NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92504 Exam of ear using a microscope CPT · E&M - Miscellaneous
Classification E&M › E&M - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 241,991 services ▲ 4.7% YoY · 181,962 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.7M · $19.43 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
766
Named-group FFS services
179,109
FFS of Medicare
49%
Services YoY
+4.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~358,662 services

179,109 observed fee-for-service (50%) · ~179,553 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; 1 state without payer-mix data excluded. How we scale

Top states — 92504 (CY2024)
CA 41,196 FL 20,286 NY 17,384 TX 16,458 NJ 10,100

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

Named-group submitted charges
$14.9M
Named-group allowed amount
$4.7M
Named-group Medicare payments
$3.5M
Avg charge / svc
$83
Avg allowed / svc
$26
Avg payment / svc
$19
Average charge per group
$10 766 groups · avg submitted charge / service $501
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92504 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 8,061 $552,255 $69 46.4% (914) 963-8588
2 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 3,991 $272,845 $68 39.5% (914) 963-8588
3 ANNAPOLIS ENT SURGICAL CENTER LLC ANNAPOLIS MD QUALIFIED AUDIOLOGIST 45 2,350 $164,500 $70 32.4% (410) 266-3900
4 EAR NOSE AND THROAT LTD NORFOLK VA OTOLARYNGOLOGY 7 2,306 $182,943 $79 29.2% (757) 623-0526
5 COLORADO SPRINGS EAR ASSOCIATES COLORADO SPRINGS CO QUALIFIED AUDIOLOGIST 8 2,205 $103,635 $47 34.2% (719) 667-1327
6 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 2,179 $162,444 $75 13.2% (210) 363-6936
7 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO CA OTOLARYNGOLOGY 16 2,174 $147,832 $68 5.3% (949) 364-4361
8 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 1,914 $141,636 $74 9.4% (863) 680-7780
9 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 1,910 $145,160 $76 9.4% (561) 391-3333
10 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 1,890 $159,353 $84 39.7% (617) 523-7900
11 COASTAL EAR NOSE AND THROAT LLC NEPTUNE NJ OTOLARYNGOLOGY 19 1,738 $109,600 $63 17.2% (732) 280-7855
12 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 1,702 $113,401 $67 8.4% (305) 595-6200
13 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 1,693 $198,102 $117 4.1% (562) 698-0811
14 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO CA OTOLARYNGOLOGY 34 1,619 $164,198 $101 3.9% (916) 736-3399
15 COLUMBIA BASIN HEARING CENTER LLC KENNEWICK WA QUALIFIED AUDIOLOGIST 4 1,595 $41,376 $26 25.5% (509) 736-4005
16 AUGUSTA ENT PC EVANS GA OTOLARYNGOLOGY 31 1,591 $250,832 $158 30.9% (706) 868-5676
17 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 1,586 $122,140 $77 9.6% (281) 492-7827
18 VALLEY ENT PC SCOTTSDALE AZ OTOLARYNGOLOGY 71 1,547 $89,726 $58 25.7% (480) 847-1193
19 EAR NOSE AND THROAT ASSOCIATES MD PA FORT MYERS FL OTOLARYNGOLOGY 6 1,547 $112,329 $73 7.6% (239) 939-2621
20 CHARLESTON ENT ASSOCIATES, LLC CHARLESTON SC OTOLARYNGOLOGY 76 1,543 $118,811 $77 23.4% (843) 766-7103
21 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 1,535 $139,220 $91 7.6% (904) 396-1725
22 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 1,523 $135,017 $89 3.7% —
23 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 1,478 $165,536 $112 3.6% (800) 872-2273
24 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 1,381 $115,330 $84 3.4% (916) 983-7476
25 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 1,268 $167,294 $132 7.3% (914) 241-1050
26 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 1,185 $148,125 $125 2.9% (877) 827-7463
27 ADVANCED ENT AND ALLERGY PLLC LOUISVILLE KY OTOLARYNGOLOGY 38 1,170 $61,285 $52 32.3% 50289301591188
