NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
96156 Assessment of health behavior CPT · E&M
Classification E&M › Behavioral Health Services (CMS RBCS)
First observed 2020
National scale 16,391 services ▲ 10.3% YoY · 13,290 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $68.27 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
148
Named-group FFS services
11,164
FFS of Medicare
49%
Services YoY
+10.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~23,768 services

11,164 observed fee-for-service (47%) · ~12,604 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 — 96156 (CY2024)
CA 2,844 FL 2,223 MN 1,140 TX 1,082 OH 813

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

Named-group submitted charges
$3.7M
Named-group allowed amount
$965K
Named-group Medicare payments
$742K
Avg charge / svc
$332
Avg allowed / svc
$86
Avg payment / svc
$66
Average charge per group
$94 148 groups · avg submitted charge / service $939
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 96156 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,237 $554,176 $448 55.6% (904) 953-2000
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 715 $296,695 $415 62.7% (507) 284-2511
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 570 $389,310 $683 70.1% —
4 ACCESS PSYCHOLOGY SERVICES PC FRESNO CA CLINICAL PSYCHOLOGIST 17 459 $55,080 $120 16.1% (559) 321-0883
5 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 318 $90,312 $284 14.3% (407) 896-1100
6 R P THERAPY LLC FORT WAYNE IN CLINICAL SOCIAL WORKER 8 238 $24,990 $105 55.7% (260) 515-3275
7 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 223 $57,429 $258 62.8% (770) 422-2004
8 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 182 $46,738 $257 24.6% —
9 NURA PLLC EDINA MN PHYSICIAN ASSISTANT 36 179 $55,502 $310 15.7% (763) 537-6000
10 ALBERT EINSTEIN MEDICAL CENTER ELKINS PARK PA CLINICAL PSYCHOLOGIST 5 170 $38,250 $225 23.4% (215) 663-6000
11 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 149 $45,420 $305 71.6% (410) 502-4340
12 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 142 $133,338 $939 17.8% (414) 955-4263
13 UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES SALT LAKE CITY UT PSYCHIATRY 184 137 $41,369 $302 65.6% (801) 581-2121
14 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 136 $38,624 $284 44.9% —
15 EMORY MEDICAL CARE FOUNDATION INC ATLANTA GA INTERNAL MEDICINE 1010 132 $35,904 $272 37.2% (404) 616-1000
16 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 131 $50,894 $389 31.7% (212) 746-5454
17 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 128 $70,912 $554 16.0% (608) 287-2050
18 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 125 $55,213 $442 36.9% (720) 777-1234
19 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 124 $35,960 $290 100.0% (406) 327-1900
20 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 121 $50,809 $420 4.3% (916) 734-7777
21 WEST TENNESSEE MEDICAL GROUP INC JACKSON TN NURSE PRACTITIONER 189 120 $30,960 $258 38.3% —
22 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 118 $27,730 $235 100.0% (502) 629-2398
23 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 114 $65,339 $573 4.0% (650) 723-4000
24 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 113 $29,380 $260 15.5% (215) 955-6161
25 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 112 $23,472 $210 59.3% (913) 588-1227
26 TOWER HEALTH MEDICAL GROUP WEST READING PA INTERNAL MEDICINE 590 108 $29,052 $269 14.9% (484) 628-5455
27 RAINEY PAIN AND PERFORMANCE PC SIERRA VISTA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 107 $12,840 $120 27.3% (520) 459-1386
