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Market snapshot

95251 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95251 — Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report

Billing groups
1,398
Named-group FFS services
632,251
FFS of Medicare
49%
Services YoY
+23.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,266,268 services

632,251 observed fee-for-service (50%) · ~634,017 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; 1 state without payer-mix data excluded. How we scale

Top states — 95251 (CY2024)
CA 61,004 FL 58,798 TX 58,028 NY 49,348 IL 36,789

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

Named-group submitted charges
$68.5M
Named-group allowed amount
$20.4M
Named-group Medicare payments
$15.4M
Avg charge / svc
$108
Avg allowed / svc
$32
Avg payment / svc
$24
Average charge per group
$20 1,398 groups · avg submitted charge / service $466
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 95251 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 5,637 $957,550 $170 9.2% (415) 600-1020
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 5,577 $1,324,025 $237 11.3% (212) 263-9700
3 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 4,798 $618,456 $129 13.0% —
4 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 4,034 $349,384 $87 39.9% —
5 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 3,964 $749,196 $189 8.0% —
6 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 3,869 $334,978 $87 6.7% (210) 614-8612
7 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 3,634 $817,650 $225 6.0% (310) 825-7922
8 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 3,537 $248,251 $70 6.0% (941) 255-3535
9 NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA JACKSONVILLE FL PHYSICIAN ASSISTANT 82 3,468 $230,511 $66 5.9% (904) 384-2240
10 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 3,173 $383,933 $121 8.6% (630) 933-4800
11 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 3,158 $375,802 $119 9.3% (908) 273-4300
12 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 3,147 $227,412 $72 16.4% (901) 261-0700
13 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 2,875 $258,750 $90 18.2% —
14 TEXAS DIABETES AND ENDOCRINOLOGY, P.A. AUSTIN TX ENDOCRINOLOGY 25 2,697 $269,635 $100 4.6% (512) 458-8400
15 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 2,668 $266,454 $100 46.0% (801) 261-8346
16 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,524 $546,242 $216 8.8% —
17 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 2,497 $275,614 $110 12.2% —
18 HILL MEDICAL SERVICES, LLC RUSTON LA NURSE PRACTITIONER 7 2,493 $124,650 $50 24.0% (318) 224-3044
19 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 2,389 $205,973 $86 4.1% (561) 659-6336
20 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 2,386 $212,354 $89 4.1% (941) 366-1888
21 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 2,330 $294,844 $127 4.0% —
22 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 2,307 $156,876 $68 19.6% (502) 928-1050
23 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 2,303 $182,063 $79 6.6% —
24 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 2,291 $273,182 $119 9.5% —
25 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 2,251 $186,833 $83 23.9% (501) 562-4838
26 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 2,201 $259,043 $118 9.2% —
27 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 2,157 $228,642 $106 8.9% (410) 761-1222
28 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 2,149 $238,955 $111 22.5% —
29 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 2,112 $219,632 $104 14.0% (253) 428-2200
30 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 2,089 $397,983 $191 17.9% (414) 421-8400
31 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 2,056 $192,275 $94 5.9% (484) 526-2400
32 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 2,029 $209,594 $103 3.3% (714) 871-3006
33 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 2,026 $151,950 $75 8.4% (757) 410-4488
34 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 1,989 $188,790 $95 23.1% (515) 461-9786
35 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 1,978 $135,273 $68 8.2% —
36 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,973 $390,721 $198 5.4% —
37 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 1,964 $202,951 $103 22.9% —
38 ALEKSANDRA KRAEHER MD PA JUPITER FL ENDOCRINOLOGY 9 1,964 $117,840 $60 3.3% (561) 626-9041
39 ATLANTA DIABETES ASSOCIATES ATLANTA GA INTERNAL MEDICINE 9 1,921 $211,310 $110 7.7% (404) 355-4393
40 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 1,916 $164,773 $86 3.3% —
41 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 1,902 $336,836 $177 3.1% (916) 681-8852
42 THE CHRIST HOSPITAL MEDICAL ASSOCIATES, LLC CINCINNATI OH FAMILY PRACTICE 268 1,899 $102,546 $54 6.6% (513) 624-9100
43 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 1,889 $299,142 $158 3.1% (916) 983-7476
44 BANNER PHYSICIAN SPECIALISTS ARIZONA LLC SUN CITY AZ PHYSICIAN ASSISTANT 354 1,884 $175,212 $93 10.6% (623) 832-4000
45 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 1,877 $230,871 $123 7.5% (404) 367-3210
46 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,867 $216,572 $116 5.1% (847) 459-1160
47 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 1,846 $84,753 $46 5.4% (732) 845-2200
