NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
96131 Evaluation of psychological test, each additional hour CPT · E&M
Classification E&M › Behavioral Health Services (CMS RBCS)
First observed 2019
National scale 60,964 services ▲ 15.3% YoY · 28,316 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.0M · $65.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
156
Named-group FFS services
34,306
FFS of Medicare
49%
Services YoY
+15.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~70,764 services

34,305 observed fee-for-service (48%) · ~36,459 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 — 96131 (CY2024)
CA 24,460 TX 9,441 FL 4,766 AZ 2,360 NJ 1,665

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

Named-group submitted charges
$5.4M
Named-group allowed amount
$2.8M
Named-group Medicare payments
$2.2M
Avg charge / svc
$157
Avg allowed / svc
$82
Avg payment / svc
$65
Average charge per group
$80 156 groups · avg submitted charge / service $963
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 96131 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EXECUTIVE MENTAL HEALTH, INC LOS ANGELES CA CLINICAL PSYCHOLOGIST 44 8,810 $704,183 $80 36.0% (310) 273-4843
2 CAREWRIGHT CLINICAL SERVICES, PLLC DALLAS TX CLINICAL PSYCHOLOGIST 35 4,307 $646,050 $150 45.6% (214) 918-1999
3 ACCESS PSYCHOLOGY SERVICES PC FRESNO CA CLINICAL PSYCHOLOGIST 17 3,030 $303,000 $100 12.4% (559) 321-0883
4 DR GLENN J BRICKEN AND ASSOC P C THE WOODLANDS TX CLINICAL PSYCHOLOGIST 8 2,783 $556,600 $200 29.5% (281) 364-0067
5 FAMILY PSYCHOLOGICAL SERVICES INC AGOURA HILLS CA NURSE PRACTITIONER 16 1,223 $244,600 $200 5.0% (818) 707-7366
6 BLUEGRASS HEALTH PSYCHOLOGY INC. LEXINGTON KY CLINICAL PSYCHOLOGIST 6 1,149 $195,330 $170 86.8% (859) 277-1008
7 SAGHIAN PSYCHOLOGICAL SERVICES, A PROF. PSY. CORP. ENCINO CA CLINICAL PSYCHOLOGIST 2 724 $255,218 $353 3.0% (818) 981-1681
8 RAYMOND W LEMBERG PHD PC GLENDALE AZ MENTAL HEALTH COUNSELOR 25 612 $122,400 $200 25.9% (844) 385-3747
9 PACIFIC COAST PSYCHOLOGY GROUP INC BAKERSFIELD CA CLINICAL PSYCHOLOGIST 34 420 $33,571 $80 1.7% (805) 242-2429
10 INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST PORTLAND OR CLINICAL PSYCHOLOGIST 2 375 $66,425 $177 68.9% (503) 505-7227
11 CAREWRIGHT CLINICAL SERVICES, PLLC DALLAS TN CLINICAL PSYCHOLOGIST 35 329 $49,350 $150 29.5% (214) 918-1999
12 OVERTON PSYCHOLOGICAL SERVICES PLLC HENDERSON NV MARRIAGE AND FAMILY THERAPIST 3 270 $51,680 $191 16.9% (702) 563-1000
13 WALTER THOMAS MD A MEDICAL CORPORATION SIMI VALLEY CA FAMILY PRACTICE 2 260 $55,100 $212 1.1% (805) 527-1804
14 ACCESS PSYCHOLOGY SERVICES PC FRESNO OH CLINICAL PSYCHOLOGIST 17 252 $25,200 $100 18.9% (559) 321-0883
15 MIND BODY WELLNESS PC DALLAS TX CLINICAL PSYCHOLOGIST 4 240 $28,800 $120 2.5% (972) 661-1862
16 MICHIGAN NEUROLOGY ASSOCIATES PC CLINTON TOWNSHIP MI PHYSICIAN ASSISTANT 22 239 $48,400 $203 25.5% (586) 445-9900
17 NORTHSIDE PSYCHOLOGY PLLC BROOKLYN NY CLINICAL PSYCHOLOGIST 7 225 $33,750 $150 25.5% (718) 668-1919
