NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87631 Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets 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 251,176 services ▲ 70.2% YoY · 204,254 beneficiaries (CY2024, Medicare FFS)
Medicare paid $35.0M · $139.46 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
142
Named-group FFS services
12,395
FFS of Medicare
49%
Services YoY
+70.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~25,259 services

12,395 observed fee-for-service (49%) · ~12,864 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 — 87631 (CY2024)
TX 99,577 CA 38,283 NJ 18,143 AZ 18,019 FL 14,477

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

Named-group submitted charges
$3.3M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.7M
Avg charge / svc
$268
Avg allowed / svc
$138
Avg payment / svc
$138
Average charge per group
$91 142 groups · avg submitted charge / service $1,100
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 87631 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 781 $129,596 $166 0.8% (806) 358-8331
2 RIVIERA MEDICAL CORPORATION NEWPORT BEACH CA PHYSICIAN ASSISTANT 7 507 $108,200 $213 1.3% (949) 760-8300
3 POCAHONTAS MEDICAL CLINIC PA POCAHONTAS AR FAMILY PRACTICE 8 469 $140,700 $300 21.0% (870) 892-4467
4 CLINICS OF NORTH TEXAS LLP WICHITA FALLS TX FAMILY PRACTICE 33 403 $143,871 $357 0.4% (940) 766-3551
5 ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA LINDEN NJ PHYSICIAN ASSISTANT 47 386 $165,166 $428 2.1% —
6 CONWAY REGIONAL MEDICAL CENTER INC CONWAY AR NURSE PRACTITIONER 141 386 $110,396 $286 17.3% (501) 358-6695
7 MEDICAL ASSOCIATES OF THE SHOALS, P.C. SHEFFIELD AL NURSE PRACTITIONER 24 356 $53,400 $150 13.1% 2563834447104
8 URGENT CARE MEDICAL ASSOCIATES, LLC SOUTHBURY CT PHYSICIAN ASSISTANT 120 330 $49,500 $150 37.4% (860) 650-3848
9 ICM MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 3 315 $70,875 $225 0.8% (310) 855-0556
10 FRIENDSHIP MEDICAL CLINIC LLC ECRU MS NURSE PRACTITIONER 9 310 $62,000 $200 15.8% (662) 488-8799
11 MID-SOUTH INTERNAL MEDICINE SPECIALISTS, P.C. GERMANTOWN TN INTERNAL MEDICINE 12 301 $75,250 $250 50.3% (901) 767-5000
12 HEALTHSTAR PHYSICIANS OF HOT SPRINGS PLLC HOT SPRINGS AR NURSE PRACTITIONER 57 285 $55,575 $195 12.8% (501) 651-4500
13 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 283 $63,109 $223 1.6% (908) 273-4300
14 LAGRANGE INTERNAL MEDICINE, PC LAGRANGE GA INTERNAL MEDICINE 8 228 $68,400 $300 2.8% (706) 882-9341
15 DR MARC ALLEN MEDICAL PC SMITHTOWN NY NURSE PRACTITIONER 6 219 $54,750 $250 5.8% (631) 543-8844
16 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 205 $73,800 $360 0.2% (241) 823-4800
17 CHARLES A. MITGANG, M.D. P.C. ROCKVILLE CENTRE NY INTERNAL MEDICINE 2 197 $59,100 $300 5.2% (516) 678-5555
