NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90838 Psychotherapy with evaluation and management visit, 1 hour CPT · E&M
Classification E&M Behavioral Health Services Psychotherapy - Nongroup (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 62,939 services ▲ 1.7% YoY · 13,388 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.5M · $87.77 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
169
Named-group FFS services
14,934
FFS of Medicare
49%
Services YoY
+1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~29,542 services

14,934 observed fee-for-service (51%) · ~14,608 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 — 90838 (CY2024)

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

Named-group submitted charges
$3.8M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$255
Avg allowed / svc
$111
Avg payment / svc
$86
Average charge per group
$108 169 groups · avg submitted charge / service $788
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 90838 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 90838 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 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 641 $345,485 $539 premium 7.7% (650) 723-4000
2 AKALAKA NURSING CARE GROUP INC LOS ANGELES CA NURSE PRACTITIONER 4 512 $97,280 $190 premium 6.2% (323) 426-5200
3 MEDAGENT CORP CORTLANDT MANOR NY NURSE PRACTITIONER 22 505 $126,250 $250 premium 4.9% (914) 962-5800
4 PARTNERS IN PSYCHIATRY LLP SUMMIT NJ PSYCHIATRY 2 405 $57,826 $143 premium 6.7% (908) 273-5838
5 MARCANN MENTAL HEALTH SERVICES PLLC PHOENIX AZ NURSE PRACTITIONER 10 342 $39,330 $115 premium 8.5% (602) 824-9309
6 MOUNTAIN HOME PSYCHIATRIC MEDICINE, PA MOUNTAIN HOME AR NURSE PRACTITIONER 4 268 $58,960 $220 premium 54.4% (870) 424-4804
7 DELAWARE COUNTY PROFESSIONAL SERVICES, INC WEST CHESTER PA MENTAL HEALTH COUNSELOR 257 268 $68,795 $257 premium 17.4% (610) 892-3800
8 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 264 $105,600 $400 premium 2.6% (212) 305-8559
9 NUGENT FAMILY COUNSELING CENTER INC. RENO NV MARRIAGE AND FAMILY THERAPIST 7 261 $34,246 $131 premium 18.6% (775) 453-0765
10 SOUTHERN CALIFORNIA PSYCHOLOGY CENTERS APC SAN DIEGO CA CLINICAL PSYCHOLOGIST 22 247 $66,369 $269 premium 3.0% (619) 930-9524
11 AMAVI INTEGRATIVE MENTAL WELLNESS LLC NIWOT CO NURSE PRACTITIONER 28 245 $44,830 $183 premium 20.4% (303) 652-4196
12 OPTUM BEHAVIORAL CARE OF NORTH CAROLINA PC SARASOTA FL CLINICAL SOCIAL WORKER 176 236 $96,561 $409 premium 5.6% (941) 363-0878
13 AMBER BENSON PMHNP PC EUGENE OR NURSE PRACTITIONER 24 223 $72,345 $324 premium 25.7% (541) 345-1722
14 MERRIMACK VALLEY COUNSELING ASSOCIATION NASHUA NH CLINICAL PSYCHOLOGIST 11 222 $28,860 $130 premium 37.9% (603) 888-4347
15 SHIFA HEALTH PLLC EVERETT WA NURSE PRACTITIONER 15 219 $46,209 $211 premium 17.9% (425) 742-4600
16 NU PATHWAY HEALTHCARE AND WELLNESS LLC SILVER SPRING MD NURSE PRACTITIONER 6 208 $31,200 $150 premium 6.4% (202) 932-8149
17 FIVE MOUNTAINS HAWAII, INC KAMUELA HI FAMILY PRACTICE 10 207 $37,924 $183 premium 20.2% (808) 885-5900
