NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall CPT · Test - Miscellaneous
Classification Test › Test - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,499 services ▲ 2.8% YoY · 4,466 beneficiaries (CY2024, Medicare FFS)
Medicare paid $522K · $116.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
112
Named-group FFS services
3,189
FFS of Medicare
49%
Services YoY
+2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,556 services

3,189 observed fee-for-service (49%) · ~3,367 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 — 91035 (CY2024)
CA 728 FL 440 TX 348 MN 257 IL 231

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

Named-group submitted charges
$3.1M
Named-group allowed amount
$420K
Named-group Medicare payments
$330K
Avg charge / svc
$960
Avg allowed / svc
$132
Avg payment / svc
$104
Average charge per group
$107 112 groups · avg submitted charge / service $4,189
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 91035 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 156 $653,446 $4,189 21.4% (650) 723-4000
2 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 128 $20,992 $164 29.1% (321) 434-8878
3 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 101 $120,069 $1,189 29.0% —
4 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 96 $35,328 $368 13.2% (714) 456-7002
5 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 87 $56,179 $646 12.0% (800) 926-8273
6 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 76 $18,660 $246 42.7% —
7 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 75 $245,100 $3,268 17.0% (904) 953-2000
8 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 61 $21,289 $349 100.0% (615) 322-5000
9 MAYO CLINIC ARIZONA PHOENIX MN PHYSICIAN ASSISTANT 1635 60 $169,930 $2,832 23.3% (800) 603-0558
10 CENTRACARE CLINIC SOUTHWEST LLC WILLMAR MN FAMILY PRACTICE 165 56 $16,981 $303 21.8% (320) 231-5000
11 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 56 $15,960 $285 60.2% (919) 684-8111
12 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 54 $110,360 $2,044 23.9% (212) 746-5454
13 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 54 $81,000 $1,500 12.3% (904) 398-7205
14 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 54 $139,782 $2,589 23.9% (212) 263-9700
15 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 53 $14,416 $272 22.9% —
16 HENRICO SURGICAL SPECIALISTS LLC RICHMOND VA GENERAL SURGERY 27 52 $63,786 $1,227 53.6% (804) 285-9416
17 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 51 $44,739 $877 29.7% (770) 219-7777
18 SOFI RESEARCH, LLC LONE TREE CO GENERAL SURGERY 2 46 $36,800 $800 22.0% (303) 788-7700
19 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 45 $23,359 $519 6.2% (949) 791-3370
20 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 44 $20,584 $468 6.0% (310) 825-7922
21 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 42 $63,756 $1,518 39.3% (602) 843-1265
22 GI PARTNERS OF ILLINOIS LLC LIBERTYVILLE IL GASTROENTEROLOGY 36 41 $49,200 $1,200 17.7% (630) 952-1400
23 MERCY CLINIC JOPLIN LLC JOPLIN MO NURSE PRACTITIONER 289 37 $7,511 $203 57.8% (417) 556-6056
24 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 37 $9,298 $251 24.7% —
25 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 35 $12,075 $345 13.6% (612) 871-1145
26 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 33 $47,454 $1,438 4.5% (714) 871-3006
27 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 33 $80,880 $2,451 4.5% (310) 534-8400
28 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 33 $5,841 $177 71.7% (405) 254-9690
29 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 32 $24,933 $779 72.7% (901) 755-9110
30 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 32 $13,632 $426 13.9% —
31 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 31 $7,223 $233 29.0% (520) 202-7770
32 LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM NURSE PRACTITIONER 96 29 $4,880 $168 100.0% (575) 556-6440
33 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 28 $18,928 $676 30.1% —
34 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 27 $6,144 $228 18.0% (206) 223-6600
35 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 26 $34,320 $1,320 7.5% (214) 599-8624
36 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 26 $13,260 $510 11.5% (212) 305-8559
37 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 26 $6,214 $239 11.3% (847) 459-1160
38 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 26 $27,820 $1,070 54.2% (414) 421-8400
39 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 26 $4,316 $166 28.0% —
40 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 26 $6,760 $260 3.6% (800) 872-2273
41 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 25 $5,150 $206 13.7% —
42 BENEFIS HOSPITALS INC GREAT FALLS MT PHYSICIAN ASSISTANT 400 25 $4,875 $195 39.1% (406) 455-5000
43 INTERMOUNTAIN MEDICAL GROUP DENVER LLC BROOMFIELD CO PHYSICIAN ASSISTANT 562 25 $25,775 $1,031 12.0% —
44 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 25 $6,200 $248 16.7% (206) 364-0500
45 OLYMPIC MEDICAL PHYSICIANS PORT ANGELES WA PHYSICIAN ASSISTANT 100 24 $4,104 $171 16.0% (360) 565-0999
46 KINGMAN HEALTHCARE INC KINGMAN IL DIAGNOSTIC RADIOLOGY 178 24 $8,256 $344 10.4% (928) 263-4722
47 TOTAL GASTROENTEROLOGY PA SEBRING FL NURSE PRACTITIONER 12 24 $8,400 $350 5.5% (863) 382-0385
