NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
96160 Administration and interpretation of patient-focused health risk assessment CPT · E&M - Miscellaneous
Classification E&M › E&M - Miscellaneous (CMS RBCS)
First observed 2017
National scale 201,921 services ▲ 8.3% YoY · 134,170 beneficiaries (CY2024, Medicare FFS)
Medicare paid $406K · $2.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
489
Named-group FFS services
147,001
FFS of Medicare
49%
Services YoY
+8.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~286,731 services

147,001 observed fee-for-service (51%) · ~139,730 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 — 96160 (CY2024)
PA 25,433 TX 19,734 MD 14,830 DE 13,107 FL 12,039

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

Named-group submitted charges
$4.2M
Named-group allowed amount
$407K
Named-group Medicare payments
$294K
Avg charge / svc
$29
Avg allowed / svc
$3
Avg payment / svc
$2
Average charge per group
$0 489 groups · avg submitted charge / service $406
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 96160 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON DE PAIN MANAGEMENT 24 9,911 $118,932 $12 75.6% (844) 365-7246
2 RESPIRATORY SPECIALISTS LTD WYOMISSING PA PULMONARY DISEASE 19 5,654 $141,350 $25 22.2% (610) 685-5864
3 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 5,453 $65,436 $12 21.4% (844) 365-7246
4 PENTAHEALTH, LLC WEST CHESTER PA FAMILY PRACTICE 67 4,512 $90,240 $20 17.7% (610) 235-4100
5 NORMAN REGIONAL PROVIDERS PRIMARY CARE OKLAHOMA CITY OK FAMILY PRACTICE 55 3,218 $26,139 $8 37.6% (405) 912-3900
6 ALLERGY PARTNERS PLLC ASHEVILLE VA ALLERGY/IMMUNOLOGY 143 2,974 $101,116 $34 50.3% (828) 253-3382
7 MURFREESBORO MEDICAL CLINIC, P.A. MURFREESBORO TN NURSE PRACTITIONER 172 2,945 $187,453 $64 47.9% (615) 867-7925
8 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 2,896 $43,440 $15 33.0% (845) 703-6999
9 PSF PLLC LOUISVILLE KY ALLERGY/IMMUNOLOGY 96 2,773 $94,282 $34 65.1% (502) 618-3740
10 ALLERGY PARTNERS PLLC ASHEVILLE NC ALLERGY/IMMUNOLOGY 143 2,581 $87,754 $34 32.8% (828) 253-3382
11 CLINICAL ASSOCIATES P A PIKESVILLE MD INTERNAL MEDICINE 45 2,417 $145,020 $60 16.3% (443) 471-0460
12 PROVIDEA HEALTH PARTNERS LLC EVERGREEN PARK IL OBSTETRICS/GYNECOLOGY 7 2,167 $54,130 $25 39.1% (708) 425-1907
13 INSTITUTE FOR ASTHMA AND ALLERGY PC WHEATON MD ALLERGY/IMMUNOLOGY 11 1,901 $95,065 $50 12.8% (301) 962-5800
14 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO TX ENDOCRINOLOGY 5 1,711 $17,110 $10 8.7% (210) 650-3360
15 UBYLEE HEALTHCARE GROUP, PLLC MATTHEWS NC NURSE PRACTITIONER 9 1,658 $41,450 $25 21.1% (980) 262-3007
16 JAISWAL CLINIC PLLC DURANT OK INTERNAL MEDICINE 2 1,587 $11,109 $7 18.6% (580) 924-4704
17 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO NM DIAGNOSTIC RADIOLOGY 236 1,433 $42,990 $30 57.8% (505) 439-6100