48 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,839 $264,855 $144 3.2% (254) 724-2663
49 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 1,828 $194,839 $107 12.1% (206) 364-0500
50 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 1,796 $193,968 $108 7.0% (910) 341-1540
51 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,790 $161,770 $90 4.9% (630) 469-9200
52 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 1,772 $187,451 $106 8.7% (314) 747-3000
53 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 1,750 $201,250 $115 5.1% (732) 362-3663
54 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 1,742 $167,330 $96 5.0% —
55 ENDOCRINOLOGY ASSOCIATES P A DTD SCOTTSDALE AZ ENDOCRINOLOGY 10 1,735 $152,680 $88 9.8% (602) 266-8463
56 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 1,717 $159,673 $93 6.0% (614) 451-9612
57 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 1,705 $196,075 $115 5.0% (856) 247-7260
58 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 1,686 $174,847 $104 6.6% (704) 384-8200
59 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 1,677 $179,909 $107 14.2% (502) 629-2398
60 NORTH ATLANTA ENDOCRINOLOGY AND DIABETES, PC LAWRENCEVILLE GA ENDOCRINOLOGY 10 1,663 $249,450 $150 6.7% 7703391387229
61 DIABETES AND ENDOCRINOLOGY SPECIALISTS INC CHESTERFIELD MO ENDOCRINOLOGY 3 1,661 $83,050 $50 8.1% 3144696224226
62 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 1,651 $198,120 $120 2.8% (903) 606-5560
63 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 1,636 $168,861 $103 6.5% (770) 422-2004
64 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 1,599 $126,529 $79 13.0% (785) 354-9591
65 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 1,592 $114,522 $72 5.6% (419) 291-1111
66 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 1,583 $81,499 $51 2.7% (806) 358-8331
67 PREMIER INDEPENDENT PHYSICIANS GROUP INC EULESS TX PHYSICIAN ASSISTANT 40 1,572 $141,195 $90 2.7% (817) 896-6344
68 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 1,563 $146,922 $94 7.3% —
69 MVHE INC DAYTON OH INTERNAL MEDICINE 389 1,560 $127,920 $82 5.5% (937) 252-1831
70 ENDOCRINOLOGY CONSULTANTS OF EAST TN KNOXVILLE TN NURSE PRACTITIONER 37 1,550 $249,102 $161 8.1% (865) 637-8812
71 SOUTHERN DIABETES CARE PLLC FLORENCE MS NURSE PRACTITIONER 5 1,544 $100,320 $65 15.2% (601) 891-8657
72 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 1,543 $128,460 $83 13.1% (859) 578-5880
73 THOMAS C JONES, M.D., P.C. MACON GA NURSE PRACTITIONER 13 1,531 $137,790 $90 6.1% (478) 746-8626
74 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 1,528 $149,679 $98 4.4% (570) 271-6144
75 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 1,508 $135,375 $90 2.5% (805) 681-7500
76 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 1,504 $127,840 $85 5.9% (252) 355-4357
77 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 1,503 $207,347 $138 12.7% (502) 937-2209
78 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 1,498 $55,964 $37 41.0% (605) 322-5180
79 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 1,486 $266,852 $180 2.4% (925) 462-7060
80 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KS NURSE PRACTITIONER 1228 1,480 $159,845 $108 12.1% —
81 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 1,475 $139,545 $95 5.7% (919) 684-8111
82 CAPITAL DIABETES AND ENDOCRINE ASSOCIATES LLC CAMP SPRINGS MD ENDOCRINOLOGY 13 1,471 $119,007 $81 6.1% (301) 899-7713
83 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,464 $185,091 $126 8.3% (800) 603-0558
84 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 1,454 $137,036 $94 5.1% —
85 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 1,452 $155,144 $107 6.0% —
86 TRYON MEDICAL PARTNERS, PLLC CHARLOTTE NC INTERNAL MEDICINE 145 1,448 $128,845 $89 5.6% (704) 495-6334
87 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 1,439 $120,876 $84 2.4% (727) 725-5060
88 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 1,414 $141,728 $100 6.6% —
89 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 1,414 $205,461 $145 2.4% (214) 633-5555
90 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 1,409 $205,348 $146 6.0% (508) 334-1000
91 DIABETES AND ENDOCRINE CENTER OF MS JACKSON MS ENDOCRINOLOGY 9 1,397 $90,805 $65 13.8% (601) 326-4255
92 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 1,393 $208,950 $150 7.3% (615) 322-5000
93 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 1,392 $125,472 $90 4.0% —
94 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 1,388 $179,404 $129 14.3% (612) 863-4000
95 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 1,378 $124,020 $90 5.5% (770) 536-9864
96 WICHITA DIABETES AND ENDOCRINOLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 7 1,360 $136,000 $100 11.1% (316) 330-3636
97 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 1,354 $178,728 $132 3.9% (215) 662-2777
98 ARIZONA ENDOCRINOLOGY CENTER PLC PHOENIX AZ ENDOCRINOLOGY 10 1,339 $87,035 $65 7.6% (602) 439-9623
99 INSTITUTE OF ENDOCRINOLOGY DIABETES HEALTH AND HORMONES PANAMA CITY FL ENDOCRINOLOGY 31 1,329 $121,678 $92 2.3% (850) 522-5490
100 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 1,321 $157,199 $119 3.9% (973) 971-5596

Showing the top 100 of 1,398 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 →