28 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 1,156 $165,736 $143 33.5% (608) 287-2050
29 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,044 $189,644 $182 6.0% (212) 263-9700
30 DAVID C KELSALL MD PC ENGLEWOOD CO OTOLARYNGOLOGY 4 994 $52,682 $53 15.4% (303) 783-9220
31 ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC SAN DIEGO CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 146 985 $64,025 $65 2.4% (619) 359-6600
32 MICHIGAN EAR INSTITUTE PLLC FARMINGTON HILLS MI QUALIFIED AUDIOLOGIST 36 980 $55,860 $57 31.6% (248) 865-4444
33 METRO EAR NOSE AND THROAT ASSOCIATES, PA PLANO TX OTOLARYNGOLOGY 2 923 $46,150 $50 5.6% (972) 781-1462
34 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 914 $119,905 $131 2.2% (916) 681-8852
35 SUMTER EAR NOSE THROAT AND FACIAL PLASTIC SURGERY LLC SUMTER SC OTOLARYNGOLOGY 2 897 $89,700 $100 13.6% (803) 778-5970
36 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 873 $56,875 $65 18.5% (704) 295-3414
37 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 833 $55,289 $66 4.1% (407) 200-2700
38 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 829 $160,795 $194 2.0% (310) 794-1110
39 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 823 $60,902 $74 11.8% —
40 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 807 $63,623 $79 11.6% (847) 674-5585
41 ASSOCIATES IN OTOLARYNGOLOGY OF NJ, LLC WEST ORANGE NJ QUALIFIED AUDIOLOGIST 14 793 $118,950 $150 7.9% (973) 243-0600
42 EAR MEDICAL GROUP PA SAN ANTONIO TX PHYSICIAN ASSISTANT 7 793 $51,514 $65 4.8% (210) 614-6070
43 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 790 $67,445 $85 4.8% (972) 984-1050
44 ADAM DIPUCCIO LLC MESA AZ QUALIFIED AUDIOLOGIST 7 779 $38,950 $50 12.9% (480) 218-1328
45 LAKE ENT AND FPS, PA LEESBURG FL NURSE PRACTITIONER 9 774 $44,892 $58 3.8% (352) 728-2404
46 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 756 $72,228 $96 11.5% (843) 792-1414
47 MEDFORD EAR NOSE AND THROAT CLINIC PC MEDFORD OR OTOLARYNGOLOGY 10 737 $69,918 $95 21.0% (541) 779-7331
48 HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC HAMPTON VA PHYSICIAN ASSISTANT 23 730 $41,514 $57 9.3% (757) 825-2500
49 ST CLOUD EAR NOSE AND THROAT CLINIC PA SAINT CLOUD MN OTOLARYNGOLOGY 14 711 $54,036 $76 22.4% (320) 252-0233
50 SHOHET EAR ASSOCIATES MEDICAL GROUP INC NEWPORT BEACH CA QUALIFIED AUDIOLOGIST 11 710 $45,240 $64 1.7% (949) 631-4327
51 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 706 $65,472 $93 4.3% (817) 920-0484
52 COASTAL EAR NOSE AND THROAT LLC NEPTUNE PA OTOLARYNGOLOGY 19 704 $44,380 $63 11.5% (732) 280-7855
53 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 704 $54,164 $77 12.9% —
54 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 692 $180,911 $261 4.0% —
55 CHESAPEAKE BAY ENT PC BELLE HAVEN VA PHYSICIAN ASSISTANT 9 680 $57,912 $85 8.6% (757) 442-7040
56 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 667 $39,507 $59 50.6% (304) 598-4865
57 WICHITA SURGICAL SPECIALISTS PA WICHITA KS GENERAL SURGERY 60 662 $41,044 $62 20.1% (316) 263-0296
58 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 657 $55,097 $84 10.0% (803) 744-4900
59 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 656 $88,560 $135 16.1% (314) 747-3000
60 JAYESH V. PATEL DO PA TITUSVILLE FL PHYSICIAN ASSISTANT 2 652 $34,375 $53 3.2% —
61 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 639 $63,126 $99 1.6% (714) 456-5731
62 EAR NOSE THROAT AND ALLERGY CLINIC, S.C. BARRINGTON IL OTOLARYNGOLOGY 2 632 $37,920 $60 9.1% (847) 382-7000
63 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 603 $103,089 $171 1.5% (415) 476-1000
64 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 601 $42,070 $70 9.8% (901) 761-9720
