NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
97605 Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less CPT · Skin procedure
Classification Procedure › Skin (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,966 services ▼ 2.3% YoY · 3,165 beneficiaries (CY2024, Medicare FFS)
Medicare paid $96K · $19.39 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
74
Named-group FFS services
2,999
FFS of Medicare
49%
Services YoY
-2.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,123 services

2,999 observed fee-for-service (49%) · ~3,124 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 — 97605 (CY2024)
TX 793 FL 709 CA 497 NY 493 NJ 398

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

Named-group submitted charges
$429K
Named-group allowed amount
$72K
Named-group Medicare payments
$57K
Avg charge / svc
$143
Avg allowed / svc
$24
Avg payment / svc
$19
Average charge per group
$42 74 groups · avg submitted charge / service $781
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 97605 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 289 $26,010 $90 36.4% (806) 359-4673
2 NEW YORK UNIVERSITY NEW YORK CA DIAGNOSTIC RADIOLOGY 5704 229 $58,166 $254 46.1% (212) 263-9700
3 MOUNTAIN VIEW HOSPITAL LLC IDAHO FALLS ID PHYSICIAN ASSISTANT 267 140 $15,120 $108 87.0% (208) 535-4343
4 TEXAS STAR ORTHOPEDIC INSTITUTE LLC PLANO TX ORTHOPEDIC SURGERY 23 126 $11,172 $89 15.9% (972) 250-5700
5 SOUTHEAST ORTHOPEDIC SPECIALISTS LLC JACKSONVILLE FL PHYSICIAN ASSISTANT 143 100 $12,642 $126 14.1% (904) 634-0640
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 77 $19,558 $254 15.6% (212) 263-9700
7 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 77 $5,159 $67 49.4% (202) 429-2401
8 OCONEE WOUND CARE SPECIALISTS LLC ATHENS GA EMERGENCY MEDICINE 3 67 $6,505 $97 30.0% (706) 389-3065
9 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 63 $6,111 $97 12.8% —
10 AVERA ST LUKES ABERDEEN SD NURSE PRACTITIONER 169 60 $2,552 $43 100.0% (605) 622-5100
11 EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. FORT WALTON BEACH FL NURSE PRACTITIONER 34 58 $7,308 $126 8.2% (850) 862-3979
12 VERO ORTHOPAEDICS II PA VERO BEACH FL PHYSICIAN ASSISTANT 49 57 $8,550 $150 8.0% (772) 257-3608
13 HUTCHINSON REGIONAL MEDICAL CENTER INC HUTCHINSON KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 149 50 $6,696 $134 36.0% (620) 665-2000
14 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 49 $11,172 $228 9.9% —
15 DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI PHYSICIAN ASSISTANT 192 47 $4,074 $87 56.0% —
16 SUNY HEALTH SCIENCE CENTER AT SYRACUSE SYRACUSE NY NURSE PRACTITIONER 208 45 $2,835 $63 9.1% (315) 464-8093
17 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 45 $6,255 $139 6.3% (352) 265-8990
18 WYOMING WOUND CARE CENTER PC CASPER WY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 43 $1,935 $45 100.0% (307) 266-4600
19 WHITE COUNTY MEDICAL CENTER SEARCY AR NURSE PRACTITIONER 187 42 $8,616 $205 100.0% (501) 278-2800
20 WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL NURSE PRACTITIONER 46 41 $3,774 $92 5.8% (941) 465-4800
21 INTEGUMETRIX NASHVILLE TN NURSE PRACTITIONER 17 40 $3,859 $96 51.9% (844) 673-6968
22 NORTH JERSEY FOOT AND ANKLE CARE, LLC TEANECK NJ PODIATRY 2 39 $4,120 $106 9.8% (201) 836-7173
23 WIREGRASS WOUND AND AMPUTATION PREVENTION CENTER LLC BLAKELY AL NURSE PRACTITIONER 4 39 $2,171 $56 100.0% (334) 305-2085
24 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 38 $20,368 $536 50.7% (608) 287-2050
25 BEAUMONT BONE AND JOINT INSTITUTE PA BEAUMONT TX ORTHOPEDIC SURGERY 19 38 $3,952 $104 4.8% (409) 838-0346
26 YUMA PHYSICIANS HOSPITAL GROUP YUMA AZ FAMILY PRACTICE 2 37 $1,666 $45 26.1% (928) 259-7105
27 LAKELAND MEDICAL PRACTICES SAINT JOSEPH MI PHYSICIAN ASSISTANT 283 37 $5,032 $136 44.0% —
28 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 34 $4,624 $136 6.8% (916) 983-7476
29 THE SAN ANTONIO ORTHOPAEDIC GROUP LLP SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 138 32 $3,872 $121 4.0% (210) 804-5400
30 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 32 $3,345 $105 4.0% (940) 766-3320
31 TEXAS JOINT INSTITUTE, PLLC DALLAS TX PHYSICIAN ASSISTANT 39 31 $2,805 $90 3.9% (972) 566-5255
32 SWEDISHAMERICAN HOSPITAL ROCKFORD IL NURSE PRACTITIONER 390 30 $3,636 $121 19.1% (779) 696-7610
33 ROCKFORD HEALTH PHYSICIANS ROCKFORD IL DIAGNOSTIC RADIOLOGY 516 30 $2,883 $96 19.1% (815) 971-2000
34 HALIFAX HEALTHCARE SYSTEMS INC DAYTONA BCH FL NURSE PRACTITIONER 337 30 $2,550 $85 4.2% (386) 254-4000
