NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
91304 Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use CPT · Treatment
Classification Treatment Injections and Infusions (nononcologic) Vaccine - Toxoids (CMS RBCS)
First observed 2022
National scale 83,998 services ▲ 633.0% YoY · 83,113 beneficiaries (CY2024, Medicare FFS)
Medicare paid $13.2M · $156.81 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
1,003
FFS of Medicare
49%
Services YoY
+633.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,017 services

1,003 observed fee-for-service (50%) · ~1,014 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 — 91304 (CY2024)

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

Named-group submitted charges
$220K
Named-group allowed amount
$153K
Named-group Medicare payments
$153K
Avg charge / svc
$220
Avg allowed / svc
$152
Avg payment / svc
$152
Average charge per group
$40 21 groups · avg submitted charge / service $371
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 91304 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 91304 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 OYSTER POINT FAMILY PRACTICE INC NEWPORT NEWS VA NURSE PRACTITIONER 4 168 $27,720 $165 premium 9.2% (757) 873-2000
2 PRESTIGE CLINICIANS LLC OAKLAND PARK FL NURSE PRACTITIONER 3 111 $22,200 $200 premium 3.0% (954) 496-2599
3 FORUM FAMILY MEDICINE PC AURORA CO FAMILY PRACTICE 2 106 $17,070 $161 premium 2.9% (303) 996-1020
4 INTERNAL MEDICINE ASSOCIATES OF SANTA BARBARA A MEDICAL GROUP SANTA BARBARA CA INTERNAL MEDICINE 2 104 $19,240 $185 premium 1.9% (805) 563-0855
5 LA PLATA FAMILY MEDICINE ASSOC PC DURANGO CO FAMILY PRACTICE 8 91 $33,761 $371 premium 2.5% (970) 259-3110
6 SKYPARK PREFERRED FAMILY CARE MEDICAL CORPORATION TORRANCE CA FAMILY PRACTICE 3 86 $25,000 $291 premium 1.6% (310) 378-6208
7 PINNACLE PHYSICIANS GROUP LLC TREVOSE PA PHYSICIAN ASSISTANT 31 46 $11,500 $250 premium 8.8% (215) 464-4111
8 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 41 $15,211 $371 premium 6.7%
9 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 28 $6,244 $223 premium 2.0%
10 ROD TODD MD PC ROSEBURG OR PHYSICIAN ASSISTANT 3 26 $3,870 $149 premium 1.8% (541) 672-4798
11 HENRY FORD HEALTH GENESYS HOSPITAL GRAND BLANC MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 90 23 $3,657 $159 premium 0.1% (810) 606-5000
12 PRIMARY CARE INTERNAL MEDICINE OF ITHACA PLLC ITHACA NY INTERNAL MEDICINE 5 23 $4,025 $175 premium 3.5% (607) 256-8869
13 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 19 $5,928 $312 premium 1.6% (704) 838-8210
14 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL MD ORTHOPEDIC SURGERY 675 19 $3,325 $175 premium 1.3%
15 CENTRAL MEDICAL ASSOCIATES PLLC ELIZABETHTOWN KY NURSE PRACTITIONER 10 17 $3,400 $200 premium 1.0% (270) 986-7392
16 ANNA MELLOR MD INC ROLLING HILLS ESTATES CA INTERNAL MEDICINE 2 17 $5,049 $297 premium 0.3% (310) 645-1024
17 LE, NGUYEN, TRAM, NGUYEN AND TRAN MEDICAL CORPORATION WESTMINSTER CA INTERNAL MEDICINE 4 17 $3,060 $180 premium 0.3% (714) 531-2220
18 BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS ASHLAND MI NURSE PRACTITIONER 13 14 $560 $40 premium 0.1% (715) 682-7133
19 UNITY HEALTH NETWORK LLC CUYAHOGA FALLS OH FAMILY PRACTICE 73 13 $4,745 $365 premium 0.1% (330) 662-5666
20 BEACOM FAMILY HEALTH CONNECTION LLC FREMONT NE PHYSICIAN ASSISTANT 2 12 $2,100 $175 premium 2.9% (402) 721-8830
21 BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS ASHLAND WI NURSE PRACTITIONER 13 11 $440 $40 premium 0.4% (715) 682-7133
22 FRESNO MEDICAL CENTER INC FRESNO CA INTERNAL MEDICINE 3 11 $2,100 $191 premium 0.2% (559) 431-8900

*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 →