NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
94690 Test to measure exhaled air for evaluation of lung function at rest CPT · Pulmonary test
Classification Test › Pulmonary (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 6,937 services ▼ 21.7% YoY · 5,388 beneficiaries (CY2024, Medicare FFS)
Medicare paid $230K · $33.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
55
Named-group FFS services
3,610
FFS of Medicare
49%
Services YoY
-21.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,314 services

3,610 observed fee-for-service (49%) · ~3,704 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 — 94690 (CY2024)
FL 1,187 CA 1,034 MS 1,012 NY 1,000 NC 720

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

Named-group submitted charges
$459K
Named-group allowed amount
$158K
Named-group Medicare payments
$117K
Avg charge / svc
$127
Avg allowed / svc
$44
Avg payment / svc
$32
Average charge per group
$15 55 groups · avg submitted charge / service $472
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 94690 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAGNOLIA REGIONAL HEALTH CENTER CORINTH MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 413 $38,822 $94 40.8% (662) 293-1000
2 N E FLORIDA INTERNAL MEDICINE PA JACKSONVILLE FL INTERNAL MEDICINE 2 393 $27,730 $71 33.1% (904) 387-4050
3 CISCA PULMONARY CRITICAL CARE INC JACKSONVILLE FL PHYSICIAN ASSISTANT 3 361 $52,977 $147 30.4% (904) 396-0300
4 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 208 $30,576 $147 100.0% (240) 215-1138
5 LAMOND FAMILY MEDICINE PLLC HENDERSONVILLE NC PHYSICIAN ASSISTANT 39 174 $26,100 $150 24.2% (828) 585-5489
6 MEDICAL ASSOCIATES OF VICKSBURG PLLC VICKSBURG MS PHYSICIAN ASSISTANT 8 138 $11,040 $80 13.6% (601) 262-1000
7 INSTITUTE OF ENDOCRINOLOGY DIABETES HEALTH AND HORMONES PANAMA CITY GA ENDOCRINOLOGY 31 126 $9,588 $76 48.5% (850) 522-5490
8 DR GANNS DIET OF HOPE LLC TUCSON AZ NURSE PRACTITIONER 5 117 $18,330 $157 62.9% (520) 696-3438
9 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC NV NURSE PRACTITIONER 235 114 $11,172 $98 100.0% (321) 312-3501
10 TRICOUNTY PHYSICIANS LLC THE VILLAGES FL NURSE PRACTITIONER 4 109 $8,502 $78 9.2% (352) 561-6299
11 EDWARD CONDON MEDICAL PC COMMACK NY ENDOCRINOLOGY 2 107 $20,972 $196 10.7% (631) 462-2200
12 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 91 $19,474 $214 8.8% (916) 681-8852
13 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 81 $38,232 $472 6.8% (904) 953-2000
14 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 72 $12,155 $169 10.0% (336) 713-9800
15 VAL KOGANSKI MD PC LANGHORNE PA INTERNAL MEDICINE 2 68 $8,500 $125 100.0% (215) 750-7000
16 DR MARC ALLEN MEDICAL PC SMITHTOWN NY NURSE PRACTITIONER 6 66 $8,329 $126 6.6% (631) 543-8844
17 KAVANAH MEDICAL LLC OWASSO OK NURSE PRACTITIONER 7 64 $2,776 $43 80.0% (918) 553-1188
18 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 57 $2,103 $37 100.0% (605) 882-4743
19 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 56 $4,242 $76 61.5% —
20 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 55 $10,425 $190 47.0% (320) 252-5131
21 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 47 $7,003 $149 18.1% —
22 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 46 $3,496 $76 100.0% (318) 966-6500
