NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
90839 Psychotherapy for crisis, first 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 7,382 services ▲ 38.6% YoY · 5,567 beneficiaries (CY2024, Medicare FFS)
Medicare paid $640K · $86.71 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
60
Named-group FFS services
3,998
FFS of Medicare
49%
Services YoY
+38.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,061 services

3,998 observed fee-for-service (50%) · ~4,063 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 — 90839 (CY2024)
CA 1,969 AZ 1,461 MN 588 NH 451 IN 364

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

Named-group submitted charges
$1.9M
Named-group allowed amount
$420K
Named-group Medicare payments
$322K
Avg charge / svc
$480
Avg allowed / svc
$105
Avg payment / svc
$81
Average charge per group
$123 60 groups · avg submitted charge / service $1,474
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 90839 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CRISIS PREPARATION AND RECOVERY INC TEMPE AZ MENTAL HEALTH COUNSELOR 48 810 $404,600 $500 55.4% (480) 804-0326
2 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 317 $157,506 $497 53.9% (612) 863-4000
3 SEACOAST MENTAL HEALTH CENTER INC PORTSMOUTH NH CLINICAL SOCIAL WORKER 46 288 $172,352 $598 63.9% (603) 431-6703
4 ALAMEDA HEALTH SYSTEM OAKLAND CA INTERNAL MEDICINE 601 180 $258,385 $1,435 9.1% (510) 437-4800
5 TRIBE WELLNESS GROUP PLLC COTTONWOOD AZ CLINICAL SOCIAL WORKER 2 163 $65,200 $400 11.2% (928) 202-9187
6 COUNTY OF SHASTA REDDING CA MARRIAGE AND FAMILY THERAPIST 13 157 $54,435 $347 8.0% (530) 225-5200
7 THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN NURSE PRACTITIONER 237 126 $48,955 $389 34.6% (317) 266-2901
8 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 125 $35,500 $284 53.0% (434) 947-3033
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 110 $80,960 $736 67.5% —
10 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 96 $28,320 $295 100.0% —
11 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 96 $32,448 $338 76.8% —
12 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 94 $31,823 $339 34.6% (207) 885-9905
13 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI PHYSICIAN ASSISTANT 469 84 $13,776 $164 40.8% (989) 633-8018
14 COMMUNITY HEALTH NETWORK INC INDIANAPOLIS IN CLINICAL SOCIAL WORKER 99 79 $24,490 $310 21.7% (317) 621-7740
15 EXECUTIVE MENTAL HEALTH, INC LOS ANGELES CA CLINICAL PSYCHOLOGIST 44 64 $32,640 $510 3.3% (310) 273-4843
16 VALLEY COMMUNITY SERVICES BOARD STAUNTON VA MENTAL HEALTH COUNSELOR 21 55 $9,817 $178 23.3% (540) 887-3200
17 NUROCOACH MEDICAL GROUP PLLC SUGAR LAND TX PSYCHIATRY 10 54 $8,514 $158 50.5% (855) 954-6876
18 HEALTH CARE AND REHABILITATION SERVICES OF SOUTHEASTERN VERMONT INC SPRINGFIELD VT MENTAL HEALTH COUNSELOR 20 52 $16,920 $325 81.2% (802) 886-4500
19 STATE OF OKLAHOMA MCALESTER OK MENTAL HEALTH COUNSELOR 97 50 $6,144 $123 76.9% (918) 426-7800
20 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 50 $16,450 $329 42.0% (910) 296-0941
21 WEST CENTRAL SERVICES, INC. CLAREMONT NH PSYCHIATRY 6 48 $23,230 $484 10.6% (603) 542-2578
22 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 44 $17,319 $394 100.0% (508) 973-5919
23 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 42 $61,895 $1,474 2.1% (650) 723-4000
24 FAIRFAX COUNTY, VIRGINIA FAIRFAX VA CLINICAL SOCIAL WORKER 178 37 $12,025 $325 15.7% (703) 324-7000
25 COUNSELING CLINIC INC BENTON AR CLINICAL SOCIAL WORKER 20 36 $8,028 $223 100.0% (501) 315-4224
26 LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G NEW ORLEANS LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 463 35 $11,375 $325 66.0% (504) 702-3000
27 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES SANTA MONICA CA OBSTETRICS/GYNECOLOGY 80 31 $22,692 $732 1.6% (310) 319-5098
28 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 30 $14,580 $486 5.1% (763) 581-5400
