NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90661 Influenza vaccine, trivalent derived from cell cultures 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 191,849 services · 191,583 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.8M · $35.62 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
897
Named-group FFS services
62,512
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~126,801 services

62,512 observed fee-for-service (49%) · ~64,289 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 — 90661 (CY2024)

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

Named-group submitted charges
$3.7M
Named-group allowed amount
$2.2M
Named-group Medicare payments
$2.2M
Avg charge / svc
$58
Avg allowed / svc
$35
Avg payment / svc
$35
Average charge per group
$0 897 groups · avg submitted charge / service $350
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 90661 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 90661 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 PALMETTO PRIMARY CARE PHYSICIANS LLC SUMMERVILLE SC NURSE PRACTITIONER 145 2,214 $128,412 $58 premium 36.0% (843) 695-6071
2 VPA PC TROY MI NURSE PRACTITIONER 185 910 $50,050 $55 premium 14.3% (248) 824-6060
3 FAMILY CHOICE ACO INC WESTMINSTER CA FAMILY PRACTICE 62 626 $29,700 $47 premium 2.4% (714) 898-0765
4 EREN AND ATLURI, MDS,LLC GLEN BURNIE MD INTERNAL MEDICINE 2 605 $36,300 $60 premium 9.3% (410) 768-3936
5 VPA OF TEXAS PLLC IRVING TX NURSE PRACTITIONER 67 594 $32,670 $55 premium 5.3% (972) 870-5511
6 KELVIN MAI DO INC SANTA ANA CA NURSE PRACTITIONER 3 593 $55,870 $94 premium 2.3% (714) 332-1069
7 VPS MEDICAL SERVICES, PC NEPTUNE NJ NURSE PRACTITIONER 45 578 $21,299 $37 premium 6.3%
8 NORTH SHORE WOUND CENTER, LTD SKOKIE IL FAMILY PRACTICE 2 549 $49,826 $91 premium 9.8% (224) 534-7167
9 GWINNETT CLINIC, LTD LAWRENCEVILLE GA INTERNAL MEDICINE 40 540 $59,908 $111 premium 15.1% (770) 972-9000
10 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 529 $22,272 $42 premium 12.9% (865) 938-3627
11 SEQUOIA HEALTHCARE ALLIANCE PORTERVILLE CA PHYSICIAN ASSISTANT 13 526 $15,780 $30 premium 2.0% (559) 784-5337
12 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 502 $17,068 $34 premium 8.5% (919) 684-8111
13 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 434 $28,210 $65 premium 10.6% (901) 261-0700
14 CAMDEN FAMILY CARE LLC CAMDEN SC NURSE PRACTITIONER 3 421 $21,050 $50 premium 6.8% (803) 424-1260
15 CAPE ANN MEDICAL CENTER LLC GLOUCESTER MA INTERNAL MEDICINE 6 412 $44,865 $109 premium 4.9% (978) 281-1500
16 THE FAMILY PRACTICE/AFTER HOURS CLINIC, PLLC HATTIESBURG MS FAMILY PRACTICE 7 410 $28,660 $70 premium 13.9% (601) 261-5710
17 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 404 $16,564 $41 premium 1.5% (559) 583-4695
18 Y J LEE MD CORP LOS ANGELES CA INTERNAL MEDICINE 2 379 $30,320 $80 premium 1.5% (213) 383-9388
