NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99407 Smoking and tobacco use intensive counseling, more than 10 minutes CPT · E&M
Classification E&M › Behavioral Health Services (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 40,590 services ▲ 0.1% YoY · 24,518 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.0M · $25.83 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
318
Named-group FFS services
17,811
FFS of Medicare
49%
Services YoY
+0.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~35,796 services

17,811 observed fee-for-service (50%) · ~17,985 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 — 99407 (CY2024)
CA 16,921 TX 2,868 FL 2,281 MI 2,130 NY 1,988

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

Named-group submitted charges
$1.2M
Named-group allowed amount
$452K
Named-group Medicare payments
$452K
Avg charge / svc
$65
Avg allowed / svc
$25
Avg payment / svc
$25
Average charge per group
$29 318 groups · avg submitted charge / service $266
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99407 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AANDE MEDICAL GROUP-A PROFESSIONAL NURSING CORPORATION GLENDALE CA NURSE PRACTITIONER 12 1,432 $78,755 $55 8.5% (818) 239-9293
2 GHODS INC LOS ANGELES CA FAMILY PRACTICE 6 687 $51,525 $75 4.1% (424) 258-0124
3 SHINE MMG INC GLENDALE CA PHYSICIAN ASSISTANT 27 451 $17,607 $39 2.7% (818) 745-0070
4 OCEAN LIFE MEDICAL GROUP INC Santa Clarita CA EMERGENCY MEDICINE 2 306 $13,547 $44 1.8% —
5 JUN R. CHIONG, MD, MPH, INC. REDLANDS CA NURSE PRACTITIONER 11 300 $10,076 $34 1.8% —
6 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 277 $24,930 $90 24.5% —
7 ROAM HEALTHCARE INC - A PROFESSIONAL NURSING CORPORATION NORTHRIDGE CA GENERAL PRACTICE 2 270 $10,643 $39 1.6% (747) 224-7994
8 NARAGHI AND NAIM MEDICAL PARTNERSHIP BEVERLY HILLS CA PULMONARY DISEASE 2 239 $19,120 $80 1.4% (310) 691-1138
9 GONZALES MEDICAL CENTER INC GONZALES CA FAMILY PRACTICE 2 228 $7,980 $35 1.3% —
10 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 228 $16,578 $73 1.3% (626) 256-4673
11 PHYSICIANS TO YOU HOME HEALTH LIMITED BERWYN IL NURSE PRACTITIONER 10 224 $10,410 $46 13.8% (708) 933-3840
12 CENTINELA HOSPITALIST MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 11 206 $20,600 $100 1.2% (310) 673-4660
13 HARAWAY MEDICAL GROUP PLLC NORTH LAS VEGAS NV NURSE PRACTITIONER 4 184 $11,001 $60 14.9% (702) 294-0080
14 RELIABLE CARE MEDICAL GROUP AMC PC NATIONAL CITY CA NURSE PRACTITIONER 5 182 $18,200 $100 1.1% (619) 718-1743
15 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 179 $17,900 $100 37.4% (928) 458-7583
16 PARTNERS IN CARE LLC LAS VEGAS CA FAMILY PRACTICE 2 176 $7,105 $40 1.0% (702) 476-9068
17 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 175 $9,856 $56 7.7% (941) 255-3535
18 BANDA HEALTH PROVIDER LLC DARIEN IL FAMILY PRACTICE 4 171 $7,695 $45 10.5% (708) 846-4972
19 ARCHIS DESAI MD INC Redlands CA INTERNAL MEDICINE 2 171 $6,840 $40 1.0% —
20 CARVAJAL AND ALQUIROZ MOBILE PROFESSIONALS INC- A PROFESSIONAL N GLENDALE CA FAMILY PRACTICE 2 159 $7,155 $45 0.9% (818) 671-0012
21 HEPHZIBAH VISITING CLINICIANS DESOTO TX NURSE PRACTITIONER 13 142 $5,083 $36 5.0% (469) 941-4029
22 PCP FOR LIFE PA HOUSTON TX INTERNAL MEDICINE 5 138 $4,726 $34 4.8% (281) 370-7272
23 NEW SOUTHTOWN MEDICAL GROUP S C DARIEN IL NURSE PRACTITIONER 14 135 $4,725 $35 8.3% (773) 840-4747
24 GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP INC GLENDALE TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 130 $7,800 $60 4.5% (818) 242-4191
25 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 129 $9,546 $74 27.5% (601) 264-6000
26 PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS PL PORT CHARLOTTE FL PULMONARY DISEASE 9 128 $4,480 $35 5.6% (941) 766-4122