18 PRANA HEALTH PLLC FAYETTEVILLE NC PHYSICIAN ASSISTANT 4 1,432 $71,600 $50 18.2% (910) 824-7619
19 PARADIGM HEALTH SYSTEM LACOMBE LA NEUROLOGY 37 1,425 $14,252 $10 47.6% (985) 882-4500
20 APICO PAIN MANAGEMENT, LLC BEAR DE PHYSICIAN ASSISTANT 7 1,318 $15,816 $12 10.1% (855) 932-7426
21 ALLERGY PARTNERS OF TEXAS INC AUSTIN TX ALLERGY/IMMUNOLOGY 21 1,245 $42,330 $34 6.3% (512) 349-0777
22 ALLERGY PARTNERS PLLC ASHEVILLE IN ALLERGY/IMMUNOLOGY 143 1,233 $41,922 $34 24.3% (828) 253-3382
23 MILES RIVER PRIMARY CARE LLC EASTON MD NURSE PRACTITIONER 10 1,230 $61,500 $50 8.3% (410) 822-9133
24 GREAT FALLS CLINIC LLC GREAT FALLS MT PHYSICIAN ASSISTANT 68 1,193 $14,316 $12 73.2% (406) 454-2171
25 JAMES M ANDRY MD PA SAN ANTONIO TX SLEEP MEDICINE 4 1,170 $8,190 $7 5.9% —
26 PULMONARY ASSOCIATES OF MOBILE PC MOBILE AL PULMONARY DISEASE 35 1,127 $11,270 $10 34.5% (251) 343-6848
27 ST MARYS MEDICAL GROUP LLC EVANSVILLE IN NURSE PRACTITIONER 226 1,124 $11,240 $10 22.1% (812) 491-3236
28 COLORADO ALLERGY AND ASTHMA CENTERS PC HIGHLANDS RANCH CO PHYSICIAN ASSISTANT 25 1,065 $6,522 $6 37.1% (303) 795-8177
29 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 1,045 $12,540 $12 8.7% (321) 622-8730
30 ALLERGY PARTNERS PLLC ASHEVILLE FL ALLERGY/IMMUNOLOGY 143 1,031 $35,054 $34 8.6% (828) 253-3382
31 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 1,006 $10,060 $10 19.8% (317) 338-2345
32 PRIMARY MEDICINE LLC LAUREL MD INTERNAL MEDICINE 7 984 $63,940 $65 6.6% (301) 498-9494
33 ALLERGY AND ASTHMA MEDICAL GROUP OF THE BAY AREA INC WALNUT CREEK CA ALLERGY/IMMUNOLOGY 21 984 $24,600 $25 11.5% (925) 935-6252
34 ALCOVE VENTURES LLC MEDINA OH NURSE PRACTITIONER 51 979 $20,447 $21 12.6% (330) 536-3746
35 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 958 $8,277 $9 48.5% (507) 389-8509
36 ALLERGY PARTNERS OF CALIFORNIA INC SAN LUIS OBISPO CA ALLERGY/IMMUNOLOGY 12 949 $32,266 $34 11.1% (805) 543-2744
37 ALLERGY CARE CENTER A MEDICAL CORPORATION CAMARILLO CA PHYSICIAN ASSISTANT 4 941 $20,702 $22 11.0% (805) 482-8989
38 ALLERGY PARTNERS PLLC ASHEVILLE SC ALLERGY/IMMUNOLOGY 143 940 $31,960 $34 57.2% (828) 253-3382
39 HEPHZIBAH VISITING CLINICIANS DESOTO TX NURSE PRACTITIONER 13 936 $3,387 $4 4.7% (469) 941-4029
40 WV ASTHMA AND ALLERGY CENTERS INC CHARLESTON WV FAMILY PRACTICE 8 913 $10,956 $12 100.0% 304343430099
41 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC. OKLAHOMA CITY OK MENTAL HEALTH COUNSELOR 58 881 $88,350 $100 10.3% (405) 948-4900
42 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 864 $12,945 $15 7.2% (850) 863-8150
43 PREMIER ALLERGIST OF FLORIDA LLC VENICE FL ALLERGY/IMMUNOLOGY 23 794 $33,680 $42 6.6% (941) 800-2901
44 NORTHWEST ASTHMA AND ALLERGY CENTER SEATTLE WA ALLERGY/IMMUNOLOGY 11 764 $12,988 $17 65.3% (206) 527-1200
45 NORTHWEST MEDICAL HOMES, LLC SPRINGFIELD OR FAMILY PRACTICE 32 688 $13,072 $19 33.3% (541) 747-4300