23 NEW HORIZON LLC FOXBORO MA NURSE PRACTITIONER 12 44 $7,700 $175 100.0% (781) 269-5400
24 MOSES CONE PHYSICIAN SERVICES, INC GREENSBORO NC INTERNAL MEDICINE 385 36 $6,804 $189 5.0% (336) 832-7000
25 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 31 $2,976 $96 45.6% (313) 861-4400
26 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 29 $2,784 $96 26.9% (713) 242-2222
27 ATLANTIC GASTROENTEROLOGY PC BROOKLYN FL GASTROENTEROLOGY 7 29 $1,771 $61 2.4% (718) 615-4001
28 EAST COOPER PHYSICIAN GROUP LLC DANIEL ISLAND SC PHYSICIAN ASSISTANT 78 27 $5,940 $220 100.0% (843) 380-9330
29 XBODY HEALTH AND WELLNESS PA WAYNE NJ NURSE PRACTITIONER 8 26 $7,800 $300 44.1% (973) 692-9780
30 OKSANA BERKOVICH MEDICAL PC BRONX NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 26 $2,600 $100 2.6% (718) 863-8663
31 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 26 $3,987 $153 22.2% (507) 389-8509
32 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 23 $3,910 $170 25.3% (703) 437-0001
33 ROMAN E FINN MD PA PARAMUS NJ CHIROPRACTIC 2 21 $1,398 $67 35.6% (201) 291-0401
34 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 20 $3,280 $164 100.0% (847) 459-1160
35 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 20 $4,680 $234 1.9% (415) 600-1020
36 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 20 $1,980 $99 1.7% —
37 CYPRESS MEDICAL SURGICAL SERVICES LLP BROOKLYN NY GENERAL SURGERY 3 19 $1,109 $58 1.9% (718) 456-3438
38 CHRIS PARK DO PC PONTOTOC MS PHYSICIAN ASSISTANT 2 18 $1,998 $111 1.8% —
39 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 17 $3,111 $183 100.0% —
40 MEDICAL ASSOCIATES PROFESSIONAL SERVICES, LLC CANTON GA FAMILY PRACTICE 27 17 $2,465 $145 6.5% (770) 479-5535
41 OMNI MEDICAL GROUP INC TULSA OK FAMILY PRACTICE 82 16 $648 $40 20.0% (918) 744-2967
42 BOSTON ROAD MEDICAL PRACTICE PC BRONX NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 16 $1,600 $100 1.6% (718) 863-8663
43 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 16 $240 $15 14.8% (214) 633-5555
44 B AND L HEALTH INC BROOKLYN NY NURSE PRACTITIONER 23 15 $2,485 $166 1.5% (718) 339-6300
45 LAMPTON MEDICAL ASSOCIATES, PA MAGNOLIA MS NURSE PRACTITIONER 8 15 $1,425 $95 1.5% (601) 248-8586
46 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 13 $1,378 $106 100.0% (859) 578-5880
47 EAGLE PHYSICIANS AND ASSOCIATES PA GREENSBORO NC PHYSICIAN ASSISTANT 104 13 $1,300 $100 1.8% (336) 294-6190
48 CENTRAL OHIO NUTRITION CENTER INC GAHANNA OH REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 13 12 $972 $81 100.0% (614) 864-7225
49 SIMONA SCUMPIA MD PA AUSTIN TX ENDOCRINOLOGY 2 12 $1,080 $90 11.1% (512) 467-2727
50 COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC MILWAUKEE WI PHYSICIAN ASSISTANT 325 12 $262 $22 100.0% (414) 585-1000
51 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 12 $2,172 $181 13.2% (703) 396-5292
52 RIMMA GELBERT MEDICAL PC BROOKLYN NY FAMILY PRACTICE 6 12 $1,800 $150 1.2% (718) 336-0330
53 ELION KROK, M.D. PC WEST ORANGE NJ INTERNAL MEDICINE 2 12 $1,788 $149 20.3% (973) 544-8901
54 SCIOMETRIX INC MENANDS NY INTERNAL MEDICINE 45 11 $1,540 $140 1.1% (248) 369-3315
55 PHYSICAL THERAPY SPINE AND SPORTS MEDICINE LLC BALLWIN MO ORTHOPEDIC SURGERY 128 11 $1,460 $133 100.0% (636) 220-6969

*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 →