NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95719 Measurement of brain wave activity (eeg), 12-26 hours with health care professional review and report CPT · Neurologic test
Classification Test › Neurologic (CMS RBCS)
First observed 2020
National scale 2,967 services ▲ 3.7% YoY · 2,387 beneficiaries (CY2024, Medicare FFS)
Medicare paid $373K · $125.79 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
48
Named-group FFS services
1,999
FFS of Medicare
49%
Services YoY
+3.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,111 services

1,999 observed fee-for-service (49%) · ~2,112 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 — 95719 (CY2024)
NY 701 NV 420 CA 373 NJ 273 FL 232

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$330K
Named-group Medicare payments
$256K
Avg charge / svc
$568
Avg allowed / svc
$165
Avg payment / svc
$128
Average charge per group
$163 48 groups · avg submitted charge / service $1,193
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 95719 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ROLANDO ANIA MD PROF LLC RENO NV NURSE PRACTITIONER 3 298 $152,414 $511 71.0% (775) 251-3917
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 200 $238,600 $1,193 28.5% (212) 263-9700
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 154 $131,824 $856 22.0% —
4 RONALD AUNG-DIN, M.D., P.A. SARASOTA FL NEUROLOGY 2 128 $44,800 $350 55.2% (941) 342-9477
5 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 77 $40,040 $520 28.2% (732) 362-3663
6 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 71 $46,310 $652 19.0% (916) 983-7476
7 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 71 $28,283 $398 37.0% —
8 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 69 $22,049 $320 18.5% (760) 631-3000
9 ADVANCED MEDICAL CARE PLLC FOREST HILLS NY NEUROLOGY 8 67 $12,146 $181 9.6% (718) 261-8881
10 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 64 $41,892 $655 17.2% (800) 926-8273
11 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 57 $27,246 $478 13.6% —
12 LGH MEDICAL GROUP, INC. LOWELL NV NURSE PRACTITIONER 163 49 $23,422 $478 11.7% (978) 788-7344
13 NEUROLOGY CENTER OF FAIRFAX, LTD FAIRFAX VA NEUROLOGY 14 42 $18,942 $451 77.8% 70387608001208
14 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 33 $6,741 $204 4.7% (914) 241-1050
15 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 32 $12,768 $399 71.1% —
16 BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. SUFFERN NY NURSE PRACTITIONER 155 28 $17,115 $611 4.0% 845353560025027
17 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD CT PHYSICIAN ASSISTANT 591 27 $13,122 $486 25.0% (860) 714-3500
18 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 26 $11,284 $434 24.1% (203) 276-4644
19 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 25 $12,500 $500 3.6% (845) 703-6999
20 TJH MEDICAL SERVICES PC JAMAICA NY INTERNAL MEDICINE 211 23 $10,852 $472 3.3% (718) 206-6797
21 ARIZONA NEUROLOGY ASSOCIATES PLLC SUN CITY AZ CLINICAL PSYCHOLOGIST 7 22 $7,040 $320 64.7% (623) 377-7410
22 CLINICAL NEUROSCIENCES OF TAMPA BAY LLP CLEARWATER FL NEUROLOGY 5 21 $5,250 $250 9.1% (727) 443-3295
23 DELAWARE SLEEP DISORDER CENTERS, LLC WILMINGTON DE NURSE PRACTITIONER 12 21 $4,788 $228 100.0% 3024499314108
24 NORTH SHORE-LIJ MEDICAL PC MANHASSET NJ PHYSICIAN ASSISTANT 6294 21 $17,976 $856 7.7% —
25 BENEFIS HOSPITALS INC GREAT FALLS MT PHYSICIAN ASSISTANT 400 21 $7,563 $360 100.0% (406) 455-5000
26 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 19 $11,780 $620 17.6% (203) 739-7118
27 ALAMEDA HEALTH SYSTEM OAKLAND CA INTERNAL MEDICINE 601 19 $10,457 $550 5.1% (510) 437-4800
28 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 19 $6,270 $330 100.0% (219) 836-4563
29 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 18 $14,220 $790 2.6% (212) 305-8559
30 JACKSONVILLE MULTISPECIALTY SERVICES, LLC ORANGE PARK FL NEUROLOGY 2 17 $8,550 $503 7.3% (904) 272-9981
31 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 16 $7,328 $458 4.3% (714) 871-3006
32 ROBERT TODD RIGGIO MD PC LAS VEGAS NV NURSE PRACTITIONER 6 16 $7,600 $475 3.8% (702) 961-5000
33 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 16 $5,088 $318 23.5% (717) 782-2100
34 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 14 $8,820 $630 32.6% (314) 747-3000
35 NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC NEW HYDE PARK NY NEUROLOGY 15 14 $2,574 $184 2.0% 5164664700110
36 RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS PR ORTHOPEDIC SURGERY 245 14 $2,277 $163 100.0% (787) 777-3535
37 DENT NEUROLOGIC GROUP LLP AMHERST NY PHYSICIAN ASSISTANT 116 14 $3,570 $255 2.0% (716) 250-2000
38 REGENTS OF THE UNIVERSITY OF CLAIFORNIA UNIV NEURSCIENCES ORANGE CA NEUROLOGY 75 13 $9,022 $694 3.5% (714) 456-7004
39 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 13 $5,915 $455 28.9% (513) 584-1000
40 HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 19 13 $6,498 $500 31.0% (303) 329-7876
41 NEW YORK UNIVERSITY NEW YORK CT DIAGNOSTIC RADIOLOGY 5704 13 $15,509 $1,193 12.0% (212) 263-9700
42 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 12 $3,849 $321 28.6% —
43 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 12 $6,055 $505 12.9% (410) 502-4340
44 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 12 $5,796 $483 22.2% (804) 764-6000
45 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 12 $6,132 $511 12.9% (410) 663-8100
46 AZ INTEGRATED NEURO SPINE AND PAIN LLC SUN CITY AZ NEUROLOGY 14 12 $5,273 $439 35.3% (623) 322-5700
47 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 11 $9,900 $900 10.2% (203) 688-4242
48 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 11 $5,225 $475 16.2% —
49 UNIVERSITY NEUROLOGY, INC. CRANSTON RI NEUROLOGY 2 11 $3,300 $300 100.0% (401) 944-9559
50 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROLOGY 102 11 $9,141 $831 2.9% —

*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 →