NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
94200 Test to measure largest amount of air breathed in an out CPT · Pulmonary test
Classification Test Pulmonary Pulmonary Function Testing (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 45,650 services ▼ 2.7% YoY · 38,192 beneficiaries (CY2024, Medicare FFS)
Medicare paid $520K · $11.39 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
99
Named-group FFS services
20,166
FFS of Medicare
49%
Services YoY
-2.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~45,166 services

20,166 observed fee-for-service (45%) · ~25,000 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 — 94200 (CY2024)

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$295K
Named-group Medicare payments
$228K
Avg charge / svc
$65
Avg allowed / svc
$15
Avg payment / svc
$11
Average charge per group
$10 99 groups · avg submitted charge / service $200
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 94200 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 94200 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 3,819 $420,090 $110 premium 53.0% (631) 444-1560
2 PULMONARY ASSOCIATES OF MOBILE PC MOBILE AL PULMONARY DISEASE 35 3,205 $159,425 $50 premium 84.2% (251) 343-6848
3 SERGIO L BALINGIT JR MD PA THE VILLAGES FL NURSE PRACTITIONER 2 963 $26,964 $28 premium 21.3% (352) 751-0448
4 ABRAHAM ISHAAYA M D A PROFESSIONAL CORPORATION LOS ANGELES CA INTERNAL MEDICINE 2 643 $77,220 $120 premium 3.7%
5 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 470 $8,059 $17 premium 2.7% (310) 423-3277
6 CALIFORNIA PULMONARY ASSOCIATES INC UPLAND CA PULMONARY DISEASE 7 461 $12,736 $28 premium 2.7% (626) 914-5219
7 MAGNOLIA REGIONAL HEALTH CENTER CORINTH MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 413 $13,629 $33 premium 26.6% (662) 293-1000
8 DARYA SOTO MD INC NOVATO CA SLEEP MEDICINE 3 411 $20,550 $50 premium 2.4% (415) 878-0225
9 CHRISTIANA CARE HEALTH SERVICES INC NEWARK MD PHYSICIAN ASSISTANT 1537 403 $30,225 $75 premium 31.1%
10 SADDLEBACK RESPIRATORY MEDICAL GRP LAGUNA HILLS CA INTERNAL MEDICINE 4 347 $20,473 $59 premium 2.0% (949) 452-3720
11 CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT PORTERVILLE CA INTERNAL MEDICINE 33 338 $20,250 $60 premium 2.0% (559) 784-1110
12 FAMILY CARE OF CARTERSVILLE PC CARTERSVILLE GA FAMILY PRACTICE 2 338 $14,196 $42 premium 35.6% (770) 382-0185
13 DESERT CENTER FOR ALLERGY AND CHEST DISEASES PHOENIX AZ PULMONARY DISEASE 8 319 $12,760 $40 premium 40.4% (602) 788-7211
14 RESPIRATORY CARE SPECIALISTS LLP HATO REY PR PULMONARY DISEASE 5 304 $9,120 $30 premium 17.7% (787) 765-3079
15 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 300 $16,218 $54 premium 38.0% (928) 458-7583
16 PULMONARY CONSULTANTS INC SAINT LOUIS MO PULMONARY DISEASE 10 299 $15,847 $53 premium 28.4% (314) 653-5007
17 NCHMD INC NAPLES PR NEUROLOGY 515 289 $7,803 $27 premium 16.8% (239) 436-5100
18 PULMONARY MEDICAL CORPORATION TARZANA CA CRITICAL CARE (INTENSIVISTS) 2 283 $56,600 $200 premium 1.6% (818) 758-0020
