NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use CPT · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Vaccine - Toxoids (CMS RBCS)
First observed 2021
National scale 1.30M services ▼ 17.3% YoY · 1.30M beneficiaries (CY2024, Medicare FFS)
Medicare paid $374.2M · $287.84 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
2,856
Named-group FFS services
456,318
FFS of Medicare
49%
Services YoY
-17.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~891,908 services

456,318 observed fee-for-service (51%) · ~435,590 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; 3 states without payer-mix data excluded. How we scale

Top states — 90677 (CY2024)
FL 147,461 CA 115,891 TX 77,496 NY 66,083 IL 54,648

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

Named-group submitted charges
$254.1M
Named-group allowed amount
$130.4M
Named-group Medicare payments
$130.4M
Avg charge / svc
$557
Avg allowed / svc
$286
Avg payment / svc
$286
Average charge per group
$0 2,856 groups · avg submitted charge / service $1,986
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 90677 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 5,167 $3,978,613 $770 7.8% (212) 263-9700
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 2,908 $1,863,087 $641 2.5% (415) 600-1020
3 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 2,877 $1,897,752 $660 4.4% (914) 241-1050
4 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 2,732 $1,807,160 $661 7.1% —
5 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 2,692 $1,130,420 $420 5.3% (973) 971-5596
6 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 2,665 $2,252,115 $845 4.9% (630) 469-9200
7 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 2,618 $947,767 $362 4.8% (630) 933-4800
8 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 2,560 $1,511,765 $591 5.3% —
9 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 2,498 $1,190,836 $477 9.1% (865) 938-3627
10 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 2,470 $2,603,976 $1,054 2.1% (916) 983-7476
11 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 2,414 $1,182,794 $490 4.4% (847) 459-1160
12 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 2,354 $965,140 $410 6.1% (614) 451-9612
13 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 2,269 $915,747 $404 4.2% —
14 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 2,232 $1,758,843 $788 1.9% (714) 871-3006
15 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 2,206 $1,131,618 $513 4.3% (908) 273-4300
16 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 2,199 $3,110,346 $1,414 1.9% (310) 825-7922
17 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,186 $1,319,581 $604 4.0% —
18 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 2,178 $1,365,422 $627 1.9% (916) 681-8852
19 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 2,151 $1,379,602 $641 1.5% (727) 725-5060
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 2,143 $1,839,799 $859 3.2% —
21 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 2,098 $1,247,141 $594 2.7% (713) 266-9955
22 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 2,089 $2,438,452 $1,167 2.7% —
23 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 1,965 $785,926 $400 2.5% (817) 281-2977
24 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 1,825 $1,252,385 $686 15.0% (402) 354-8163
25 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 1,823 $1,066,037 $585 1.2% (941) 255-3535
26 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 1,823 $1,443,861 $792 6.1% (843) 720-8448
27 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 1,822 $1,538,442 $844 2.8% —
28 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 1,819 $959,038 $527 13.9% (502) 928-1050
29 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 1,790 $896,356 $501 5.6% —
30 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 1,780 $1,261,500 $709 1.2% —
31 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,775 $1,526,855 $860 1.5% (858) 455-9100
32 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 1,688 $666,760 $395 1.5% (925) 296-9720
33 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON MA INTERNAL MEDICINE 294 1,681 $1,205,729 $717 4.1% (781) 784-9212
34 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 1,675 $1,153,425 $689 3.1% —
35 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 1,648 $1,072,442 $651 4.2% (202) 429-2401
36 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 1,632 $1,063,061 $651 4.0% (617) 421-1000
37 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 1,612 $836,014 $519 5.4% (803) 744-4900
38 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,554 $428,995 $276 21.2% (801) 261-8346
39 BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC SOUTH HAMILTON MA NURSE PRACTITIONER 350 1,540 $1,107,328 $719 3.8% (978) 468-7381
40 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 1,524 $1,267,672 $832 7.6% (253) 428-2200
41 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 1,512 $874,056 $578 2.8% —
42 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 1,477 $1,691,375 $1,145 2.9% —
43 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 1,475 $888,217 $602 2.9% (732) 477-5600
44 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 1,468 $1,570,190 $1,070 1.3% (925) 462-7060
45 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 1,413 $747,477 $529 10.4% (918) 502-4720
