NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment CPT · Test - Miscellaneous
Classification Test › Test - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 21,774 services ▼ 12.6% YoY · 16,289 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.5M · $116.70 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
226
Named-group FFS services
13,007
FFS of Medicare
49%
Services YoY
-12.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~26,005 services

13,007 observed fee-for-service (50%) · ~12,998 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 — 95250 (CY2024)
NY 3,896 NJ 3,157 FL 2,172 CA 2,085 TX 1,940

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

Named-group submitted charges
$4.4M
Named-group allowed amount
$2.0M
Named-group Medicare payments
$1.5M
Avg charge / svc
$335
Avg allowed / svc
$152
Avg payment / svc
$115
Average charge per group
$95 226 groups · avg submitted charge / service $1,700
Disease-burden context

Diagnosed diabetes prevalence: 7.2–15.6% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: WV 15.6% · PR 14.4% · KY 14.3% · LA 13.9% · AR 13.8%
CDC-published US estimate: 12.3% (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.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 95250 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 1,417 $298,486 $211 44.9% (732) 845-2200
2 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NY ENDOCRINOLOGY 13 428 $90,233 $211 11.0% (732) 845-2200
3 SHORE SPECIALTY CONSULTANTS SOMERS POINT NJ PHYSICIAN ASSISTANT 44 252 $71,321 $283 8.0% (609) 365-6239
4 DIABETES AND METABOLISM SPECIALISTS SHAVANO PARK TX ENDOCRINOLOGY 7 228 $65,573 $288 11.8% (210) 494-3739
5 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO TX ENDOCRINOLOGY 5 216 $44,275 $205 11.1% (210) 650-3360
6 AMER AL-KARADSHEH, M.D., P.A HOUSTON TX ENDOCRINOLOGY 9 214 $85,600 $400 11.0% —
7 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 205 $60,758 $296 10.6% (210) 614-8612
8 NEW YORK UNIVERSITY NEW YORK FL DIAGNOSTIC RADIOLOGY 5704 189 $32,890 $174 8.7% (212) 263-9700
9 ENDOCRINE CONSULTANTS OF MID MICHIGAN PC FLINT MI ENDOCRINOLOGY 3 181 $54,351 $300 33.6% (810) 230-0788
10 ENDOCRINE ASSOCIATE OF WEST VILLAGE PC NEW YORK NY NURSE PRACTITIONER 12 180 $78,480 $436 4.6% (212) 675-9332
11 ELITE DIABETES AND ENDOCRINE SPECIALISTS LLC BOCA RATON FL ENDOCRINOLOGY 3 180 $57,600 $320 8.3% (561) 235-5980
12 DIABETES AND LIFESTYLE MANAGEMENT LLC DERRY NH NURSE PRACTITIONER 6 176 $44,000 $250 100.0% (603) 552-3309
13 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 164 $89,380 $545 4.2% (212) 746-5454
14 ROGUE VALLEY PHYSICIANS MEDFORD OR PHYSICIAN ASSISTANT 21 163 $76,538 $470 100.0% (541) 282-2208
15 ENDOCRINE ASSOCIATES OF LONG ISLAND, PC SMITHTOWN NY ENDOCRINOLOGY 2 159 $47,700 $300 4.1% (631) 265-5545
16 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 146 $39,195 $268 53.3% (901) 261-0700
17 HPW CENTER FOR DIABETES LLC TERRE HAUTE IN ENDOCRINOLOGY 10 145 $51,185 $353 37.7% (812) 235-8496
18 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 138 $48,300 $350 17.2% (630) 469-9200
19 EAST COAST MEDICAL ASSOCIATES, INC. BOCA RATON FL ENDOCRINOLOGY 6 122 $17,915 $147 5.6% (561) 391-1085
20 VETERANS HOME OF CALIFORNIA YOUNTVILLE CA INTERNAL MEDICINE 25 121 $32,004 $264 5.8% (707) 944-4506
21 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 119 $85,257 $716 5.7% (415) 600-1020
22 NEIGHBORHOOD IMPROVEMENT PROJECT, INC AUGUSTA GA PHYSICIAN ASSISTANT 65 118 $25,550 $217 16.5% (706) 790-4440
23 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 117 $32,610 $279 5.4% (321) 434-8878
24 ENDOCRINE AND DIABETES CONSULTANTS OF CENTRAL FLORIDA LLC MAITLAND FL PHYSICIAN ASSISTANT 3 114 $19,925 $175 5.2% (407) 436-9601
25 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 111 $48,618 $438 17.8% —
26 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 110 $32,478 $295 5.1% (941) 255-3535
