
13 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 139 $28,495 $205 0.3% (213) 699-7013
14 NORTH SHORE UROGYNECOLOGY LTD LAKE FOREST IL UROLOGY 2 135 $13,500 $100 1.5% (847) 234-1100
15 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 114 $7,224 $63 0.3% (619) 515-2454
16 UWH OF THE CAROLINAS PLLC WINSTON SALEM NC OBSTETRICS/GYNECOLOGY 328 112 $13,104 $117 1.9% (336) 768-3632
17 CONSULTANTS IN UROLOGY STATEN ISLAND NY UROLOGY 2 108 $17,280 $160 1.4% (718) 233-1300
18 CONRAD PEARSON CLINIC PC SOUTHAVEN MS UROLOGY 21 106 $9,328 $88 13.8% (662) 349-1964
19 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 105 $7,140 $68 15.0% (402) 354-8163
20 SANDR WE CARE MEDICAL PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 2 90 $18,000 $200 1.2% (718) 743-5300
21 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 89 $6,675 $75 0.4% (856) 424-3323
22 WOMEN'S HEALTH ASSOCIATES OF SOUTHERN NEVADA- MARTIN, PLLC LAS VEGAS NV OBSTETRICS/GYNECOLOGY 105 86 $11,524 $134 7.3% (702) 438-2229
23 CONTRA COSTA PATHOLOGY ASSOCIATES CONCORD CA PATHOLOGY 8 81 $6,075 $75 0.2% (925) 682-8200
24 DISTRICT MEDICAL GROUP INC PHOENIX AZ PSYCHIATRY 466 79 $4,187 $53 0.7% (602) 914-1520
25 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 78 $15,224 $195 1.0% —
26 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 78 $19,500 $250 1.0% (718) 875-4848
27 ADVANCED GYNECOLOGY AND SURGERY PLLC BROOKLYN NY OBSTETRICS/GYNECOLOGY 2 71 $4,260 $60 0.9% (718) 332-6525
28 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 67 $9,581 $143 0.1% (713) 512-7500
29 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 65 $5,720 $88 0.8% (405) 632-6688
30 ILLINOIS UROLOGIC HEALTH SURGEONS SC PERU IL UROLOGY 10 65 $3,250 $50 0.7% (815) 664-5367
31 DEDICATED TO WOMEN OB-GYN, P.A. DOVER DE OBSTETRICS/GYNECOLOGY 15 61 $3,965 $65 100.0% (302) 674-0223
32 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 59 $4,130 $70 0.1% (214) 691-9377
33 PACIFIC PATHOLOGY MEDICAL ASSOCIATES SAN FRANCISCO CA PATHOLOGY 5 56 $4,704 $84 0.1% (415) 668-1000
34 PATHADVANTAGE, PA DALLAS TX PATHOLOGY 2 55 $3,575 $65 0.1% (214) 219-5880
35 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 54 $3,848 $71 4.6% (509) 892-2700
36 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 53 $5,166 $97 0.1% (916) 447-6267
37 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 53 $5,565 $105 0.7% (631) 751-3000
38 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 51 $5,508 $108 0.1% (817) 920-0484
39 DE FAZIO OBSTETRICS AND GYNECOLOGY PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 2 46 $4,600 $100 0.6% (718) 836-3721
40 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 45 $4,500 $100 0.1% (800) 954-8000
41 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 41 $8,002 $195 0.5% (212) 263-9700
42 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 39 $6,162 $158 0.4% (847) 459-1160
43 YOSEMITE PATHOLOGY MEDICAL GROUP INC MODESTO CA PATHOLOGY 43 33 $4,455 $135 0.1% (209) 577-1200
44 OPTIMAL HEALTH ASSOCIATES LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 11 32 $3,744 $117 0.4% (405) 715-4496
45 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 31 $2,418 $78 0.1% (610) 579-3577
46 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 29 $1,566 $54 1.1% (313) 861-4400
47 PROVIDEA HEALTH PARTNERS LLC EVERGREEN PARK IL OBSTETRICS/GYNECOLOGY 7 29 $1,740 $60 0.3% (708) 425-1907
48 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 29 $3,335 $115 19.3% (515) 343-1000
49 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 27 $3,807 $141 0.5% (617) 421-1000
50 PATHOLOGY CONSULTANTS, PC SPRINGFIELD OR PATHOLOGY 11 26 $1,664 $64 2.8% (541) 222-6915
51 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 25 $2,301 $92 0.7% (970) 212-0530
52 SEVEN HILLS OB-GYN ASSOCIATES LLC INDIANAPOLIS IN OBSTETRICS/GYNECOLOGY 92 24 $1,584 $66 6.3% (317) 865-3600
53 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 22 $2,310 $105 0.0% (210) 450-7044
54 CENTENNIAL MEDICAL GROUP, PA LAUREL MD NURSE PRACTITIONER 33 21 $1,105 $53 0.9% 4107303399100
55 CLS HEALTH PLLC WEBSTER TX NURSE PRACTITIONER 172 19 $1,996 $105 0.0% (281) 724-1860
56 DCL PATHOLOGY LLC CARMEL IN PATHOLOGY 3 17 $1,096 $64 4.5% (317) 874-1254
57 ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA LINDEN NJ PHYSICIAN ASSISTANT 47 15 $1,579 $105 0.0% —
58 BORO PARK OBSTETRICS AND GYNECOLOGY P.C. BROOKLYN CA OBSTETRICS/GYNECOLOGY 17 15 $2,220 $148 0.0% 71897227001121
59 LUDMILA B BESS MD A PROFESSIONAL CORPORATION LOS ANGELES CA OBSTETRICS/GYNECOLOGY 2 14 $1,600 $114 0.0% 3239348877228
60 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NJ OBSTETRICS/GYNECOLOGY 5 14 $3,500 $250 0.0% (718) 875-4848
61 OPTUM CARE WASHINGTON PLLC EVERETT TN PHYSICIAN ASSISTANT 695 13 $910 $70 1.0% (425) 339-5442
62 BETHPAGE MEDICAL PLLC NEW YORK NY OBSTETRICS/GYNECOLOGY 11 13 $1,300 $100 0.2% (212) 629-1000
63 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 13 $1,170 $90 0.2% —
64 DAVID P ELLENT PLLC KINGWOOD TX FAMILY PRACTICE 53 12 $1,404 $117 0.0% (281) 440-5300
65 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 12 $2,664 $222 0.0% (415) 600-1020
66 ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES PC ANDOVER MA OBSTETRICS/GYNECOLOGY 12 12 $1,584 $132 0.2% (978) 475-2731
67 PATHOLOGY SCIENCES MEDICAL GROUP CHICO CA PATHOLOGY 9 11 $1,100 $100 0.0% (530) 891-6244

*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 →