29 HEISU RESEARCH GROUP LLC NORTH MIAMI BEACH FL FAMILY PRACTICE 5 27 $4,445 $165 27.3% —
30 THE PISGAH INSTITUTE FOR PSYCHOTHERAPY AND EDUCATION PA ASHEVILLE NC CLINICAL PSYCHOLOGIST 12 27 $6,345 $235 22.7% (828) 254-9494
31 THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS CA NURSE PRACTITIONER 237 25 $10,261 $410 1.3% (317) 266-2901
32 CEP AMERICA - PSYCHIATRY PC COLTON CA PSYCHIATRY 90 25 $36,842 $1,474 1.3% (909) 580-1000
33 MOUNTAIN PARK HEALTH CENTER PHOENIX AZ NURSE PRACTITIONER 123 21 $10,500 $500 1.4% (602) 243-7277
34 MARION COUNTY SALEM OR CLINICAL SOCIAL WORKER 19 21 $4,977 $237 42.9% (503) 576-4589
35 ST CLOUD HOSPITAL SAINT CLOUD MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 218 21 $11,153 $531 3.6% (320) 251-2700
36 ZEPF CENTER TOLEDO OH PSYCHIATRY 40 20 $3,429 $171 23.5% (419) 841-7701
37 SENIOR PSYCHOLOGICAL CARE DALLAS I LLC HOUSTON TX CLINICAL SOCIAL WORKER 76 20 $4,760 $238 18.7% 71385000491053
38 COLONIAL BEHAVIORAL HEALTH WILLIAMSBURG VA MENTAL HEALTH COUNSELOR 16 19 $2,375 $125 8.1% (757) 220-3200
39 SOUTHERN ILLINOIS MEDICAL SERVICES NFP CARBONDALE IL NURSE PRACTITIONER 347 19 $6,194 $326 35.2% (618) 457-3006
40 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND TX PHYSICIAN ASSISTANT 469 19 $3,116 $164 17.8% (989) 633-8018
41 PORTER-STARKE SERVICES INC VALPARAISO IN CLINICAL SOCIAL WORKER 41 19 $5,890 $310 5.2% (574) 772-4040
42 METROPOLITAN HUMAN SERVICES DISTRICT NEW ORLEANS LA CLINICAL SOCIAL WORKER 10 18 $5,850 $325 34.0% (504) 620-2863
43 CALA PSYCHOLOGICAL SERVICES INC PASADENA CA CLINICAL PSYCHOLOGIST 3 17 $2,619 $154 0.9% (818) 839-1365
44 SCOTT A. FLEISCHER, M.D., P.C. FORT WASHINGTON PA NURSE PRACTITIONER 17 17 $5,175 $304 27.9% 215793454613
45 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 17 $6,295 $370 2.9% (218) 576-0680
46 VITAE HEALTH MEDICAL ILLINOIS, PLLC CHICAGO IL CLINICAL SOCIAL WORKER 202 17 $5,032 $296 31.5% —
47 SEACOAST MENTAL HEALTH CENTER INC PORTSMOUTH ME CLINICAL SOCIAL WORKER 46 17 $9,815 $577 6.2% (603) 431-6703
48 ATTENTIVE COGNITIVE AND MENTAL HEALTH SERVICES PSYCHOLOGY INC. SAN RAMON CA CLINICAL PSYCHOLOGIST 9 16 $3,936 $246 0.8% (925) 270-4499
49 MONADNOCK FAMILY SERVICES KEENE NH MENTAL HEALTH COUNSELOR 9 16 $7,107 $444 3.5% (603) 357-6878
50 HAMILTON CENTER, INC. TERRE HAUTE IN CLINICAL SOCIAL WORKER 44 16 $3,200 $200 4.4% (812) 231-8323
51 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND PA PHYSICIAN ASSISTANT 469 16 $2,624 $164 26.2% (989) 633-8018
52 COMPREHENSIVE HEALTHCARE YAKIMA WA MENTAL HEALTH COUNSELOR 33 15 $9,044 $603 100.0% (509) 575-4084
53 COUNTY OF HUMBOLDT EUREKA CA PSYCHIATRY 22 15 $4,712 $314 0.8% (707) 441-5466
54 ALEGENT CREIGHTON HEALTH OMAHA IA PSYCHIATRY 137 15 $3,848 $257 100.0% (402) 572-2905
55 MIDWEST POST ACUTE CARE PLLC CHICAGO IN CLINICAL SOCIAL WORKER 111 15 $3,210 $214 4.1% (888) 705-8722
56 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS TX PHYSICIAN ASSISTANT 2390 14 $4,130 $295 13.1% —
57 PROHEALTH MEDICAL GROUP INC WAUKESHA WI PHYSICIAN ASSISTANT 465 14 $4,014 $287 50.0% (262) 696-0808
58 KENTUCKY RIVER COMMUNITY CARE INC HAZARD KY CLINICAL SOCIAL WORKER 29 13 $1,794 $138 100.0% 60643657617216
59 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13 $17,290 $1,330 15.3% —
60 FAIRFAX COUNTY, VIRGINIA FAIRFAX MD CLINICAL SOCIAL WORKER 178 12 $3,900 $325 5.3% (703) 324-7000
61 CITIZENS MEMORIAL HEALTHCARE BOLIVAR MO NURSE PRACTITIONER 131 12 $5,148 $429 100.0% —
62 HOWARD CENTER INC BURLINGTON VT CLINICAL SOCIAL WORKER 37 12 $5,207 $434 18.8% (802) 488-6934
63 CITY AND COUNTY OF SAN FRANCISCO SAN FRANCISCO CA NURSE PRACTITIONER 366 12 $17,684 $1,474 0.6% —
64 CLEANSLATE MEDICAL GROUP OF INDIANA LLC ANDERSON IN NURSE PRACTITIONER 63 11 $3,410 $310 3.0% (765) 442-0402
65 BRIGHTSIDE MEDICAL PA CHICAGO ME MENTAL HEALTH COUNSELOR 86 11 $3,245 $295 4.0% (415) 360-3348
66 COLEMAN PROFESSIONAL SERVICES, INC. KENT OH CLINICAL SOCIAL WORKER 67 11 $1,974 $179 12.9% (330) 673-1347

*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 →