NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90686 Influenza vaccine, quadrivalent, 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 15,481 services ▼ 95.9% YoY · 15,432 beneficiaries (CY2024, Medicare FFS)
Medicare paid $335K · $21.65 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
74
Named-group FFS services
2,359
FFS of Medicare
49%
Services YoY
-95.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,922 services

2,359 observed fee-for-service (48%) · ~2,563 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 — 90686 (CY2024)

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

Named-group submitted charges
$116K
Named-group allowed amount
$49K
Named-group Medicare payments
$49K
Avg charge / svc
$49
Avg allowed / svc
$21
Avg payment / svc
$21
Average charge per group
$2 74 groups · avg submitted charge / service $200
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 90686 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 90686 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 PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC ZANESVILLE OH FAMILY PRACTICE 61 516 $25,800 $50 premium 41.0% (740) 455-3304
2 CHAMPION PHYSICAL THERAPY KENTUCKY, LLC SOMERSET KY NURSE PRACTITIONER 48 137 $10,275 $75 premium 39.9% (606) 302-2831
3 LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH LOS ANGELES CA INTERNAL MEDICINE 36 115 $1,955 $17 premium 17.5% (213) 240-8220
4 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 113 $1,695 $15 premium 67.3% (662) 377-5300
5 HOLMES FAMILY MEDICINE INC MILLERSBURG OH PHYSICIAN ASSISTANT 6 91 $3,276 $36 premium 7.2% (330) 674-1200
6 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 80 $3,280 $41 premium 12.2% (408) 851-1000
7 BLANCHARD VALLEY MEDICAL PRACTICE LLC FINDLAY OH NURSE PRACTITIONER 78 74 $7,387 $100 premium 5.9% (419) 423-7663
8 PROHEALTH MEDICAL GROUP INC WAUKESHA WI PHYSICIAN ASSISTANT 465 54 $1,080 $20 premium 75.0% (262) 696-0808
9 PROHEALTH URGENT CARE LLC CHRISTIANSTED VI NURSE PRACTITIONER 8 47 $5,084 $108 premium 100.0% (305) 281-0684
10 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 36 $1,044 $29 premium 22.5% (309) 683-5050
11 KENTUCKY MSO LLC GEORGETOWN KY PHYSICIAN ASSISTANT 54 36 $1,440 $40 premium 10.5% (502) 570-2324
12 SOUTHAMPTON COMMUNITY HEALTHCARE INC SAINT LOUIS MO FAMILY PRACTICE 6 34 $2,346 $69 premium 45.3% (314) 647-2200
13 BE WELL PRIMARY HEALTH CARE CENTER LLC BROOKLYN NY NURSE PRACTITIONER 46 34 $3,350 $99 premium 27.6% (718) 434-0711
14 SUMMIT MEDICAL GROUP INC EDGEWOOD IN NURSE PRACTITIONER 806 30 $1,440 $48 premium 36.6% (859) 578-5880
15 CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC SANTA MARIA CA FAMILY PRACTICE 9 29 $1,450 $50 premium 4.4% (805) 938-7444
16 DR. BUTLER AND ASSOCIATES, PLLC PADUCAH KY INTERNAL MEDICINE 2 29 $812 $28 premium 8.5% (270) 443-2900
17 ICARE MEDICAL GROUP MONTEREY PARK CA REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 2 29 $290 $10 premium 4.4% (626) 292-5896
18 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 26 $830 $32 premium 10.8%
