NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95018 Test for allergy using combination of methods with drug or biological CPT · Test - Miscellaneous
Classification Test › Test - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 34,327 services ▼ 6.1% YoY · 4,610 beneficiaries (CY2024, Medicare FFS)
Medicare paid $472K · $13.75 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
112
Named-group FFS services
23,780
FFS of Medicare
49%
Services YoY
-6.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~45,060 services

23,780 observed fee-for-service (53%) · ~21,280 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 — 95018 (CY2024)
MA 4,864 NJ 3,935 FL 3,592 NY 3,454 TX 2,816

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$424K
Named-group Medicare payments
$327K
Avg charge / svc
$67
Avg allowed / svc
$18
Avg payment / svc
$14
Average charge per group
$7 112 groups · avg submitted charge / service $364
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 95018 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 850 $42,500 $50 24.6% (914) 963-8588
2 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 844 $55,872 $66 17.4% —
3 BERKSHIRE ALLERGY CARE PC PITTSFIELD MA ALLERGY/IMMUNOLOGY 5 813 $59,730 $73 16.7% (413) 443-4826
4 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 778 $54,930 $71 19.8% (732) 362-3663
5 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 713 $66,164 $93 14.7% (617) 724-0287
6 ENT AND ALLERGY ASSOCIATES LLP YONKERS NJ OTOLARYNGOLOGY 429 647 $30,701 $47 16.4% (914) 963-8588
7 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 616 $15,222 $25 38.2% —
8 INSTITUTE FOR ASTHMA AND ALLERGY PC WHEATON MD ALLERGY/IMMUNOLOGY 11 576 $39,168 $68 62.5% (301) 962-5800
9 BRETT E. STANALAND, M.D., P.A. NAPLES FL ALLERGY/IMMUNOLOGY 2 451 $54,120 $120 12.6% (239) 434-6200
10 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 449 $6,773 $15 21.4% (760) 340-3911
11 TRINITY HEALTH MINOT ND NURSE PRACTITIONER 296 435 $49,590 $114 77.4% (701) 418-8000
12 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 431 $49,996 $116 12.5% —
13 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 424 $20,352 $48 66.6% —
14 APEX ALLERGY AND IMMUNOLOGY, P.C. GREENVILLE SC PHYSICIAN ASSISTANT 5 404 $22,624 $56 69.1% (864) 720-2739
15 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 394 $98,894 $251 14.8% (507) 284-2511
16 INFUSION EXPRESS OF ILLINOIS LLC GLENVIEW IL NURSE PRACTITIONER 20 391 $6,647 $17 24.3% (224) 803-2292
17 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 387 $11,610 $30 8.0% (617) 732-5500
18 SUDHIR M PARIKH MD PA HIGHLAND PARK NJ ALLERGY/IMMUNOLOGY 9 372 $12,100 $33 9.5% —
19 GREATER BOSTON ALLERGY ASTHMA SINUS AND IMMUNOLOGY CENTERS, P.C. HYANNIS MA ALLERGY/IMMUNOLOGY 7 367 $18,350 $50 7.5% (508) 362-0099
20 HUGH H WINDOM MD PA SARASOTA FL ALLERGY/IMMUNOLOGY 4 343 $7,176 $21 9.5% (941) 927-4888
21 ALLERGY PARTNERS OF NJ PC OCEAN NJ ALLERGY/IMMUNOLOGY 7 340 $19,040 $56 8.6% (732) 695-2555
22 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 315 $22,176 $70 100.0% (402) 559-4000
23 NEW YORK ALLERGY AND ASTHMA PLLC NEW YORK NY ALLERGY/IMMUNOLOGY 3 313 $18,780 $60 9.1% (212) 517-3300
24 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 312 $16,701 $54 100.0% (859) 258-4568
25 MID ISLAND ALLERGY GROUP PC PLAINVIEW NY ALLERGY/IMMUNOLOGY 3 307 $18,420 $60 8.9% (516) 938-7676
26 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 303 $21,420 $71 8.8% (631) 444-1560
27 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 300 $20,400 $68 73.9% (615) 322-5000
28 ENT AND ALLERGY OF DELAWARE LLC NEWARK DE OTOLARYNGOLOGY 42 295 $15,124 $51 100.0% (302) 998-0300