18 SOUTHERN IMMEDIATE CARE, LLC ANNISTON AL NURSE PRACTITIONER 44 185 $16,854 $91 6.8% (256) 235-2273
19 DAVID P ELLENT PLLC KINGWOOD TX FAMILY PRACTICE 53 166 $101,267 $610 0.2% (281) 440-5300
20 MONTGOMERY MEDICAL INC SMITHFIELD PA PHYSICIAN ASSISTANT 11 165 $33,000 $200 1.4% 7245698100206
21 HEALTH MINISTRIES CLINIC INC NEWTON KS NURSE PRACTITIONER 32 152 $31,920 $210 68.5% (316) 283-6103
22 URBANCARE LLC LAKE IN THE HILLS IL INTERNAL MEDICINE 7 150 $35,100 $234 1.8% (224) 569-4000
23 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 149 $53,193 $357 1.0% —
24 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 142 $156,200 $1,100 0.1% (817) 920-0484
25 URGENT CARE CLINIC OF LINCOLN PC LINCOLN NE PHYSICIAN ASSISTANT 9 139 $38,575 $278 39.0% (402) 488-4321
26 PRESTIGE CLINICIANS LLC OAKLAND PARK FL NURSE PRACTITIONER 3 138 $33,100 $240 1.0% (954) 496-2599
27 HAMAD AHMAD MD PC BARTLETT TN PHYSICIAN ASSISTANT 13 138 $45,200 $328 23.1% (901) 762-1531
28 FAHAD NAJEEB MD PLLC MESQUITE PA INTERNAL MEDICINE 2 134 $38,225 $285 1.2% (607) 237-6043
29 SOUTHWEST MEDICAL CENTER, INC BENTLEYVILLE PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 125 $21,875 $175 1.1% (724) 239-4700
30 FAMILY MEDICINE ASSOCIATES OF BLYTHEVILLE PA BLYTHEVILLE AR INTERNAL MEDICINE 2 124 $23,560 $190 5.6% (870) 762-5360
31 FAMILY HEALTH CARE OF SIOUXLAND PLC SIOUX CITY IA FAMILY PRACTICE 48 123 $36,415 $296 48.0% (712) 239-4300
32 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 123 $24,420 $199 0.8% (352) 351-4634
33 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 122 $61,488 $504 47.7% (515) 239-4400
34 DELTA FAMILY MEDICAL SERVICES INC GREENVILLE MS NURSE PRACTITIONER 8 119 $23,650 $199 6.1% (662) 334-8557
35 TUPELO MEDICAL GROUP, LLC TUPELO MS NURSE PRACTITIONER 7 109 $19,075 $175 5.6% (662) 840-2131
36 SOUTHVIEW MEDICAL GROUP, PC BIRMINGHAM AL INTERNAL MEDICINE 39 107 $19,795 $185 3.9% (205) 933-4640
37 STAT MED PC A CALIFORNIA MEDICAL PROFESSIONAL CORPORATION CONCORD CA PHYSICIAN ASSISTANT 13 106 $30,210 $285 0.3% (925) 234-4447
38 HUDSON MD GROUP FORT LEE NJ INTERNAL MEDICINE 107 104 $36,600 $352 0.6% (201) 224-0011
39 TEXAS FAITH LLC ARLINGTON TX FAMILY PRACTICE 10 103 $28,410 $276 0.1% (972) 734-5400
40 LAWRENCE COUNTY FAMILY CLINIC, PA WALNUT RIDGE AR FAMILY PRACTICE 6 94 $17,390 $185 4.2% (870) 886-3543
41 LAKESIDE NORTH FAMILY MEDICINE, LLC GUNTERSVILLE AL NURSE PRACTITIONER 5 92 $13,800 $150 3.4% (256) 571-8460
42 HIGH FIELD IMAGING PC PITTSBURGH PA DIAGNOSTIC RADIOLOGY 2 91 $18,175 $200 0.8% (877) 677-3828
43 GULFVIEW MEDICAL INSTITUTE PLLC PORT CHARLOTTE FL NURSE PRACTITIONER 5 88 $20,830 $237 0.6% (941) 505-2100
44 URGENT CARE SPECIALISTS PC WILBRAHAM MA PHYSICIAN ASSISTANT 11 88 $20,152 $229 9.8% (413) 599-3800
45 BRADFORD FAMILY HEALTHCARE PC SCOTTSBORO AL FAMILY PRACTICE 4 84 $11,880 $141 3.1% (256) 259-0734