18 UNIVERSITY OF MARYLAND PSYCHIATRY ASSOCIATES PA BALTIMORE MD PSYCHIATRY 55 207 $53,406 $258 premium 6.4% (410) 328-5881
19 BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC. BURLINGTON MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 257 199 $108,815 $547 premium 11.6% (781) 744-8400
20 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 197 $35,411 $180 premium 2.4% (760) 340-3911
21 DEBALZO, ELGUDIN. LEVINE, RISEN LLC BEACHWOOD OH PSYCHIATRY 10 195 $26,035 $134 premium 23.5% (216) 831-2900
22 TRIBE WELLNESS GROUP PLLC COTTONWOOD AZ CLINICAL SOCIAL WORKER 2 192 $38,400 $200 premium 4.8% (928) 202-9187
23 ADVANCED TREATMENT OPTIONS, LLC WILMINGTON DE NURSE PRACTITIONER 3 186 $22,320 $120 premium 52.2% 88851720882
24 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 175 $106,575 $609 premium 2.1% (415) 476-1000
25 PASADENA NEUROPSYCHIATRY CENTER A MEDICAL CORPORATION PASADENA CA NEUROLOGY 3 174 $26,100 $150 premium 2.1%
26 DNA COMPREHENSIVE THERAPY SERVICES LLC FORT MYERS FL NURSE PRACTITIONER 408 172 $45,317 $263 premium 4.1% (239) 223-2751
27 ARTISTIC PSYCHIATRIC ASSOCIATES LLC JACKSONVILLE FL NURSE PRACTITIONER 8 164 $36,080 $220 premium 3.9% (904) 725-6463
28 MAVA HEALTHCARE SYSTEMS LLC KISSIMMEE FL PHYSICIAN ASSISTANT 6 158 $27,650 $175 premium 3.8% (407) 775-2121
29 PSYCHIATRY GROUP PLLC BARTLETT TN NURSE PRACTITIONER 7 156 $27,300 $175 premium 27.5% (901) 384-8040
30 UNITY HEALTH CARE INC. WASHINGTON MD NURSE PRACTITIONER 157 149 $38,202 $256 premium 4.6% (202) 328-1084
31 ADVANCED MENTAL HEALTH AND WELLNESS NEWBURYPORT MA NURSE PRACTITIONER 3 145 $36,250 $250 premium 8.4% (978) 255-4871
32 MONTAGE MEDICAL GROUP MONTEREY CA FAMILY PRACTICE 125 144 $24,668 $171 premium 1.7% (831) 718-9701
33 CHOICES PSYCHOTHERAPY LTD MINNETONKA MN PSYCHIATRY 30 138 $27,600 $200 premium 54.3% (952) 544-6806
34 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 136 $22,200 $163 premium 38.2%
35 LES IS MORE MENTAL HEALTH, LLC PENDLETON OR NURSE PRACTITIONER 6 135 $40,640 $301 premium 15.6%
36 SREEDEVI VAYALAPALLI, MD,PC SUWANEE GA CLINICAL PSYCHOLOGIST 2 130 $42,250 $325 premium 10.2% (404) 994-5000
37 THREE STRANDS HEALTH AND WELLNESS NP INC NORWALK CA NURSE PRACTITIONER 2 127 $27,390 $216 premium 1.5% (310) 722-1782
38 THE PSYCHIATRIC CARE CENTER LLC PORTALES NM NURSE PRACTITIONER 2 127 $24,474 $193 premium 13.9% (575) 226-3898
39 AVANT BEHAVIORAL CONSULTANTS INC AUSTELL GA NURSE PRACTITIONER 17 124 $27,406 $221 premium 9.7% (770) 694-6349
40 DESERT BOLT BEHAVIORAL LLC ANTHEM AZ NURSE PRACTITIONER 3 115 $21,989 $191 premium 2.9% (480) 568-1745
41 BIO FAMILY CLINIC INC YUMA AZ NURSE PRACTITIONER 33 113 $20,340 $180 premium 2.8% (928) 342-6500
42 CMC PSYCHIATRIC ASSOCIATES PC CAMDEN NJ PSYCHIATRY 37 111 $41,625 $375 premium 1.8% (856) 342-2328
43 ADVANCED PRACTICE MENTAL HEALTH, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 2 110 $27,500 $250 premium 27.0% (405) 833-1108
44 CENTRAL OHIO COUNSELING INC. WORTHINGTON OH NURSE PRACTITIONER 15 110 $27,500 $250 premium 13.2% (614) 785-1115
45 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 109 $16,298 $150 premium 1.3% (855) 434-7763
