NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92538 Test to assess balance during warm or cool irrigation in both ears CPT · Test - Miscellaneous
Classification Test › Test - Miscellaneous (CMS RBCS)
First observed 2016
National scale 3,055 services ▲ 0.6% YoY · 3,052 beneficiaries (CY2024, Medicare FFS)
Medicare paid $48K · $15.79 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
69
Named-group FFS services
2,427
FFS of Medicare
49%
Services YoY
+0.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,044 services

2,427 observed fee-for-service (48%) · ~2,617 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 — 92538 (CY2024)
FL 334 IN 278 MN 258 NC 219 KS 200

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

Named-group submitted charges
$275K
Named-group allowed amount
$50K
Named-group Medicare payments
$39K
Avg charge / svc
$113
Avg allowed / svc
$20
Avg payment / svc
$16
Average charge per group
$21 69 groups · avg submitted charge / service $413
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92538 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 INDIANA NEURO-OPHTHALMOLOGY AND CENTER FOR BALANCE LAFAYETTE IN NEUROLOGY 3 181 $7,783 $43 65.1% (765) 807-7100
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 121 $28,217 $233 46.9% (507) 284-2511
3 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 107 $27,755 $259 62.9% (215) 662-2777
4 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 96 $6,728 $70 43.8% (919) 684-8111
5 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 84 $15,120 $180 57.1% (314) 747-3000
6 OTOLARYNGOLOGY ASSOCIATES LLC INDIANAPOLIS IN OTOLARYNGOLOGY 49 84 $4,116 $49 30.2% (317) 573-4370
7 FARMINGDALE PRIMARY CARE PC MASSAPEQUA NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 76 $3,800 $50 69.7% (516) 249-1999
8 BALANCE THERAPY OF TEXAS AUSTIN TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 71 $2,982 $42 48.0% (512) 345-4664
9 DALLAS OTOLARYNGOLOGY ASSOCIATES DALLAS TX QUALIFIED AUDIOLOGIST 19 55 $1,907 $35 37.2% (972) 566-7600
10 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 54 $7,068 $131 100.0% (309) 683-5050
11 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 53 $2,412 $46 15.9% (727) 791-1368
12 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 52 $4,142 $80 100.0% (404) 778-7525
13 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 51 $21,063 $413 48.6% (615) 322-5000
14 MID AMERICA BALANCE INSTITUTE INC KANSAS CITY MO PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 48 $9,216 $192 32.7% (816) 246-1456
15 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 45 $4,051 $90 40.2% (650) 723-4000
16 INTEGRATED NEUROLOGY AND PAIN MANAGEMENT PC VALLEJO CA NEUROLOGY 2 45 $3,375 $75 40.2% (707) 980-6636
17 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 43 $1,817 $42 12.9% (305) 595-6200
18 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 40 $6,760 $169 12.0% (904) 953-2000
19 ADVANCED ENT AND ALLERGY PLLC LOUISVILLE KY OTOLARYNGOLOGY 38 40 $1,600 $40 100.0% 50289301591188
20 OTOLARYNGOLOGY ASSOCIATES, LTD COLUMBUS MS OTOLARYNGOLOGY 6 39 $2,613 $67 34.2% 662327443215
21 HEARTS FOR HEARING FOUNDATION OKLAHOMA CITY OK QUALIFIED AUDIOLOGIST 28 39 $5,850 $150 78.0% (405) 548-4300
22 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 39 $11,416 $293 63.9% (800) 603-0558
23 WICHITA EAR CLINIC, PA WICHITA KS QUALIFIED AUDIOLOGIST 7 39 $11,700 $300 19.5% (316) 686-6608
24 EAR NOSE AND THROAT SPECIALTY CARE OF MINNESOTA PA ST LOUIS PARK MN OTOLARYNGOLOGY 47 39 $5,457 $140 15.1% (612) 871-1144
25 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 33 $1,980 $60 28.9% (601) 815-4775
26 ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC WICHITA KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 18 32 $1,120 $35 16.0% (316) 634-3400
27 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 31 $1,395 $45 67.4% (419) 423-5492
28 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 30 $7,098 $237 15.0% (913) 588-1227
29 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA CO PHYSICIAN ASSISTANT 3505 30 $7,878 $263 57.7% (215) 662-2777
30 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 29 $1,247 $43 8.7% (850) 863-8150
31 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 27 $2,106 $78 25.7% (901) 761-9720
