NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90656 Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage CPT · Treatment
Classification Treatment Injections and Infusions (nononcologic) Vaccine - Toxoids (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 260,591 services · 260,247 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.6M · $21.59 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,171
Named-group FFS services
75,979
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~150,515 services

75,979 observed fee-for-service (50%) · ~74,536 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 — 90656 (CY2024)

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

Named-group submitted charges
$3.2M
Named-group allowed amount
$1.6M
Named-group Medicare payments
$1.6M
Avg charge / svc
$42
Avg allowed / svc
$21
Avg payment / svc
$21
Average charge per group
$0 1,171 groups · avg submitted charge / service $278
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 90656 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 90656 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 4,228 $63,419 $15 premium 52.4% (662) 377-5300
2 ARKANSAS DEPARTMENT OF HEALTH PAYROLL OFFICE LITTLE ROCK TX NURSE PRACTITIONER 27 1,356 $30,305 $22 premium 10.2% (501) 661-2000
3 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 1,174 $45,786 $39 premium 3.8% (408) 851-1000
4 SC HOUSE CALLS INC WEST COLUMBIA SC NURSE PRACTITIONER 435 837 $22,448 $27 premium 22.3% (800) 491-0909
5 WOODLANDS MEDICAL SPECIALISTS P A PENSACOLA FL PHYSICIAN ASSISTANT 51 830 $39,010 $47 premium 2.5% (850) 696-4000
6 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 598 $20,332 $34 premium 12.3%
7 PETE S COURY MD PLLC GILBERT AZ FAMILY PRACTICE 2 578 $20,230 $35 premium 12.9% (480) 633-6200
8 CLINTON MEDICAL CLINIC, INC. CLINTON NC FAMILY PRACTICE 14 542 $27,100 $50 premium 7.8% (910) 592-6011
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 525 $14,700 $28 premium 1.7% (415) 600-1020
10 WEST TENNESSEE MEDICAL GROUP INC JACKSON TN NURSE PRACTITIONER 189 505 $21,715 $43 premium 9.2%
11 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 501 $23,194 $46 premium 1.6% (916) 983-7476
12 ANMED HEALTH ANDERSON SC FAMILY PRACTICE 343 493 $12,325 $25 premium 13.1%
13 UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC PHYSICIAN ASSISTANT 985 466 $20,504 $44 premium 6.7% (919) 942-5123
14 TIFFANY NELSON MD PLC PHOENIX AZ FAMILY PRACTICE 10 437 $15,295 $35 premium 9.7% (480) 607-0060
15 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 365 $21,850 $60 premium 2.1%
16 BEACON HEALTH ALLIANCE PC CHATTANOOGA TN INTERNAL MEDICINE 13 361 $8,664 $24 premium 6.5% (423) 756-5779
17 OKERBLOM VOEGELE AND HOLE MD A PROFESSIONAL CORPORATION SANTA MARIA CA FAMILY PRACTICE 6 344 $12,040 $35 premium 1.1% (805) 934-5140
18 FAMILY CHOICE ACO INC WESTMINSTER CA FAMILY PRACTICE 62 342 $21,840 $64 premium 1.1% (714) 898-0765
