NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free CPT · Treatment
Classification Treatment Injections and Infusions (nononcologic) Vaccine - Toxoids (CMS RBCS)
First observed 2016
National scale 2,985 services ▼ 98.7% YoY · 2,978 beneficiaries (CY2024, Medicare FFS)
Medicare paid $98K · $32.86 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
36
Named-group FFS services
1,092
FFS of Medicare
49%
Services YoY
-98.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,316 services

1,092 observed fee-for-service (47%) · ~1,224 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 — 90674 (CY2024)

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

Named-group submitted charges
$65K
Named-group allowed amount
$36K
Named-group Medicare payments
$36K
Avg charge / svc
$60
Avg allowed / svc
$33
Avg payment / svc
$33
Average charge per group
$25 36 groups · avg submitted charge / service $238
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 90674 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 90674 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 FOUR RIVERS INTERNAL MEDICINE PLLC PADUCAH KY NURSE PRACTITIONER 4 186 $12,090 $65 premium 43.0% (270) 444-8000
2 PREMIER THERAPY AND HEALTH CENTERS INC WHEELERSBURG KY NURSE PRACTITIONER 272 151 $5,285 $35 premium 34.9% (740) 574-4616
3 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 65 $5,330 $82 premium 36.1% (910) 662-6000
4 THOMAS AND HUSAIN MEDICAL ASSOC INC EAST LIVERPOOL OH INTERNAL MEDICINE 2 55 $1,650 $30 premium 13.0% (330) 385-4004
5 PALMETTO PRIMARY CARE PHYSICIANS LLC SUMMERVILLE SC NURSE PRACTITIONER 145 53 $3,074 $58 premium 42.7% (843) 695-6071
6 COUNTRYSIDE FAMILY CARE HARTFORD KY NURSE PRACTITIONER 2 41 $2,050 $50 premium 9.5% (270) 504-7060
7 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 40 $3,400 $85 premium 9.5% (419) 626-6161
8 GREATER TOMORROW HEALTH LLC WILMINGTON OH NURSE PRACTITIONER 9 38 $1,552 $41 premium 9.0% (937) 383-1040
9 VPA PC TROY OH NURSE PRACTITIONER 185 36 $1,821 $51 premium 8.5% (248) 824-6060
10 OXFORD PHYSICAL THERAPY AND REHABILITATION MASON OH ORTHOPEDIC SURGERY 425 26 $1,040 $40 premium 6.2%
11 SOUTH BROWARD HOSPITAL DISTRICT HOLLYWOOD FL NURSE PRACTITIONER 665 23 $1,656 $72 premium 7.1% (954) 265-7750
12 UP2PAR PLLC YUMA AZ NURSE PRACTITIONER 10 23 $1,150 $50 premium 100.0% (928) 341-0700
13 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 22 $550 $25 premium 18.3% (410) 522-9800
14 SUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION NORTH HOLLYWOOD CA INTERNAL MEDICINE 9 21 $2,100 $100 premium 5.9% (818) 762-8702
15 RANCHO FAMILY MEDICAL GROUP INC TEMECULA CA PHYSICIAN ASSISTANT 104 19 $2,660 $140 premium 5.3% (951) 676-4193
16 TIM LONG MD PSC BOWLING GREEN KY NURSE PRACTITIONER 3 18 $720 $40 premium 4.2% (270) 746-5455
17 GREENVILLE FAMILY DOCTORS, PA GREENVILLE NC NURSE PRACTITIONER 3 18 $1,296 $72 premium 10.0% 25275271332008
18 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 17 $1,156 $68 premium 37.0% (317) 338-2345
19 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 17 $969 $57 premium 100.0% (901) 261-0700
20 MIDWEST INTERNAL MEDICINE ASSOCIATES LLC MARION OH FAMILY PRACTICE 2 16 $605 $38 premium 3.8% (740) 389-2297
21 PETERSON MEDICAL ASSOCIATES KERRVILLE TX DIAGNOSTIC RADIOLOGY 188 16 $1,344 $84 premium 12.6% (830) 258-7090
22 WELLMONT MEDICAL ASSOCIATES INC KINGSPORT VA NURSE PRACTITIONER 439 15 $1,215 $81 premium 17.6% (423) 224-3701
23 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 14 $644 $46 premium 11.0% (817) 514-4000
24 CENTRIC HEALTH BAKERSFIELD CA INTERNAL MEDICINE 63 14 $910 $65 premium 3.9%
25 24 ON PHYSICIANS OF CALIFORNIA PC EL CENTRO CA INTERNAL MEDICINE 59 14 $822 $59 premium 3.9% (760) 339-4045
26 WESTGATE FAMILY PHYSICIANS PA SPARTANBURG SC FAMILY PRACTICE 6 14 $630 $45 premium 11.3% (864) 574-0070
27 SOUTHWEST MEDICAL CENTER, INC BENTLEYVILLE PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 13 $398 $31 premium 27.1% (724) 239-4700
28 CRESCENT BEACH CARE, LLC ST AUGUSTINE FL FAMILY PRACTICE 5 13 $520 $40 premium 4.0% (904) 342-7363
29 SHASTA REGIONAL MEDICAL GROUP INC REDDING CA NURSE PRACTITIONER 39 13 $3,098 $238 premium 3.7% (530) 605-4260
30 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 13 $455 $35 premium 4.0% (352) 693-3378
31 MM JC BREATHING CENTER FAMILY LTD PARTNERSHIP JERSEY CITY NJ INTERNAL MEDICINE 7 12 $600 $50 premium 42.9% (201) 333-5363
32 HAWAII ISLAND HEALTHCARE INC HILO HI FAMILY PRACTICE 3 12 $1,885 $157 premium 100.0% (808) 969-3814
33 PEDRO J. PENALO, M.D., PLLC WESLACO TX INTERNAL MEDICINE 2 11 $660 $60 premium 8.7% (956) 447-8600
34 PCCC OF VOLUSIA LLC NEW SMYRNA BEACH FL NURSE PRACTITIONER 13 11 $726 $66 premium 3.4% (386) 423-0505
35 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 11 $660 $60 premium 6.1% (910) 295-5511
36 CRISTINA TOBON-CHUNG FNP A PROFESSIONAL NURSING CORPORATION LEMON GROVE CA NURSE PRACTITIONER 4 11 $440 $40 premium 3.1% (619) 253-6451

*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 →