28 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 103 $25,441 $247 4.6% (813) 844-7585
29 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 102 $35,842 $351 100.0% (617) 732-5500
30 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 100 $23,864 $239 44.6% (919) 544-7270
31 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. TUCSON AZ FAMILY PRACTICE 270 99 $27,126 $274 25.3% (520) 670-3909
32 BAYCARE BEHAVIORAL HEALTH INC NEW PORT RICHEY FL MENTAL HEALTH COUNSELOR 61 99 $14,355 $145 4.5% (727) 841-4200
33 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 96 $33,854 $353 8.9% —
34 AURORA HEALTH CARE METRO, INC. MILWAUKEE WI HEMATOLOGY/ONCOLOGY 78 94 $26,790 $285 11.8% (414) 649-6000
35 UNITED SUMMIT CENTER INC CLARKSBURG WV NURSE PRACTITIONER 14 94 $18,048 $192 48.7% (304) 623-5661
36 COUNTY OF SANTA CLARA SAN JOSE CA INTERNAL MEDICINE 1001 94 $75,378 $802 3.3% (408) 885-5000
37 GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY CT PHYSICAL MEDICINE AND REHABILITATION 21 93 $21,000 $226 75.0% (610) 776-3278
38 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 88 $22,088 $251 28.1% (615) 322-5000
39 PRACTICE OF BEING HUMAN PSYCHOLOGY PC SAN DIEGO CA CLINICAL SOCIAL WORKER 5 85 $12,750 $150 3.0% (858) 255-1658
40 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 85 $60,350 $710 20.6% (212) 263-9700
41 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 83 $17,243 $208 45.6% (205) 934-3460
42 GANDIS G MAZEIKA MD PS REDMOND WA NEUROLOGY 2 80 $12,000 $150 32.8% (425) 636-2400
43 COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC MILWAUKEE WI PHYSICIAN ASSISTANT 325 79 $22,743 $288 9.9% (414) 585-1000
44 HURLEY MEDICAL CENTER FLINT MI PHYSICIAN ASSISTANT 338 77 $14,476 $188 68.8% (810) 262-9353
45 NATIONAL JEWISH HEALTH DENVER CO PULMONARY DISEASE 243 74 $13,690 $185 21.8% (303) 398-1355
46 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 72 $33,768 $469 2.5% (877) 827-7463
47 SHELTERING ARMS PHYSICAL REHABILITATION ASSOCIATES, LLC RICHMOND VA CLINICAL PSYCHOLOGIST 5 68 $13,532 $199 47.2% (804) 764-1001
48 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 67 $19,765 $295 8.2% (614) 366-9211
49 DENNIS G WALKER FAMILY CLINIC CROWLEY LA NURSE PRACTITIONER 5 66 $6,600 $100 32.8% (337) 514-4757
50 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KS NURSE PRACTITIONER 1228 66 $16,236 $246 34.9% —
51 UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL MADISON WI DIAGNOSTIC RADIOLOGY 111 63 $34,902 $554 7.9% (608) 265-8731
52 SONDERMIND PROVIDER NETWORK LLC DENVER FL CLINICAL SOCIAL WORKER 1194 62 $15,314 $247 2.8% (844) 843-7279
53 PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL NURSE PRACTITIONER 450 62 $11,160 $180 2.8% (305) 585-1111
54 NORTHSIDE BEHAVIORAL HEALTH CENTER, INC TAMPA FL PSYCHIATRY 16 60 $8,700 $145 2.7% (813) 977-8700
55 THE METROHEALTH SYSTEM CLEVELAND OH NURSE PRACTITIONER 1175 60 $9,120 $152 7.4% (216) 778-7800
56 ST CHARLES HEALTH SYSTEM INC BEND OR INTERNAL MEDICINE 178 58 $18,010 $311 7.8% (541) 706-2768
57 EAST POST ROAD MEDICAL SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 406 54 $7,020 $130 13.1% (914) 681-0600
58 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 54 $17,010 $315 4.7% (612) 873-6963
59 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 54 $22,255 $412 1.9% (800) 926-8273
60 THIBODEAUX MEDICAL CLINIC, LLC VINTON LA NURSE PRACTITIONER 3 54 $8,100 $150 26.9% (337) 739-3134
61 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 54 $12,602 $233 12.6% —
62 COUNSELING ASSOCIATES LA CROSSE MN CLINICAL SOCIAL WORKER 16 53 $22,048 $416 4.6% (608) 785-0827
63 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 50 $9,613 $192 100.0% (207) 885-9905