19 FREDERICKSBURG FAMILY CLINIC PA COMFORT TX FAMILY PRACTICE 8 339 $12,164 $36 premium 2.6% (830) 995-5633
20 POLAND MEDICAL CENTER LTD POLAND OH FAMILY PRACTICE 9 338 $8,450 $25 premium 7.2% (330) 757-7888
21 PENINSULA HEALTH LLC MILLSBORO DE INTERNAL MEDICINE 2 326 $15,565 $48 premium 14.1% (302) 945-0440
22 DOVER FAMILY PHYSICIANS PA DOVER DE FAMILY PRACTICE 6 321 $9,951 $31 premium 13.9% (302) 346-2760
23 PHYSICIAN PARTNERS MEDICAL GROUP INC WESTMINSTER CA FAMILY PRACTICE 2 317 $18,068 $57 premium 1.0% (714) 902-9523
24 CHINESE HOSPITAL ASSOCIATION SAN FRANCISCO CA INTERNAL MEDICINE 34 315 $44,379 $141 premium 1.0% (415) 677-2370
25 GERALD MUTHU, LLC CASA GRANDE AZ FAMILY PRACTICE 3 314 $14,130 $45 premium 7.0% (520) 876-0478
26 PALM BEACH WELLNESS LLC DELRAY BEACH FL FAMILY PRACTICE 6 313 $12,207 $39 premium 0.9% (561) 740-2004
27 TALLAHASSEE MEDICAL GROUP, PLLC TALLAHASSEE FL FAMILY PRACTICE 14 310 $10,778 $35 premium 0.9%
28 NORTH MISSISSIPPI GILMORE CLINICS LLC AMORY MS NURSE PRACTITIONER 9 310 $4,650 $15 premium 3.8% (662) 256-3564
29 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE IN NURSE PRACTITIONER 1377 307 $13,404 $44 premium 7.6% (502) 937-2209
30 ADVENTIST HEALTH PARTNERS, INC. BOLINGBROOK IL FAMILY PRACTICE 244 307 $18,211 $59 premium 2.4%
31 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 299 $9,735 $33 premium 5.4% (865) 938-3627
32 RIVERSIDE MEDICAL CLINIC INC RIVERSIDE CA FAMILY PRACTICE 175 298 $17,284 $58 premium 1.0% (951) 683-6370
33 BE WELL PRIMARY HEALTH CARE CENTER LLC BROOKLYN NY NURSE PRACTITIONER 46 293 $28,900 $99 premium 1.7% (718) 434-0711
34 CHARLES A. MITGANG, M.D. P.C. ROCKVILLE CENTRE NY INTERNAL MEDICINE 2 288 $25,850 $90 premium 1.7% (516) 678-5555
35 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 287 $15,645 $55 premium 3.6%
36 FAMILY HEALTH CARE OF SIOUXLAND PLC SIOUX CITY NE FAMILY PRACTICE 48 281 $8,440 $30 premium 15.5% (712) 239-4300
37 DENG FAMILY MEDICINE CENTER, PC MIDWEST CITY OK FAMILY PRACTICE 2 278 $13,900 $50 premium 10.3% (405) 737-3278
38 SCOTTSDALE FAMILY HEALTH PLLC SCOTTSDALE AZ FAMILY PRACTICE 5 275 $11,125 $40 premium 6.1% (480) 941-4845
39 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 267 $7,945 $30 premium 0.9% (916) 681-8852
40 PEACEHEALTH MEDICAL GROUP EUGENE OR NURSE PRACTITIONER 259 266 $16,758 $63 premium 12.5% (541) 222-8700
41 MAGNOLIA INTERNAL MEDICINE ASSOCIATES PA TYLER TX INTERNAL MEDICINE 2 258 $12,900 $50 premium 1.9% (903) 565-0303
42 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 251 $15,060 $60 premium 2.7%
43 CRH PHYSICIAN PRACTICES, LLC DOUGLAS GA NURSE PRACTITIONER 37 250 $11,250 $45 premium 5.2% (912) 292-0658
44 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 249 $8,781 $35 premium 3.1% (240) 215-1138
45 DUTCH MEDICAL CLINICS, INC COLUMBUS MS NURSE PRACTITIONER 26 233 $6,291 $27 premium 2.9% (662) 570-4770
46 RONALD JOHANSON, THOMAS WILSON, JAMES MACLAREN PTRS TURLOCK CA FAMILY PRACTICE 6 233 $5,825 $25 premium 0.8% (209) 668-4101