19 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 361 $28,158 $78 premium 8.9%
20 UNION INTERNAL MEDICINE GROUP PA UNION NJ INTERNAL MEDICINE 2 341 $25,575 $75 premium 3.7% (908) 688-2480
21 ECM HEALTH GROUP LLC FLORENCE AL DIAGNOSTIC RADIOLOGY 140 337 $24,837 $74 premium 5.3% (256) 718-5900
22 EXPERT MEDICAL SERVICES LLC FLORAL PARK NY NURSE PRACTITIONER 39 318 $23,437 $74 premium 1.8% (718) 276-7935
23 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 317 $18,551 $59 premium 1.7% (352) 693-3378
24 ADULT PRIMARY CARE CENTER LTD OAK LAWN IL NURSE PRACTITIONER 5 315 $13,301 $42 premium 5.6% (708) 636-1601
25 VPA PC TROY OH NURSE PRACTITIONER 185 313 $17,215 $55 premium 8.0% (248) 824-6060
26 SCKE INC LAGUNA HILLS CA ENDOCRINOLOGY 20 285 $31,920 $112 premium 1.1% (949) 916-9100
27 APEX CARDIOLOGY CONSULTANTS INGLEWOOD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 283 $14,150 $50 premium 1.1% (310) 672-3900
28 VALLEY HOSPITALIST MEDICAL GROUP, INC VISALIA CA FAMILY PRACTICE 34 271 $40,650 $150 premium 1.0% (559) 909-0264
29 SANDEEP CHANDRA MD SC BURBANK IL INTERNAL MEDICINE 3 261 $15,660 $60 premium 4.6% (704) 422-9577
30 PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. MONTGOMERY AL INTERNAL MEDICINE 6 258 $12,880 $50 premium 4.1% (334) 262-0342
31 NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES MOUNTAIN HOME AR FAMILY PRACTICE 9 258 $11,610 $45 premium 6.4% (870) 425-3131
32 DONNA MEDICAL CLINIC, PLLC DONNA TX PHYSICIAN ASSISTANT 36 255 $14,025 $55 premium 2.3% (956) 464-2402
33 MOUNTAIN DOCS FAMILY MEDICINE PA FRANKLIN NC FAMILY PRACTICE 2 251 $10,040 $40 premium 4.3% (828) 306-4407
34 SANG H BAIK MD INC LOS ANGELES CA INTERNAL MEDICINE 2 248 $25,000 $101 premium 1.0% (213) 388-1111
35 HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES PC TEANECK NJ PHYSICIAN ASSISTANT 34 248 $28,740 $116 premium 2.7% (201) 833-3000
36 VALLEY INTERNAL MEDICINE INC FAYETTEVILLE NC INTERNAL MEDICINE 2 246 $24,600 $100 premium 4.2% (910) 484-5366
37 ASSOCIATES IN PRIMARY CARE PC NORFOLK VA INTERNAL MEDICINE 3 245 $18,375 $75 premium 4.9% (757) 623-6072
38 VPA PC TROY VA NURSE PRACTITIONER 185 244 $13,420 $55 premium 4.9% (248) 824-6060
39 WALTON FAMILY MEDICINE, P.C. MONROE GA FAMILY PRACTICE 4 239 $9,799 $41 premium 6.7% (770) 267-7093
40 PREMIER HEALTHCARE INC NEW YORK NY NURSE PRACTITIONER 58 239 $6,931 $29 premium 1.4% (212) 273-6521
41 HHC PHYSICIAN SERVICES PLLC WEST HAVEN CT NURSE PRACTITIONER 134 235 $11,750 $50 premium 10.7% (203) 932-6481
42 MEDICAL ASSOCIATES OF WEST FL BAYONET POINT FL INTERNAL MEDICINE 10 234 $9,360 $40 premium 1.3% 7278619800223
43 SHOALS PRIMARY CARE, LLC SHEFFIELD AL NURSE PRACTITIONER 43 231 $9,240 $40 premium 3.6% (256) 383-4473
44 BETHANY MEDICAL CENTER HIGH POINT NC PHYSICIAN ASSISTANT 63 229 $9,160 $40 premium 3.9% (336) 883-0029
45 INTERNAL MEDICINE AND CARDIOLOGY GREENVILLE SC INTERNAL MEDICINE 5 228 $9,120 $40 premium 3.7% 86423327442427