29 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 281 $11,980 $43 7.8% (352) 416-1082
30 ENT AND ALLERGY ASSOCIATES OF PENNSYLVANIA PLLC WILLOW GROVE PA ALLERGY/IMMUNOLOGY 7 270 $7,020 $26 23.9% (215) 659-5480
31 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 269 $52,993 $197 7.5% (904) 953-2000
32 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 252 $20,409 $81 62.7% (314) 747-3000
33 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 251 $17,570 $70 5.2% —
34 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 214 $15,490 $72 10.2% (858) 455-9100
35 ASTHMA AND ALLERGY AFFILIATES INC SALEM MA ALLERGY/IMMUNOLOGY 7 214 $14,980 $70 4.4% (978) 745-4767
36 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 212 $17,389 $82 6.1% (914) 681-0600
37 ALLERGY AFFILIATES, INC. BRADENTON FL PHYSICIAN ASSISTANT 2 197 $7,388 $38 5.5% (941) 792-4151
38 PREMIER ALLERGIST OF FLORIDA LLC VENICE FL ALLERGY/IMMUNOLOGY 23 188 $8,733 $46 5.2% (941) 800-2901
39 CAROLINA FAMILY CARE INC CHARLESTON SC FAMILY PRACTICE 87 181 $14,177 $78 30.9% (843) 876-3157
40 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 180 $20,880 $116 39.0% (715) 838-5222
41 SHINRA PC WEST DES MOINES IA NURSE PRACTITIONER 3 178 $6,675 $38 49.6% (316) 452-1653
42 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 178 $8,188 $46 100.0% (785) 354-9591
43 ALLERGY AND ASTHMA ASSOCIATES OF MURRAY HILL PC NEW YORK NY ALLERGY/IMMUNOLOGY 4 168 $5,190 $31 4.9% (212) 685-4225
44 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 164 $17,712 $108 41.9% (800) 603-0558
45 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 163 $22,665 $139 7.8% (650) 723-4000
46 ALLERGY PARTNERS PLLC ASHEVILLE NM ALLERGY/IMMUNOLOGY 143 157 $8,792 $56 100.0% (828) 253-3382
47 TIMBER LANE ALLERGY AND ASTHMA ASSOCIATES, PC S BURLINGTON VT ALLERGY/IMMUNOLOGY 3 155 $7,866 $51 100.0% (802) 864-0294
48 OCEAN ALLERGY PARTNERS, LLC BRICK TOWNSHIP NJ ALLERGY/IMMUNOLOGY 4 152 $4,560 $30 3.9% (732) 458-2000
49 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 151 $3,255 $22 16.4% —
50 MPV NEW JERSEY MD SERVICES PC NUTLEY NJ INTERNAL MEDICINE 142 150 $54,600 $364 3.8% (973) 661-1900
51 SCHWEIGER DERMATOLOGY PLLC NEW YORK NY PHYSICIAN ASSISTANT 238 148 $7,400 $50 4.3% (212) 283-3000
52 SPECIALTY PHYSICIAN ASSOCIATES, LLC BETHLEHEM PA OTOLARYNGOLOGY 44 147 $6,174 $42 13.0% —
53 MIDWEST ENT ALLIANCE PLLC PARK RIDGE IL OTOLARYNGOLOGY 95 147 $6,468 $44 9.1% (847) 674-5585
54 AUGUSTA ENT PC EVANS GA OTOLARYNGOLOGY 31 146 $7,417 $51 65.8% (706) 868-5676
55 ALLERGY AND ASTHMA CENTER OF MASSACHUSETTS PC CHESTNUT HILL MA ALLERGY/IMMUNOLOGY 2 142 $5,822 $41 2.9% (617) 232-1690
56 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 140 $14,280 $102 6.7% (415) 600-1020
57 ALLERGY ASTHMA ASSOCIATES PC TUCSON AZ ALLERGY/IMMUNOLOGY 4 139 $4,587 $33 35.5% (520) 531-9254
58 MAYO CLINIC ARIZONA PHOENIX FL PHYSICIAN ASSISTANT 1635 136 $14,688 $108 3.8% (800) 603-0558
59 ALLERGY AND ASTHMA SPECIALISTS, PC CHELMSFORD MA ALLERGY/IMMUNOLOGY 5 136 $20,400 $150 2.8% (978) 256-4531
60 US ALLERGY AND ASTHMA FRISCO TX ALLERGY/IMMUNOLOGY 2 132 $4,620 $35 4.7% (469) 200-2605
61 FAMILY ALLERGY AND ASTHMA CONSULTANTS JACKSONVILLE FL ALLERGY/IMMUNOLOGY 6 131 $3,275 $25 3.6% —
62 ALLERGY PARTNERS OF COLORADO, PC GREELEY CO ALLERGY/IMMUNOLOGY 6 131 $7,336 $56 43.1% (970) 330-5391
63 CONNECTICUT ASTHMA AND ALLERGY CENTER LLC WEST HARTFORD CT ALLERGY/IMMUNOLOGY 8 129 $6,867 $53 59.2% (860) 232-9911
64 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 128 $1,152 $9 11.3% —
65 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 128 $844 $7 4.8% (612) 863-4000
66 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 126 $12,852 $102 3.2% (908) 273-4300