18 LOVE YOUR LIFE HEALTHCARE INC WASHINGTON DC CLINICAL PSYCHOLOGIST 4 220 $21,883 $99 100.0% (202) 232-4270
19 ASPIRE BEHAVIORAL HEALTH INC OVERLAND PARK KS CLINICAL PSYCHOLOGIST 4 220 $49,000 $223 30.6% (913) 415-2200
20 FORT MYERS PSYCHOLOGY PA FORT MYERS CO CLINICAL PSYCHOLOGIST 9 216 $32,400 $150 32.0% (239) 829-5494
21 WARREN BEHAVIORAL CARE, INC TROY AL CLINICAL PSYCHOLOGIST 2 210 $31,500 $150 39.8% (334) 808-8991
22 TRITON BEHAVORIAL HEALTH LLC DEARBORN HEIGHTS MI CLINICAL PSYCHOLOGIST 2 208 $94,078 $452 22.2% (248) 981-5465
23 SAKOWITZ COUNSELING, P.A. LINCOLN PARK NJ CLINICAL SOCIAL WORKER 11 187 $28,470 $152 11.2% (973) 696-0800
24 AAA NEUROPSYCHOLOGY, LLC MALVERN PA CLINICAL PSYCHOLOGIST 3 187 $46,750 $250 61.7% (484) 870-5608
25 COMPREHENSIVE PSYCHOLOGICAL SERVICES INC SALT LAKE CITY UT CLINICAL SOCIAL WORKER 14 184 $27,600 $150 64.6% (801) 483-1600
26 MICHELLE RINELLA, PSYD, PA PLANO TX CLINICAL PSYCHOLOGIST 6 179 $26,850 $150 1.9% (214) 396-3960
27 CONSULTING ASSOCIATES, LLC MURFREESBORO TN CLINICAL PSYCHOLOGIST 2 162 $24,300 $150 14.5% (615) 310-1491
28 PINE LAKE BEHAVIORAL HEALTH LLC LINCOLN NE MENTAL HEALTH COUNSELOR 21 147 $36,750 $250 62.3% 40243427302
29 PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A. SUNRISE NJ CLINICAL PSYCHOLOGIST 4 140 $21,000 $150 8.4% (954) 742-7032
30 WHITTEN PSYCHOLOGICAL SERVICES PLLC SHELBYVILLE KY CLINICAL PSYCHOLOGIST 3 126 $22,680 $180 9.5% (502) 647-2477
31 BOSTON NEUROPSYCHOLOGICAL SERVICES LLC NEEDHAM CA CLINICAL PSYCHOLOGIST 12 126 $37,800 $300 0.5% (781) 559-8444
32 CLINTON COUNTY MEDICAL CENTER PSYCHOLOGICAL SERVICES PLLC SAINT JOHNS MI CLINICAL PSYCHOLOGIST 12 125 $25,275 $202 13.3% —
33 AUGUSTA PAIN CONSULTANTS, PC AUGUSTA GA CLINICAL PSYCHOLOGIST 4 123 $33,825 $275 27.4% (706) 738-7246
34 KNAPP NEUROPSYCHOLOGY PHOENIX AZ CLINICAL PSYCHOLOGIST 2 119 $24,395 $205 5.0% (602) 675-0335
35 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 114 $13,110 $115 8.6% (513) 751-4222
36 RAYMOND W LEMBERG PHD PC GLENDALE NY MENTAL HEALTH COUNSELOR 25 114 $22,800 $200 12.9% (844) 385-3747
37 BAILEY PSYCHOLOGY GROUP P A CLEARWATER FL CLINICAL PSYCHOLOGIST 3 111 $11,100 $100 2.3% (813) 720-7411
38 FLORIDA MEDICAL PAIN MANAGEMENT LLC ST PETERSBURG FL INTERVENTIONAL PAIN MANAGEMENT 5 105 $47,460 $452 2.2% (727) 548-6100
39 NORTH AMERICAN BAPTIST SEMINARY SIOUX FALLS SD MENTAL HEALTH COUNSELOR 22 103 $23,250 $226 27.0% (605) 334-7713
40 CONNECTICUT MENTAL HEALTH SPECIALISTS INC FARMINGTON CT NURSE PRACTITIONER 66 102 $14,790 $145 100.0% (860) 677-5570
41 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 99 $82,467 $833 7.4% —
42 ASSOCIATES IN BEHAVIORAL HEALTH, LLC TAUNTON MA MENTAL HEALTH COUNSELOR 7 99 $14,850 $150 8.1% (508) 822-0006
43 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 98 $21,649 $221 10.6% (919) 544-7270
44 PSY-MED, INC. DALLAS TX CLINICAL PSYCHOLOGIST 14 97 $15,510 $160 1.0% (214) 348-5557
