NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99285 Emergency department visit with high level of medical decision making CPT · E&M
Classification E&M › Emergency Department Services › Emergency Department E&M (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 8.98M services ▲ 5.7% YoY · 8.68M beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2B · $130.82 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
3,502
Named-group FFS services
4,628,315
FFS of Medicare
49%
Services YoY
+5.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,428,178 services

4,628,315 observed fee-for-service (49%) · ~4,799,863 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; 4 states without payer-mix data excluded. How we scale

Top states — 99285 (CY2024)
CA 847,440 FL 667,745 TX 569,069 NY 559,975 PA 496,047

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

Named-group submitted charges
$5.5B
Named-group allowed amount
$789.5M
Named-group Medicare payments
$608.9M
Avg charge / svc
$1,195
Avg allowed / svc
$171
Avg payment / svc
$132
Average charge per group
$200 3,502 groups · avg submitted charge / service $56,848
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99285 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CEP AMERICA - CALIFORNIA MORENO VALLEY CA EMERGENCY MEDICINE 1230 130,098 $160,007,804 $1,230 15.4% (651) 243-0811
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 61,439 $73,371,294 $1,194 11.0% —
3 CEPAMERICA ILLINOIS LLP CHICAGO IL EMERGENCY MEDICINE 503 40,806 $50,141,700 $1,229 9.4% (773) 774-8000
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 37,854 $62,986,866 $1,664 9.6% —
5 TEXAS MEDICINE RESOURCES, LLP PLANO TX EMERGENCY MEDICINE 239 31,256 $49,176,673 $1,573 5.5% (972) 981-8000
6 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 25,503 $28,075,970 $1,101 9.2% (908) 994-5422
7 TRAVIS COUNTY EMERGENCY PHYSICIANS PA HOUSTON TX EMERGENCY MEDICINE 256 25,399 $35,642,223 $1,403 4.5% (713) 790-3311
8 MEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP HOUSTON TX EMERGENCY MEDICINE 273 25,099 $28,866,858 $1,150 4.4% (713) 338-6565
9 CENTURY INTEGRATED PARTNERS, INC DALLAS TX EMERGENCY MEDICINE 331 23,728 $35,068,627 $1,478 4.2% (214) 820-0111
10 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 23,659 $13,822,196 $584 5.4% —
11 EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION BLOOMINGTON MN EMERGENCY MEDICINE 268 23,143 $23,573,337 $1,019 18.0% (952) 835-9880
12 WAKE EMERGENCY PHYSICIANS PA RALEIGH NC EMERGENCY MEDICINE 275 22,306 $21,088,039 $945 7.6% (919) 350-8000
13 WAKE FOREST EMERGENCY PROVIDERS CONCORD NC EMERGENCY MEDICINE 471 22,253 $19,354,330 $870 7.6% (704) 403-3000
14 EMERGENCY PHYSICIANS OF TIDEWATER SUFFOLK VA EMERGENCY MEDICINE 165 21,519 $15,167,357 $705 8.5% (757) 686-3508
15 FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC ORLANDO FL EMERGENCY MEDICINE 310 19,757 $34,823,270 $1,763 3.0% (407) 303-5600
16 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE TN EMERGENCY MEDICINE 785 19,290 $29,878,112 $1,549 9.8% (865) 373-1000