46 DAVID B. HAMMER TEMPLETON CA FAMILY PRACTICE 112 226 $7,141 $32 premium 0.9%
47 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 225 $14,215 $63 premium 2.7%
48 LIFEBRIDGE COMMUNITY PHYSICIANS INC BALTIMORE MD NURSE PRACTITIONER 185 224 $15,456 $69 premium 3.4% (410) 601-9000
49 SOUTHERN CLINIC PC DOTHAN AL NURSE PRACTITIONER 25 221 $8,840 $40 premium 3.5% (334) 794-6611
50 ACCESS HEALTH CARE PHYSICIANS LLC SPRING HILL FL NURSE PRACTITIONER 179 220 $9,916 $45 premium 1.2% (352) 688-8116
51 OAKLEAF CLINICS INC EAU CLAIRE WI NURSE PRACTITIONER 102 219 $12,045 $55 premium 15.1% (715) 839-9280
52 SNAR INC SACRAMENTO CA NURSE PRACTITIONER 4 212 $9,540 $45 premium 0.8% (714) 612-9977
53 SLCM LLC NORTHPORT AL FAMILY PRACTICE 5 211 $8,440 $40 premium 3.3% (205) 330-5266
54 SELECT REHABILITATION, LLC GLENVIEW MA FAMILY PRACTICE 2028 210 $9,825 $47 premium 2.5%
55 SMYTH COUNTY FAMILY PHYSICIANS MARION VA FAMILY PRACTICE 5 210 $11,760 $56 premium 4.2% (276) 783-8123
56 FAMILY MEDICAL PC LEBANON TN PHYSICIAN ASSISTANT 14 209 $10,450 $50 premium 5.1% (615) 444-6203
57 INTER NAL MEDICINE CLINIC,LLC FLORENCE AL INTERNAL MEDICINE 4 208 $7,696 $37 premium 3.3%
58 SELMA MEDICAL ASSOCIATES, P.C. SELMA AL FAMILY PRACTICE 3 205 $8,175 $40 premium 3.2% (334) 875-2640
59 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 204 $10,445 $51 premium 1.2% (914) 241-1050
60 TARA CONNOR DO PA INVERNESS FL FAMILY PRACTICE 2 203 $9,338 $46 premium 1.1% (352) 344-3777
61 CRESCENT BEACH CARE, LLC ST AUGUSTINE FL FAMILY PRACTICE 5 203 $8,120 $40 premium 1.1% (904) 342-7363
62 CLINIC PC TOXEY AL NURSE PRACTITIONER 3 198 $9,900 $50 premium 3.1% (251) 843-5949
63 AVALON MEDICAL GROUP MUSCLE SHOALS AL NURSE PRACTITIONER 22 194 $6,775 $35 premium 3.1% (256) 386-0808
64 MEDSTOP ONE INC CAPE GIRARDEAU MO FAMILY PRACTICE 2 189 $7,560 $40 premium 9.0% (573) 335-4100
65 MOUNTAIN STATE MEDICAL SPECIALTIES PLLC MORGANTOWN WV PHYSICIAN ASSISTANT 37 184 $7,975 $43 premium 12.8% (304) 554-0400
66 WESTGATE FAMILY PHYSICIANS PA SPARTANBURG SC FAMILY PRACTICE 6 184 $7,360 $40 premium 3.0% (864) 574-0070
67 GRIFFIN FAMILY MEDICINE CLINIC ALEXANDRIA LA FAMILY PRACTICE 4 184 $7,360 $40 premium 7.2% (318) 445-8380
68 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 178 $9,982 $56 premium 1.0% (321) 622-8730
69 OMNI MEDICAL GROUP INC TULSA OK FAMILY PRACTICE 82 177 $14,691 $83 premium 6.3% (918) 744-2967
70 24 ON PHYSICIANS OF CALIFORNIA PC EL CENTRO CA INTERNAL MEDICINE 59 177 $10,399 $59 premium 0.7% (760) 339-4045
71 KHANDAGLE MEDICAL ASSOCIATES PA SILVER SPRING MD INTERNAL MEDICINE 2 176 $10,560 $60 premium 2.7% (301) 439-1200
72 GROVE MEDICAL ASSOCIATES PC AUBURN MA INTERNAL MEDICINE 4 176 $4,521 $26 premium 2.1% (508) 753-2060
73 MARC A KAPLAN PLLC SIERRA VISTA AZ FAMILY PRACTICE 3 176 $8,800 $50 premium 8.1% (520) 459-0000