19 FMC MEDICAL FOUNDATION, INC. AMARILLO TX NURSE PRACTITIONER 40 25 $875 $35 premium 4.4% (806) 350-3000
20 MUSC COMMUNITY PHYSICIANS ORANGEBURG MO NURSE PRACTITIONER 1307 25 $2,700 $108 premium 33.3% (803) 395-3400
21 WILLIAM D. KIRK M.D., PLLC LEBANON KY NURSE PRACTITIONER 3 24 $1,272 $53 premium 7.0% (270) 692-9559
22 LAREDO CARDIOVASCULAR CONSULTANTS,P.A. LAREDO TX INTERNAL MEDICINE 4 24 $1,440 $60 premium 4.2% (956) 725-1228
23 HUDSON FAMILY PRACTICE, INC HUDSON OH FAMILY PRACTICE 2 23 $1,955 $85 premium 1.8% (330) 800-4800
24 MEDICAL ASSOCIATES OF THE PACIFIC LLC SAIPAN MP INTERNAL MEDICINE 3 20 $49 $2 premium 100.0% (670) 323-9000
25 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 20 $480 $24 premium 16.5% (910) 296-0941
26 CENTRAL MEDICAL GROUP-CANOGA PARK NABIL S FEGHALI MD INC CANOGA PARK CA FAMILY PRACTICE 2 19 $665 $35 premium 2.9% (818) 704-7200
27 NEXT LEVEL MEDICAL MANAGEMENT, LLC GRIFFIN GA FAMILY PRACTICE 2 19 $570 $30 premium 42.2% (770) 228-2641
28 TUPELO MEDICAL GROUP, LLC TUPELO MS NURSE PRACTITIONER 7 18 $810 $45 premium 10.7% (662) 840-2131
29 AHN HOSPITALIST GROUP LTD INDIANA PA INTERNAL MEDICINE 71 18 $540 $30 premium 36.7% (724) 357-7121
30 MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA FAYETTEVILLE AR FAMILY PRACTICE 106 17 $680 $40 premium 10.2% (479) 521-0200
31 TEXAS FAMILY DOCTOR PA CROCKETT TX FAMILY PRACTICE 2 17 $680 $40 premium 3.0% (936) 655-0500
32 ONSLOW AMBULATORY SERVICES INC JACKSONVILLE NC PHYSICIAN ASSISTANT 18 16 $720 $45 premium 13.2% (910) 577-4968
33 COUNTY OF TILLAMOOK TILLAMOOK OR FAMILY PRACTICE 7 16 $976 $61 premium 34.8% (503) 842-3900
34 OCEAN COUNTY BOARD OF HEALTH TOMS RIVER NJ INFECTIOUS DISEASE 5 15 $335 $22 premium 13.3% (732) 341-9700
35 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 15 $855 $57 premium 2.3% (916) 983-7476
36 LEAHY FAMILY CARE INC LIMA OH FAMILY PRACTICE 2 15 $405 $27 premium 1.2% (419) 224-1234
37 RIVERSIDE MEDICAL CLINIC INC RIVERSIDE CA FAMILY PRACTICE 175 15 $756 $50 premium 2.3% (951) 683-6370
38 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 15 $1,515 $101 premium 2.3% (310) 829-6789
39 SAND MOUNTAIN FAMILY PRACTICE CENTER, P. C. ALBERTVILLE AL NURSE PRACTITIONER 5 14 $504 $36 premium 51.9% (256) 878-8184
40 LAKE AREA PHYSICAL THERAPY INC. MELROSE TX ORTHOPEDIC SURGERY 365 14 $2,200 $157 premium 2.5%
41 DOVER FAMILY PHYSICIANS PA DOVER DE FAMILY PRACTICE 6 14 $434 $31 premium 50.0% (302) 346-2760
42 FREDERICKSBURG FAMILY CLINIC PA COMFORT TX FAMILY PRACTICE 8 14 $476 $34 premium 2.5% (830) 995-5633
43 EAST LAKE MEDICAL CLINIC SAINT CLOUD FL GENERAL PRACTICE 3 13 $1,850 $142 premium 0.7% (407) 705-3222
44 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 13 $390 $30 premium 9.7%
45 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 13 $1,404 $108 premium 26.5% (803) 395-3400
46 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 13 $476 $37 premium 0.7% (352) 351-4634
47 WEST TENNESSEE MEDICAL GROUP INC JACKSON TN NURSE PRACTITIONER 189 13 $1,258 $97 premium 25.0%
48 THE TOLEDO HOSPITAL TOLEDO OH EMERGENCY MEDICINE 122 13 $390 $30 premium 1.0% (419) 291-4000