27 COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. COLUMBUS GA NURSE PRACTITIONER 156 107 $54,998 $514 14.9% (706) 571-1120
28 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 105 $31,500 $300 4.8% (561) 659-6336
29 METROPOLITAN ENDOCRINOLOGY LLC EDGEWATER NJ NURSE PRACTITIONER 9 103 $40,900 $397 3.3% (201) 781-5850
30 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 102 $32,028 $314 84.3% —
31 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 102 $94,300 $925 2.6% (212) 263-9700
32 JACKSON MEDICAL ASSOCIATES, PLLC SYLVA NC NURSE PRACTITIONER 9 100 $14,800 $148 22.9% (828) 339-2273
33 ENDOCRINE ASSOCIATES OF NASSAU ANDQUEENS,P.C GREAT NECK NY ENDOCRINOLOGY 5 97 $53,250 $549 2.5% —
34 R. BAUER VAUGHTERS, III, MD, INC. AIKEN SC NURSE PRACTITIONER 2 96 $33,600 $350 15.4% (803) 648-3130
35 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 94 $24,726 $263 4.3% (407) 896-1100
36 PHILIP RABITO MD PC NEW YORK NY ENDOCRINOLOGY 2 93 $46,500 $500 2.4% (877) 703-3775
37 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 90 $59,400 $660 2.3% (631) 628-5000
38 UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC PHYSICIAN ASSISTANT 985 89 $49,840 $560 20.4% (919) 942-5123
39 THE FAMILY MEDICINE INSTITUTE CORPORATION TOMS RIVER NJ NURSE PRACTITIONER 4 87 $30,015 $345 2.8% (732) 255-3636
40 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 87 $41,151 $473 33.1% —
41 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 87 $75,516 $868 2.2% —
42 ENDOCRINOLOGY ASSOCIATES P A DTD SCOTTSDALE AZ ENDOCRINOLOGY 10 86 $26,746 $311 25.1% (602) 266-8463
43 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 85 $43,775 $515 2.7% (856) 247-7260
44 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 84 $37,548 $447 10.4% (630) 933-4800
45 SPECIALTY MEDCONSULTANTS LLC VENTNOR CITY NJ NEPHROLOGY 18 82 $24,600 $300 2.6% (609) 350-6780
46 NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA JACKSONVILLE FL PHYSICIAN ASSISTANT 82 80 $17,200 $215 3.7% (904) 384-2240
47 GLORIA ORTIZ, MD, P.A. MCALLEN TX ENDOCRINOLOGY 3 80 $17,200 $215 4.1% (956) 340-4222
48 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO MN ENDOCRINOLOGY 5 78 $15,990 $205 52.7% (210) 650-3360
49 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 78 $24,492 $314 17.9% (252) 355-4357
50 CARY ENDOCRINE AND DIABETES CENTER PA CARY NC PHYSICIAN ASSISTANT 5 76 $22,040 $290 17.4% (919) 378-2332
51 ALZOHAILI MEDICAL CONSULTANTS MD PC DEARBORN MI ENDOCRINOLOGY 17 76 $27,730 $365 14.1% (313) 203-5300
52 UPMC WESTERN MARYLAND HEALTH SERVICES LLC CUMBERLAND MD PHYSICIAN ASSISTANT 171 75 $16,650 $222 16.8% —
53 BMC AFFILIATED PHYSICIANS, INC. BROCKTON MA PHYSICIAN ASSISTANT 525 74 $40,256 $544 21.7% (508) 427-3000
54 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 72 $26,610 $370 25.1% (484) 526-2400
55 EAST VALLEY ENDOCRINOLOGY, DIABETES AND METABOLISM, PC SCOTTSDALE AZ ENDOCRINOLOGY 2 71 $10,736 $151 20.8% (480) 664-8988
56 ROBERT WOZNIAK MD PA ROCK HILL SC ENDOCRINOLOGY 4 69 $19,953 $289 11.1% (803) 329-3899
57 CHRISTIAN KIM MD, PC FORT LEE NJ NURSE PRACTITIONER 3 68 $14,398 $212 2.2% (201) 724-3890
58 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 68 $25,031 $368 77.3% —
59 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 61 $26,718 $438 56.0% (314) 747-3000
60 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL MD ORTHOPEDIC SURGERY 675 61 $9,670 $159 13.7% —
61 ALI ACHIRA MD PC DEARBORN MI ENDOCRINOLOGY 2 60 $9,171 $153 11.2% (586) 438-3535
62 SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC SAN ANTONIO TX INTERNAL MEDICINE 3 59 $17,818 $302 3.0% (210) 352-5006
63 ANNISTON MEDICAL CLINIC, PC ANNISTON AL NURSE PRACTITIONER 13 59 $10,915 $185 28.6% (256) 236-5631
64 DR BUZZ MEDICAL P.C. BROOKLYN NY ENDOCRINOLOGY 2 58 $13,040 $225 1.5% (718) 252-3000
