NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93798 Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services CPT · Treatment - Miscellaneous
Classification Treatment › Treatment - Miscellaneous › Cardiac Rehabilitation (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 92,786 services ▲ 12.0% YoY · 15,034 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.5M · $16.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
51
Named-group FFS services
49,276
FFS of Medicare
49%
Services YoY
+12.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~101,625 services

49,276 observed fee-for-service (48%) · ~52,349 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 — 93798 (CY2024)
NY 17,435 CA 13,347 TX 9,682 FL 7,295 SC 5,835

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

Named-group submitted charges
$9.3M
Named-group allowed amount
$972K
Named-group Medicare payments
$742K
Avg charge / svc
$188
Avg allowed / svc
$20
Avg payment / svc
$15
Average charge per group
$27 51 groups · avg submitted charge / service $567
Disease-burden context

Coronary heart disease prevalence: 1.0–5.8% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: KY 5.8% · WV 5.8% · AR 5.2% · AL 4.9% · LA 4.9%
CDC-published US estimate: 4.4% (BRFSS 2024, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 93798 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 6,201 $3,515,967 $567 35.6% (212) 263-9700
2 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 5,272 $2,013,904 $382 90.4% (803) 744-4900
3 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 3,038 $170,128 $56 98.8% —
4 NEW HEART, INC ALBUQUERQUE NM CARDIAC ELECTROPHYSIOLOGY 2 2,554 $67,940 $27 91.3% (505) 881-8195
5 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 2,460 $339,480 $138 18.4% (415) 476-1000
6 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 2,423 $266,530 $110 13.9% (212) 241-4812
7 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 2,176 $192,387 $88 16.3% (714) 871-3006
8 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 1,970 $86,680 $44 20.3% (903) 590-5611
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,779 $265,071 $149 10.2% —
10 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 1,608 $59,496 $37 47.8% (520) 694-0111
11 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 1,489 $93,807 $63 15.4% (409) 772-2222
12 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 1,387 $166,440 $120 92.0% (203) 688-4242
13 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,322 $133,905 $101 9.9% (858) 455-9100
14 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 1,182 $88,650 $75 16.2% (407) 896-1100
15 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,181 $324,775 $275 35.1% (800) 603-0558
16 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 1,130 $126,560 $112 37.5% (763) 581-5400
17 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 1,039 $107,017 $103 10.7% (214) 633-5555
18 OLMSTED MEDICAL CENTER ROCHESTER MN PHYSICIAN ASSISTANT 315 1,030 $31,930 $31 34.2% (507) 292-7009
19 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 986 $119,306 $121 7.4% (714) 456-7002
20 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 846 $59,021 $70 68.4% (504) 842-3000
21 NORTHWELL HEALTHCARE INC SEAFORD NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 711 $54,036 $76 4.1% (516) 809-4200
22 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 687 $147,525 $215 24.0% (888) 712-2753
23 WASHINGTON PHYSICIAN SERVICES WASHINGTON PA PHYSICIAN ASSISTANT 104 682 $29,326 $43 44.3% —
24 IHC HEALTH SERVICES INC MURRAY CA PHYSICIAN ASSISTANT 3944 640 $37,760 $59 4.8% (801) 261-8346
25 MILLENNIUM MEDICAL PROFESSIONALS, PLLC PORT JEFFERSON STATION NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 516 $64,775 $126 3.0% (631) 473-8880
26 FHPG LLC PINEHURST NC PHYSICIAN ASSISTANT 198 494 $28,600 $58 100.0% (910) 715-2164
27 ST MARYS PHYSICIAN SERVICES LLC RUSSELLVILLE AR NURSE PRACTITIONER 48 414 $122,130 $295 56.6% (479) 968-2345
28 MIDWEST HEART AND VASCULAR SPECIALISTS LLC OVERLAND PARK MO CARDIOVASCULAR DISEASE (CARDIOLOGY) 81 389 $30,992 $80 43.5% (816) 523-7088
29 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 321 $17,976 $56 9.8% —
30 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO AR PHYSICIAN ASSISTANT 2145 306 $22,950 $75 41.9% (407) 896-1100
31 ADVANCED HEART AND VASCULAR CENTER OF CARLSBAD NEW MEXICO CARLSBAD NM CARDIAC ELECTROPHYSIOLOGY 8 244 $12,688 $52 8.7% (575) 941-4400
32 MAYO CLINIC ARIZONA PHOENIX MN PHYSICIAN ASSISTANT 1635 225 $61,875 $275 7.5% (800) 603-0558
33 GUNDERSEN CLINIC LTD LA CROSSE WI PHYSICIAN ASSISTANT 443 222 $111,054 $500 10.8% —
34 STATESBORO CARDIOLOGY, PC STATESBORO GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 210 $22,596 $108 41.2% (912) 489-6246
35 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MT PHYSICIAN ASSISTANT 501 205 $22,960 $112 100.0% (763) 581-5400
36 THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS CHICAGO IL NURSE PRACTITIONER 1170 199 $15,506 $78 6.9% —
37 AURORA MEDICAL GROUP, INC. MILWAUKEE MA DIAGNOSTIC RADIOLOGY 3696 195 $54,600 $280 17.6% (414) 421-8400
38 ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC ERIE PA PHYSICIAN ASSISTANT 303 187 $13,671 $73 12.1% (814) 454-2401
39 SANFORD MEDICAL CENTER SIOUX FALLS IA NURSE PRACTITIONER 831 185 $32,930 $178 59.9% (605) 332-2883
40 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 156 $29,016 $186 2.1% (954) 659-5000
41 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS WI PHYSICIAN ASSISTANT 2390 126 $7,056 $56 6.1% —
42 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 124 $13,888 $112 40.1% —
43 PACIFIC CARDIOVASCULAR ASSOCIATES MEDICAL GROUP, INC. LAGUNA HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 108 $12,096 $112 0.8% (714) 445-0220
44 GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC VINCENNES IN NURSE PRACTITIONER 141 101 $9,090 $90 5.8% (812) 885-3280
45 LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G NEW ORLEANS LA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 463 83 $5,569 $67 6.7% (504) 702-3000
46 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 82 $5,740 $70 9.2% (314) 977-7455
47 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 56 $2,296 $41 4.4% (601) 815-4775
48 ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC APPLETON TN NURSE PRACTITIONER 261 50 $14,000 $280 100.0% (920) 738-2000
49 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 47 $3,022 $64 18.8% (304) 598-1200
50 UNITED HOSPITAL CENTER INC BRIDGEPORT WV PHYSICIAN ASSISTANT 298 46 $2,958 $64 18.4% (681) 342-1842
51 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 45 $8,010 $178 41.3% (605) 332-2883
52 HEART SPECIALISTS OF SARASOTA PL SARASOTA FL PHYSICIAN ASSISTANT 24 40 $2,000 $50 0.5% (941) 917-1000
53 MULTICARE HEALTH SYSTEM GIG HARBOR CO NURSE PRACTITIONER 2289 36 $2,484 $69 1.2% —
54 HEART SPECIALISTS OF SARASOTA PL SARASOTA OH PHYSICIAN ASSISTANT 24 24 $1,200 $50 100.0% (941) 917-1000
55 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 22 $1,632 $74 4.3% (770) 422-2004
56 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 14 $728 $52 0.1% (713) 242-2222
57 ARNETT CLINIC LLC LAFAYETTE AR NURSE PRACTITIONER 423 11 $1,309 $119 1.5% (765) 448-8000

*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 →