NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes CPT · E&M
Classification E&M Office/Outpatient Services (CMS RBCS)
First observed 2020
National scale 23,903 services ▼ 10.9% YoY · 15,414 beneficiaries (CY2024, Medicare FFS)
Medicare paid $498K · $20.84 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
170
Named-group FFS services
12,143
FFS of Medicare
49%
Services YoY
-10.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~24,129 services

12,143 observed fee-for-service (50%) · ~11,986 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 — 99422 (CY2024)

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

Named-group submitted charges
$942K
Named-group allowed amount
$342K
Named-group Medicare payments
$248K
Avg charge / svc
$78
Avg allowed / svc
$28
Avg payment / svc
$20
Average charge per group
$28 170 groups · avg submitted charge / service $265
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99422 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 99422 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 ARVID LADE MD PLC TULSA OK NURSE PRACTITIONER 8 1,332 $66,600 $50 premium 80.7% (918) 743-2565
2 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 893 $141,987 $159 premium 14.3% (310) 825-7922
3 ENDOCRINE ASSOCIATES HOUSTON TX INTERNAL MEDICINE 2 628 $25,140 $40 premium 15.5% (713) 520-8385
4 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 578 $18,496 $32 premium 61.8% (901) 226-3882
5 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 489 $33,252 $68 premium 36.7%
6 ELIAS KANAAN MD PA CLEARWATER FL INTERNAL MEDICINE 3 268 $12,060 $45 premium 25.0% (727) 298-8496
7 CRAIG CARDIOVASCULAR CENTER PA SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 260 $15,600 $60 premium 6.4% (830) 672-3845
8 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 256 $40,379 $158 premium 4.1% (415) 476-1000
9 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICA CA ANESTHESIOLOGY 232 245 $38,955 $159 premium 3.9% (310) 794-1841
10 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 211 $7,275 $34 premium 60.5% (504) 842-3000
11 MED INSTITUTE BEVERLY HILLS CA NURSE PRACTITIONER 8 206 $19,893 $97 premium 3.3% (310) 256-2426
12 PAK MEDICAL GROUP PLLC NEW BRAUNFELS TX INTERNAL MEDICINE 10 198 $11,880 $60 premium 4.9% (830) 730-8580
13 ARTISAN PRIMARY CARE PLLC SUN CITY AZ PHYSICIAN ASSISTANT 3 160 $4,536 $28 premium 23.4% (623) 977-3300
14 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 159 $13,356 $84 premium 25.4% (206) 223-6600
15 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 150 $9,450 $63 premium 16.0% (615) 322-5000
16 MERCY HEALTH PHYSICIANS-NORTH LLC TOLEDO OH FAMILY PRACTICE 135 150 $5,400 $36 premium 21.5%
17 UC SAN DIEGO HEALTH COMMUNITY GROUP SAN DIEGO CA PHYSICIAN ASSISTANT 110 137 $17,953 $131 premium 2.2% (800) 926-8273
18 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 117 $4,095 $35 premium 17.1% (800) 603-0558
19 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 115 $8,855 $77 premium 6.0% (212) 271-4364
20 OPENLOOP HEALTHCARE PARTNERS PC CHARLOTTE AZ NURSE PRACTITIONER 25 114 $6,840 $60 premium 16.6% (984) 400-4984
21 MERCY HEALTH PHYSICIANS CINCINNATI LLC CINCINNATI OH FAMILY PRACTICE 189 112 $4,131 $37 premium 16.1%
22 CLINICA EMMANUEL NINOS Y ADULTOS LLC ALTON TX FAMILY PRACTICE 3 111 $6,660 $60 premium 2.7% (956) 580-9071
23 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 108 $6,518 $60 premium 10.1% (941) 255-3535
24 HONORHEALTH MEDICAL GROUP, LLC PHOENIX AZ FAMILY PRACTICE 326 100 $5,553 $56 premium 14.6% (602) 371-3100
25 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 99 $6,808 $69 premium 2.5% (713) 266-9955
26 SOUTHERN COLORADO MEDICINE INC COLORADO SPRINGS CO NURSE PRACTITIONER 3 94 $4,279 $46 premium 47.5% (719) 494-1950
27 DRS PETER AND LISA HOGENKAMP PC RUTLAND VT FAMILY PRACTICE 5 94 $3,760 $40 premium 100.0% (802) 747-3359
28 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 94 $13,254 $141 premium 1.5% (310) 829-6789
29 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 91 $6,006 $66 premium 17.8% (443) 393-3788
30 LONG TERM CARE SPECIALISTS, INC OKLAHOMA CITY OK NURSE PRACTITIONER 35 90 $2,746 $31 premium 5.5% (405) 557-1200
31 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 90 $7,470 $83 premium 15.6% (704) 384-8200
32 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 86 $6,966 $81 premium 1.4% (805) 681-7500
33 MEDICAL CARE SOLUTIONS, LLC LAUREL SPRINGS NJ GENERAL PRACTICE 2 82 $10,250 $125 premium 16.8% (856) 232-6058
34 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 82 $10,756 $131 premium 1.3% (800) 926-8273
35 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 77 $4,620 $60 premium 15.0% (410) 535-2005
36 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 75 $11,925 $159 premium 1.2% (310) 794-8492
37 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 70 $5,810 $83 premium 12.1% (910) 662-6000
