NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes CPT · Anesthesia
Classification Anesthesia › Anesthesia (CMS RBCS)
First observed 2017
National scale 207,748 services ▼ 8.1% YoY · 66,953 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.9M · $9.19 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
569
Named-group FFS services
123,273
FFS of Medicare
49%
Services YoY
-8.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~250,909 services

123,273 observed fee-for-service (49%) · ~127,636 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 — 99153 (CY2024)
CA 27,095 FL 23,985 TX 19,146 AZ 18,604 MI 11,080

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

Named-group submitted charges
$5.5M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$45
Avg allowed / svc
$12
Avg payment / svc
$9
Average charge per group
$10 569 groups · avg submitted charge / service $500
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99153 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MOUNTAIN VIEW HEADACHE AND SPINE INSTITUTE PLLC PHOENIX AZ NURSE PRACTITIONER 8 10,056 $252,520 $25 54.1% (602) 767-0007
2 VASCULAR SURGERY ASSOCIATES LLC TOWSON MD VASCULAR SURGERY 15 2,300 $41,387 $18 21.4% (410) 825-4928
3 WASHINGTON CARDIOVASCULAR INSTITUTE, LLC TAKOMA PARK MD NURSE PRACTITIONER 17 1,497 $31,437 $21 13.9% (301) 891-2500
4 SOUTHERN CONNECTICUT VASCULAR CENTER LLC STRATFORD CT VASCULAR SURGERY 36 1,483 $81,565 $55 58.2% (203) 210-6340
5 SOUTHERN PAIN AND REGENERATIVE MEDICINE PC MEMPHIS TN DIAGNOSTIC RADIOLOGY 5 1,437 $40,969 $29 31.9% (901) 350-0678
6 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 1,381 $85,260 $62 5.1% (858) 499-2600
7 ANNE ARUNDEL UROLOGY, PA ANNAPOLIS NY UROLOGY 31 1,205 $30,125 $25 14.1% (410) 266-8049
8 HORIZON SURGICAL GROUP PA FREDERICK MD VASCULAR SURGERY 8 1,195 $36,220 $30 11.1% (240) 529-1414
9 ADVANCED SURGICAL TECHNOLOGY, LLC CENTRALIA IL NURSE PRACTITIONER 7 1,188 $179,250 $151 18.9% (618) 899-9200
10 VASCULAR INSTITUTE OF CLEVELAND LLC GARFIELD HEIGHTS CA CARDIAC SURGERY 2 1,179 $58,950 $50 4.4% (216) 839-0692
11 MONTEREY BAY VASCULAR INC APTOS CA GENERAL SURGERY 3 1,111 $29,867 $27 4.1% (831) 318-0010
12 GLACIER PEAK PAIN CARE PLLC CLINTON UT PHYSICIAN ASSISTANT 3 1,065 $23,910 $22 24.0% (385) 333-7123
13 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 1,022 $32,704 $32 4.3% (561) 498-4440
14 GENERAL VASCULAR SURGERY MEDICAL GROUP INC SAN LEANDRO CA VASCULAR SURGERY 5 1,011 $32,787 $32 3.7% (510) 347-4700
15 MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION SAN JOSE CA INTERVENTIONAL RADIOLOGY 5 995 $63,353 $64 3.7% (408) 918-0405
16 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 952 $29,988 $32 51.0% (314) 567-6071
17 ARTEMIS MEDICAL CENTER INC MONTEBELLO CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 947 $13,815 $15 3.5% (626) 316-7776
18 MISSISSIPPI VEIN INSTITUTE MADISON MS ANESTHESIOLOGY 2 934 $140,100 $150 21.7% (601) 707-7026