45 KC BARIATRIC LLC LENEXA KS PHYSICIAN ASSISTANT 15 97 $19,400 $200 13.5% (913) 677-6319
46 PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES P A LAKELAND FL CLINICAL PSYCHOLOGIST 2 94 $23,500 $250 2.0% (863) 670-6857
47 B AND L HEALTH INC BROOKLYN NY NURSE PRACTITIONER 23 92 $12,700 $138 10.4% (718) 339-6300
48 PSYCHOLOGICAL MOBILE SERVICES, PA WILSON NC CLINICAL PSYCHOLOGIST 3 91 $17,850 $196 9.8% (252) 291-0735
49 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 90 $15,134 $168 6.8% (740) 568-2214
50 UC SAN DIEGO HEALTH COMMUNITY GROUP SAN DIEGO CA PHYSICIAN ASSISTANT 110 90 $9,000 $100 0.4% (800) 926-8273
51 LAKE ARLINGTON CENTER FOR PAIN MANAGEMENT ARLINGTON TX CLINICAL PSYCHOLOGIST 3 89 $16,465 $185 0.9% (817) 478-0095
52 QC PSYCHOLOGY PLLC CHARLOTTE NC CLINICAL PSYCHOLOGIST 2 89 $13,350 $150 9.6% (704) 900-9143
53 APPLIED PSYCHOLOGY CTR APC OCEAN SPRINGS MS CLINICAL SOCIAL WORKER 3 86 $10,750 $125 34.0% (228) 872-8429
54 SCOVEL PSYCHOLOGICAL AND COUNSELING SERVICES LTD RAPID CITY ND CLINICAL PSYCHOLOGIST 9 86 $18,490 $215 71.1% (605) 721-8822
55 R P THERAPY LLC FORT WAYNE IN CLINICAL SOCIAL WORKER 8 83 $8,300 $100 21.2% (260) 515-3275
56 INTEGRATED BEHAVIORAL CARE NEW ENGLAND LLC NORTH ANDOVER MA CLINICAL SOCIAL WORKER 23 83 $20,750 $250 6.8% (978) 296-5595
57 SUBURBAN PULMONARY AND SLEEP ASSOCIATES LTD WESTMONT IL NURSE PRACTITIONER 25 82 $21,290 $260 9.7% (630) 789-9785
58 CMC HEALTHCARE LLC CHICAGO IL NURSE PRACTITIONER 122 80 $12,324 $154 9.4% (773) 356-9300
59 CAREWRIGHT CLINICAL SERVICES, PLLC DALLAS CO CLINICAL PSYCHOLOGIST 35 76 $11,400 $150 11.3% (214) 918-1999
60 WAYNESBORO FAMILY CLINIC GOLDSBORO NC PSYCHIATRY 16 76 $11,856 $156 8.2% (919) 734-6676
61 SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC HATTIESBURG MS CLINICAL PSYCHOLOGIST 2 76 $6,583 $87 30.0% (601) 255-1618
62 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 75 $33,410 $445 10.4% (913) 588-1227
63 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 74 $18,997 $257 0.3% (310) 423-3277
64 MID VALLEY COUNSELING CENTER INC SALEM OR CLINICAL PSYCHOLOGIST 11 71 $10,080 $142 13.1% (503) 364-6093
65 BERNOUS PSYCHOLOGICAL SERVICES INC IRVINE CA CLINICAL PSYCHOLOGIST 2 71 $10,650 $150 0.3% (949) 679-4000
66 PACIFIC COAST REHABILITATION ESCONDIDO CA PHYSICAL MEDICINE AND REHABILITATION 7 70 $9,437 $135 0.3% (442) 277-6100
67 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 66 $22,902 $347 0.3% (415) 600-1020
68 COMMUNITY MEDICAL CENTERS, INC. STOCKTON CA FAMILY PRACTICE 52 65 $6,344 $98 0.3% (209) 954-7700
69 LORI GOLDEN, PH.D. LLC DALLAS TX CLINICAL PSYCHOLOGIST 2 65 $9,100 $140 0.7% (214) 228-0796
70 BAPTIST BEHAVIORAL HEALTH LLC JACKSONVILLE FL CLINICAL PSYCHOLOGIST 124 64 $13,600 $212 1.3% (904) 376-3800
71 KRANZ PSYCHOLOGICAL SERVICES PLLC LONGVIEW TX MENTAL HEALTH COUNSELOR 5 62 $11,680 $188 0.7% (903) 200-1433
72 CALZADILLA PSYCHOLOGICAL INC GLENDALE CA CLINICAL PSYCHOLOGIST 2 60 $9,000 $150 0.2% (818) 230-7292