46 AVALON MEDICAL GROUP MUSCLE SHOALS AL NURSE PRACTITIONER 22 78 $11,700 $150 2.9% (256) 386-0808
47 KALIL AL-NASSIR MD PA AMARILLO TX NURSE PRACTITIONER 2 74 $12,668 $171 0.1% (806) 355-6593
48 HALEYVILLE MEDICAL ASSOCIATES, INC. HALEYVILLE AL NURSE PRACTITIONER 9 74 $11,100 $150 2.7% (205) 486-8899
49 PROFESSIONAL RESOURCE MANAGMENT OF WIREGRASS, LLC DOTHAN AL FAMILY PRACTICE 10 64 $16,000 $250 2.4% (334) 712-1170
50 LINCOLN INTERNAL MEDICINE ASSOCIATES, PC LINCOLN NE INTERNAL MEDICINE 11 64 $11,050 $173 18.0% (402) 421-3240
51 PREMIER MEDICAL GROUP LLC TEMPE AZ PHYSICIAN ASSISTANT 14 60 $17,019 $284 0.3% (480) 838-3100
52 MAVERICK COUNTY HOSPITAL DISTRICT EAGLE PASS TX GENERAL SURGERY 25 60 $17,160 $286 0.1% (830) 757-4900
53 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 59 $25,842 $438 6.0% —
54 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 58 $12,408 $214 0.4% (352) 693-3378
55 SIGNATURE HEALTHCARE PLLC CHARLOTTE NC INTERNAL MEDICINE 13 57 $16,245 $285 4.3% (704) 554-8787
56 CORINTH MEDICAL SPECIALISTS CORINTH MS NURSE PRACTITIONER 4 57 $28,500 $500 2.9% (662) 665-9111
57 MARSHALL PRIMARY CARE LLC ARAB AL FAMILY PRACTICE 2 55 $7,140 $130 2.0% (256) 640-8416
58 CULLMAN INTERNAL MEDICINE, PC CULLMAN AL NURSE PRACTITIONER 30 51 $14,402 $282 1.9% (256) 737-2100
59 INTERNAL MEDICINE AND PEDIATRIC CLINIC OF NEW ALBANY, PLLC NEW ALBANY MS NURSE PRACTITIONER 20 50 $8,000 $160 2.6% 6625340898215
60 ABRAHAM ISHAAYA M D A PROFESSIONAL CORPORATION LOS ANGELES CA INTERNAL MEDICINE 2 49 $17,150 $350 0.1% —
61 URGENT CARE MEDICAL OF NEW YORK LLC BALDWIN PLACE NY PHYSICIAN ASSISTANT 32 48 $7,200 $150 1.3% (860) 650-3848
62 SKYPARK PREFERRED FAMILY CARE MEDICAL CORPORATION TORRANCE CA FAMILY PRACTICE 3 47 $5,295 $113 0.1% (310) 378-6208
63 COOSA FAMILY CARE, LLC RAINBOW CITY AL FAMILY PRACTICE 4 46 $9,200 $200 1.7% (256) 459-5132
64 TIM LONG MD PSC BOWLING GREEN KY NURSE PRACTITIONER 3 46 $7,652 $166 17.0% (270) 746-5455
65 HOSPITALIST MEDICINE PHYSICIANS OF TEXAS PLLC WICHITA TX INTERNAL MEDICINE 714 46 $9,105 $198 0.0% (316) 291-4396
66 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 42 $16,346 $389 0.3% (305) 273-4641
67 TYSON MEDICAL INC BRAWLEY CA NURSE PRACTITIONER 20 41 $11,180 $273 0.1% (760) 351-3333
68 ISMAIL OZCAN MD PC LAKE RONKONKOMA NY FAMILY PRACTICE 2 41 $10,250 $250 1.1% (631) 588-6665
69 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 40 $25,720 $643 0.1% (916) 734-7777
70 SOUTHERN INTERNAL MEDICINE PLLC LAKE CITY FL NURSE PRACTITIONER 4 40 $6,720 $168 0.3% (386) 719-2540
71 NORTHWEST PATHOLOGY PLLC BELLINGHAM WA PATHOLOGY 7 40 $8,558 $214 15.2% (360) 734-2800
72 SMITH ALLERGY AND ASTHMA OF CENTRAL NEW YORK PLLC ITHACA NY ALLERGY/IMMUNOLOGY 7 40 $24,000 $600 1.1% (607) 379-6072