19 CALIFORNIA HOSPITALISTS EMERGENCY PHYSICIANS MEDICAL GROUP INC NORWALK CA EMERGENCY MEDICINE 11 275 $8,250 $30 premium 1.6% (562) 863-4763
20 RESPACARE PA BRIDGEWATER NJ PULMONARY DISEASE 2 240 $42,240 $176 premium 14.0% (732) 356-9950
21 FREDERICK MEDICAL AND PULMONARY ASSOC FREDERICK MD PULMONARY DISEASE 4 238 $11,900 $50 premium 18.4% (301) 663-5922
22 ALLERGY ASTHMA SPECIALISTS PA ALTAMONTE SPRINGS FL ALLERGY/IMMUNOLOGY 4 230 $6,900 $30 premium 5.1% (407) 339-3002
23 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 214 $4,276 $20 premium 3.0% (212) 241-4812
24 GULFCOAST PULMONARY ASSOCIATES, PA NEW PORT RICHEY FL PULMONARY DISEASE 2 206 $6,985 $34 premium 4.6% (727) 375-7788
25 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 201 $14,271 $71 premium 28.9% (919) 684-8111
26 AV CRITICAL CARE INC LANCASTER CA INTERNAL MEDICINE 12 201 $7,035 $35 premium 1.2% (661) 948-8000
27 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 187 $1,870 $10 premium 10.9% (732) 477-5600
28 BEVERLY HILLS PULMONARY ASSOCIATES CORPORATION BEVERLY HILLS CA INTERNAL MEDICINE 2 185 $5,670 $31 premium 1.1% (310) 424-5480
29 CENTRAL MEDICAL GROUP PA TAMARAC FL PULMONARY DISEASE 8 181 $10,860 $60 premium 4.0% (954) 722-4206
30 SAS MEDICAL MANAGEMENT GLENDALE CA GENERAL PRACTICE 2 180 $4,620 $26 premium 1.0% (323) 369-9954
31 MERCER ALLERGY AND PULMONARY ASSOCIATES LLC TRENTON NJ ALLERGY/IMMUNOLOGY 2 151 $6,795 $45 premium 8.8% (609) 581-1400
32 LOS ANGELES LUNG CENTER A PROFESSIONAL MEDICAL CORP LOS ANGELES CA PULMONARY DISEASE 3 151 $7,550 $50 premium 0.9% (323) 913-9130
33 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 147 $15,381 $105 premium 37.2% (615) 612-2146
34 BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. SUFFERN NY NURSE PRACTITIONER 155 139 $12,788 $92 premium 1.9% 845353560025027
35 MESA PULMONARY GROUP INC COSTA MESA CA PULMONARY DISEASE 6 136 $5,440 $40 premium 0.8% (949) 873-5537
36 TEXAS ALLERGY AND BREATHING CENTERS, P.A. MESQUITE TX NURSE PRACTITIONER 6 125 $11,139 $89 premium 14.6% (972) 288-3471
37 WEST HUDSON PULMONARY ASSOCIATES CORPC KEARNY NJ NURSE PRACTITIONER 6 122 $7,320 $60 premium 7.1% (201) 991-4544
38 HUNTINGTON BEACH INTERNAL MEDICINE GROUP INC NEWPORT BEACH CA INTERNAL MEDICINE 3 120 $2,508 $21 premium 0.7% (949) 274-8030
39 LAYOUS LLC CROWN POINT IN PULMONARY DISEASE 4 116 $3,944 $34 premium 81.7% (219) 595-5754
40 MEDICAL ASSOCIATES OF VICKSBURG PLLC VICKSBURG MS PHYSICIAN ASSISTANT 8 114 $5,130 $45 premium 7.4% (601) 262-1000
41 FA CV CONSULTANTS PC MONTCLAIR NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 113 $11,300 $100 premium 1.6% (973) 744-4075
42 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON DC PHYSICIAN ASSISTANT 685 112 $6,720 $60 premium 90.3% (202) 715-4000
43 MULTIVIZ MEDICAL SERVICES PC FAR ROCKAWAY TN NURSE PRACTITIONER 27 111 $4,440 $40 premium 28.1% (718) 327-7307
44 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 109 $2,725 $25 premium 6.3% (908) 273-4300