17 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON FL EMERGENCY MEDICINE 653 18,810 $20,650,599 $1,098 2.8% (813) 681-5551
18 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 18,645 $7,472,781 $401 3.8% (484) 526-2400
19 PARAGON EMERGENCY SERVICES LLC THE VILLAGES FL EMERGENCY MEDICINE 394 18,379 $35,092,093 $1,909 2.8% (352) 751-8000
20 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 16,839 $6,762,496 $402 4.5% (248) 964-1187
21 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 16,661 $8,149,088 $489 5.9% —
22 PARAGON CONTRACTING SERVICES LLC BIRMINGHAM FL EMERGENCY MEDICINE 367 16,093 $34,146,083 $2,122 2.4% (205) 838-3450
23 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 14,913 $6,667,693 $447 3.0% —
24 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 14,900 $15,807,248 $1,061 3.0% (570) 271-6144
25 ACS PRIMARY CARE PHYSICIANS SOUTHWEST PA ATHENS TX EMERGENCY MEDICINE 192 14,226 $21,650,308 $1,522 2.5% (903) 676-1000
26 EMERGENCY MEDICINE SPECIALISTS INC KETTERING OH EMERGENCY MEDICINE 114 13,938 $16,579,993 $1,190 3.5% (937) 702-4024
27 MID-ATLANTIC EMERGENCY MEDICAL ASSOCIATES PLLC CHARLOTTE NC EMERGENCY MEDICINE 97 13,458 $14,164,788 $1,053 4.6% (704) 377-2424
28 EMERGENCY PHYSICIANS OF ORANGE COUNTY NEWPORT BEACH CA EMERGENCY MEDICINE 60 13,267 $15,813,281 $1,192 1.6% (949) 764-4624
29 EMERGENCY MEDICINE ASSOCIATES P.A., P.C. ARLINGTON VA INTERNAL MEDICINE 696 12,625 $20,335,214 $1,611 5.0% (703) 558-5000
30 ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH SC EMERGENCY MEDICINE 407 12,579 $21,398,180 $1,701 7.0% (843) 692-1000
31 EPMG OF MICHIGAN PC CHELSEA MI EMERGENCY MEDICINE 111 12,307 $18,682,947 $1,518 3.3% (954) 939-5000
32 EMERGENCY PHYSICIAN ASSOCIATES OF NORTH JERSEY P C SUMMIT NJ EMERGENCY MEDICINE 125 12,257 $20,425,330 $1,666 4.4% (908) 522-2232
33 CEP AMERICA LLC DECATUR IN EMERGENCY MEDICINE 960 12,047 $14,262,241 $1,184 6.1% (510) 851-7493
34 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 12,006 $9,275,972 $773 1.4% (650) 723-4000
35 NORTHEAST TEXAS EMERGENCY PHYSICIANS PLLC LONGVIEW TX EMERGENCY MEDICINE 186 11,987 $28,017,118 $2,337 2.1% (903) 315-2000
36 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 11,705 $18,208,262 $1,556 6.5% (803) 744-4900
37 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 11,660 $6,851,252 $588 4.2% (508) 334-1000
38 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 11,486 $12,944,485 $1,127 8.8% (414) 421-8400
39 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 11,253 $11,082,589 $985 8.7% (507) 284-2511
40 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 10,981 $11,330,668 $1,032 1.3% (408) 851-1000
41 NORTHWEST EMERGENCY PHYSICIANS LLC FEDERAL WAY WA EMERGENCY MEDICINE 261 10,906 $13,262,865 $1,216 8.2% (253) 838-9700
42 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 10,848 $14,449,984 $1,332 6.3% (800) 603-0558
43 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 10,817 $4,931,588 $456 2.2% —
44 COASTAL MEDICAL ASSOCIATES WEYMOUTH MA PHYSICIAN ASSISTANT 458 10,799 $5,889,788 $545 3.9% (781) 792-4136
45 BROWN EMERGENCY MEDICINE PROVIDENCE RI EMERGENCY MEDICINE 144 10,337 $13,885,631 $1,343 22.5% (401) 793-2500
