NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99238 Hospital discharge day management, 30 minutes or less CPT · E&M
Classification E&M › Hospital Inpatient Services › Hospital Discharge Management (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1.35M services ▼ 10.4% YoY · 1.26M beneficiaries (CY2024, Medicare FFS)
Medicare paid $82.6M · $61.23 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4,035
Named-group FFS services
862,911
FFS of Medicare
49%
Services YoY
-10.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,758,401 services

862,911 observed fee-for-service (49%) · ~895,490 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 — 99238 (CY2024)
FL 137,778 CA 104,731 TX 99,680 NY 96,724 PA 69,464

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

Named-group submitted charges
$188.3M
Named-group allowed amount
$67.2M
Named-group Medicare payments
$52.8M
Avg charge / svc
$218
Avg allowed / svc
$78
Avg payment / svc
$61
Average charge per group
$63 4,035 groups · avg submitted charge / service $1,617
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99238 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 8,175 $3,749,712 $459 8.5% (212) 263-9700
2 FLORIDA HOSPITAL MEDICINE SERVICES, LLC FORT LAUDERDALE FL INTERNAL MEDICINE 272 5,577 $1,488,494 $267 4.0% (954) 355-4400
3 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 4,856 $645,848 $133 14.5% (501) 202-2093
4 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 4,487 $795,160 $177 61.6% (801) 261-8346
5 NORTH ATLANTA PROFESSIONAL SERVICES LLC ATLANTA GA INTERNAL MEDICINE 427 4,008 $973,689 $243 12.3% (404) 851-8000
6 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 3,691 $727,303 $197 2.7% (727) 725-5060
7 HOSPITAL MEDICINE SERVICES OF FL, LLC LAKE CITY FL INTERNAL MEDICINE 523 3,563 $1,410,167 $396 2.6% (850) 719-9000
8 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 3,361 $901,575 $268 2.4% (239) 343-9888
9 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 3,308 $995,338 $301 9.2% (615) 322-5000
10 INPATIENT CONSULTANTS OF FLORIDA, INC OCALA FL INTERNAL MEDICINE 169 3,123 $802,771 $257 2.3% (352) 291-3000
11 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 3,061 $652,422 $213 4.8% —
12 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 3,060 $664,020 $217 4.4% (610) 431-5000
13 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 2,870 $570,561 $199 4.1% —
14 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 2,717 $561,209 $207 10.0% (434) 924-5959
15 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,717 $1,219,874 $449 6.6% —
16 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 2,700 $499,473 $185 3.9% —
17 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 2,662 $534,295 $201 1.9% —
18 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 2,656 $630,865 $238 2.7% (817) 281-2977
19 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 2,553 $413,902 $162 3.7% (215) 662-2777
20 ABINGTON MEMORIAL HOSPITAL ABINGTON PA NURSE PRACTITIONER 454 2,507 $327,127 $130 3.6% (215) 481-2222
21 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 2,412 $545,720 $226 2.3% (562) 698-0811
22 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 2,409 $476,577 $198 2.3% (408) 851-1000
23 STATCARE INPATIENT LLC KNOXVILLE TN INTERNAL MEDICINE 132 2,373 $512,841 $216 6.6% (865) 770-5920
24 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 2,348 $802,872 $342 6.5% (617) 732-5500
25 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 2,282 $327,598 $144 8.4% (434) 947-3033
26 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 2,232 $346,964 $155 4.5% —
27 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 2,217 $416,538 $188 7.0% (573) 882-2667
28 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 2,162 $486,615 $225 2.2% (631) 444-1560
29 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 2,113 $306,965 $145 3.0% (484) 526-2400
30 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 2,097 $488,090 $233 4.2% (734) 763-5459
31 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 2,082 $424,524 $204 12.0% (304) 598-4865
32 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 2,040 $664,538 $326 18.5% (507) 284-2511
33 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 2,031 $694,528 $342 5.6% (617) 724-0287
34 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 2,029 $362,333 $179 2.9% —
35 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 2,023 $302,857 $150 3.2% (630) 933-4800
36 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 1,951 $312,421 $160 2.8% —
37 CENTRIC HEALTH BAKERSFIELD CA INTERNAL MEDICINE 63 1,918 $306,909 $160 1.8% —
38 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 1,917 $565,381 $295 1.4% (352) 265-8990
39 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 1,912 $554,142 $290 2.0% (212) 241-4812
40 CENTRAL FLORIDA HOSPITALIST PARTNERS PA ORLANDO FL HOSPITALIST 91 1,861 $368,985 $198 1.4% (407) 464-9516
41 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,858 $587,054 $316 1.9% —
42 FREEMAN-OAK HILL HEALTH SYSTEM JOPLIN MO NURSE PRACTITIONER 382 1,857 $422,510 $228 5.8% (417) 347-8200
43 SOUTHEASTERN INTENSIVIST SERVICES PC RICHMOND VA INTERNAL MEDICINE 231 1,841 $512,765 $279 6.8% (804) 320-3911
44 NORTHERN COLORADO HOSPITALISTS PROFESSIONAL LLC FORT COLLINS CO INTERNAL MEDICINE 82 1,831 $598,574 $327 16.1% (970) 495-7142
45 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 1,807 $416,273 $230 3.6% (313) 916-2600
46 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,798 $295,812 $165 2.8% —