19 OREGON VASCULAR SPECIALISTS LLC BEND OR VASCULAR SURGERY 12 895 $29,544 $33 49.4% (541) 313-8111
20 FIRST COAST CARDIOVASCULAR INSTITUTE, LLC JACKSONVILLE FL NURSE PRACTITIONER 43 873 $19,607 $22 3.6% (904) 493-3333
21 CARDIAC AND VASCULAR CONSULTANTS MD PA THE VILLAGES FL NURSE PRACTITIONER 12 868 $20,215 $23 3.6% (352) 633-1966
22 ARIZONA UROLOGY SPECIALISTS PLLC MESA AZ UROLOGY 81 866 $27,487 $32 4.7% (602) 222-1900
23 WICHITA FALLS GASTROENTEROLOGY ASSOCIATES WICHITA FALLS TX GASTROENTEROLOGY 9 859 $42,950 $50 4.5% (940) 687-6870
24 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 812 $29,051 $36 9.5% (718) 369-1444
25 ROCKFORD HEALTH PHYSICIANS ROCKFORD IL DIAGNOSTIC RADIOLOGY 516 794 $24,660 $31 12.6% (815) 971-2000
26 AVERA QUEEN OF PEACE MITCHELL SD DIAGNOSTIC RADIOLOGY 116 790 $8,820 $11 24.8% (605) 995-2000
27 WEST COAST MEDICINE AND CARDIOLOGY INC FREMONT CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 782 $23,460 $30 2.9% (510) 931-4310
28 VHC PC BATTLE CREEK MI VASCULAR SURGERY 3 767 $13,280 $17 6.9% (269) 979-6310
29 RYAN K ANDERSON D P M P C BOUNTIFUL UT PODIATRY 51 763 $19,075 $25 17.2% (801) 292-4425
30 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 736 $23,552 $32 3.8% (210) 614-7414
31 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 713 $24,955 $35 16.1% —
32 CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA LLC OCALA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 69 708 $19,888 $28 3.0% (352) 622-4251
33 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 706 $24,992 $35 2.6% (530) 247-3733
34 ERIC BAUMANN MD, PC PRESCOTT AZ INTERVENTIONAL PAIN MANAGEMENT 3 701 $35,050 $50 3.8% (928) 717-0788
35 MICHIGAN INSTITUTE OF UROLOGY PC SAINT CLAIR SHORES MI UROLOGY 84 700 $37,353 $53 6.3% (586) 771-4820
36 SOUTHERN CALIFORNIA VASCULAR INSTITUTE INC VISTA CA INTERVENTIONAL RADIOLOGY 4 670 $16,750 $25 2.5% (914) 979-6159
37 KING AND ASSOCIATES CARDIOLOGY PLLC COLUMBUS MS NURSE PRACTITIONER 4 637 $25,454 $40 14.8% (662) 368-1169
38 SAMER SAIEDY MD PA HAVRE DE GRACE MD VASCULAR SURGERY 15 632 $15,800 $25 5.9% (410) 942-1000
39 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 620 $20,460 $33 2.6% (407) 896-1100
40 INTERVENTIONAL CARDIOLOGY OF TULSA, LLC TULSA OK INTERVENTIONAL CARDIOLOGY 2 617 $29,894 $48 24.5% (918) 943-5303
41 FARSHAD MALEKMEHR MD INC ENCINO CA CARDIAC SURGERY 2 603 $60,300 $100 2.2% (818) 908-9752
42 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 578 $31,957 $55 9.2% (708) 482-4500
43 PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE INC OXNARD CA PHYSICIAN ASSISTANT 5 574 $28,500 $50 2.1% (805) 643-3330
44 MID-ATLANTIC NEPHROLOGY ASSOCIATES PA OWINGS MILLS MD NEPHROLOGY 57 570 $17,897 $31 5.3% (410) 602-7792
45 VASCULAR SURGERY ASSOCIATES OF RICHMOND PC HENRICO VA PHYSICIAN ASSISTANT 17 556 $15,012 $27 7.3% (804) 288-1953