46 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 1,364 $986,172 $723 3.3% (508) 334-1000
47 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 1,339 $621,198 $464 4.9% (520) 547-5725
48 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 1,338 $689,228 $515 3.9% —
49 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 1,335 $1,235,882 $926 3.6% (704) 667-1000
50 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 1,334 $605,636 $454 4.4% (770) 422-2004
51 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 1,302 $688,758 $529 9.6% (405) 254-9690
52 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 1,286 $589,020 $458 1.9% (631) 628-5000
53 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 1,285 $484,325 $377 2.4% (484) 526-2400
54 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 1,271 $378,758 $298 7.3% (515) 461-9786
55 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 1,269 $508,098 $400 4.0% —
56 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 1,255 $391,560 $312 16.4% (302) 645-3525
57 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 1,249 $724,879 $580 2.6% —
58 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 1,233 $425,115 $345 3.8% (317) 338-2345
59 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 1,230 $390,552 $318 7.1% (515) 239-4400
60 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 1,228 $870,652 $709 1.1% (831) 422-3636
61 PROHEALTH PHYSICIANS PC WALLINGFORD CT PHYSICIAN ASSISTANT 215 1,216 $393,340 $323 9.8% (203) 265-9600
62 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 1,208 $480,725 $398 7.0% —
63 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,199 $840,085 $701 1.0% (310) 423-0674
64 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 1,180 $592,973 $503 3.0% (410) 757-7600
65 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 1,168 $985,296 $844 0.8% (407) 831-4040
66 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 1,165 $827,105 $710 1.0% (559) 583-4695
67 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 1,145 $434,275 $379 2.4% (757) 410-4488
68 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 1,114 $1,104,686 $992 2.2% (856) 247-7260
69 NORTH SHORE WOUND CENTER, LTD SKOKIE IL FAMILY PRACTICE 2 1,092 $520,200 $476 2.0% (224) 534-7167
70 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 1,085 $493,210 $455 1.6% (212) 241-4812
71 HONORHEALTH MEDICAL GROUP, LLC PHOENIX AZ FAMILY PRACTICE 326 1,077 $585,752 $544 3.9% (602) 371-3100
72 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 1,055 $700,360 $664 7.8% (405) 751-5555
73 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 1,053 $602,484 $572 2.2% (434) 817-1020
74 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 1,052 $721,705 $686 11.8% (612) 863-4000
75 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NJ INTERNAL MEDICINE 550 1,017 $412,055 $405 2.0% (201) 894-3158
76 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 1,008 $648,649 $644 7.7% (502) 629-2398
77 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 1,006 $479,224 $476 1.5% (845) 703-6999
78 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 1,002 $803,422 $802 1.9% (610) 431-5000
79 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 1,001 $426,426 $426 1.5% (518) 782-3700
80 SUMMIT MEDICAL GROUP ARIZONA LLC GLENDALE AZ NURSE PRACTITIONER 158 998 $449,100 $450 3.6% (888) 698-6727
81 INOVA PHYSICIAN PARTNERS LLC CHANTILLY VA FAMILY PRACTICE 334 989 $547,906 $554 2.1% (703) 435-1223
82 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 988 $544,766 $551 2.5% (410) 332-9359
83 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 980 $778,120 $794 2.6% —
84 PIEDMONT MEDICAL CARE CORPORATION ATLANTA GA FAMILY PRACTICE 363 977 $1,065,644 $1,091 3.2% (404) 367-3210
85 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 965 $506,365 $525 1.2% (512) 346-6611
86 EINSTEIN COMMUNITY HEALTH ASSOCIATES INC PHILADELPHIA PA FAMILY PRACTICE 195 944 $623,040 $660 1.8% (215) 927-1937
87 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 941 $698,222 $742 2.6% (704) 384-8200
88 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 939 $300,480 $320 1.4% (845) 469-4211
89 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 923 $491,610 $533 0.8% (949) 791-3370
90 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 919 $358,410 $390 3.4% (629) 255-2115
91 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 910 $600,557 $660 3.0% —
92 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 908 $934,576 $1,029 0.8% (916) 734-7777
93 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 901 $400,945 $445 7.4% —
94 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 888 $551,448 $621 2.3% (419) 291-2003
95 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 880 $488,082 $555 1.3% (212) 746-5454
96 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 868 $797,692 $919 2.9% (864) 587-3000
97 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 865 $416,578 $482 1.6% (309) 683-5050
98 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 857 $342,800 $400 1.3% (631) 444-1560
99 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 854 $345,226 $404 1.7% (800) 825-5391
100 VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC ARLINGTON VA NURSE PRACTITIONER 345 844 $337,217 $400 1.8% —

Showing the top 100 of 2,856 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 →