NEVVI Medicare utilization intelligence
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Market snapshot

92616 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92616 — Evaluation and recording of swallowing and voice box sensory function using an endoscope

Billing groups
10
Named-group FFS services
1,248
FFS of Medicare
49%
Services YoY
+24.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,627 services

1,248 observed fee-for-service (48%) · ~1,379 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 — 92616 (CY2024)

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

Named-group submitted charges
$704K
Named-group allowed amount
$234K
Named-group Medicare payments
$184K
Avg charge / svc
$564
Avg allowed / svc
$187
Avg payment / svc
$148
Average charge per group
$322 10 groups · avg submitted charge / service $1,157
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 92616 services, CY2024
#Physician group City St Specialty Providers 92616 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SOUTHSHORE OTOLARYNGOLOGY PC ROCKVILLE CENTRE NY OTOLARYNGOLOGY 3 470 $235,000 $500 premium 54.3% 516678030318
2 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 426 $217,289 $510 premium 61.2% (817) 920-0484
3 JOSEPH M CAPO MD PC LEVITTOWN NY OTOLARYNGOLOGY 13 143 $114,645 $802 premium 16.5% (516) 731-6644
4 NEW YORK ALLERGY ASTHMA AND IMMUNOLOGY PC GREAT NECK NY PHYSICIAN ASSISTANT 10 91 $45,500 $500 premium 10.5% (516) 487-6200
5 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 35 $37,100 $1,060 premium 4.0% (914) 241-1050
6 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 22 $15,950 $725 premium 2.5% (212) 746-5454
7 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 17 $8,585 $505 premium 100.0%
8 GEOFFREY SCOTT MD PA NORTH RICHLAND HILLS TX QUALIFIED AUDIOLOGIST 4 16 $8,000 $500 premium 2.3% (817) 595-3700
9 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 15 $17,355 $1,157 premium 100.0% (310) 829-6789
10 THE ENT AND ALLERGY CENTERS OF TEXAS, PLLC MCKINNEY TX OTOLARYNGOLOGY 54 13 $4,186 $322 premium 1.9% (972) 984-1050

*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 →