73 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 60 $57,789 $963 0.2% (650) 723-4000
74 FORT MYERS PSYCHOLOGY PA FORT MYERS FL CLINICAL PSYCHOLOGIST 9 60 $9,000 $150 1.3% (239) 829-5494
75 GENTRY INTEGRATED SLEEP AND WELLNESS PLLC RENO NV CLINICAL PSYCHOLOGIST 2 59 $8,850 $150 3.7% (775) 830-8375
76 HEALTH PSYCHOLOGY ASSOCIATES LLC RENO NV CLINICAL PSYCHOLOGIST 14 59 $8,850 $150 3.7% (775) 448-6828
77 PSYCHOLOGICAL HEALTH ROANOKE PC ROANOKE VA CLINICAL SOCIAL WORKER 15 58 $11,020 $190 16.6% (540) 777-7087
78 COMPREHENSIVE PSYCHOLOGY SYSTEM PC TINTON FALLS NJ CLINICAL PSYCHOLOGIST 5 57 $15,675 $275 3.4% (732) 988-3441
79 SHADELAND ANESTHESIA AND PAIN ASSOCIATES INC LAFAYETTE IN NURSE PRACTITIONER 40 57 $24,151 $424 14.6% 3177067246309
80 PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A. SUNRISE FL CLINICAL PSYCHOLOGIST 4 55 $8,250 $150 1.2% (954) 742-7032
81 FAMILY CARE CENTER LLC COLORADO SPRINGS AZ MENTAL HEALTH COUNSELOR 651 54 $8,100 $150 2.3% (888) 374-5066
82 BLACK HILLS PSYCHOLOGY LLC SPEARFISH SD CLINICAL PSYCHOLOGIST 9 54 $16,030 $297 14.2% (605) 645-0100
83 OLD TOWN PSYCHOLOGICAL SERVICES TRAVERSE CITY MI CLINICAL PSYCHOLOGIST 9 54 $5,891 $109 5.8% (231) 941-6550
84 CAPE COD HEALTHCARE, INC. HYANNIS MA CLINICAL SOCIAL WORKER 19 53 $11,200 $211 4.3% (508) 790-3300
85 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 52 $9,464 $182 9.9% (205) 934-3460
86 KINGHAVEN COUNSELING GROUP INC HOUSTON TX MENTAL HEALTH COUNSELOR 14 51 $7,650 $150 0.5% (713) 457-4372
87 APEX THERAPY SERVICES INC BINGHAM FARMS MI NURSE PRACTITIONER 4 51 $30,600 $600 5.4% (248) 712-1129
88 ALGOS BEHAVIORAL HEALTH SERVICES INC SAN ANTONIO TX CLINICAL PSYCHOLOGIST 3 48 $9,600 $200 0.5% —
89 THE NEUROCOGNITIVE INSTITUTE LLC MOUNT ARLINGTON NJ CLINICAL PSYCHOLOGIST 7 47 $8,603 $183 2.8% (973) 601-0100
90 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 46 $8,648 $188 1.0% (850) 474-8000
91 BRYAN MEDICAL CENTER LINCOLN NE DIAGNOSTIC RADIOLOGY 48 46 $13,800 $300 19.5% (402) 481-7937
92 LIFECARE PSYCHOLOGY GROUP, LLC FLORENCE SC MENTAL HEALTH COUNSELOR 7 45 $8,939 $199 18.5% (843) 667-4949
93 DELTA AUTUMN CONSULTING, LLC OXFORD MS CLINICAL PSYCHOLOGIST 2 45 $11,250 $250 17.8% (662) 259-0868
94 SOUTHERN IL INSTITUTE OF BEHAVIORAL HEALTH PC GLEN CARBON IL CLINICAL SOCIAL WORKER 5 43 $12,900 $300 5.1% (618) 710-4123
95 ELMERGREEN ASSOCIATES, LLC WAUSAU WI CLINICAL PSYCHOLOGIST 6 43 $15,265 $355 15.2% (715) 845-7175
96 BERKS COUNSELING ASSOCIATES PC WYOMISSING PA CLINICAL PSYCHOLOGIST 3 42 $6,600 $157 13.9% (610) 373-7005
97 BLESSING HOSPITAL QUINCY IL NURSE PRACTITIONER 401 40 $9,527 $238 4.7% (217) 223-8400
98 SAINT FRANCIS MEDICAL CENTER PEORIA IL NURSE PRACTITIONER 17 38 $9,918 $261 4.5% (309) 655-2000
99 PSY-MED, INC. DALLAS MO CLINICAL PSYCHOLOGIST 14 38 $6,080 $160 14.4% (214) 348-5557
100 CORNERSTONE FAMILY HEALTHCARE NEWBURGH NY NURSE PRACTITIONER 66 38 $7,600 $200 4.3% (845) 563-8000

Showing the top 100 of 156 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 →