32 VALLEYDALE HEARING AND BALANCE CENTER BIRMINGHAM AL QUALIFIED AUDIOLOGIST 2 26 $2,756 $106 25.7% (205) 637-0731
33 VALLEY ENT, P.C. FORTY FORT PA OTOLARYNGOLOGY 6 26 $3,900 $150 15.3% (570) 283-0524
34 SPECTRUM HEALTH HOSPITALS GRAND RAPIDS MI NURSE PRACTITIONER 165 25 $1,050 $42 33.3% (616) 391-1774
35 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 24 $2,352 $98 100.0% —
36 SHEA CLINIC MEMPHIS TX OTOLARYNGOLOGY 8 22 $1,716 $78 14.9% (901) 761-9720
37 A T STILL UNIVERSITY OF HEALTH SCIENCES KIRKSVILLE AZ OSTEOPATHIC MANIPULATIVE MEDICINE 22 22 $1,408 $64 36.1% (660) 785-1000
38 REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 81 22 $1,622 $74 19.6% (415) 476-1000
39 CAROLYN J. AGRESTI, M.D. EAR, NOSE AND THROAT, INC WEST PALM BEACH FL QUALIFIED AUDIOLOGIST 3 22 $1,078 $49 6.6% (561) 899-3822
40 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 19 $1,729 $91 25.3% (734) 763-5459
41 THE EMORY CLINIC INC ATLANTA MD NURSE PRACTITIONER 3484 18 $1,548 $86 60.0% (404) 778-7525
42 NATIONAL DIZZY AND BALANCE CENTER,LTD. BLOOMINGTON MN PHYSICAL THERAPIST IN PRIVATE PRACTICE 28 17 $2,371 $139 6.6% (952) 345-3000
43 CENTRAL MICHIGAN UNIVERSITY MT PLEASANT MI QUALIFIED AUDIOLOGIST 15 17 $6,650 $391 22.7% —
44 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 17 $2,516 $148 15.6% (212) 263-9700
45 GENESISCARE USA OF FLORIDA LLC CAPE CORAL FL UROLOGY 175 16 $1,280 $80 4.8% —
46 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 16 $1,340 $84 100.0% (203) 688-4242
47 AUDIO HELP ASSOCIATES OF MANHATTAN, LLC NEW YORK NY QUALIFIED AUDIOLOGIST 2 16 $493 $31 14.7% (212) 774-1971
48 POCATELLO HEALTH SERVICES LLC POCATELLO ID PHYSICIAN ASSISTANT 173 16 $1,136 $71 57.1% —
49 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM TN PHYSICIAN ASSISTANT 3051 15 $945 $63 14.3% (919) 684-8111
50 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 15 $1,470 $98 32.6% —
51 CENTRAL FL HEARING SERVICES PLLC SEBRING FL QUALIFIED AUDIOLOGIST 2 14 $910 $65 4.2% (863) 386-9111
52 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 14 $402 $29 100.0% (406) 657-4000
53 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 14 $896 $64 56.0% (434) 924-5959
54 ACCENT PHYSICIAN SPECIALISTS PA GAINESVILLE FL PHYSICIAN ASSISTANT 16 14 $772 $55 4.2% 3523729414265
55 LAKELAND MEDICAL PRACTICES SAINT JOSEPH MI PHYSICIAN ASSISTANT 283 14 $896 $64 18.7% —
56 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 13 $637 $49 100.0% —
57 INTERMOUNTAIN EAR NOSE AND THROAT SPECIALISTS LLC DRAPER UT OTOLARYNGOLOGY 26 13 $858 $66 35.1% (801) 328-2522
58 LABYRINTH AUDIOLOGY BOCA RATON FL QUALIFIED AUDIOLOGIST 3 13 $1,469 $113 3.9% (561) 807-7873
59 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 13 $832 $64 4.7% (765) 962-8551
60 BILLINGS CLINIC BILLINGS SD PHYSICIAN ASSISTANT 811 13 $372 $29 41.9% (406) 657-4000
61 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 13 $873 $67 52.0% (617) 523-7900
62 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 13 $676 $52 35.1% (801) 261-8346
63 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 13 $884 $68 5.9% (252) 744-1406
64 RALEIGH NEUROLOGY ASSOCIATES, P. A. RALEIGH NC PHYSICIAN ASSISTANT 50 12 $960 $80 5.5% (919) 782-3456
65 CENTER FOR HEARING, LTD. FORT SMITH AR QUALIFIED AUDIOLOGIST 4 12 $660 $55 100.0% (479) 785-3277
66 SPACE COAST HEARING AND BALANCE, INC. MELBOURNE FL QUALIFIED AUDIOLOGIST 2 12 $247 $21 3.6% (321) 309-2806
67 BOSTON ENT ASSOCIATES PC NEEDHAM MA OTOLARYNGOLOGY 9 12 $660 $55 48.0% (781) 444-4722
68 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 12 $408 $34 42.9% (208) 381-4210
69 AANDA HEARING GROUP LLC GAITHERSBURG MD QUALIFIED AUDIOLOGIST 22 12 $1,320 $110 40.0% (301) 977-6317
70 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTE NC QUALIFIED AUDIOLOGIST 158 12 $600 $50 5.5% (704) 295-3414
71 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 12 $828 $69 100.0% —
72 HAMPTON ROADS OTOLARYNGOLOGY ASSOCIATES PLLC HAMPTON VA PHYSICIAN ASSISTANT 23 11 $483 $44 44.0% (757) 825-2500
73 PEAK ENT ASSOCIATES PROVO UT OTOLARYNGOLOGY 21 11 $660 $60 29.7% —
74 COLORADO EAR CARE LLC LAKEWOOD CO QUALIFIED AUDIOLOGIST 8 11 $770 $70 21.2% (303) 233-3142

*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 →