46 ALLERGY PARTNERS PLLC ASHEVILLE OK ALLERGY/IMMUNOLOGY 143 685 $23,290 $34 8.0% (828) 253-3382
47 PSF PLLC LOUISVILLE OH ALLERGY/IMMUNOLOGY 96 676 $22,984 $34 8.7% (502) 618-3740
48 ALLERGY PARTNERS OF NJ PC OCEAN NJ ALLERGY/IMMUNOLOGY 7 663 $22,542 $34 22.2% (732) 695-2555
49 BOISE VALLEY ASTHMA AND ALLERGY PA BOISE ID PHYSICIAN ASSISTANT 7 661 $17,193 $26 71.8% —
50 KANSAS CITY ALLERGY AND ASTHMA ASSOCIATES P A OVERLAND PARK KS ALLERGY/IMMUNOLOGY 6 626 $6,256 $10 28.2% (913) 491-5501
51 CAPITAL ALLERGY AND RESPIRATORY DISEASE CENTER A MED CORP FOLSOM CA ALLERGY/IMMUNOLOGY 4 618 $4,326 $7 7.2% (916) 580-1891
52 ALLERGY CLINIC LLP HOUSTON TX ALLERGY/IMMUNOLOGY 4 618 $7,416 $12 3.1% (713) 797-0993
53 HOUSECALL DOCTORS. P.C. HIGHLAND VA NURSE PRACTITIONER 9 611 $1,727 $3 10.3% (219) 750-9497
54 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 594 $87,315 $147 10.1% —
55 SOUTHSIDE PAIN SPECIALISTS, PC BIRMINGHAM AL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 7 572 $8,580 $15 17.5% (205) 332-3155
56 THE INSOMNIA AND SLEEP INSTITUTE OF ARIZONA LLC SCOTTSDALE AZ SLEEP MEDICINE 10 570 $37,050 $65 17.7% (480) 745-3547
57 PSF PLLC LOUISVILLE PA ALLERGY/IMMUNOLOGY 96 570 $19,401 $34 2.2% (502) 618-3740
58 ALLERGY PARTNERS PLLC ASHEVILLE NM ALLERGY/IMMUNOLOGY 143 556 $18,904 $34 22.4% (828) 253-3382
59 CHESTNUT MEDICAL ASSOCIATES, INC SPRINGFIELD MA NURSE PRACTITIONER 7 533 $26,550 $50 15.8% (413) 734-4206
60 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO MN ENDOCRINOLOGY 5 504 $5,040 $10 25.5% (210) 650-3360
61 RESPIRATORY SPECIALISTS LTD WYOMISSING NY PULMONARY DISEASE 19 499 $12,475 $25 5.7% (610) 685-5864
62 REHABILITATION GROUP P A SAN ANTONIO TX PHYSICAL MEDICINE AND REHABILITATION 5 492 $7,156 $15 2.5% (210) 614-3225
63 ALLERGY ASSOCIATES OF UTAH PC MURRAY UT ALLERGY/IMMUNOLOGY 2 491 $4,910 $10 93.9% (801) 263-8700
64 SOUTHGATE MEDICAL GROUP LLP WEST SENECA NY PHYSICIAN ASSISTANT 31 490 $24,500 $50 5.6% (716) 712-0851
65 ADVOCARE, LLC HADDONFIELD PA NURSE PRACTITIONER 384 490 $7,867 $16 1.9% (856) 354-2211
66 TEMPLE PHYSICIANS INC PHILADELPHIA PA PHYSICIAN ASSISTANT 160 473 $4,730 $10 1.9% —
67 SUSAN B ALLEN MEMORIAL HOSPITAL EL DORADO KS PHYSICIAN ASSISTANT 26 472 $2,360 $5 21.3% (316) 452-5860
68 PRIMARY CARE PROVIDERS OF CHICAGO SC CHICAGO IL INTERNAL MEDICINE 8 472 $10,327 $22 8.5% (773) 631-0566
69 EUGENE P HESLIN MD PC SAUGERTIES NY FAMILY PRACTICE 5 467 $14,010 $30 5.3% (845) 246-3000
70 BRIAN C. GRINER, MD, LLC VALDOSTA GA PHYSICIAN ASSISTANT 5 465 $37,200 $80 12.5% (229) 242-6061
71 SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC FINDLAY OH PHYSICIAN ASSISTANT 118 464 $3,248 $7 6.0% (419) 423-5492
72 RESTORATIVE SPINE AND PAIN INC TEMPLETON CA PHYSICAL MEDICINE AND REHABILITATION 2 458 $6,870 $15 5.4% (805) 550-6689
73 DELAWARE SLEEP DISORDER CENTERS, LLC WILMINGTON DE NURSE PRACTITIONER 12 457 $1,340 $3 3.5% 3024499314108