46 EMERGENCY COVERAGE LLC RICHMOND VA EMERGENCY MEDICINE 755 10,200 $17,031,389 $1,670 4.0% (804) 289-4500
47 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 10,144 $9,484,237 $935 1.8% (212) 241-4812
48 EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY P C VOORHEES NJ EMERGENCY MEDICINE 89 10,137 $18,081,860 $1,784 3.6% (856) 247-3000
49 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 9,959 $7,969,627 $800 1.2% (310) 423-3277
50 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 9,669 $5,570,625 $576 5.2% (410) 502-4340
51 EMERGENCY COVERAGE LLC RICHMOND NC EMERGENCY MEDICINE 755 9,592 $14,991,436 $1,563 3.3% (804) 289-4500
52 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 9,587 $8,537,145 $890 27.1% (207) 885-9905
53 COMPASS EMERGENCY PHYSICIANS PSC LAWRENCEBURG KY EMERGENCY MEDICINE 86 9,543 $8,414,352 $882 6.6% (859) 572-3617
54 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 9,455 $7,986,031 $845 1.4% (239) 343-9888
55 BREVARD PHYSICIAN ASSOCIATES PLLC MELBOURNE FL DIAGNOSTIC RADIOLOGY 216 9,383 $9,864,541 $1,051 1.4% (321) 434-9000
56 INPHYNET CONTRACTING SERVICES LLC TAMPA FL EMERGENCY MEDICINE 165 9,340 $19,477,684 $2,085 1.4% (813) 844-7000
57 UTAH EMERGENCY PHYSICIANS SALT LAKE CITY UT EMERGENCY MEDICINE 153 9,194 $11,659,567 $1,268 19.1% (801) 507-9700
58 FREDERICKSBURG EMERGENCY MEDICAL ALLIANCE, INC. FREDERICKSBURG VA EMERGENCY MEDICINE 47 8,783 $5,026,423 $572 3.5% (540) 741-1167
59 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 8,714 $4,413,126 $506 3.0% (336) 713-9800
60 EMERGENCY PHYSICIANS OF THE ROCKIES, PC FORT COLLINS CO EMERGENCY MEDICINE 77 8,679 $10,407,526 $1,199 7.7% (970) 495-7000
61 CEP AMERICA- ARIZONA, PC SUN CITY AZ EMERGENCY MEDICINE 80 8,670 $10,564,921 $1,219 5.0% (623) 832-4000
62 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, P.C. SMITHVILLE TN EMERGENCY MEDICINE 88 8,660 $14,326,419 $1,654 4.4% (615) 215-5000
63 ECS WESTERN MICHIGAN PC GRAND RAPIDS MI EMERGENCY MEDICINE 205 8,655 $8,556,036 $989 2.3% (616) 391-1680
64 MEDICAL ASSOCIATES INDIANAPOLIS IN EMERGENCY MEDICINE 39 8,505 $10,158,000 $1,194 4.3% (317) 355-5041
65 EMERGENCY PHYSICIANS INC FLEMING ISLAND FL EMERGENCY MEDICINE 100 8,491 $14,099,167 $1,660 1.3% (904) 516-1000
66 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 8,481 $5,188,684 $612 8.4% (203) 688-4242
67 MORRISTOWN EMERGENCY MEDICAL ASSOCIATES LLC MORRISTOWN NJ EMERGENCY MEDICINE 83 8,467 $8,654,479 $1,022 3.0% (954) 939-5000
68 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 8,443 $7,927,734 $939 18.5% —
69 CAREPOINT EMERGENCY MEDICINE, PLLC AURORA CO EMERGENCY MEDICINE 156 8,424 $10,572,022 $1,255 7.5% (303) 695-2600
70 PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES, LLC HARRISBURG PA EMERGENCY MEDICINE 105 8,424 $4,242,457 $504 1.7% (717) 988-0000
71 SAN FRANCISCO EMERGENCY MEDICAL ASSOCIATES SAN FRANCISCO CA EMERGENCY MEDICINE 75 8,415 $10,278,900 $1,221 1.0% (415) 641-6625
72 BROAD RIVER PHYSICIANS GROUP, LLC CHARLESTON SC EMERGENCY MEDICINE 62 8,256 $13,714,888 $1,661 4.6% (843) 724-2901
73 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 8,210 $16,747,542 $2,040 1.2% (904) 953-2000