74 FARHAD MELAMED M D A MEDICAL CORPORATION BEVERLY HILLS CA INTERNAL MEDICINE 3 175 $13,125 $75 premium 0.7% (310) 657-8400
75 MERIDIAN ONCOLOGY ASSOCIATES PLLC MERIDIAN MS HEMATOLOGY/ONCOLOGY 4 174 $8,700 $50 premium 5.9% (601) 482-1555
76 RANCHO FAMILY MEDICAL GROUP INC TEMECULA CA PHYSICIAN ASSISTANT 104 172 $12,040 $70 premium 0.7% (951) 676-4193
77 PRINCESS ANNE FAMILY PRACTICE PRINCESS ANNE MD FAMILY PRACTICE 3 172 $5,504 $32 premium 2.6% (410) 651-0350
78 INTERNAL MEDICINE OF VENTURA CAMARILLO CA INTERNAL MEDICINE 4 172 $7,740 $45 premium 0.7% (805) 914-5808
79 CENTRIC HEALTH BAKERSFIELD CA INTERNAL MEDICINE 63 171 $12,787 $75 premium 0.7%
80 JOHN S CASKEY MD LLC SANTA FE NM NURSE PRACTITIONER 5 169 $7,605 $45 premium 12.4% (505) 982-8338
81 SETH L IVINS MD LLC NEWARK DE INTERNAL MEDICINE 3 169 $8,281 $49 premium 20.5% (302) 999-8830
82 WIHD INC VALHALLA NY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 37 166 $11,620 $70 premium 1.0%
83 LINCOLN PADEN MEDICAL GROUP PLLC MOUNTAIN HOME AR FAMILY PRACTICE 6 165 $15,120 $92 premium 4.1% (870) 425-3030
84 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 162 $13,485 $83 premium 1.9% (508) 973-5919
85 SOUTH COVE COMMUNITY HEALTH CENTER, INC. BOSTON MA INTERNAL MEDICINE 22 161 $5,545 $34 premium 1.9% (617) 482-7555
86 HAWAII ISLAND HEALTHCARE INC HILO HI FAMILY PRACTICE 3 161 $8,900 $55 premium 42.8% (808) 969-3814
87 POCAHONTAS MEDICAL CLINIC PA POCAHONTAS AR FAMILY PRACTICE 8 159 $9,580 $60 premium 3.9% (870) 892-4467
88 NUTRIHEALTH LLC GEORGETOWN DE NURSE PRACTITIONER 26 157 $6,594 $42 premium 19.0% (302) 856-3737
89 JAMES S CHOE MD PLLC DEL CITY OK NURSE PRACTITIONER 4 154 $6,140 $40 premium 5.5% (405) 677-2424
90 QUICK PRIMARY CARE, PA OCALA FL FAMILY PRACTICE 4 154 $9,240 $60 premium 0.8% (352) 854-9110
91 WELLMED MEDICAL GROUP PA SAN ANTONIO TX NURSE PRACTITIONER 673 154 $8,470 $55 premium 1.4% (210) 523-1411
92 SIENA HILLS PRIMARY CARE HENDERSON NV FAMILY PRACTICE 2 153 $6,120 $40 premium 20.1% (702) 614-0850
93 WELLNESS FIRST MEDICAL CLINIC LLC SOMERSET NJ NURSE PRACTITIONER 9 151 $8,305 $55 premium 1.6% (908) 722-0035
94 VPA PC TROY IL NURSE PRACTITIONER 185 149 $8,195 $55 premium 2.6% (248) 824-6060
95 SHANE SPEIRS MD PC MODESTO CA FAMILY PRACTICE 13 149 $9,330 $63 premium 0.6% (209) 524-1264
96 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 147 $6,615 $45 premium 6.7% (574) 234-8161
97 HEBREW HOME OF GREATER WASHINGTON INC ROCKVILLE MD INTERNAL MEDICINE 4 145 $5,343 $37 premium 2.2% (301) 816-8377
98 CLEM KIRKLAND, M.D., INC DAYTON OH FAMILY PRACTICE 2 144 $10,080 $70 premium 3.7% (937) 433-0220
99 PIONEER PHYSICIANS NETWORK INC UNIONTOWN OH FAMILY PRACTICE 94 144 $4,621 $32 premium 3.7%
100 HOMETOWN FAMILY CARE, LLC COOKEVILLE TN GENERAL PRACTICE 2 142 $8,485 $60 premium 3.5% (931) 854-0050

Showing the top 100 of 897 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 →