48 WINCHESTER GASTROENTEROLOGY ASSOCIATES WINCHESTER VA PHYSICIAN ASSISTANT 15 23 $4,600 $200 23.7% 5406671244234
49 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 23 $6,263 $272 6.6% (817) 281-2977
50 FOX VALLEY SURGICAL ASSOCIATES LTD APPLETON WI NURSE PRACTITIONER 35 22 $39,996 $1,818 45.8% (920) 731-8131
51 NORTHERN NEVADA MEDICAL GROUP LLC SPARKS NV INTERNAL MEDICINE 89 22 $3,432 $156 100.0% (775) 351-5301
52 HOAG CLINIC NEWPORT BEACH OR PHYSICIAN ASSISTANT 436 22 $35,970 $1,635 39.3% (949) 791-3370
53 NORTHEASTERN HEALTH SYSTEM TAHLEQUAH MT NURSE PRACTITIONER 110 21 $4,011 $191 32.8% (918) 456-0641
54 DUBOIS REGIONAL MEDICAL CENTER DU BOIS PA PHYSICIAN ASSISTANT 416 20 $4,240 $212 11.2% —
55 KNOX COMMUNITY HOSPITAL MOUNT VERNON OH NURSE PRACTITIONER 115 20 $4,160 $208 21.5% (740) 393-9000
56 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 19 $4,218 $222 5.5% —
57 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 19 $5,320 $280 27.9% —
58 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 19 $5,149 $271 8.2% (312) 563-2875
59 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 19 $6,859 $361 20.4% (419) 291-2003
60 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 18 $6,586 $366 4.1% (407) 896-1100
61 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 18 $3,546 $197 4.1% (727) 725-5060
62 GI SURGICAL SPECIALISTS PLLC NAPLES FL PHYSICIAN ASSISTANT 2 18 $4,626 $257 4.1% (239) 313-7522
63 MONUMENT HEALTH NETWORK INC SPEARFISH SD FAMILY PRACTICE 166 18 $6,912 $384 31.0% (605) 717-8595
64 HEALTHTEXAS PROVIDER NETWORK DALLAS LA PHYSICIAN ASSISTANT 2482 18 $21,398 $1,189 40.0% —
65 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 17 $17,024 $1,001 19.5% (502) 629-2398
66 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 16 $7,480 $468 23.5% (319) 678-8201
67 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 16 $6,144 $384 27.6% (605) 755-7200
68 COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC CHARLESTON SC NURSE PRACTITIONER 49 15 $15,408 $1,027 8.2% —
69 HUDSON VALLEY GASTROENTEROLOGY PC KINGSTON NY GASTROENTEROLOGY 4 15 $15,000 $1,000 6.6% (845) 331-8222
70 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 15 $5,454 $364 100.0% (802) 847-0000
71 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 15 $37,739 $2,516 3.4% (772) 223-5665
72 BIKKASANI RAM HELLSTERN AND CHANDRUPATLA MDPA CRYSTAL RIVER FL PHYSICIAN ASSISTANT 12 15 $12,750 $850 3.4% —
73 GASTRO HEALTH, LLC MIAMI FL GASTROENTEROLOGY 256 15 $22,800 $1,520 3.4% (305) 913-0666
74 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 14 $19,838 $1,417 3.2% —
75 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 14 $1,494 $107 1.9% (760) 340-3911
76 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 14 $4,802 $343 1.9% (415) 600-1020
77 BARNABAS HEALTH MULTISPECIALTY WEST ORANGE NJ GASTROENTEROLOGY 21 14 $48,678 $3,477 100.0% (973) 731-4600
78 MEDICAL SERVICES OF SETAUKET PC EAST SETAUKET NY GASTROENTEROLOGY 15 13 $34,866 $2,682 5.8% (631) 751-8700
79 SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. SANTA MARIA CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 23 13 $13,000 $1,000 1.8% (805) 922-6581
80 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 13 $12,285 $945 3.0% (941) 794-1980
81 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 13 $3,549 $273 7.3% (215) 662-2777
82 BEEBE PHYSICIAN NETWORK INC. LEWES PA PHYSICIAN ASSISTANT 295 13 $2,067 $159 7.3% (302) 645-3525
83 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 13 $2,522 $194 28.3% (208) 535-4343
84 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON IL PHYSICIAN ASSISTANT 2942 13 $4,419 $340 5.6% (617) 732-5500
85 CLEVELAND CLINIC CLEVELAND MN PHYSICIAN ASSISTANT 6828 13 $8,788 $676 5.1% —
86 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 13 $2,152 $166 14.4% —
87 SCRIPPS HEALTH LA JOLLA AZ PHYSICIAN ASSISTANT 1431 12 $20,428 $1,702 11.2% (858) 455-9100
88 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 12 $3,108 $259 8.0% (206) 721-5600
89 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 12 $3,588 $299 7.0% (404) 778-7525
90 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 12 $5,016 $418 20.7% (605) 882-4743
91 SURGICAL INSTITUTE OF SOUTH DAKOTA PC SIOUX FALLS SD GENERAL SURGERY 23 12 $5,976 $498 20.7% (605) 334-0393
92 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 12 $3,056 $255 6.6% (843) 777-2000
93 TEXAS GASTRO CONSULTANTS PA TOMBALL TX GASTROENTEROLOGY 5 12 $9,000 $750 3.4% (281) 351-6464
94 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 12 $2,820 $235 3.4% (210) 614-7414
95 ALBANY SURGICAL, P.C. ALBANY GA GENERAL SURGERY 5 12 $8,208 $684 7.0% 2294344200114
96 KANSAS CITY GASTROENTEROLOGY AND HEPATOLOGY,LLC KANSAS CITY MO GASTROENTEROLOGY 4 12 $4,915 $410 18.8% (816) 361-0055
97 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 12 $5,052 $421 5.7% (720) 777-1234
98 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 12 $2,780 $232 3.4% (409) 772-2222
99 HENRY FORD HEALTH ST JOHN HOSPITAL DETROIT MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 337 12 $1,824 $152 100.0% (313) 343-4000
100 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 12 $19,896 $1,658 3.4% (903) 606-5560

Showing the top 100 of 112 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 →