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Market snapshot

90472 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90472 — Administration of vaccine, each additional vaccine

Billing groups
69
Named-group FFS services
2,338
FFS of Medicare
49%
Services YoY
-8.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,532 services

2,338 observed fee-for-service (52%) · ~2,194 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 — 90472 (CY2024)
TX 760 FL 441 MD 428 AR 421 PA 266

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

Named-group submitted charges
$75K
Named-group allowed amount
$32K
Named-group Medicare payments
$23K
Avg charge / svc
$32
Avg allowed / svc
$14
Avg payment / svc
$10
Average charge per group
$10 69 groups · avg submitted charge / service $75
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 90472 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 305 $17,690 $58 40.1% —
2 ARKANSAS DEPARTMENT OF HEALTH PAYROLL OFFICE LITTLE ROCK TX NURSE PRACTITIONER 27 224 $4,133 $18 29.5% (501) 661-2000
3 ACTS COMMUNITIES OF MARYLAND, INC. EASTON MD NURSE PRACTITIONER 5 88 $1,760 $20 20.6% (410) 822-8888
4 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 80 $3,680 $46 18.7% (410) 663-8100
5 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 77 $1,925 $25 36.7% (908) 273-4300
6 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 75 $1,875 $25 35.7% (800) 825-5391
7 THE FAMILY CLINIC OF FORT COLLINS FORT COLLINS CO FAMILY PRACTICE 8 68 $1,020 $15 46.3% (970) 482-2791
8 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 61 $1,830 $30 22.9% —
9 PRIMARY NP ASSOCIATES OWINGS MILLS MD NURSE PRACTITIONER 4 58 $2,146 $37 13.6% (410) 356-4680
10 LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH CROWLEY LA NURSE PRACTITIONER 33 55 $903 $16 53.4% (337) 788-7507
11 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 52 $3,900 $75 40.6% (212) 263-9700
12 VISITING SERVICES, LLC SPRING VALLEY NY NURSE PRACTITIONER 32 50 $1,588 $32 39.1% (845) 374-0410
13 A3 MEDICAL NORTHVILLE MI INTERNAL MEDICINE 2 45 $900 $20 45.5% (248) 885-8821
14 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 44 $1,100 $25 21.0% —
15 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 43 $1,204 $28 17.0% (910) 341-1540
16 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 43 $1,805 $42 16.2% —
17 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 41 $1,230 $30 47.7% —
18 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 39 $1,794 $46 9.1% (410) 761-1222
19 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 31 $923 $30 100.0% (302) 645-3525
20 COUNTY OF BUNCOMBE ASHEVILLE NC FAMILY PRACTICE 3 30 $630 $21 11.9% (828) 250-5218
21 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 29 $928 $32 100.0% (608) 260-2900
22 APPALACHIAN DISTRICT HEALTH DEPT SPARTA NC NURSE PRACTITIONER 9 27 $729 $27 10.7% (336) 372-5641
23 COUNTY OF WAKE RALEIGH NC NURSE PRACTITIONER 16 24 $528 $22 9.5% (919) 212-7000
24 ACTS SIGNATURE COMMUNITY SERVICES INC BOCA RATON PA NURSE PRACTITIONER 34 24 $480 $20 9.0% (561) 487-5500
25 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 24 $648 $27 3.2% (713) 266-9955
26 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 24 $948 $40 9.5% (336) 713-9800
27 DIGNITY HEALTH REDDING CA FAMILY PRACTICE 87 24 $480 $20 68.6% (530) 245-2900
28 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 23 $808 $35 65.7% (603) 577-2045
29 BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA ATHENS GA QUALIFIED SPEECH LANGUAGE PATHOLOGIST 9 23 $230 $10 10.3% (706) 542-4598
30 HEALTHSTAR PHYSICIANS OF HOT SPRINGS PLLC HOT SPRINGS AR NURSE PRACTITIONER 57 21 $420 $20 5.0% (501) 651-4500
31 STILLWATER MEDICAL CENTER AUTHORITY STILLWATER OK PHYSICIAN ASSISTANT 166 21 $525 $25 30.0% (405) 372-1480
