NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular › Percutaneous Transcatheterization (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 376,348 services ▼ 1.3% YoY · 369,319 beneficiaries (CY2024, Medicare FFS)
Medicare paid $80.7M · $214.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

1,319

Named groups billing this code
Named-group FFS services

229,431

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-1.3%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~469,646 services

229,431 observed fee-for-service (49%) · ~240,215 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 — 93458 (CY2024)
FL 36,125 TX 33,055 CA 27,535 NY 20,266 OH 14,944

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

Billed → allowed → paid
Named-group submitted charges
$292.1M
Named-group allowed amount
$55.8M
Named-group Medicare payments
$43.9M
Avg charge / svc
$1,273
Avg allowed / svc
$243
Avg payment / svc
$191
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$266 1,319 groups · avg submitted charge / service $78,559
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 93458 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 2,394 $2,560,012 $1,069 11.8% —
2 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,978 $2,078,227 $1,051 6.0% —
3 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 1,745 $1,864,663 $1,069 13.2% (404) 605-5000
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,510 $2,479,269 $1,642 7.5% —
5 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 1,494 $924,219 $619 14.6% (615) 269-4545
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,449 $8,412,630 $5,806 7.1% (212) 263-9700
7 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,408 $1,543,000 $1,096 5.1% (415) 600-1020
8 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 1,373 $4,457,751 $3,247 4.2% (903) 606-5560
9 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 1,329 $772,052 $581 19.7% (502) 928-1050
10 BAPTIST CARDIOLOGY, INC. JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 1,282 $974,380 $760 3.5% (904) 399-1171
11 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,260 $2,289,608 $1,817 8.7% —
12 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 1,150 $978,650 $851 13.1% (405) 608-3800
13 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 1,108 $1,469,908 $1,327 4.0% (916) 681-8852
14 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 1,108 $1,124,544 $1,015 3.4% (512) 899-2028
15 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 1,095 $599,883 $548 11.1% —
16 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 1,085 $846,494 $780 3.3% (817) 281-2977
17 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 1,077 $1,328,725 $1,234 3.0% (407) 896-1100
18 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 1,018 $938,046 $921 7.7% (770) 422-2004
19 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 988 $659,032 $667 6.6% —
20 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 986 $1,180,242 $1,197 6.8% (847) 459-1160
21 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 938 $961,122 $1,025 9.5% (919) 881-0160
22 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 936 $1,287,557 $1,376 10.5% (803) 744-4900
23 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 935 $1,144,622 $1,224 9.5% (704) 667-1000
24 CITRUS CARDIOLOGY CONSULTANTS, PLLC INVERNESS FL NURSE PRACTITIONER 47 912 $536,691 $588 2.5% (352) 726-8353
25 CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 124 904 $787,826 $871 2.7% (210) 271-3204
26 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 903 $1,191,960 $1,320 4.5% (212) 241-4812
27 HEART HOSPITAL OF SOUTH DAKOTA LLC SIOUX FALLS SD NURSE PRACTITIONER 67 894 $355,105 $397 49.3% (605) 977-7000
28 HEARTLAND CARDIOLOGY, LLC WICHITA KS NURSE PRACTITIONER 27 878 $702,400 $800 15.4% (316) 686-5300
29 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 819 $721,954 $882 8.3% —
30 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 815 $3,702,375 $4,543 9.2% (803) 395-3400
31 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 812 $683,001 $841 5.4% —
32 MERCY CLINIC HEART AND VASCULAR LLC SAINT LOUIS MO CARDIOVASCULAR DISEASE (CARDIOLOGY) 112 803 $708,246 $882 8.1% (314) 842-0602
33 TRI-CITY CARDIOLOGY CONSULTANTS PC MESA AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 802 $482,002 $601 7.2% (480) 835-6100
34 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 793 $662,044 $835 12.3% (253) 428-2200
35 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 783 $713,889 $912 8.8% (843) 848-1440
36 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 783 $1,814,994 $2,318 8.4% (501) 227-7596
37 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 768 $1,854,720 $2,415 7.3% (317) 338-2345
38 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 763 $807,025 $1,058 2.8% (858) 455-9100
39 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 762 $753,618 $989 8.6% (803) 749-5101
40 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 762 $1,802,904 $2,366 12.0% (256) 265-2372
41 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 759 $776,451 $1,023 43.1% (801) 261-8346
42 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 756 $799,263 $1,057 5.2% —
43 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 747 $2,249,936 $3,012 2.3% (325) 672-4372
44 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 747 $1,647,239 $2,205 5.0% —
45 CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA LLC OCALA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 69 743 $567,563 $764 2.1% (352) 622-4251
46 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 726 $1,409,913 $1,942 5.0% (309) 683-5050