45 FEEL GOOD MEDICAL PC BROOKLYN NY NURSE PRACTITIONER 8 103 $10,300 $100 premium 1.4% (718) 975-4466
46 TRICOUNTY PHYSICIANS LLC THE VILLAGES FL NURSE PRACTITIONER 4 100 $4,100 $41 premium 2.2% (352) 561-6299
47 COLQUITT REGIONAL PULMONOLOGY, LLC MOULTRIE GA NURSE PRACTITIONER 2 97 $4,559 $47 premium 10.2% (229) 985-4469
48 MAGNOLIA MEDICAL COMPANY DENVER CO NURSE PRACTITIONER 27 94 $3,014 $32 premium 33.9% (303) 209-5115
49 NEXUS HEALTH PRIMARY CARE LLC SANTA FE NM INTERNAL MEDICINE 7 92 $16,560 $180 premium 59.7% (505) 395-3000
50 RONNIE CLAIBORNE MD A PROFESSIONAL CORPORATION BAKERSFIELD CA GENERAL PRACTICE 2 90 $3,150 $35 premium 0.5% (661) 323-2295
51 CENTURY MEDICAL AND DENTAL CENTER INC BROOKLYN NY PHYSICIAN ASSISTANT 104 84 $4,200 $50 premium 1.2% (718) 650-2233
52 WESTON MEDICAL HEALTH CENTER LLC WESTON FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 84 $2,540 $30 premium 1.9% (954) 888-6650
53 H S KOCHAR MD PA HOUSTON TX PULMONARY DISEASE 2 82 $2,221 $27 premium 9.6% (713) 863-0902
54 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 71 $11,715 $165 premium 1.0% (212) 263-9700
55 PERVAIZ IQBAL PHYSICIAN PC BROOKLYN NY INTERNAL MEDICINE 2 65 $7,938 $122 premium 0.9% (718) 756-1309
56 SHEA PHYSICAL THERAPY SPECIALISTS LLC CORPUS CHRISTI TX NURSE PRACTITIONER 197 64 $6,401 $100 premium 7.5% (361) 994-5224
57 NORTH HOUSTON RESPIRATORY CONSULTANTS, PA HUMBLE TX PULMONARY DISEASE 3 61 $2,440 $40 premium 7.1% (281) 446-6803
58 RIVERSIDE MEDICAL S C ARLINGTON HEIGHTS IL INTERNAL MEDICINE 9 60 $3,300 $55 premium 18.6% (847) 577-9300
59 LAYOUS LLC CROWN POINT PA PULMONARY DISEASE 4 59 $2,006 $34 premium 46.5% (219) 595-5754
60 PULMONARY GROUP OF CENTRAL FLORIDA LLC LEESBURG FL NURSE PRACTITIONER 2 57 $2,736 $48 premium 1.3% (352) 315-1627
61 MEDICAL ASSOCIATES OF TAMARAC PA TAMARAC FL INTERNAL MEDICINE 4 51 $2,805 $55 premium 1.1% (954) 726-0099
62 GOWANI MEDICAL ASSOCIATES MDPLLC ORLANDO FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 50 $2,250 $45 premium 1.1% (407) 345-4999
63 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 49 $5,390 $110 premium 0.7% (914) 241-1050
64 SOUTHEAST PULMONARY AND CRITICAL CARE LLC ROCK HILL SC NURSE PRACTITIONER 5 47 $4,700 $100 premium 100.0% (803) 980-5864
65 QUICK PRIMARY CARE, PA OCALA FL FAMILY PRACTICE 4 45 $1,440 $32 premium 1.0% (352) 854-9110
66 HH PHYSICIANS NETWORK HUNTSVILLE AL PULMONARY DISEASE 105 43 $2,666 $62 premium 1.1% (256) 265-8553
67 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 42 $1,680 $40 premium 33.1% (215) 662-2777
68 HIDALGO MEDICAL SERVICES SILVER CITY NM NURSE PRACTITIONER 39 36 $986 $27 premium 23.4% (575) 388-1511
69 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 34 $646 $19 premium 100.0% (405) 271-4311
70 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 32 $1,739 $54 premium 3.7%
71 ARH TUG VALLEY HEALTH SERVICES INC PRESTONSBURG KY NURSE PRACTITIONER 104 29 $1,160 $40 premium 100.0%
72 BRIJ M. SHARMA PHYSICIAN P.C ROSLYN HEIGHTS NY INTERNAL MEDICINE 2 28 $1,680 $60 premium 0.4% (516) 484-1333