47 FAMILY FIRST MEDICAL CENTER PLLC IDAHO FALLS ID PHYSICIAN ASSISTANT 18 232 $5,231 $23 premium 7.6% 2085527700837
48 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 225 $7,265 $32 premium 0.7% (352) 351-4634
49 DIRECT ACCESS INTERNAL MEDICINE LTD GLOUCESTER VA NURSE PRACTITIONER 5 225 $10,575 $47 premium 5.4% (804) 824-9153
50 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 225 $10,074 $45 premium 2.8% (202) 429-2401
51 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC MOUNT VERNON IL NURSE PRACTITIONER 125 220 $9,900 $45 premium 1.8% (618) 899-3278
52 PCP ASSOCIATES OF PASADENA PA PASADENA TX FAMILY PRACTICE 4 220 $14,310 $65 premium 1.7% (713) 943-8229
53 EVANS MEDICAL GROUP EVANS GA FAMILY PRACTICE 14 220 $8,140 $37 premium 4.6% (706) 868-3100
54 CHULA VISTA INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP CHULA VISTA CA INTERNAL MEDICINE 2 215 $9,006 $42 premium 0.7% (619) 421-4000
55 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 213 $8,520 $40 premium 2.4% (844) 542-2273
56 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 211 $7,385 $35 premium 1.7% (847) 459-1160
57 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 211 $12,660 $60 premium 5.3% (337) 238-9931
58 ST MARYS GENERAL MEDICAL GROUP PC PASSAIC NJ ANESTHESIOLOGY 74 208 $12,480 $60 premium 2.4% (973) 365-4300
59 WESTWOOD MEDICAL GROUP,INC. LOS ANGELES CA INTERNAL MEDICINE 3 204 $8,160 $40 premium 0.7% (213) 739-0007
60 MCH PROFESSIONAL CARE ODESSA TX NURSE PRACTITIONER 50 204 $5,100 $25 premium 1.5% (432) 337-3117
61 CIMPAR SC OAK PARK IL NURSE PRACTITIONER 38 202 $20,200 $100 premium 1.6% (708) 486-2700
62 TRINOVA HEALTHCARE LLC PENSACOLA FL NURSE PRACTITIONER 6 202 $9,494 $47 premium 0.6% (850) 332-3740
63 PLAZITA MEDICAL CLINIC INC WATSONVILLE CA FAMILY PRACTICE 2 201 $9,045 $45 premium 0.7% (831) 728-0551
64 PRIMARY PARTNERCARE PHYSICIANS PLLC BETHPAGE NY INTERNAL MEDICINE 18 200 $12,150 $61 premium 1.1% (516) 656-1414
65 JUN R. CHIONG, MD, MPH, INC. REDLANDS CA NURSE PRACTITIONER 11 198 $7,920 $40 premium 0.6%
66 CRISTINA TOBON-CHUNG FNP A PROFESSIONAL NURSING CORPORATION LEMON GROVE CA NURSE PRACTITIONER 4 195 $7,800 $40 premium 0.6% (619) 253-6451
67 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 194 $4,850 $25 premium 1.5% (817) 281-2977
68 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 193 $11,580 $60 premium 2.0% (617) 421-1000
69 MORETTI AND RACCO MEDICAL ASSOCIATES, PC STATEN ISLAND NY INTERNAL MEDICINE 4 192 $9,600 $50 premium 1.1% (718) 351-2192
70 LINCOLN SURGICAL ASSOCIATES, LTD. SHILOH IL GENERAL SURGERY 25 191 $5,730 $30 premium 1.5% (618) 277-7400
71 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 190 $8,520 $45 premium 2.4%
72 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 188 $9,400 $50 premium 3.1% (570) 271-6144
73 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 188 $6,956 $37 premium 2.2% (908) 273-4300