49 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 13 $624 $48 premium 3.8% (859) 578-5880
50 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 13 $1,248 $96 premium 2.0% (213) 699-7013
51 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC MOUNT VERNON IL NURSE PRACTITIONER 125 12 $528 $44 premium 7.5% (618) 899-3278
52 CAMBRIDGE MEDICAL GROUP OF WEST BOYNTON LLC BOYNTON BEACH FL FAMILY PRACTICE 5 12 $300 $25 premium 0.7% (561) 634-8888
53 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 12 $432 $36 premium 7.5% (618) 236-8000
54 PLAZITA MEDICAL CLINIC INC WATSONVILLE CA FAMILY PRACTICE 2 12 $540 $45 premium 1.8% (831) 728-0551
55 INTERNAL MEDICINE ASSOCIATES OF MIDDLE GEORGIA, P.C. FORSYTH GA NURSE PRACTITIONER 6 12 $480 $40 premium 26.7% (478) 994-1010
56 BUCKEYE FAMILY HEALTHCARE LLC WOOSTER OH FAMILY PRACTICE 4 12 $240 $20 premium 1.0% (330) 601-0999
57 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 12 $516 $43 premium 3.5% (859) 257-1412
58 PRIMARY CARE WALK-IN MEDICAL CLINIC FOUNTAIN HILLS AZ PHYSICIAN ASSISTANT 10 12 $480 $40 premium 16.0% (480) 837-4300
59 GENERAL PRACTICE ASSOCIATES LLC HOLLYWOOD FL FAMILY PRACTICE 4 12 $480 $40 premium 0.7% (954) 989-6650
60 UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC PHYSICIAN ASSISTANT 985 12 $480 $40 premium 9.9% (919) 942-5123
61 FAMILY MEDICINE OF WHITE HALL, P.A. WHITE HALL AR NURSE PRACTITIONER 6 12 $300 $25 premium 7.2% (870) 850-8055
62 ACTION THERAPY CENTERS LIMITED HOUSTON TX ORTHOPEDIC SURGERY 72 12 $600 $50 premium 2.1%
63 PACIFIC URGENT CARE INC STOCKTON CA FAMILY PRACTICE 2 12 $480 $40 premium 1.8% (209) 475-9500
64 BOYNTON PHYSICIANS GROUP LLC BOYNTON BEACH FL FAMILY PRACTICE 2 12 $564 $47 premium 0.7% (561) 734-4535
65 ACTON MEDICAL CLINIC PA GRANBURY TX NURSE PRACTITIONER 4 12 $2,400 $200 premium 2.1% (817) 326-3440
66 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 12 $600 $50 premium 1.8% (760) 353-6363
67 MARION GENERAL HOSPITAL MARION IN NURSE PRACTITIONER 119 11 $286 $26 premium 13.4% (765) 660-6000
68 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 11 $374 $34 premium 0.6% (727) 725-5060
69 BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS NURSE PRACTITIONER 18 11 $495 $45 premium 6.5% (662) 843-3606
70 STRAUB CLINIC AND HOSPITAL HONOLULU HI NURSE PRACTITIONER 431 11 $539 $49 premium 100.0% (808) 522-4000
71 MENDOCINO COMMUNITY HEALTH CLINIC INC UKIAH CA NURSE PRACTITIONER 56 11 $286 $26 premium 1.7% (707) 468-1010
72 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO VA FAMILY PRACTICE 121 11 $165 $15 premium 12.6% (662) 377-5300
73 PRIME CARE FAMILY PRACTICE PC PRINCE GEORGE VA FAMILY PRACTICE 7 11 $440 $40 premium 12.6% 8045261111122
74 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 11 $297 $27 premium 12.6% (434) 947-3033
75 WINNSBORO HEALTH SERVICES PLLC WINNSBORO TX NURSE PRACTITIONER 5 11 $385 $35 premium 1.9% (903) 342-3355
76 COMMONWEALTH OF KENTUCKY LOUISVILLE KY NURSE PRACTITIONER 27 11 $594 $54 premium 3.2% 50236823482223
77 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 11 $649 $59 premium 1.7%

*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 →