65 OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC COLUMBUS OH OTOLARYNGOLOGY 67 575 $60,375 $105 10.5% (614) 366-3687
66 BUTLER AND BURNS EAR NOSE AND THROAT ASSOCIATES AUSTIN TX OTOLARYNGOLOGY 43 563 $52,359 $93 3.4% (512) 454-0392
67 ASHISH K. WADHA MD A MEDICAL CORPORATION POWAY CA OTOLARYNGOLOGY 3 557 $55,700 $100 1.4% (858) 674-1165
68 AHLBERG AUDIOLOGY AND HEARING AID SERVICES LLC CLEVELAND TN QUALIFIED AUDIOLOGIST 3 551 $27,550 $50 9.0% (423) 641-0956
69 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 540 $53,948 $100 3.1% (212) 271-4364
70 BOULDER MEDICAL CENTER, PC BOULDER CO FAMILY PRACTICE 85 539 $31,262 $58 8.4% (303) 440-3000
71 COASTAL EAR NOSE AND THROAT SURGEONS VIRGINIA BEACH NC NURSE PRACTITIONER 3 536 $32,132 $60 11.3% (757) 481-0385
72 TRACY BYERLY II MD PA FREDERICKSBURG TX PHYSICIAN ASSISTANT 3 534 $45,924 $86 3.2% —
73 ADVANCED ENT AND ALLERGY PLLC LOUISVILLE IN OTOLARYNGOLOGY 38 532 $27,772 $52 21.2% 50289301591188
74 UPMC COMMUNITY MEDICINE INC PITTSBURGH PA FAMILY PRACTICE 749 528 $43,866 $83 8.6% (412) 281-0322
75 UT METHODIST PHYSICIANS LLC MEMPHIS TN NURSE PRACTITIONER 125 526 $38,649 $73 8.6% —
76 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 525 $49,327 $94 15.0% (503) 494-8311
77 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 523 $22,489 $43 21.2% (205) 212-3540
78 DECATUR MEMORIAL HOSPITAL DECATUR IL INTERNAL MEDICINE 184 515 $22,211 $43 7.4% (217) 876-8121
79 FATHER FLANAGANS BOYS HOME BOYS TOWN NE QUALIFIED AUDIOLOGIST 94 514 $51,914 $101 22.8% (531) 355-6000
80 MIDWEST EAR, NOSE AND THROAT ASSOCIATES P C SIOUX FALLS SD OTOLARYNGOLOGY 15 512 $74,240 $145 36.3% (605) 336-3503
81 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 492 $43,788 $89 6.2% —
82 ISLAND ENT LLC VENICE FL PHYSICIAN ASSISTANT 2 485 $31,491 $65 2.4% (941) 786-0386
83 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 482 $25,705 $53 13.3% (502) 629-2398
84 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 478 $36,047 $75 2.9% (210) 450-7044
85 EAR, NOSE AND THROAT PHYSICIANS OF NORTH MISS., P.A TUPELO MS QUALIFIED AUDIOLOGIST 22 475 $37,411 $79 38.8% (662) 840-7034
86 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 473 $89,870 $190 2.7% (212) 305-8559
87 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 462 $32,756 $71 14.0% (816) 478-4200
88 PRIVIA MEDICAL GROUP SOUTH CAROLINA, LLC GREENVILLE SC OTOLARYNGOLOGY 21 460 $34,111 $74 7.0% (864) 572-7001
89 ASPIRE AUDIOLOGY AND HEARING, LP MADISON TN QUALIFIED AUDIOLOGIST 12 459 $16,100 $35 7.5% (615) 851-9005
90 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 448 $29,330 $65 7.2% (425) 313-5422
91 PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. WINSTON SALEM NC OTOLARYNGOLOGY 28 448 $36,736 $82 9.5% (336) 768-3361
92 BAYCARE CLINIC LLP GREEN BAY WI PHYSICIAN ASSISTANT 199 448 $71,680 $160 13.0% —
93 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 438 $40,454 $92 7.2% (731) 422-0213
94 BHSM REHABILITATION LLC PEORIA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 416 435 $25,665 $59 7.2% (602) 610-6866
95 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY NC OTOLARYNGOLOGY 19 434 $34,771 $80 9.2% 8283222183266
96 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 429 $45,278 $106 1.0% (858) 499-2600
97 UNIVERSITY OTOLARYNGOLOGISTS INC COLUMBUS OH OTOLARYNGOLOGY 58 429 $25,740 $60 7.9% (614) 538-2424
98 MICHAEL DECKER DO, INC. LONG BEACH CA PHYSICAL MEDICINE AND REHABILITATION 22 428 $27,820 $65 1.0% (949) 371-9773
99 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 426 $45,399 $107 1.0% (800) 926-8273
100 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 425 $30,600 $72 10.4% (816) 472-5157

Showing the top 100 of 766 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 →