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Market snapshot

90670 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90670 — Pneumococcal vaccine, 13-valent

Billing groups
50
Named-group FFS services
910
FFS of Medicare
49%
Services YoY
-83.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,764 services

910 observed fee-for-service (52%) · ~854 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 — 90670 (CY2024)
CA 659 FL 462 NY 228 TX 127 SC 112

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

Named-group submitted charges
$401K
Named-group allowed amount
$224K
Named-group Medicare payments
$224K
Avg charge / svc
$441
Avg allowed / svc
$246
Avg payment / svc
$246
Average charge per group
$159 50 groups · avg submitted charge / service $1,290
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 90670 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SELECT REHABILITATION, LLC GLENVIEW GA FAMILY PRACTICE 2028 57 $16,530 $290 57.6% —
2 STEVEN A WOOL MD PERSONALIZED HEALTHCARE OF ARIZONA PLLC TUCSON AZ NURSE PRACTITIONER 4 47 $16,750 $356 46.5% (520) 525-9433
3 EATONTOWN PRIMARY CARE, LLC EATONTOWN NJ INTERNAL MEDICINE 2 36 $10,800 $300 38.3% (732) 542-4411
4 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 34 $19,380 $570 26.8% —
5 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 31 $26,597 $858 13.6% (914) 681-0600
6 PRIMARY MEDICINE LLC LAUREL MD INTERNAL MEDICINE 7 29 $10,150 $350 30.9% (301) 498-9494
7 GREATER PHOENIX COLLABORATIVE CARE PC PHOENIX AZ NURSE PRACTITIONER 118 29 $7,460 $257 28.7% (602) 567-4800
8 MARK BARATS MD A PROFESSIONAL CORPORATION WEST HOLLYWOOD CA NEPHROLOGY 2 24 $3,810 $159 3.6% (323) 654-2020
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 24 $22,320 $930 10.5% (212) 263-9700
10 PREMIER MEDICAL GROUP PC CLARKSVILLE TN FAMILY PRACTICE 45 23 $8,441 $367 38.3% (931) 245-7000
11 AMG-LIVINGSTON LLC LIVINGSTON TN NURSE PRACTITIONER 18 23 $6,241 $271 38.3% (931) 823-5681
12 CARROLL HEALTH GROUP LLC WESTMINSTER MD PHYSICIAN ASSISTANT 70 22 $12,166 $553 23.4% (410) 876-3380
13 THOMAS P MATHEW MD PC NEW HYDE PARK NY INTERNAL MEDICINE 2 22 $7,700 $350 9.6% (718) 343-7600
14 TIDEWATER FAMILY MEDICAL CARE, PC CHESAPEAKE VA FAMILY PRACTICE 2 19 $7,486 $394 46.3% (757) 495-0606
15 TOTTENVILLE MEDICAL PAVILION, PLLC. STATEN ISLAND NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 19 $6,750 $355 8.3% (718) 356-5600
16 NAPA VALLEY FAMILY MEDICAL GROUP INC NAPA CA FAMILY PRACTICE 6 18 $5,094 $283 2.7% (707) 252-4781
17 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 17 $7,740 $455 18.1% (732) 477-5600
18 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 17 $12,308 $724 2.6% —
19 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 16 $5,692 $356 17.0% (973) 971-5596
20 DAVID B. HAMMER TEMPLETON CA FAMILY PRACTICE 112 16 $3,696 $231 2.4% —
21 AMERICAN MEDICAL CENTER, LLC TAMUNING CA FAMILY PRACTICE 17 16 $4,128 $258 2.4% (671) 647-8262
22 PIEDMONT PHYSICIAN NETWORK LLC ROCK HILL SC PHYSICIAN ASSISTANT 100 15 $8,370 $558 13.4% —
23 WIMAHL FAMILY CLINIC PC ASTORIA OR FAMILY PRACTICE 2 15 $4,170 $278 100.0% (503) 338-2993
24 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK NY INTERNAL MEDICINE 94 15 $12,731 $849 6.6% (845) 897-8371
25 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 15 $4,500 $300 2.3% (310) 278-3400
26 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 15 $11,610 $774 6.6% —
27 PROGRESSIVE REHABILITATION ASSOCIATES LLC IOWA CITY IA ORTHOPEDIC SURGERY 272 15 $4,755 $317 100.0% (319) 354-2429
28 DORA ANGUELOVA MD PHD PA MURRELLS INLET SC INTERNAL MEDICINE 2 15 $5,250 $350 13.4% (843) 357-6734
29 FMC MEDICAL FOUNDATION, INC. AMARILLO TX NURSE PRACTITIONER 40 14 $4,508 $322 11.0% (806) 350-3000
30 QUINNIPIAC MEDICAL OF BRANFORD LLC BRANFORD CT INTERNAL MEDICINE 9 14 $9,030 $645 100.0% (203) 488-6358
31 UC SAN DIEGO HEALTH COMMUNITY GROUP SAN DIEGO CA PHYSICIAN ASSISTANT 110 14 $8,960 $640 2.1% (800) 926-8273
32 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 14 $6,720 $480 100.0% (812) 450-6700
33 NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC SUWANEE GA PHYSICIAN ASSISTANT 314 13 $16,770 $1,290 13.1% (678) 474-9633
34 PACIFIC INPATIENT MEDICAL GROUP SAN FRANCISCO CA INTERNAL MEDICINE 129 13 $8,138 $626 2.0% (415) 485-8824
35 NORTH GEORGIA MEDICINE LLC BLAIRSVILLE GA NURSE PRACTITIONER 17 13 $3,900 $300 13.1% (706) 745-9417
36 CAPITAL AREA PRIMARY CARE, PLLC GEORGETOWN TX FAMILY PRACTICE 19 12 $4,656 $388 9.4% (512) 763-4060
37 LGH PROFESSIONAL SERVICES LLC NORTH CHELMSFORD MA NURSE PRACTITIONER 10 12 $9,423 $785 28.6% (978) 459-2152
38 POLY-CLINIC MEDICAL CENTER, INC. BAKERSFIELD CA PHYSICIAN ASSISTANT 2 12 $4,800 $400 1.8% (661) 327-5984
39 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 12 $7,200 $600 38.7% —
40 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 12 $3,288 $274 12.8% (410) 535-2005
41 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 12 $4,440 $370 12.8% —
42 FAUQUIER PHYSICIAN PRACTICES LLC WARRENTON VA NURSE PRACTITIONER 47 11 $3,993 $363 26.8% (540) 316-4360
43 ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE ROCKLIN CA PHYSICIAN ASSISTANT 14 11 $2,860 $260 1.7% (916) 624-0300
44 ST MARYS PHYSICIAN ASSOCIATES LLC ENID OK FAMILY PRACTICE 28 11 $4,257 $387 50.0% (580) 249-3898
45 BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC TAPPAHANNOCK VA FAMILY PRACTICE 97 11 $5,394 $490 26.8% (804) 443-5378
46 H2 REHABILITATION SERVICES OF VIRGINIA, LLC COVINGTON WV PHYSICIAN ASSISTANT 68 11 $3,850 $350 16.7% (540) 962-6226
47 BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. SUFFERN NY NURSE PRACTITIONER 155 11 $5,684 $517 4.8% 845353560025027
48 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 11 $3,839 $349 50.0% (405) 254-9690
49 BRYAN C DAVIS MD PA WINFIELD KS FAMILY PRACTICE 3 11 $3,740 $340 42.3% (620) 221-9500
50 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 11 $3,388 $308 100.0% (252) 635-6777

*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 →