74 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 8,104 $4,902,415 $605 5.6% (502) 937-2209
75 EMERGENCY CARE CONSULTANTS PA RIVER FALLS MN EMERGENCY MEDICINE 103 7,953 $6,850,407 $861 6.2% (715) 307-6000
76 EMERGENCY PHYSICIANS OF CENTRAL FLORIDA LLP ORLANDO FL EMERGENCY MEDICINE 117 7,916 $13,158,590 $1,662 1.2% (407) 351-8500
77 ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH GA EMERGENCY MEDICINE 407 7,913 $12,518,936 $1,582 3.4% (843) 692-1000
78 PHS EMERGENCY BILLING LLC DAYTON OH EMERGENCY MEDICINE 70 7,794 $5,140,126 $659 2.0% (937) 208-8000
79 EMED LLP BOCA RATON FL EMERGENCY MEDICINE 28 7,753 $9,060,412 $1,169 1.2% (561) 395-7100
80 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 7,489 $5,493,159 $733 2.7% (617) 732-5500
81 TEXAS PHYSICIAN RESOURCES, LLP DALLAS TX EMERGENCY MEDICINE 93 7,456 $11,922,150 $1,599 1.3% (214) 947-8181
82 ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS NEW BEDFORD MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 564 7,439 $3,940,681 $530 2.7% (781) 983-9088
83 TEAM PHYSICIANS OF NORTHERN CALIFORNIA MEDICAL GROUP INC LA MESA CA EMERGENCY MEDICINE 97 7,373 $9,850,797 $1,336 0.9% (619) 465-0711
84 BAYHEALTH EMERGENCY PHYSICIANS LLC DOVER DE EMERGENCY MEDICINE 75 7,347 $8,688,554 $1,183 16.1% (302) 744-6156
85 EMERGENCY MEDICINE SPECIALISTS SC MILWAUKEE WI PHYSICIAN ASSISTANT 204 7,329 $8,123,948 $1,108 5.6% (414) 447-2000
86 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 7,313 $4,999,622 $684 6.5% (720) 777-1234
87 EMERGENCY MEDICAL SPECIALISTS, P.C. COLORADO SPRINGS CO EMERGENCY MEDICINE 75 7,284 $6,316,695 $867 6.5% (719) 364-5000
88 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 7,242 $4,251,421 $587 2.6% —
89 EDWARD HOSPITAL NAPERVILLE IL EMERGENCY MEDICINE 99 7,103 $6,113,338 $861 1.6% (312) 355-0450
90 CEP AMERICA LLC DECATUR IL EMERGENCY MEDICINE 960 7,099 $8,643,496 $1,218 1.6% (510) 851-7493
91 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 7,095 $3,984,053 $562 1.3% (212) 746-5454
92 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 7,071 $7,217,202 $1,021 5.4% (608) 287-2050
93 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 7,047 $4,334,200 $615 1.4% (215) 662-2777
94 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE AR EMERGENCY MEDICINE 785 7,005 $11,509,909 $1,643 7.4% (865) 373-1000
95 EMERGENCY MEDICINE PROFESSIONALS PA DELAND FL EMERGENCY MEDICINE 24 7,001 $13,784,969 $1,969 1.0% (386) 943-4522
96 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 6,973 $5,013,114 $719 1.2% (212) 305-8559
97 EMERGENCY PROFESSIONAL SERVICES, INC. CINCINNATI OH EMERGENCY MEDICINE 124 6,963 $10,385,158 $1,491 1.8% (513) 369-2000
98 LONGHORN EMERGENCY MEDICAL ASSOCIATES PA AUSTIN TX EMERGENCY MEDICINE 136 6,929 $9,984,060 $1,441 1.2% (830) 997-4353
99 EMERGENCY MEDICINE SERVICES OF TX, PLLC SAN ANTONIO TX EMERGENCY MEDICINE 356 6,887 $8,114,176 $1,178 1.2% (210) 575-4000
100 CEP AMERICA LLC DECATUR MD EMERGENCY MEDICINE 960 6,766 $8,407,846 $1,243 3.6% (510) 851-7493

Showing the top 100 of 3,502 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 →