73 CHRISTINE HOLLAND, M.D., P. A. DECATUR OH PHYSICIAN ASSISTANT 29 38 $20,900 $550 3.6% (940) 626-2110
74 CAREMED CLINIC LLC MARIANNA FL INTERNAL MEDICINE 3 37 $10,555 $285 0.3% (850) 526-3314
75 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 35 $10,682 $305 13.3% (509) 892-2700
76 GLACIER COMMUNITY HEALTH CENTER INC CUT BANK MT NURSE PRACTITIONER 8 35 $5,192 $148 100.0% (406) 873-5670
77 TOWER HEALTH URGENT CARE, LLC DOUGLASSVILLE PA PHYSICIAN ASSISTANT 60 34 $15,674 $461 0.3% (610) 385-4444
78 THEDACARE, INCORPORATED APPLETON WI PHYSICIAN ASSISTANT 653 34 $29,927 $880 10.7% (920) 720-2300
79 MEDNOW CLINICS, INC AURORA CO NURSE PRACTITIONER 58 34 $5,100 $150 0.3% (720) 878-7055
80 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 33 $13,167 $399 12.2% (859) 257-1412
81 BASEL REFAI MD PC ALEXANDER CITY AL NURSE PRACTITIONER 4 33 $8,250 $250 1.2% (256) 212-9300
82 FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC CRYSTAL SPRINGS MS NURSE PRACTITIONER 3 31 $6,200 $200 1.6% (601) 892-3063
83 LOUISIANA FAMILY MEDICINE CLINIC 1 JONESBORO LA FAMILY PRACTICE 6 31 $9,300 $300 3.3% (318) 259-1569
84 UPMC WASHINGTON WASHINGTON PA FAMILY PRACTICE 20 31 $5,425 $175 0.3% —
85 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 31 $13,578 $438 9.7% (608) 785-0940
86 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 30 $15,600 $520 0.8% (212) 746-5454
87 D.H. MEDICAL, LLC ORMOND BEACH FL NURSE PRACTITIONER 21 30 $8,580 $286 0.2% (888) 808-0488
88 NORTH SHORE LIJ URGENT CARE PC PLAINVIEW CT PHYSICIAN ASSISTANT 396 30 $4,500 $150 3.4% (516) 537-9061
89 DELTA FAMILY MEDICAL SERVICES INC GREENVILLE TN NURSE PRACTITIONER 8 29 $5,775 $199 4.8% (662) 334-8557
90 NEW YORK MEDICAL ASSOCIATES PC NEW YORK NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 27 $3,851 $143 0.7% (212) 249-2680
91 MCCLENDON MEDICAL CLINIC PLLC OCEAN SPRINGS MS NURSE PRACTITIONER 5 27 $5,400 $200 1.4% (228) 244-9910
92 LIFE POINT MEDICAL, LLC CLAYTON GA INTERNAL MEDICINE 5 27 $7,668 $284 0.3% —
93 MEADOWCREST PHYSICIANS PARTNERS LLC CRYSTAL RIVER FL FAMILY PRACTICE 7 26 $3,900 $150 0.2% (352) 795-0644
94 PULMONARY SPECIALISTS OF NORTHWEST INDIANA, PC HOBART IN PULMONARY DISEASE 4 26 $7,436 $286 14.3% (219) 942-9658
95 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 26 $5,278 $203 20.8% (304) 598-4865
96 1ST CHOICE HEALTHCARE INC CORNING AR NURSE PRACTITIONER 38 26 $5,902 $227 1.2% (870) 857-3399
97 ARCTURUS HEALTHCARE PLC TROY MI INTERNAL MEDICINE 66 25 $4,750 $190 3.2% (248) 267-5000
98 FISCHER FAMILY MEDICINE PC ASHLAND AL FAMILY PRACTICE 2 25 $3,750 $150 0.9% (256) 354-4142
99 ELICA HEALTH CENTERS SACRAMENTO CA FAMILY PRACTICE 25 24 $15,432 $643 0.1% (916) 454-2345
100 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 24 $3,600 $150 3.1% (248) 477-0552

Showing the top 100 of 142 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 →