27 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 128 $6,400 $50 26.8% —
28 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 127 $10,033 $79 19.4% (765) 962-8551
29 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 119 $6,069 $51 18.1% —
30 SOUTHERN ILLINOIS MEDICAL SERVICES NFP CARBONDALE IL NURSE PRACTITIONER 347 115 $5,615 $49 7.1% (618) 457-3006
31 NEW MEXICO PAC SERVICES PC ALBUQUERQUE NM NURSE PRACTITIONER 8 115 $11,055 $96 100.0% (505) 262-2311
32 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 112 $14,000 $125 0.7% (916) 983-7476
33 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 112 $20,384 $182 5.6% (212) 263-9700
34 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 110 $9,350 $85 11.2% (410) 761-1222
35 INDIANA EXCEPTIONAL MEDICAL CARE EVANSVILLE IN NURSE PRACTITIONER 21 108 $8,100 $75 16.5% (812) 402-3700
36 PULMONARY AND CRITICAL CARE SPECIALISTS, L.L.C. SHREVEPORT LA PULMONARY DISEASE 4 106 $3,922 $37 14.0% (318) 797-8777
37 THE REHABILITATION CENTER THERAPEUTIC SOLUTIONS FOR CHILDREN AND ADUL SHERMAN TX FAMILY PRACTICE 19 106 $4,240 $40 3.7% —
38 PRAVINCHANDRA P. PATEL, MD P.C. COLDWATER MS NURSE PRACTITIONER 8 103 $8,755 $85 22.0% (662) 622-7011
39 PRIMARY CARE WALK IN CLINIC,PLLC SPRING HILL FL ANESTHESIOLOGY 4 100 $8,100 $81 4.4% (352) 666-5555
40 BULLITT COUNTY FAMILY PRACTITIONERS PSC LOUISVILLE KY FAMILY PRACTICE 3 97 $5,820 $60 22.0% (502) 955-8480
41 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 95 $7,125 $75 10.3% (252) 635-6777
42 JAX'S FAMILY CARE AND RESEARCH CENTER, P.A. JACKSONVILLE FL NURSE PRACTITIONER 3 94 $4,042 $43 4.1% (904) 800-2332
43 NEIGHBORHOOD HEALTH CARE INCORPORATED CLEVELAND OH NURSE PRACTITIONER 63 92 $7,775 $85 21.9% (216) 281-0872
44 MCH PROFESSIONAL CARE ODESSA TX NURSE PRACTITIONER 50 91 $15,013 $165 3.2% (432) 337-3117
45 AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS INC COLLEGE PARK GA CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 3 88 $2,640 $30 12.0% (404) 564-4796
46 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 87 $4,577 $53 20.7% (740) 568-2214
47 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 84 $4,240 $50 35.1% (501) 686-8000
48 M AND H MED HOUSECALLS LLC CAPE CORAL FL NURSE PRACTITIONER 25 83 $2,465 $30 3.6% (407) 647-2346
49 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 79 $13,450 $170 7.2% (732) 362-3663
50 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 77 $4,212 $55 3.4% (321) 434-8878
51 WEST HUDSON PULMONARY ASSOCIATES CORPC KEARNY NJ NURSE PRACTITIONER 6 77 $3,850 $50 7.0% (201) 991-4544
52 BARNEGAT MEDICAL ASSOCIATES P A. BARNEGAT NJ INTERNAL MEDICINE 3 75 $2,625 $35 6.8% (609) 698-3636
53 NORTH SHORE LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC NEW HYDE PARK NY PULMONARY DISEASE 6 74 $9,028 $122 3.7% (516) 326-0707
54 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTH MA PHYSICIAN ASSISTANT 434 73 $6,132 $84 6.4% (508) 996-3991
55 SCIOMETRIX LLC ROYAL OAK MI INTERNAL MEDICINE 57 72 $4,147 $58 3.4% (860) 335-5064
56 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 72 $3,831 $53 0.4% (760) 340-3911
57 JONATHAN B. LEVYN, D.O. PC PHILADELPHIA PA FAMILY PRACTICE 3 71 $2,840 $40 13.0% (215) 634-5481
58 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL MD ORTHOPEDIC SURGERY 675 71 $3,550 $50 7.2% —
59 INTENSIVE CARE EXPERTS HEALTH NETWORK, LLC PORT CHARLOTTE FL NURSE PRACTITIONER 89 70 $3,412 $49 3.1% (941) 625-3200
60 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 70 $5,320 $76 3.1% (813) 615-7075
61 ADENA MEDICAL GROUP LLC CHILLICOTHE OH NURSE PRACTITIONER 385 70 $2,222 $32 16.6% (740) 779-4500
62 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 69 $3,360 $49 100.0% (406) 657-4000
63 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 68 $2,321 $34 3.4% (914) 241-1050