74 GRACE PARADELA MD PC ST GEORGE UT NURSE PRACTITIONER 7 186 $6,510 $35 premium 13.4% (435) 688-0759
75 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 186 $6,510 $35 premium 4.7% (225) 246-9790
76 HOUSE CALL MEDICAL SERVICES WICHITA KS FAMILY PRACTICE 2 182 $11,830 $65 premium 9.8%
77 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 182 $4,357 $24 premium 0.5% (352) 693-3378
78 SAMBANDAM BASKARAN M.D.,P.A. BALTIMORE MD INTERNAL MEDICINE 4 181 $9,050 $50 premium 2.3% (410) 644-4444
79 MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED MERCED CA FAMILY PRACTICE 27 176 $5,280 $30 premium 0.6% (209) 722-9066
80 DANIEL SERVICES LLC SAINT FRANCISVILLE LA FAMILY PRACTICE 7 175 $6,125 $35 premium 4.4% (225) 635-5848
81 PHOENIX REHABILITATION AND HEALTH SERVICES INC CRANBERRY TOWNSHIP PA PHYSICIAN ASSISTANT 2664 171 $7,155 $42 premium 2.8%
82 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 170 $5,100 $30 premium 2.5% (704) 838-8210
83 SGMC PHYSICIAN NETWORK INC VALDOSTA GA NURSE PRACTITIONER 126 170 $7,354 $43 premium 3.6% (229) 433-8160
84 BAYLOR ST. LUKE'S MEDICAL GROUP THE WOODLANDS TX PHYSICIAN ASSISTANT 177 168 $6,466 $38 premium 1.3% (281) 444-3278
85 HOUSECALL PROVIDERS PC PORTLAND OR NURSE PRACTITIONER 23 168 $4,200 $25 premium 7.9% (971) 202-5500
86 CAMBRIDGE MEDICAL GROUP OF WEST BOYNTON LLC BOYNTON BEACH FL FAMILY PRACTICE 5 164 $4,100 $25 premium 0.5% (561) 634-8888
87 WK LOUISIANA FAMILY PRACTICE BOSSIER CITY LA FAMILY PRACTICE 9 160 $7,265 $45 premium 4.0% (318) 212-7830
88 EASTERN MAINE MEDICAL CENTER BANGOR DE PHYSICIAN ASSISTANT 697 160 $4,800 $30 premium 6.9% (207) 973-7000
89 TL HEALTH CARE FOUNDATION SAN GABRIEL CA NURSE PRACTITIONER 3 159 $8,745 $55 premium 0.5% (626) 293-1988
90 SILVER HEALTH CARE PC SILVER CITY NM NURSE PRACTITIONER 15 155 $13,950 $90 premium 10.3% (575) 538-2981
91 ANTHONY JOSEPH RIZZO D O P C SAINT JAMES NY FAMILY PRACTICE 2 155 $12,215 $79 premium 0.9% (631) 686-5040
92 MY MEDICAL PC BRENTWOOD NY INTERNAL MEDICINE 90 155 $5,425 $35 premium 0.9% (631) 273-7204
93 COMMUNITY HEALTH CONNECTIONS, INC FITCHBURG MA PHYSICIAN ASSISTANT 90 148 $7,400 $50 premium 1.6% (978) 878-8100
94 UNITED PHYSICIANS CARE INC BRIDGEPORT WV FAMILY PRACTICE 117 148 $8,880 $60 premium 9.8% (681) 342-3700
95 JAVED HAFEEZ, M.D., P.A. SUN CITY CENTER FL INTERNAL MEDICINE 2 147 $5,145 $35 premium 0.4% (813) 634-5502
96 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 147 $4,410 $30 premium 3.6% (414) 421-8400
97 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO VA FAMILY PRACTICE 121 147 $2,205 $15 premium 3.5% (662) 377-5300
98 STEWART HOME SCHOOL INC FRANKFORT KY NURSE PRACTITIONER 4 147 $6,615 $45 premium 5.6% (502) 227-4821
99 SOUTHAMPTON COMMUNITY HEALTHCARE INC SAINT LOUIS MO FAMILY PRACTICE 6 146 $6,992 $48 premium 3.4% (314) 647-2200
100 VINOD GULATI MD PLLC AMITYVILLE NY INTERNAL MEDICINE 3 145 $6,525 $45 premium 0.8% (631) 789-2020

Showing the top 100 of 1,171 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 →