NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95721 Measurement of brain wave activity (eeg), 37-60 hours with health care professional review and report CPT · Neurologic test
Classification Test Neurologic (CMS RBCS)
First observed 2020
National scale 967 services ▼ 7.6% YoY · 953 beneficiaries (CY2024, Medicare FFS)
Medicare paid $158K · $163.73 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
640
FFS of Medicare
49%
Services YoY
-7.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,283 services

640 observed fee-for-service (50%) · ~643 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 — 95721 (CY2024)

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

Named-group submitted charges
$613K
Named-group allowed amount
$135K
Named-group Medicare payments
$106K
Avg charge / svc
$957
Avg allowed / svc
$211
Avg payment / svc
$166
Average charge per group
$300 20 groups · avg submitted charge / service $2,020
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 95721 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 95721 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 97 $160,729 $1,657 premium 48.5% (212) 263-9700
2 ARIZONA NEUROLOGY ASSOCIATES PLLC SUN CITY AZ CLINICAL PSYCHOLOGIST 7 50 $21,250 $425 premium 39.1% (623) 377-7410
3 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 50 $101,000 $2,020 premium 39.1% (800) 603-0558
4 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 48 $20,016 $417 premium 66.7%
5 THE MEDICAL GROUP OF NEW JERSEY HACKETTSTOWN NJ PHYSICIAN ASSISTANT 274 45 $52,427 $1,165 premium 23.3% (908) 979-1621
6 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 38 $43,890 $1,155 premium 100.0%
7 RCI (WRS) LLC DEMOTTE IN PHYSICAL THERAPIST IN PRIVATE PRACTICE 504 30 $9,000 $300 premium 100.0% (219) 987-3073
8 HARMEET S SACHDEV MD INC SAN JOSE CA NEUROLOGY 2 29 $12,080 $417 premium 69.0% (405) 358-7314
9 ABC NEUROLOGY PLLC YUMA AZ NURSE PRACTITIONER 4 28 $42,000 $1,500 premium 21.9% (928) 314-3702
10 ERIVER NEUROLOGY OF NEW YORK LLC POUGHKEEPSIE NY NEUROLOGY 4 27 $12,528 $464 premium 13.5%
11 THE METROHEALTH SYSTEM CLEVELAND OH NURSE PRACTITIONER 1175 24 $8,496 $354 premium 25.3% (216) 778-7800
12 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 22 $9,328 $424 premium 100.0%
13 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 22 $18,906 $859 premium 100.0% (617) 732-5500
14 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 22 $25,080 $1,140 premium 11.0%
15 GERMIN CLINICAL NEUROLOGY WEST LAS VEGAS NV NEUROLOGY 5 20 $21,000 $1,050 premium 100.0% (702) 804-6555
16 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 17 $5,841 $344 premium 8.5% (914) 241-1050
17 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 17 $8,993 $529 premium 17.9%
18 MANAF SEID-ARABI MD PC CLINTON TOWNSHIP MI NEUROLOGY 2 16 $5,280 $330 premium 100.0% (586) 263-0610
19 HUDSON MD GROUP FORT LEE NJ INTERNAL MEDICINE 107 14 $12,411 $886 premium 7.3% (201) 224-0011
20 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 13 $9,893 $761 premium 31.0% (877) 827-7463
21 NORTH SHORE-LIJ MEDICAL PC MANHASSET NJ PHYSICIAN ASSISTANT 6294 11 $12,540 $1,140 premium 5.7%

*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 →