32 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 20 $540 $27 4.8% (479) 314-5175
33 ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC ERIE PA PHYSICIAN ASSISTANT 303 20 $300 $15 7.5% (814) 454-2401
34 SPIRIT LAKE TRIBE FORT TOTTEN ND NURSE PRACTITIONER 20 20 $1,054 $53 100.0% (701) 766-1600
35 WASHOE TRIBE OF NEVADA AND CALIFORNIA GARDNERVILLE NV CLINICAL PSYCHOLOGIST 15 19 $760 $40 51.4% (775) 265-8622
36 ALLIANCE FAMILY PRACTICE COLORADO SPRINGS CO PHYSICIAN ASSISTANT 7 19 $361 $19 12.9% (719) 282-6337
37 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 18 $450 $25 2.4% (903) 614-3200
38 FALLON TRIBAL HEALTH CENTER FALLON NV OPTOMETRY 11 18 $486 $27 48.6% —
39 TANANA CHIEFS CONFERENCE FAIRBANKS WA PHYSICIAN ASSISTANT 155 17 $393 $23 100.0% (907) 451-6682
40 FORNANCE PHYSICIAN SERVICES INC EAST NORRITON PA FAMILY PRACTICE 109 17 $510 $30 6.4% (610) 279-1500
41 YOLANDA MARCOS MD PA SAN ANTONIO TX INTERNAL MEDICINE 2 17 $423 $25 2.2% 2104944290303
42 FRANCONIA FAMILY MEDICINE PC ALEXANDRIA VA FAMILY PRACTICE 4 17 $255 $15 18.9% (703) 922-4704
43 OLIVE BRANCH FAMILY MEDICAL CENTER OLIVE BRANCH MS NURSE PRACTITIONER 7 17 $442 $26 100.0% (662) 895-4949
44 NOT TSOO GAH NEE INDIAN HEALTH FORT HALL ID FAMILY PRACTICE 5 16 $400 $25 100.0% (208) 238-5400
45 WIND RIVER FAMILY AND COMMUNITY HEALTHC CARE ARAPAHOE WY FAMILY PRACTICE 39 16 $592 $37 100.0% 3078569281119
46 RANDY D WALKER, MD, PLLC DE QUEEN AR NURSE PRACTITIONER 10 16 $336 $21 3.8% (870) 584-3000
47 MAGNOLIA MEDICAL CLINIC P.A. FORT WALTON BEACH FL FAMILY PRACTICE 10 15 $270 $18 3.4% (850) 243-7681
48 EINSTEIN COMMUNITY HEALTH ASSOCIATES INC PHILADELPHIA PA FAMILY PRACTICE 195 15 $450 $30 5.6% (215) 927-1937
49 WK RED RIVER INTERNAL MEDICINE BOSSIER CITY LA NURSE PRACTITIONER 3 15 $420 $28 14.6% (318) 212-7848
50 UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC LOUISVILLE KY INFECTIOUS DISEASE 10 15 $450 $30 100.0% (502) 561-8848
51 OMNI MEDICAL GROUP INC TULSA OK FAMILY PRACTICE 82 14 $364 $26 20.0% (918) 744-2967
52 KEWA PUEBLO HEALTH CORPORATION SANTO DOMINGO NM FAMILY PRACTICE 25 14 $490 $35 24.6% (505) 465-3060
53 SOUTHCENTRAL FOUNDATION ANCHORAGE AK NURSE PRACTITIONER 163 14 $827 $59 100.0% (907) 729-2583
54 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 14 $322 $23 13.6% (225) 246-9790
55 FAMILY MEDICINE OF HUNTSVILLE, PC HUNTSVILLE AL FAMILY PRACTICE 5 13 $156 $12 100.0% (256) 539-7722
56 GENESIS MEDICAL ASSOCIATES, INC. PITTSBURGH PA PHYSICIAN ASSISTANT 96 13 $325 $25 4.9% (412) 369-9943
57 THE LITTLE CLINIC OF COLORADO, LLC LAKEWOOD CO NURSE PRACTITIONER 72 13 $325 $25 8.8% (303) 459-7105
58 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 13 $312 $24 3.0% (443) 481-1000
59 CARROLL PRIMARY CARE, PA WESTMINSTER MD PHYSICIAN ASSISTANT 8 13 $312 $24 3.0% (410) 848-4121
60 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 13 $377 $29 18.6% (405) 254-9690
61 OYSTER POINT FAMILY PRACTICE INC NEWPORT NEWS VA NURSE PRACTITIONER 4 12 $290 $24 13.3% (757) 873-2000
62 DERRY MEDICAL CENTER, PA DERRY NH FAMILY PRACTICE 106 12 $540 $45 34.3% (603) 537-1300
63 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 12 $516 $43 2.7% (407) 831-4040
64 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR NURSE PRACTITIONER 316 12 $324 $27 2.9% (479) 338-8000
65 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 12 $472 $39 25.5% (202) 429-2401
66 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 11 $570 $52 100.0% (803) 395-3400
67 PIEDMONT MEDICAL CARE CORPORATION ATLANTA GA FAMILY PRACTICE 363 11 $484 $44 4.9% (404) 367-3210
68 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 11 $418 $38 4.9% —
69 LEGACY HEALTHCARE SERVICES INC DURHAM TX INTERNAL MEDICINE 3859 11 $385 $35 1.4% (919) 419-9600

*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 →