46 SPEARMAN MD INC ARROYO GRANDE CA DIAGNOSTIC RADIOLOGY 2 552 $13,248 $24 2.0% (805) 473-8346
47 COASTAL SURGICAL SPECIALISTS P A NEW BERN NC VASCULAR SURGERY 4 547 $10,940 $20 12.8% (252) 638-8118
48 FLORIDA CARDIOLOGY PA WINTER PARK FL INTERVENTIONAL CARDIOLOGY 21 543 $15,086 $28 2.3% (407) 645-1847
49 BASEL REFAI MD PC ALEXANDER CITY AL NURSE PRACTITIONER 4 532 $26,800 $50 25.3% (256) 212-9300
50 Q-HEALTH PARTNERS PLLC HOUSTON TX NEPHROLOGY 21 532 $30,326 $57 2.8% (713) 520-6875
51 GLENDALE NEUROLOGICAL ASSOCIATES PC FARMINGTON HILLS MI NEUROLOGY 40 530 $42,464 $80 4.8% —
52 INTERVENTIONAL AND VASCULAR CENTER PLLC MELBOURNE FL NURSE PRACTITIONER 4 528 $11,616 $22 2.2% (321) 400-1220
53 CLINT A HAYES MD PA SHERMAN TX GENERAL SURGERY 2 517 $57,904 $112 2.7% (903) 893-0123
54 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 509 $45,810 $90 42.5% (515) 343-1000
55 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 507 $23,829 $47 11.8% (601) 264-6000
56 AMPUTATION PREVENTION CENTER OF NORTH CAROLINA LLC CARY NC NURSE PRACTITIONER 13 502 $20,093 $40 11.8% (919) 897-5999
57 ORLANDO HEART AND VASCULAR CENTER LLC ORLANDO FL NURSE PRACTITIONER 7 498 $12,948 $26 2.1% (407) 482-7788
58 VASCULAR CARE GROUP LLC HYANNIS MA VASCULAR SURGERY 27 497 $28,328 $57 11.3% (508) 775-1984
59 SAVANNAH VASCULAR INSTITUTE, LLC SAVANNAH GA VASCULAR SURGERY 21 483 $12,075 $25 9.1% (912) 352-8346
60 VASCULAR AND THORACIC ASSOCIATES OF LOS ANGELES LYNWOOD CA VASCULAR SURGERY 2 475 $7,737 $16 1.8% (562) 698-0271
61 VASCULAR SPECIALISTS LLC TINLEY PARK IL VASCULAR SURGERY 6 473 $11,352 $24 7.5% 8158244406128
62 ENDOVASCULAR CONSULTANTS OF COLORADO PC LONE TREE CO NURSE PRACTITIONER 5 468 $16,380 $35 11.5% (720) 668-8818
63 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 467 $40,629 $87 5.4% (212) 263-9700
64 CARIENT HEART AND VASCULAR, LLC MANASSAS VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 26 456 $18,240 $40 5.9% 57158117712611
65 POLYXENE GAZETAS KOKINOS MD PC CAMPBELL CA VASCULAR SURGERY 5 456 $13,680 $30 1.7% (408) 376-3626
66 COMPREHENSIVE PAIN SOLUTIONS PLLC CANTON MI PHYSICIAN ASSISTANT 6 454 $45,400 $100 4.1% (734) 355-0860
67 EAST TEXAS SURGICAL ASSOCIATES, PA CORPUS CHRISTI TX NURSE PRACTITIONER 5 443 $14,619 $33 2.3% (361) 882-4000
68 FLINT VASCULAR SURGERY PLLC FLINT MI GENERAL SURGERY 3 439 $21,900 $50 4.0% (810) 535-5555
69 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 435 $14,355 $33 5.1% (315) 478-4185
70 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON KY UROLOGY 89 415 $8,300 $20 15.1% —
71 BOULDER VALLEY GASTROENTEROLOGY INC. LAFAYETTE CO PHYSICIAN ASSISTANT 32 401 $18,045 $45 9.8% (303) 604-5000
72 PETOSKEY SURGEONS, P.C. PETOSKEY MI GENERAL SURGERY 9 398 $8,358 $21 3.6% (231) 487-1900
73 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 395 $16,590 $42 9.3% (919) 684-8111
74 WALLACE G GOSNEY MD AND GILBERT R TURNER MD PTRS UPLAND CA GENERAL SURGERY 3 394 $55,300 $140 1.5% (909) 920-0525