65 AGHA MEDICAL INC MORRIS IL NURSE PRACTITIONER 5 56 $19,600 $350 7.0% (815) 941-2007
66 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 56 $29,887 $534 2.9% —
67 MONTHER AL-HALAWANI, MD, PA BRANDON FL ENDOCRINOLOGY 2 55 $13,750 $250 2.5% (813) 643-4722
68 MIDDLE COUNTRY ENDOCRINOLOGY, PC SMITHTOWN NY PHYSICIAN ASSISTANT 3 51 $15,300 $300 1.3% (631) 509-0390
69 ANMED HEALTH ANDERSON SC FAMILY PRACTICE 343 51 $21,369 $419 8.2% —
70 PROVIDENCE MEDICAL GROUP, LLC TERRE HAUTE IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 25 50 $17,650 $353 13.0% (812) 232-5936
71 DEBORAH CARDIOVASCULAR GROUP, P.C. BROWNS MILLS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 50 $13,250 $265 1.6% (609) 621-2075
72 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 50 $16,150 $323 2.3% (941) 366-1888
73 JELLINGER AND LERMAN, MD, LLC FT LAUDERDALE FL ENDOCRINOLOGY 5 49 $21,805 $445 2.3% (954) 963-7100
74 ADVANCED INSTITUTE FOR METABOLIC DISORDERS, ENDOCRINOLOGY AND DIABETES ANDERSON SC ENDOCRINOLOGY 4 49 $22,339 $456 7.9% (864) 745-8989
75 DIABETES MANAGEMENT ASSOCIATES MT PLEASANT TN FAMILY PRACTICE 2 48 $12,926 $269 17.5% (931) 325-5560
76 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 48 $11,040 $230 34.8% (419) 626-6161
77 MARK BARATS MD A PROFESSIONAL CORPORATION WEST HOLLYWOOD CA NEPHROLOGY 2 46 $8,510 $185 2.2% (323) 654-2020
78 DIABETES AND ENDOCRINOLOGY CONSULTANTS, PC WEST NYACK NY ENDOCRINOLOGY 5 46 $13,800 $300 1.2% (845) 358-6266
79 SUSSEX PULMONARY AND ENDOCRINE CONSULTANTS, PA LEWES DE PULMONARY DISEASE 4 46 $14,490 $315 61.3% (302) 644-7201
80 THOMAS C JONES, M.D., P.C. MACON GA NURSE PRACTITIONER 13 45 $14,625 $325 6.3% (478) 746-8626
81 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 44 $12,540 $285 31.9% (937) 395-8646
82 VALLEY DIABETES AND ENDOCRINOLOGY COMPREHENSIVE CENTER P.L.L.C. EDINBURG TX ENDOCRINOLOGY 5 43 $12,900 $300 2.2% (956) 603-1555
83 ENDOCRINE CONSULTANTS OF MORRIS COUNTY FLORHAM PARK NJ ENDOCRINOLOGY 3 43 $9,675 $225 1.4% (973) 665-8100
84 AMBOY MEDICAL PRACTICE PC STATEN ISLAND NY INTERNAL MEDICINE 180 43 $14,018 $326 1.1% (718) 818-1058
85 INSTITUTE OF ENDOCRINOLOGY DIABETES HEALTH AND HORMONES PANAMA CITY GA ENDOCRINOLOGY 31 42 $10,500 $250 5.9% (850) 522-5490
86 ADVANCED ENDOCRIONOLOGY LLC SCHAUMBURG IL NURSE PRACTITIONER 4 41 $20,500 $500 5.1% (847) 686-6866
87 FREDERICK INTERNAL MEDICINE AND ENDOCRINOLOGY SERVICES PA FREDERICK MD INTERNAL MEDICINE 5 41 $13,940 $340 9.2% (301) 663-3836
88 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 41 $13,161 $321 40.2% (859) 578-5880
89 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 40 $20,520 $513 1.3% (732) 362-3663
90 ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC MASSAPEQUA NY INTERNAL MEDICINE 5 40 $8,621 $216 1.0% (516) 798-1116
91 AMELI CARDIOLOGY LTD LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 40 $9,200 $230 18.4% (702) 906-1100
92 MIDDLETON FAMILY MEDICINE URGENT CARE LLC MIDDLETON MA NURSE PRACTITIONER 69 39 $9,894 $254 11.4% (978) 774-2555
93 SOUTHERN ENDOCRINOLOGY ASSOCIATES MESQUITE TX ENDOCRINOLOGY 7 38 $17,100 $450 2.0% (214) 909-8903
94 PRINCETON MEDICAL GROUP,P.A. PRINCETON NJ INTERNAL MEDICINE 36 38 $20,330 $535 1.2% (609) 924-9300
95 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 38 $20,976 $552 4.7% —
96 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 38 $14,482 $381 45.8% —
97 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 37 $20,476 $553 1.8% —
98 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION WHITESBURG KY NURSE PRACTITIONER 83 37 $10,175 $275 36.3% (606) 633-4871
99 CAPITAL DIABETES AND ENDOCRINE ASSOCIATES LLC CAMP SPRINGS MD ENDOCRINOLOGY 13 37 $13,986 $378 8.3% (301) 899-7713
100 AHMED FAMILY PRACTICE LLC FOREST PARK GA NURSE PRACTITIONER 3 37 $5,978 $162 5.2% (404) 968-9469

Showing the top 100 of 226 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 →