NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
98968 Telephone medical discussion provided by nonphysician professional, 21-30 minutes CPT · E&M
Classification E&M › Office/Outpatient Services › Telephone Services (CMS RBCS)
First observed 2020
National scale 4,969 services ▼ 5.8% YoY · 2,088 beneficiaries (CY2024, Medicare FFS)
Medicare paid $113K · $22.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
48
Named-group FFS services
4,277
FFS of Medicare
49%
Services YoY
-5.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,325 services

4,277 observed fee-for-service (51%) · ~4,048 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 — 98968 (CY2024)
MS 1,465 CA 1,394 PA 342 NY 264 FL 224

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

Named-group submitted charges
$325K
Named-group allowed amount
$127K
Named-group Medicare payments
$98K
Avg charge / svc
$76
Avg allowed / svc
$30
Avg payment / svc
$23
Average charge per group
$34 48 groups · avg submitted charge / service $312
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 98968 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MS STATE DEPARTMENT OF HEALTH CLARKSDALE MS NURSE PRACTITIONER 22 1,439 $57,498 $40 98.2% (662) 624-8316
2 WELLSPRING PSYCHOLOGICAL SERVICES INC MONTEREY CA CLINICAL PSYCHOLOGIST 16 522 $20,358 $39 37.4% (831) 647-8490
3 CENTER FOR UROLOGIC CARE OF BERKS CO PC READING PA UROLOGY 16 258 $21,280 $82 75.4% (610) 372-8995
4 NYSARC INC ROCHESTER NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 11 232 $7,798 $34 87.9% 58527106601357
5 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ORTHOPEDIC SURGERY 67 196 $41,356 $211 14.1% (310) 319-1234
6 WELLSPRING PSYCHOLOGICAL SERVICES INC MONTEREY LA CLINICAL PSYCHOLOGIST 16 194 $7,566 $39 100.0% (831) 647-8490
7 ERICA M RUIZ, MD PROFESSIONAL LA QUINTA CA FAMILY PRACTICE 2 117 $4,680 $40 8.4% (760) 564-9205
8 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 98 $17,640 $180 7.0% (650) 723-4000
9 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 86 $12,068 $140 100.0% (617) 732-5500
10 WHITE COAT HOUSE CALLS, PLLC SULPHUR SPRINGS TX NURSE PRACTITIONER 3 75 $4,057 $54 42.4% —
11 COMMUNITY COUNSELING SOLUTIONS JOHN DAY OR NURSE PRACTITIONER 28 71 $4,828 $68 60.2% (541) 575-0429
12 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 66 $7,062 $107 4.7% (714) 871-3006
13 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 64 $6,656 $104 4.6% (760) 728-9560
14 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO MD INTERNAL MEDICINE 1965 57 $5,814 $102 100.0% (301) 618-5700
15 WEST GEORGIA INTERNAL MEDICINE PC CARROLLTON GA INTERNAL MEDICINE 7 39 $5,850 $150 57.4% —
16 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 35 $10,911 $312 2.5% (805) 681-7500
17 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 34 $3,468 $102 52.3% —
18 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 31 $3,720 $120 47.7% (509) 665-6087
19 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 30 $3,704 $123 16.9% —
20 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 29 $3,712 $128 100.0% —
21 SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE COLUMBIA SC PSYCHIATRY 237 27 $2,496 $92 100.0% (803) 898-8579
22 WILLAMETTE COMMUNITY HEALTH SOLUTIONS EUGENE OR PHYSICAL THERAPIST IN PRIVATE PRACTICE 29 27 $2,585 $96 22.9% (541) 342-1632
23 TIPPAH COUNTY HOSPITAL RIPLEY MS NURSE PRACTITIONER 23 26 $1,300 $50 1.8% (662) 837-9221
24 HOSPICE OF THE PIEDMONT, INC. CHARLOTTESVILLE VA NURSE PRACTITIONER 8 25 $1,610 $64 100.0% (434) 817-6900
25 FORSYTH MEMORIAL HOSPITAL INC WINSTON SALEM NC PHYSICIAN ASSISTANT 620 23 $2,139 $93 33.3% (336) 277-2620
26 ALPHA ALLIED MENTAL HEALTH SERVICES LLC SAINT CHARLES MO NURSE PRACTITIONER 3 23 $2,643 $115 100.0% (636) 493-9008
27 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 23 $4,853 $211 1.6% (310) 825-7922
28 FRED J VON STIEFF MD A PROFESSIONAL CORPORATION CONCORD CA FAMILY PRACTICE 3 22 $2,450 $111 1.6% (925) 680-8933
29 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 22 $2,870 $130 62.9% (860) 724-2579
30 EXCELA HEALTH PHYSICIAN PRACTICES, INC GREENSBURG PA PHYSICIAN ASSISTANT 470 21 $1,732 $82 6.1% (724) 261-5610
31 CAPITAL NEPHROLOGY MEDICAL GROUP SACRAMENTO CA NEPHROLOGY 22 21 $4,830 $230 1.5% (916) 564-6232
32 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTH ME PHYSICIAN ASSISTANT 434 21 $2,814 $134 100.0% (508) 996-3991
33 RIO GRANDE VALLEY ADULT AND INTERNAL MEDICINE SPECIALISTS PLLC WESLACO TX INTERNAL MEDICINE 9 21 $2,625 $125 11.9% (956) 968-1621
34 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 20 $2,460 $123 16.9% (541) 706-7715
35 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 20 $6,120 $306 100.0% —
36 NARCE AUDIOLOGY INC BEVERLY HILLS CA QUALIFIED AUDIOLOGIST 2 20 $5,560 $278 1.4% (310) 954-2207
37 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 20 $1,940 $97 100.0% —
38 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 19 $2,514 $132 100.0% —
39 CANCER CENTER OF MIDDLE GEORGIA, LLC DUBLIN GA NURSE PRACTITIONER 4 17 $1,638 $96 25.0% (941) 404-1851
40 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 17 $1,950 $115 100.0% (602) 445-0751
41 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 17 $1,768 $104 1.2% (800) 954-8000
42 BOOMER 06 PLLC OKLAHOMA CITY TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 17 $595 $35 9.6% (405) 676-5606
43 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO PA INTERNAL MEDICINE 1965 17 $1,734 $102 5.0% (301) 618-5700
44 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO NY INTERNAL MEDICINE 1965 17 $1,734 $102 6.4% (301) 618-5700
45 RECOVERY MOBILE CLINIC WHITE LAKE MI NURSE PRACTITIONER 4 16 $1,040 $65 100.0% (248) 563-5735
46 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 16 $3,904 $244 100.0% —
47 CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER APC RANCHO MIRAGE CA PHYSICIAN ASSISTANT 16 15 $1,125 $75 1.1% (760) 423-4000
48 NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 112 15 $1,950 $130 5.7% (212) 774-7598
49 MECNB LLC TEQUESTA FL PHYSICIAN ASSISTANT 26 13 $1,300 $100 5.8% (561) 747-4464
50 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 13 $1,534 $118 3.8% (717) 531-5638
51 HARTFORD HEALTHCARE MEDICAL GROUP INC SOUTHINGTON CT INTERNAL MEDICINE 238 13 $1,655 $127 37.1% (860) 276-5144

*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 →