75 ADVANCED VASCULAR AND INTERVENTIONAL CENTER SUGAR LAND TX DIAGNOSTIC RADIOLOGY 2 390 $13,104 $34 2.0% (713) 980-7840
76 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 388 $17,460 $45 2.1% (602) 406-3181
77 SW FLORIDA PAIN CENTER INC. PORT CHARLOTTE FL NURSE PRACTITIONER 3 385 $12,898 $34 1.6% (941) 627-9095
78 MID MICHIGAN VASCULAR SURGERY, P.C. SAGINAW MI VASCULAR SURGERY 6 384 $34,560 $90 3.5% (989) 790-2600
79 THE PAIN CENTER OF WESTERN WASHINGTON, PLLC FEDERAL WAY WA PHYSICIAN ASSISTANT 2 384 $9,986 $26 16.3% 2538748774101
80 CARDIOVASCULAR SOLUTIONS OF CENTRAL MS, PA CLEVELAND MS INTERVENTIONAL CARDIOLOGY 2 382 $15,280 $40 8.9% (888) 757-0838
81 INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA GAINESVILLE FL INTERVENTIONAL CARDIOLOGY 36 381 $8,391 $22 1.6% (352) 375-1212
82 VASCULAR HEALTH CLINICS PLLC MIDLAND MI VASCULAR SURGERY 4 373 $9,876 $26 3.4% (989) 254-6427
83 MEDICAL IMAGING AND THERAPEUTICS LLC LADY LAKE FL DIAGNOSTIC RADIOLOGY 4 372 $11,776 $32 1.6% (352) 261-5502
84 CONCORD MEDICAL GROUP PLLC DERIDDER TX FAMILY PRACTICE 209 371 $9,406 $25 1.9% (337) 462-7100
85 VASCULAR ASSOCIATES OF SARASOTA SARASOTA FL VASCULAR SURGERY 13 365 $8,030 $22 1.5% (941) 371-6565
86 HUNTERDON GASTROENTEROLOGY ASSOCIATES, PA FLEMINGTON NJ GASTROENTEROLOGY 12 364 $35,308 $97 13.2% 90878864481101
87 PAIN CONSULTANTS OF SOUTH MISSISSIPPI PA HATTIESBURG MS INTERVENTIONAL PAIN MANAGEMENT 2 363 $72,600 $200 8.4% —
88 UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA PA WILMINGTON NC UROLOGY 9 362 $7,682 $21 8.5% (910) 763-6251
89 SONORAN VEIN AND ENDOVASCULAR LLC PEORIA AZ VASCULAR SURGERY 6 362 $7,714 $21 1.9% —
90 RADIOLOGY AND IMAGING SPECIALISTS OF LAKELAND LAKELAND FL DIAGNOSTIC RADIOLOGY 71 357 $12,852 $36 1.5% (863) 687-1100
91 PREMIER INTERVENTIONAL PAIN MANAGEMENT PLLC FLOWER MOUND TX ANESTHESIOLOGY 11 356 $7,832 $22 1.9% (972) 350-0225
92 CENTRAL ARKANSAS HEART CENTER CONWAY AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 355 $7,100 $20 14.9% (501) 205-8389
93 POLYXENE GAZETAS KOKINOS MD PC CAMPBELL NY VASCULAR SURGERY 5 355 $10,650 $30 4.1% (408) 376-3626
94 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 353 $9,531 $27 1.5% (321) 622-8730
95 OZARK REGIONAL VEIN CENTER LLC ROGERS AR NURSE PRACTITIONER 5 347 $6,942 $20 14.5% (479) 464-8346
96 OANDW ENTERPRISES STANLEYTOWN VA PHYSICIAN ASSISTANT 208 345 $43,125 $125 4.5% (888) 724-0268
97 HMDOD LLC EL DORADO AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 345 $6,854 $20 14.4% (870) 875-1481
98 ORANGE COUNTY VASCULAR SPECIALISTS, INC. NEWPORT BEACH CA PHYSICIAN ASSISTANT 2 335 $9,230 $28 1.2% (949) 574-7176
99 ST FRANCIS PHYSICIAN PRACTICES LLC COLUMBUS GA DIAGNOSTIC RADIOLOGY 177 335 $7,308 $22 6.3% (706) 320-2773
100 VASCULAR SPECIALISTS PA WILMINGTON DE NURSE PRACTITIONER 4 331 $10,080 $30 16.1% (302) 543-8100

Showing the top 100 of 569 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 →