74 MEDICAL AND WELLNESS CENTER OF OLNEY OLNEY MD FAMILY PRACTICE 2 455 $18,200 $40 3.1% (301) 774-2506
75 ALLERGY ASTHMA AND IMMUNOLOGY CENTER OF ALASKA LLC WASILLA AK PHYSICIAN ASSISTANT 7 447 $33,525 $75 68.7% (907) 562-6228
76 REGENTS MEDICAL CENTER PC PLEASANT VIEW TN NURSE PRACTITIONER 9 436 $19,620 $45 7.1% (615) 746-0203
77 WICHITA OB-GYN ASSOCIATES, PA WICHITA KS OBSTETRICS/GYNECOLOGY 7 434 $9,548 $22 19.6% (316) 685-0559
78 HOUSECALL DOCTORS. P.C. HIGHLAND IN NURSE PRACTITIONER 9 426 $1,187 $3 8.4% (219) 750-9497
79 DESAI AND HOLMES MD LLC OWINGS MILLS MD INTERNAL MEDICINE 2 426 $6,390 $15 2.9% (410) 356-1575
80 OHIO ALLERGY ASSOCIATES, INC. CENTERVILLE OH NURSE PRACTITIONER 4 424 $4,240 $10 5.5% (937) 435-8999
81 FAMILY HEALTH MEDICAL SERVICES PLLC JAMESTOWN NY PHYSICIAN ASSISTANT 19 417 $2,086 $5 4.7% (716) 338-0022
82 SLEEP CLINICS OF AMERICA INC RICHMOND VA NEUROLOGY 2 417 $6,255 $15 7.1% (804) 269-8291
83 PSF PLLC LOUISVILLE TN ALLERGY/IMMUNOLOGY 96 417 $14,178 $34 6.8% (502) 618-3740
84 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 416 $2,683 $6 3.5% (239) 291-6970
85 PREVENTIVE MEDICINE ASSOCIATES LLC CAMILLUS NY NURSE PRACTITIONER 8 415 $4,980 $12 4.7% (315) 487-8109
86 ALLERGY AND ASTHMA CONSULTANTS, P.C. ATLANTA GA ALLERGY/IMMUNOLOGY 2 415 $1,245 $3 11.2% (404) 255-9286
87 COMPREHENSIVE REHAB CONSULTANTS PLLC FAIRHAVEN MD NURSE PRACTITIONER 223 405 $20,250 $50 2.7% (508) 997-3193
88 ALLERGY,ASTHMA AND CLINICAL IMMUNOLOGY SPECIALISTS, P.C. HUNTSVILLE AL ALLERGY/IMMUNOLOGY 4 387 $3,096 $8 11.9% (256) 382-0070
89 ENT AND ALLERGY CENTER, PA FAYETTEVILLE AR QUALIFIED AUDIOLOGIST 5 386 $1,930 $5 33.6% —
90 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 380 $2,548 $7 4.4% (405) 254-9690
91 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 378 $6,048 $16 6.4% (703) 562-2110
92 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 378 $56,700 $150 12.6% (225) 246-9790
93 CORVALLIS MEDICAL GROUP LLC CORVALLIS OR ANESTHESIOLOGY 5 374 $9,350 $25 18.1% (541) 286-4742
94 WEST HUDSON PULMONARY ASSOCIATES CORPC KEARNY NJ NURSE PRACTITIONER 6 362 $3,620 $10 12.1% (201) 991-4544
95 INTERVENTIONAL PARTNERS PLLC FRISCO TX PODIATRY 93 361 $2,292 $6 1.8% (972) 712-4161
96 NIRAJ CHOUDHARY MD PA WEBSTER TX INTERNAL MEDICINE 3 358 $53,700 $150 1.8% —
97 SOUTH TEXAS ALLERGY AND ASTHMA MEDICAL PROFESSIONALS PLLC SAN ANTONIO TX NURSE PRACTITIONER 5 347 $1,735 $5 1.8% (210) 616-5385
98 PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC DES PLAINES IL FAMILY PRACTICE 262 345 $3,105 $9 6.2% (847) 297-1800
99 MEDNOW CLINICS, INC AURORA CO NURSE PRACTITIONER 58 342 $51,300 $150 11.9% (720) 878-7055
100 ASTHMA AND ALLERGY ASSOCIATES OF FL PA MIAMI FL ALLERGY/IMMUNOLOGY 19 338 $5,146 $15 2.8% 30559501091043

Showing the top 100 of 489 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 →