47 INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA GAINESVILLE FL INTERVENTIONAL CARDIOLOGY 36 708 $702,830 $993 2.0% (352) 375-1212
48 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 701 $679,970 $970 10.4% (502) 937-2209
49 GEORGIA HEART INSTITUTE LLC GAINESVILLE GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 128 696 $868,041 $1,247 5.3% (770) 534-2020
50 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 694 $842,860 $1,214 1.9% (239) 343-9888
51 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 693 $1,006,054 $1,452 26.1% (860) 724-2579
52 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 686 $571,592 $833 6.2% —
53 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 680 $659,362 $970 1.9% (904) 308-6900
54 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 673 $1,913,337 $2,843 5.1% (404) 778-7525
55 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 671 $651,437 $971 6.5% (615) 322-5000
56 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 669 $432,807 $647 5.6% —
57 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 659 $594,845 $903 5.0% —
58 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 656 $606,427 $924 1.8% (813) 615-7075
59 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 654 $1,159,594 $1,773 2.4% (916) 983-7476
60 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 650 $642,850 $989 7.3% —
61 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 642 $699,480 $1,090 6.9% (479) 571-4338
62 JOSEPH A CAPLAN MD PC SUN CITY WEST AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 31 641 $443,091 $691 5.8% (623) 876-8816
63 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 632 $589,220 $932 1.9% (210) 614-7414
64 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 627 $446,004 $711 4.2% (513) 246-7000
65 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 626 $538,686 $861 1.7% (407) 200-2700
66 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 625 $374,239 $599 6.0% —
67 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 622 $455,358 $732 20.0% —
68 NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES, LLC ATLANTA GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 144 613 $533,758 $871 4.6% (404) 851-8000
69 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 612 $516,511 $844 2.2% (714) 871-3006
70 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 596 $1,211,916 $2,033 5.7% —
71 CARDIOLOGY ASSOCIATES OF MOBILE INC MOBILE AL PHYSICIAN ASSISTANT 52 596 $749,452 $1,257 9.4% (251) 460-0078
72 INTEGRATED CARDIOLOGY GROUP LLC LINCOLN NE PHYSICIAN ASSISTANT 78 589 $373,399 $634 18.7% (402) 483-3333
73 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 588 $345,228 $587 3.9% (513) 751-4222
74 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 585 $539,808 $923 3.9% (937) 395-8646
75 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 582 $525,546 $903 10.2% (410) 337-4877
76 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 575 $556,600 $968 5.5% (856) 247-7260
77 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 573 $471,276 $822 8.9% —
78 MEMORIAL HEALTH CARE SYSTEM INC. CHATTANOOGA TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 570 $506,569 $889 5.6% (423) 697-2000
79 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 547 $664,470 $1,215 5.5% (804) 282-2685
80 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 539 $533,610 $990 3.6% (614) 293-8000
81 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 536 $538,855 $1,005 1.5% (386) 231-6000
82 KNOXVILLE HMA CARDIOLOGY PPM, LLC KNOXVILLE TN NURSE PRACTITIONER 42 533 $505,817 $949 5.2% (865) 470-2273
83 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 531 $445,865 $840 4.4% —
84 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 529 $433,780 $820 5.3% —
85 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 528 $404,850 $767 7.8% (502) 629-2398
86 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 521 $407,155 $781 5.9% (864) 255-1901
87 LIMA MEMORIAL PROFESSIONAL CORPORATION LIMA OH PHYSICIAN ASSISTANT 169 521 $232,982 $447 3.5% (419) 998-4575
88 ST BERNARDS PHYSICIAN CLINICS INC JONESBORO AR NURSE PRACTITIONER 206 519 $295,830 $570 5.5% (870) 972-8181
89 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 516 $792,060 $1,535 1.6% (254) 724-2663
90 AHS OKLAHOMA HEART LLC TULSA OK PHYSICIAN ASSISTANT 136 515 $922,365 $1,791 5.9% (918) 592-0999
91 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 513 $466,032 $908 4.6% (602) 274-6506
92 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 513 $525,738 $1,025 5.2% (314) 273-0195
93 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 506 $305,093 $603 4.9% —
94 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 505 $337,340 $668 7.8% (509) 946-4611
95 KANSAS HEART HOSPITAL, LLC WICHITA KS NURSE PRACTITIONER 24 505 $454,500 $900 8.9% (316) 630-5000
96 CARDIOLOGY CONSULTANTS OF PHILADELPHIA PC PHILADELPHIA PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 143 505 $1,388,750 $2,750 4.2% (215) 463-5333
97 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 502 $342,434 $682 25.7% (505) 727-7090
98 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 500 $398,500 $797 4.8% (765) 962-8551
99 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC POUGHKEEPSIE NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 72 494 $1,582,334 $3,203 2.4% (845) 473-1188
100 CENTENNIAL HEART LLC NASHVILLE TN NURSE PRACTITIONER 121 487 $493,652 $1,014 4.7% (615) 515-1900

Showing the top 100 of 1,319 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 →