64 NARCE AUDIOLOGY INC BEVERLY HILLS CA QUALIFIED AUDIOLOGIST 2 50 $6,000 $120 1.8% (310) 954-2207
65 LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR CARDIOVASCULAR DISEASE (CARDIOLOGY) 194 48 $12,144 $253 6.4% (503) 413-7022
66 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 44 $9,384 $213 21.1% (801) 261-8346
67 WESTSIDE MEDICAL GROUP INC FIREBAUGH CA CHIROPRACTIC 2 43 $5,358 $125 1.5% (559) 659-9000
68 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 43 $12,771 $297 29.9% (804) 828-9000
69 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 42 $10,920 $260 5.8% (215) 662-2777
70 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 41 $20,090 $490 10.5% (800) 603-0558
71 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 41 $10,960 $267 16.8% (206) 364-0500
72 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 40 $10,809 $270 5.5% —
73 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 39 $5,655 $145 1.8% —
74 EVOLUTIS LLC CHICAGO CO CLINICAL PSYCHOLOGIST 8 39 $18,630 $478 11.5% (877) 219-8726
75 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 39 $11,076 $284 12.9% (312) 563-2875
76 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC MOUNT PLEASANT WI PHYSICIAN ASSISTANT 559 38 $14,098 $371 4.8% (262) 687-7606
77 ACCESS PSYCHOLOGY SERVICES PC FRESNO OH CLINICAL PSYCHOLOGIST 17 38 $4,560 $120 4.7% (559) 321-0883
78 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 38 $9,652 $254 15.6% —
79 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU ZZ NURSE PRACTITIONER 435 37 $10,545 $285 100.0% (573) 331-3000
80 SALEM HEALTH SALEM OR PHYSICIAN ASSISTANT 477 36 $12,096 $336 4.8% (503) 561-5200
81 COMPREHENSIVE PAIN MANAGEMENT SPECIALISTS UNIONTOWN OH NURSE PRACTITIONER 11 35 $10,500 $300 4.3% 330208272011207
82 WELLSTAR MEDICAL GROUP LLC MARIETTA FL NURSE PRACTITIONER 3060 34 $8,492 $250 1.5% (770) 422-2004
83 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 34 $10,156 $299 1.2% —
84 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 32 $13,760 $430 10.6% (888) 712-2753
85 GEISINGER CLINIC DANVILLE LA PHYSICIAN ASSISTANT 3426 31 $10,590 $342 15.4% (570) 271-6144
86 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 31 $10,416 $336 4.1% —
87 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 28 $9,180 $328 12.5% (336) 713-9800
88 SHEPHERD CENTER, INC. ATLANTA FL PHYSICAL MEDICINE AND REHABILITATION 49 28 $3,065 $109 1.3% (404) 352-2020
89 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 27 $9,504 $352 2.4% (612) 871-1145
90 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 26 $10,725 $412 51.0% (843) 792-1414
91 NORTH ATLANTA PROFESSIONAL SERVICES LLC ATLANTA SC INTERNAL MEDICINE 427 25 $6,800 $272 49.0% (404) 851-8000
92 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 25 $6,575 $263 11.2% (252) 635-6777
93 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 24 $4,824 $201 12.4% (304) 598-4865
94 TRANSFORMATION BEHAVIORAL HEALTH PLLC WOODSTOCK IL CLINICAL PSYCHOLOGIST 5 23 $4,807 $209 7.6% (815) 575-9675
95 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 23 $7,350 $320 100.0% (732) 362-3663
96 LAKELAND COMMUNITY HOSPITAL WATERVLIET WATERVLIET MI NURSE PRACTITIONER 68 23 $6,233 $271 20.5% (269) 463-3600
97 KOPP MEDICAL LLC MOBILE AL PHYSICIAN ASSISTANT 5 23 $2,783 $121 12.6% (251) 633-5155
98 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 23 $3,680 $160 11.1% —
99 ABILITY KC KANSAS CITY MO FAMILY PRACTICE 161 23 $8,636 $375 32.4% (816) 751-7832
100 PHYSICIANS MEDICAL CENTER P C MCMINNVILLE OR PHYSICIAN ASSISTANT 21 22 $5,610 $255 2.9% (503) 472-6161

Showing the top 100 of 148 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 →