47 MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC NEWTON MA INTERNAL MEDICINE 535 1,796 $613,872 $342 5.0% (617) 243-6000
48 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 1,785 $361,680 $203 12.4% (202) 429-2401
49 PREMIER HOSPITALISTS OF BAKERSFIELD INC BAKERSFIELD CA INTERNAL MEDICINE 7 1,773 $221,625 $125 1.7% 661327464710716
50 IPC HEALTHCARE SERVICES OF TEXAS PLLC AUSTIN TX INTERNAL MEDICINE 187 1,741 $486,039 $279 1.7% (512) 407-7000
51 NEVADA ACUTE MEDICAL SERVICES-SCHERR 1 PC LAS VEGAS NV INTERNAL MEDICINE 71 1,738 $487,552 $281 21.7% (702) 962-5000
52 HOSPITAL MEDICINE SERVICES OF TN LLC NASHVILLE TN INTERNAL MEDICINE 273 1,730 $696,818 $403 4.8% (615) 342-1000
53 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 1,726 $359,656 $208 14.2% (203) 739-7118
54 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 1,699 $416,953 $245 1.6% (714) 871-3006
55 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,681 $547,975 $326 1.6% (650) 723-4000
56 COOPER PHYSICIAN OFFICES PA CAMDEN NJ HOSPITALIST 342 1,680 $368,512 $219 4.1% (856) 342-3150
57 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 1,675 $329,975 $197 12.5% (402) 354-8163
58 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 1,663 $300,040 $180 4.6% —
59 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 1,648 $827,012 $502 9.1% (414) 421-8400
60 ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER INDIANAPOLIS IN INTERNAL MEDICINE 285 1,647 $263,520 $160 5.5% (317) 338-7760
61 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC MESA AZ INTERNAL MEDICINE 644 1,633 $304,109 $186 8.0% (480) 412-3000
62 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 1,611 $308,293 $191 7.0% (859) 578-5880
63 LIFESPAN PHYSICIAN GROUP INC PROVIDENCE RI PHYSICIAN ASSISTANT 947 1,589 $367,443 $231 28.0% (401) 793-9172
64 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 1,585 $194,955 $123 3.2% —
65 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 1,580 $404,267 $256 8.5% (843) 792-1414
66 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 1,571 $219,003 $139 4.7% (501) 686-8000
67 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 1,554 $292,564 $188 2.4% (309) 683-5050
68 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 1,544 $376,243 $244 1.1% (407) 896-1100
69 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 1,534 $218,577 $142 2.2% —
70 HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION ASHEVILLE NC INTERNAL MEDICINE 804 1,531 $429,465 $281 5.7% (828) 213-1111
71 HOSPITAL INTERNAL MEDICINE PA GAINESVILLE FL INTERNAL MEDICINE 42 1,503 $286,598 $191 1.1% (352) 384-3900
72 SOUTHEASTERN HOSPITALIST SERVICES PC MYRTLE BEACH SC INTERNAL MEDICINE 308 1,500 $419,788 $280 8.0% (843) 692-1000
73 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 1,493 $246,197 $165 8.0% (803) 744-4900
74 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 1,477 $196,441 $133 1.1% (863) 680-7780
75 HOSPITAL MEDICINE SERVICES OF TX, PLLC SAN ANTONIO TX INTERNAL MEDICINE 380 1,460 $530,108 $363 1.5% (210) 575-4000
76 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 1,447 $360,241 $249 4.0% (508) 334-1000
77 ADVANCED CARE HOSPITALISTS PL LAKELAND FL INTERNAL MEDICINE 68 1,446 $219,110 $152 1.0% (863) 816-5884
78 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 1,430 $489,935 $343 7.9% (608) 287-2050
79 SOUTHERN OREGON HOSPITALISTS PC MEDFORD OR HOSPITALIST 52 1,428 $370,982 $260 16.8% (541) 282-6770
80 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 1,399 $200,712 $143 4.6% (260) 425-5900
81 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 1,395 $462,857 $332 1.4% (806) 359-4673
82 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 1,374 $301,462 $219 1.3% (559) 459-6000
83 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 1,368 $202,875 $148 1.0% —
84 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 1,357 $425,821 $314 11.9% (720) 777-1234
85 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 1,352 $214,960 $159 1.4% (903) 606-5560
86 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,330 $202,269 $152 7.1% —
87 LAKELAND MEDICAL PRACTICES SAINT JOSEPH MI PHYSICIAN ASSISTANT 283 1,320 $299,068 $227 2.6% —
88 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA INTERNAL MEDICINE 228 1,319 $377,298 $286 1.3% (562) 495-4952
89 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 1,316 $223,720 $170 9.9% (402) 559-4000
90 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 1,313 $328,276 $250 10.8% (206) 364-0500
91 OKLAHOMA STATE UNIVERSITY TULSA OK FAMILY PRACTICE 113 1,306 $195,167 $149 5.9% (918) 561-5701
92 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,298 $234,181 $180 2.0% (847) 459-1160
93 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 1,296 $295,013 $228 1.3% (718) 616-5356
94 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 1,280 $146,084 $114 4.2% —
95 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 1,268 $252,042 $199 0.9% (863) 603-6565
96 NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC LAGRANGE IN NURSE PRACTITIONER 54 1,258 $182,410 $145 4.2% (260) 463-2133
97 HOSPITAL MEDICINE ASSOCIATES LLC BIRMINGHAM AL INTERNAL MEDICINE 206 1,253 $346,461 $277 4.1% (205) 939-7000
98 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 1,252 $189,341 $151 4.1% —
99 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 245 1,250 $252,449 $202 3.9% (417) 269-5158
100 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,227 $176,055 $143 1.2% (254) 724-2663

Showing the top 100 of 4,035 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 →