73 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 26 $1,254 $48 premium 18.3% (260) 425-5900
74 EMERGENCY SPECIALTY SERVICES LLC SANTA FE NM NURSE PRACTITIONER 7 26 $4,680 $180 premium 16.9% (505) 603-5324
75 CHAPARRAL MEDICAL GROUP INC POMONA CA INTERNAL MEDICINE 67 25 $850 $34 premium 0.1% (909) 629-3062
76 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE NJ PHYSICIAN ASSISTANT 937 24 $1,440 $60 premium 1.4% (908) 685-2200
77 MED SOLUTIONS, LLC WOODLAND PARK NJ INTERNAL MEDICINE 2 24 $2,202 $92 premium 1.4% (973) 785-3455
78 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 24 $3,024 $126 premium 0.3%
79 HILLSBORO ALLERGY AND FAMILY MEDICINE INC DEERFIELD BEACH FL INTERNAL MEDICINE 5 24 $720 $30 premium 0.5% (954) 360-7000
80 HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP CARSON CA INTERNAL MEDICINE 771 22 $1,144 $52 premium 0.1% (310) 830-9706
81 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 22 $2,200 $100 premium 0.3% (212) 746-5454
82 HARROGATE FAMILY PRACTICE HARROGATE TN NURSE PRACTITIONER 2 21 $1,155 $55 premium 5.3% (423) 869-3332
83 CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP TUSTIN CA INTERNAL MEDICINE 69 20 $1,020 $51 premium 0.1% (714) 573-8200
84 EAR INSTITUTE OF TEXAS P A SAN ANTONIO TX OTOLARYNGOLOGY 11 20 $1,011 $51 premium 2.3% (210) 363-6936
85 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 19 $1,045 $55 premium 29.7% (203) 688-4242
86 CHRIS PARK DO PC PONTOTOC MS PHYSICIAN ASSISTANT 2 18 $882 $49 premium 1.2%
87 INDEPENDENT PHYSICIANS OF WISCONSIN LLC MILWAUKEE WI FAMILY PRACTICE 41 18 $1,440 $80 premium 30.5% (414) 875-0505
88 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 18 $355 $20 premium 0.2%
89 LAMPTON MEDICAL ASSOCIATES, PA MAGNOLIA MS NURSE PRACTITIONER 8 16 $1,120 $70 premium 1.0% (601) 248-8586
90 GREATER PHOENIX COLLABORATIVE CARE PC PHOENIX AZ NURSE PRACTITIONER 118 16 $865 $54 premium 2.0% (602) 567-4800
91 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 15 $656 $44 premium 0.3% (352) 351-4634
92 GAMIL MAKAR MD LLC CLIFTON NJ FAMILY PRACTICE 4 14 $770 $55 premium 0.8% (862) 249-4901
93 SOUTH ATLANTA LUNG AND SLEEP CLINIC INC. GRIFFIN GA CRITICAL CARE (INTENSIVISTS) 2 14 $830 $59 premium 1.5% (770) 229-1999
94 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 13 $650 $50 premium 0.3% (352) 693-3378
95 MCPHERSON MEDICAL AND DIAGNOSTIC LLC KENNETT MO NURSE PRACTITIONER 76 12 $377 $31 premium 1.1% (573) 717-1072
96 JOSHUA INTERNATIONAL MEDICAL GROUP LA PALMA CA INTERNAL MEDICINE 4 12 $792 $66 premium 0.1%
97 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 12 $385 $32 premium 4.3% (720) 777-1234
98 REGIONAL HEALTH CARE CLINIC INC SEDALIA AZ NURSE PRACTITIONER 32 11 $595 $54 premium 1.4% (660) 826-4774
99 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $319 $29 premium 3.4%
100 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NJ INTERNAL MEDICINE 550 11 $1,080 $98 premium 0.6% (201) 894-3158

*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 →