35 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 29 $5,191 $179 18.5% —
36 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK NJ GENERAL SURGERY 16 29 $17,576 $606 7.3% (732) 701-4848
37 JOSEPH M STILL BURN CENTERS, INC AUGUSTA GA PHYSICIAN ASSISTANT 46 28 $21,868 $781 12.6% (706) 863-9595
38 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS NY PHYSICIAN ASSISTANT 1594 28 $2,100 $75 5.7% —
39 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 27 $1,908 $71 100.0% —
40 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 26 $3,120 $120 3.7% (850) 877-8174
41 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 26 $6,396 $246 16.6% (309) 683-5050
42 OSU SURGERY, LLC COLUMBUS OH PHYSICIAN ASSISTANT 204 24 $3,360 $140 21.4% (614) 293-2101
43 RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NJ PHYSICIAN ASSISTANT 192 23 $6,578 $286 5.8% (732) 828-3000
44 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 23 $4,348 $189 100.0% (617) 724-0287
45 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 23 $1,610 $70 10.3% (762) 235-3340
46 PROVIDENCE HEALTH ALLIANCE WACO TX PHYSICIAN ASSISTANT 121 22 $2,661 $121 2.8% (254) 537-6200
47 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 21 $1,827 $87 2.6% (214) 599-8624
48 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 21 $882 $42 18.8% (513) 751-4222
49 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 50 21 $961 $46 4.2% (760) 340-3911
50 THE ANDERSON CLINIC INC ALEXANDRIA VA ORTHOPEDIC SURGERY 79 21 $1,637 $78 43.8% (703) 892-6500
51 NEBRASKA METHODIST HOSPITAL OMAHA NE NURSE PRACTITIONER 129 20 $2,160 $108 57.1% (402) 354-4540
52 PRESTIGE FOOT AND ANKLE CENTER LLC MEDINA OH PODIATRY 9 20 $1,300 $65 17.9% (330) 591-9635
53 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 19 $2,337 $123 2.4% (713) 566-5000
54 GUNDERSEN LUTHERAN MEDICAL CENTER INC LA CROSSE WI PHYSICIAN ASSISTANT 901 19 $7,410 $390 25.3% (608) 783-7300
55 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 17 $1,326 $78 3.4% (714) 871-3006
56 ORTHOPEDIC SPECIALISTS OF SW FLORIDA, P.A. FORT MYERS FL PHYSICIAN ASSISTANT 46 17 $2,613 $154 2.4% (239) 334-7000
57 UNIVERSITY ORTHOPEDICS INC PROVIDENCE RI ORTHOPEDIC SURGERY 180 16 $3,200 $200 100.0% (401) 457-1500
58 HEALTHONE CLINIC SERVICES ORTHOPEDIC SPECIALISTS LLC ENGLEWOOD CO PHYSICIAN ASSISTANT 78 16 $1,292 $81 100.0% (303) 209-2503
59 VALLEY MEDICAL GROUP-RENTON RENTON WA FAMILY PRACTICE 440 16 $2,080 $130 100.0% (425) 656-4224
60 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 16 $1,280 $80 14.3% (419) 291-2003
61 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 15 $630 $42 13.4% (419) 251-3180
62 NEW MEXICO ORTHOPAEDIC ASSOCIATES PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 77 15 $1,170 $78 100.0% 50572443003208
63 AMBER HILL PHYSICAL THERAPY INC FREDERICK DC ORTHOPEDIC SURGERY 327 14 $938 $67 9.0% —
64 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 14 $2,478 $177 29.2% (804) 828-9000
65 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 14 $1,334 $95 2.0% (561) 955-7100
66 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA GA DIAGNOSTIC RADIOLOGY 875 14 $1,345 $96 6.3% —
67 PCRMC MEDICAL GROUP INC ROLLA MO NURSE PRACTITIONER 113 14 $2,285 $163 100.0% (573) 364-9000
68 HILLCREST PHYSICIAN SERVICES WACO TX NURSE PRACTITIONER 113 14 $1,693 $121 1.8% (254) 202-7950
69 TBHC PHYSICIAN SERVICES PC BROOKLYN NJ OBSTETRICS/GYNECOLOGY 111 13 $9,250 $712 3.3% (718) 250-8000
70 PENINSULA ORTHOPAEDIC ASSOC PA SALISBURY MD PHYSICIAN ASSISTANT 57 13 $598 $46 26.5% (410) 749-4154
71 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 13 $1,573 $121 16.9% (615) 322-5000
72 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 13 $1,157 $89 27.1% (434) 947-3033
73 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON PA DIAGNOSTIC RADIOLOGY 3532 13 $1,339 $103 32.5% (617) 724-0287
74 VASCULAR INSTITUTE OF CHATTANOOGA, PLLC CHATTANOOGA TN NURSE PRACTITIONER 19 13 $1,536 $118 16.9% (423) 602-2750
75 ORTHOPEDIC CENTER OF PALM BEACH COUNTY, LLC ATLANTIS FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 30 12 $1,706 $142 1.7% (561) 967-6500
76 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 12 $1,284 $107 5.4% (770) 422-2004
77 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 12 $924 $77 38.7% (803) 749-5101
78 MCV ASSOCIATED PHYSICIANS RICHMOND PA NURSE PRACTITIONER 1791 11 $1,947 $177 27.5% (804) 828-9000

*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 →