64 CHAMPION PHYSICAL THERAPY LLC HALLS KNOXVILLE TN ORTHOPEDIC SURGERY 277 66 $4,950 $75 27.3% (865) 377-3176
65 CALIFORNIA MOBILE MEDICAL GROUP INC GLENDALE CA PHYSICIAN ASSISTANT 23 65 $2,539 $39 0.4% (818) 945-6003
66 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 65 $4,160 $64 2.3% (903) 606-5560
67 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 64 $3,904 $61 52.0% (302) 645-3525
68 OPTUM MEDICAL CARE OF NEW JERSEY PC BAYONNE NY PHYSICIAN ASSISTANT 182 64 $5,760 $90 3.2% (201) 471-7012
69 MAIMONIDES FACULTY PRACTICE PLAN BROOKLYN NY PHYSICIAN ASSISTANT 243 63 $4,866 $77 3.2% (718) 283-6000
70 PRIME PULMONARY AND SLEEP MEDICINE CENTER INC BAKERSFIELD CA NURSE PRACTITIONER 6 63 $3,150 $50 0.4% (661) 599-2934
71 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 62 $5,467 $88 5.5% —
72 OCEAN PULMONARY ASSOCIATES, P.A. TOMS RIVER NJ PULMONARY DISEASE 9 62 $4,650 $75 5.6% (732) 341-1380
73 PULMONARY AND CRITICAL CARE ASSOCIATES OF THE TRI-CITIES PC HOPEWELL VA PULMONARY DISEASE 4 61 $3,050 $50 30.8% (804) 452-7781
74 CORDIAL MEDICAL CENTER, S.C. MUNDELEIN IL FAMILY PRACTICE 3 61 $6,100 $100 3.7% (847) 970-9922
75 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 60 $5,790 $96 36.4% —
76 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 58 $4,060 $70 10.6% —
77 ADVANCED MEDICAL CARE OF HUDSON COUNTY LLC JERSEY CITY NJ INTERNAL MEDICINE 3 57 $2,565 $45 5.2% (201) 863-5696
78 SHASTA REGIONAL MEDICAL GROUP INC REDDING CA NURSE PRACTITIONER 39 56 $4,610 $82 0.3% (530) 605-4260
79 BRIJ M. SHARMA PHYSICIAN P.C ROSLYN HEIGHTS NY INTERNAL MEDICINE 2 56 $5,600 $100 2.8% (516) 484-1333
80 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 56 $3,416 $61 28.3% —
81 RAE HEALTHCARE LLC ELLICOTT CITY MD INTERNAL MEDICINE 2 55 $3,300 $60 5.6% (301) 257-5489
82 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 55 $4,647 $84 28.1% (203) 739-7118
83 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 53 $4,928 $93 4.7% (508) 973-5919
84 NORTH SHORE LIJ MEDICAL GROUP AT NORTH NASSAU, PC GLEN COVE NY UROLOGY 32 52 $7,800 $150 2.6% (516) 674-7460
85 MIAN FAMILY MEDICINE, LLC BALTIMORE MD FAMILY PRACTICE 2 52 $1,820 $35 5.3% (443) 231-5711
86 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 52 $3,380 $65 21.5% (865) 305-6333
87 VIP NEPHROLOGY INC RESEDA CA NURSE PRACTITIONER 8 52 $9,360 $180 0.3% (424) 421-6001
88 HENRY FORD MEDICAL GROUP GENESYS BURTON MI DIAGNOSTIC RADIOLOGY 98 51 $3,876 $76 2.4% (810) 743-1611
89 UPMC WESTERN MARYLAND HEALTH SERVICES LLC CUMBERLAND MD PHYSICIAN ASSISTANT 171 51 $2,142 $42 5.2% —
90 UNC PHYSICIANS NETWORK LLC CHAPEL HILL NC PHYSICIAN ASSISTANT 985 51 $4,131 $81 5.5% (919) 942-5123
91 ARIEL GAVINO MD A MEDICAL CORPORATION N HOLLYWOOD CA PODIATRY 2 51 $2,550 $50 0.3% (818) 860-4330
92 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 51 $3,162 $62 35.2% (202) 429-2401
93 CIRCULUS CLINIC PC SANTA CLARITA CA INTERNAL MEDICINE 3 50 $1,952 $39 0.3% (661) 425-7525
94 TARRANT INTERNAL MEDICINE AND PEDIATRICS, PLLC FORT WORTH TX INTERNAL MEDICINE 2 50 $5,000 $100 1.7% (817) 984-7100
95 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 49 $4,704 $96 0.3% (916) 681-8852
96 MEDICINE INPATIENT GROUP LLC HAMILTON OH INTERNAL MEDICINE 40 49 $7,350 $150 11.6% (513) 867-2000
97 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 49 $2,450 $50 9.0% (215) 456-8242
98 CONSULTANTS IN MEDICAL ONCOLOGY AND HEMATOLOGY PC BROOMALL PA HEMATOLOGY/ONCOLOGY 10 49 $3,871 $79 9.0% (610) 492-5900
99 WELLSPRING WOUND CARE LLC LAFAYETTE LA NURSE PRACTITIONER 5 49 $1,960 $40 6.5% (337) 278-5605
100 BILLINGS CLINIC BILLINGS TX PHYSICIAN ASSISTANT 811 48 $2,378 $50 1.7% (406) 657-4000

Showing the top 100 of 318 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 →