46 OPEN MINDS PSYCHIATRIC AND MENTAL BRISTOL TN NURSE PRACTITIONER 11 108 $18,090 $167 premium 19.0% (423) 530-3703
47 NURSES DIVERSIFIED SYSTEMS, INC FAIRBANKS AK NURSE PRACTITIONER 4 107 $30,923 $289 premium 17.5% (907) 750-8114
48 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 106 $26,134 $247 premium 8.7% (206) 364-0500
49 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 104 $35,152 $338 premium 12.5% (513) 584-1000
50 ADVANCED BEHAVIORAL COUNSELING OF NORTHERN NEW JERSEY LLC NEWTON NJ NURSE PRACTITIONER 7 103 $25,750 $250 premium 1.7% (973) 579-9394
51 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 103 $32,342 $314 premium 1.2% (415) 600-1020
52 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 102 $15,335 $150 premium 25.1% (405) 254-9690
53 SOUTH MOUNTAIN FAMILY PSYCHIATRY, LLC PHOENIX AZ NURSE PRACTITIONER 5 100 $15,000 $150 premium 2.5% (480) 939-6137
54 EVOLVE PSYCHIATRY MD, INC. FRISCO CA NURSE PRACTITIONER 5 98 $22,540 $230 premium 1.2% (469) 833-3360
55 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 97 $42,726 $440 premium 23.8% (405) 271-4311
56 DESERT SAGE BEHAVIORAL HEALTH PLC TUCSON AZ NURSE PRACTITIONER 2 96 $19,200 $200 premium 2.4% (520) 771-6782
57 PRESBYTERIAN MEDICAL SERVICES SANTA FE AZ NURSE PRACTITIONER 138 96 $19,200 $200 premium 2.4% (505) 982-5565
58 ADAM BRUGGEMAN MD PLLC SAN ANTONIO TX PHYSICIAN ASSISTANT 10 93 $30,225 $325 premium 4.4% (210) 802-4662
59 MOBILE PHYSICIAN SERVICES INC NEW PORT RICHEY FL NURSE PRACTITIONER 49 93 $27,566 $296 premium 2.2% (727) 232-0644
60 WILLOW, LLC ANCHORAGE AK PSYCHIATRY 4 91 $37,023 $407 premium 14.8% (907) 222-0753
61 HENRY FORD HEALTH EASTWOOD BEHAVIORAL HEALTH LIVONIA MI CLINICAL SOCIAL WORKER 47 89 $17,800 $200 premium 5.6% (734) 425-4070
62 AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC WALDORF MD NURSE PRACTITIONER 2 89 $13,415 $151 premium 2.8% (202) 921-4211
63 TOP OF TEXAS PSYCHIATRY, PLLC AMARILLO TX NURSE PRACTITIONER 12 88 $20,142 $229 premium 4.2% (806) 354-9540
64 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 87 $29,232 $336 premium 50.6% (765) 962-8551
65 GRANVILLE HEALTH SYSTEM OXFORD NC DIAGNOSTIC RADIOLOGY 80 85 $37,230 $438 premium 12.9% (919) 690-3237
66 PROVIDENCE HEALTH AND SERVICES- WASHINGTON EVERETT WA PHYSICIAN ASSISTANT 521 84 $17,647 $210 premium 6.9% (425) 297-5234
67 HEALTHY MIND COUNSELING SERVICES, INC KNOXVILLE TN CLINICAL SOCIAL WORKER 102 83 $16,600 $200 premium 14.6% (865) 588-3173
68 TOTAL INSIGHT PSYCHIATRIC SERVICES, PLLC SAN ANTONIO TX NURSE PRACTITIONER 2 82 $20,250 $247 premium 3.9% (210) 399-2740
69 AMANDA EAVES, PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC. MEMPHIS TN NURSE PRACTITIONER 2 81 $11,750 $145 premium 14.3% (901) 296-3000
70 SPRING CREEK MENTAL HEALTH SERVICES GOODLETTSVILLE TN NURSE PRACTITIONER 7 78 $19,500 $250 premium 13.8% (615) 708-4950
71 WOODSTREAM WELLNESS MIAMISBURG OH NURSE PRACTITIONER 49 70 $10,500 $150 premium 8.4% (937) 759-0545
72 SIREN MEDICAL PC PHOENIX AZ NURSE PRACTITIONER 14 69 $7,935 $115 premium 1.7% (602) 715-2568