67 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 126 $6,426 $51 3.5% (321) 622-8730
68 ALLERGY AND ASTHMA ASSOCIATES OF MI PC ROYAL OAK MI ALLERGY/IMMUNOLOGY 3 123 $4,305 $35 100.0% (248) 549-0777
69 BRYAN HOSPITAL KEARNEY KEARNEY MN PHYSICIAN ASSISTANT 112 119 $5,950 $50 4.5% (308) 865-2263
70 MONTEFIORE MEDICAL CENTER BRONX OH PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 119 $16,065 $135 18.7% (866) 633-8255
71 FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC GERMANTOWN WI NURSE PRACTITIONER 1260 118 $16,536 $140 25.6% (262) 253-5060
72 ALLERGY AND ASTHMA ASSOCIATES OF MAINE PORTLAND ME ALLERGY/IMMUNOLOGY 9 118 $4,665 $40 54.9% (207) 774-9839
73 THOMAS E KLEIN MD PC HAVERTOWN PA ALLERGY/IMMUNOLOGY 6 117 $3,510 $30 10.4% (610) 789-1313
74 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 113 $6,667 $59 12.3% (410) 744-0661
75 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 111 $10,434 $94 4.2% (952) 993-3123
76 MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA JACKSON MS ALLERGY/IMMUNOLOGY 15 110 $10,450 $95 100.0% (601) 354-4836
77 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 108 $14,472 $134 6.7% —
78 ALLERGY PARTNERS PLLC ASHEVILLE FL ALLERGY/IMMUNOLOGY 143 107 $5,992 $56 3.0% (828) 253-3382
79 FLORIDA ALLERGY AND ASTHMA ASSOCIATES PA ATLANTIS FL ALLERGY/IMMUNOLOGY 4 103 $3,296 $32 2.9% (561) 965-6685
80 BORLAND GROOVER CLINIC, PA JACKSONVILLE FL GASTROENTEROLOGY 125 103 $6,622 $64 2.9% (904) 398-7205
81 ALLERGY AND IMMUNOLOGY ASSOCIATES OF NEW ENGLAND LLC WILBRAHAM MA PHYSICIAN ASSISTANT 10 98 $6,370 $65 2.0% (413) 596-4943
82 EASTERN MAINE MEDICAL CENTER BANGOR ME PHYSICIAN ASSISTANT 697 97 $3,492 $36 45.1% (207) 973-7000
83 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 94 $5,170 $55 14.8% (419) 626-6161
84 COLORADO ALLERGY AND ASTHMA CENTERS PC HIGHLANDS RANCH CO PHYSICIAN ASSISTANT 25 91 $3,094 $34 29.9% (303) 795-8177
85 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA CA NURSE PRACTITIONER 649 90 $4,140 $46 4.3% (785) 354-9591
86 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 90 $5,452 $61 25.1% (515) 343-1000
87 MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC STATE COLLEGE PA PHYSICIAN ASSISTANT 363 88 $5,026 $57 7.8% (814) 234-8800
88 ARIZONA ASTHMA ALLERGY LEGACY PLC PEORIA AZ PHYSICIAN ASSISTANT 17 88 $4,664 $53 22.5% (602) 843-2991
89 SANDEEP GUPTA, MD, PA DALLAS TX ALLERGY/IMMUNOLOGY 10 88 $3,080 $35 3.1% (214) 369-1901
90 ALLERGY PARTNERS PLLC ASHEVILLE VA ALLERGY/IMMUNOLOGY 143 86 $4,816 $56 100.0% (828) 253-3382
91 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 83 $6,391 $77 35.8% (574) 234-8161
92 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 82 $8,200 $100 2.4% (914) 241-1050
93 MATTHEW P MARDINEY MD PC BEL AIR MD ALLERGY/IMMUNOLOGY 4 82 $3,280 $40 8.9% (443) 987-6998
94 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 82 $5,002 $61 1.7% (617) 421-1000
95 COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC COLORADO SPRINGS CO OTOLARYNGOLOGY 20 82 $4,592 $56 27.0% (719) 867-7800
96 ALLERGY AND ASTHMA CONSULTANTS, P.C. ATLANTA GA ALLERGY/IMMUNOLOGY 2 76 $1,900 $25 34.2% (404) 255-9286
97 ASSOCIATED ALLERGISTS AND ASTHMA SPECIALISTS, LTD HIGHLAND PARK IL ALLERGY/IMMUNOLOGY 4 73 $3,285 $45 4.5% (847) 433-7660
98 SCHWEIGER DERMATOLOGY PC HOBOKEN NJ PHYSICIAN ASSISTANT 181 73 $3,358 $46 1.9% (212) 283-3000
99 ALLIED PHYSICIANS GROUP, PLLC RIVERHEAD NY PHYSICIAN ASSISTANT 17 73 $4,015 $55 2.1% (631) 722-8880
100 ALLERGY CARE CENTER A MEDICAL CORPORATION CAMARILLO CA PHYSICIAN ASSISTANT 4 67 $4,020 $60 3.2% (805) 482-8989

Showing the top 100 of 112 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 →