73 UNIVERSAL PAIN MANAGEMENT MEDICAL CORPORATION PALMDALE CA ANESTHESIOLOGY 11 69 $51,505 $746 premium 0.8% (661) 267-6876
74 GULFSIDE BEHAVIORAL CARE NP INC BRADENTON FL NURSE PRACTITIONER 3 67 $10,050 $150 premium 1.6% 9417561200103
75 ALLIANCE MEDICAL CENTER HEALDSBURG CA NURSE PRACTITIONER 44 67 $16,450 $246 premium 0.8% (707) 433-5494
76 HARBOR YOUTH AND FAMILY COUNSELING TUKWILA WA NURSE PRACTITIONER 29 64 $9,216 $144 premium 5.2% 70279035833583
77 RENAISSANCE SOLUTIONS LLC LAKE CHARLES LA NURSE PRACTITIONER 6 60 $11,927 $199 premium 40.0% (337) 240-8162
78 COMMUNITY BEHAVIORAL HEALTH LLC CAMBRIDGE MD CLINICAL SOCIAL WORKER 8 60 $10,355 $173 premium 1.9% (844) 224-5264
79 UC REGENTS LOS ANGELES CA PSYCHIATRY 142 60 $31,572 $526 premium 0.7% (310) 825-9111
80 PARADISE BEHAVIORAL HEALTH, LLC PUNTA GORDA FL NURSE PRACTITIONER 5 59 $10,325 $175 premium 1.4% (941) 347-8341
81 TMS NEUROHEALTH PLLC EAST HAVEN CT NURSE PRACTITIONER 5 59 $11,800 $200 premium 3.8% 20368092352815
82 PERSONAL RECOVERY NETWORK LLC STOCKBRIDGE FL MENTAL HEALTH COUNSELOR 565 59 $17,700 $300 premium 1.4% (770) 954-8685
83 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU HI DIAGNOSTIC RADIOLOGY 648 56 $23,456 $419 premium 5.5% (808) 691-8200
84 HEISU RESEARCH GROUP LLC NORTH MIAMI BEACH FL FAMILY PRACTICE 5 52 $7,399 $142 premium 1.2%
85 ARBOR RECOVERY MICHIGAN PLLC FLINT MI EMERGENCY MEDICINE 4 52 $10,672 $205 premium 3.3% (810) 243-5085
86 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 50 $13,125 $262 premium 3.2%
87 ANGELL STREET PSYCHIATRY LTD PROVIDENCE RI PHYSICIAN ASSISTANT 9 50 $6,250 $125 premium 100.0% (401) 274-8777
88 NEWTON SQUARE HEALTH CENTER PC WORCESTER MA PSYCHIATRY 3 50 $11,250 $225 premium 2.9% (508) 752-5880
89 ODYSSEY MENTAL HEALTH CARE LLC CARMEL IN NURSE PRACTITIONER 5 48 $9,840 $205 premium 27.9% (317) 827-2987
90 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 46 $17,090 $372 premium 18.1% (507) 389-8509
91 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 46 $28,014 $609 premium 0.6% (415) 476-4029
92 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 46 $7,950 $173 premium 3.6%
93 PSYCHOLOGICAL AND BEHAVIORAL CONSULTANTS LLC BEACHWOOD KY CLINICAL SOCIAL WORKER 541 44 $12,320 $280 premium 51.8% (216) 468-5000
94 ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC CATONSVILLE MD INTERNAL MEDICINE 39 43 $5,364 $125 premium 1.3% (410) 247-5602
95 INTEGRATED BEHAVIORAL HEALTH INC MADISON AL NURSE PRACTITIONER 104 42 $7,350 $175 premium 34.1% (256) 288-3333
96 ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C. CENTEREACH NY NURSE PRACTITIONER 5 40 $4,303 $108 premium 0.4% (631) 737-6434
97 SLV GROUP LLC MOORHEAD MN MENTAL HEALTH COUNSELOR 4 40 $15,919 $398 premium 15.7% (218) 512-0630
98 ASCENDANT BEHAVIORAL HEALTH LLC MURRAY UT CLINICAL SOCIAL WORKER 59 40 $16,000 $400 premium 37.0% (385) 419-4261
99 CROSSROADS PSYCHOLOGICAL ASSOCIATES LLC COLUMBIA VA PSYCHIATRY 4 38 $5,940 $156 premium 4.6% 410964042511
100 SERENE RESOLUTIONS LLC DAYTONA BEACH FL NURSE PRACTITIONER 3 38 $6,529 $172 premium 0.9% (386) 235-0348

Showing the top 100 of 169 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 →