38 MARIA LENTZOU MD SC PALOS HEIGHTS IL NURSE PRACTITIONER 6 69 $8,148 $118 premium 5.2% (708) 671-1500
39 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 67 $5,025 $75 premium 9.6%
40 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 66 $7,062 $107 premium 1.1% (916) 734-7777
41 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 62 $3,100 $50 premium 3.8% (918) 502-4720
42 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 62 $7,277 $117 premium 25.9%
43 THE CHRIST HOSPITAL MEDICAL ASSOCIATES, LLC CINCINNATI OH FAMILY PRACTICE 268 62 $2,673 $43 premium 8.9% (513) 624-9100
44 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 61 $4,575 $75 premium 5.7% (954) 659-5000
45 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 61 $6,771 $111 premium 1.5% (210) 614-7414
46 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 61 $4,200 $69 premium 1.5%
47 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 60 $6,754 $113 premium 1.0% (650) 723-4000
48 WELL COAST MEDICAL CORPORATION SAN DIEGO CA PSYCHIATRY 10 59 $4,720 $80 premium 0.9% (833) 931-1716
49 INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES RIDGELAND MS INTERNAL MEDICINE 3 58 $2,900 $50 premium 62.4% (601) 956-0911
50 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 56 $6,216 $111 premium 10.9% (410) 522-9800
51 PACIFIC INTERNAL MEDICINE ASSOCIATES SAN FRANCISCO CA INTERNAL MEDICINE 5 56 $4,200 $75 premium 0.9% (415) 923-3878
52 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CO PHYSICIAN ASSISTANT 277 55 $8,675 $158 premium 27.8% (415) 476-1000
53 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 53 $5,617 $106 premium 0.9% (408) 871-3400
54 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 51 $6,656 $130 premium 5.4% (615) 612-2146
55 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 50 $2,518 $50 premium 24.9% (507) 284-2511
56 STRAUB CLINIC AND HOSPITAL HONOLULU HI NURSE PRACTITIONER 431 50 $3,750 $75 premium 100.0% (808) 522-4000
57 SIENA HILLS PRIMARY CARE HENDERSON NV FAMILY PRACTICE 2 50 $1,700 $34 premium 55.6% (702) 614-0850
58 GUTHRIE MEDICAL GROUP PC SAYRE NY PHYSICIAN ASSISTANT 804 49 $4,165 $85 premium 2.5% (570) 888-5858
59 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 49 $4,429 $90 premium 7.8% (206) 364-0500
60 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 48 $3,024 $63 premium 5.1% (423) 643-2500
61 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 46 $3,220 $70 premium 8.6% (402) 559-4000
62 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 45 $2,434 $54 premium 1.1% (254) 724-2663
63 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NURSE PRACTITIONER 38 44 $6,996 $159 premium 0.7%
64 BUFFALO MEDICAL GROUP, P.C. WILLIAMSVILLE NY PHYSICIAN ASSISTANT 237 44 $3,960 $90 premium 2.3% (716) 630-1000
65 MEDICAL CARE OF QUEENS PC FRESH MEADOWS NY HEMATOLOGY/ONCOLOGY 15 44 $6,600 $150 premium 2.3% (718) 446-0230
66 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 43 $3,053 $71 premium 0.7% (760) 340-3911
67 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 43 $3,870 $90 premium 48.9% (812) 450-6700
68 CAROLINA GERIATRIC SPECIALISTS, LLC SUMTER SC FAMILY PRACTICE 5 43 $1,720 $40 premium 43.4% (803) 775-1001
69 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 41 $2,870 $70 premium 6.0% (928) 458-7583
70 PULMONARY AND INTERNAL MEDICINE ASSOCIATES INC STUART FL NURSE PRACTITIONER 5 40 $1,400 $35 premium 3.7% (772) 283-4428
71 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 40 $1,960 $49 premium 19.9% (612) 863-4000
72 THE NEURON CLINIC GP EL CAJON CA NEUROLOGY 18 40 $2,406 $60 premium 0.6% (619) 737-1117
73 TRIHEALTH G LLC CINCINNATI OH FAMILY PRACTICE 298 40 $2,240 $56 premium 5.7% (513) 246-7000
74 OSU GENERAL INTERNAL MEDICINE LLC COLUMBUS OH INTERNAL MEDICINE 270 38 $3,990 $105 premium 5.5% (614) 293-8054
75 PROLIANCE SURGEONS INC P S ISSAQUAH WA PHYSICIAN ASSISTANT 395 37 $2,960 $80 premium 5.9% (425) 313-5422
76 PRIME MEDICAL ASSOCIATES LLC NORTH DARTMOUTH MA NURSE PRACTITIONER 7 37 $3,700 $100 premium 100.0% (508) 979-1100
77 KELLY L. COBB, MD, APMC LAFAYETTE LA INTERNAL MEDICINE 4 36 $1,800 $50 premium 10.3% (337) 266-9985
78 WILLIAM GARNICA A MEDICAL CORPORATION FRESNO CA GENERAL PRACTICE 2 36 $3,600 $100 premium 0.6% (559) 233-0335
79 LEGACY HEALTHCARE SERVICES INC DURHAM CO INTERNAL MEDICINE 3859 36 $2,249 $62 premium 18.2% (919) 419-9600
80 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 35 $1,225 $35 premium 2.6%
81 OCHSNER MISSISSIPPI, LLC BAY SAINT LOUIS MS NURSE PRACTITIONER 98 35 $1,290 $37 premium 37.6% (504) 842-4431
82 SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC GREEN BAY WI NURSE PRACTITIONER 15 32 $1,600 $50 premium 21.1% (920) 328-1220
83 CAROLINA FAMILY CARE INC CHARLESTON SC FAMILY PRACTICE 87 32 $1,766 $55 premium 32.3% (843) 876-3157
84 THE MEDICAL CENTER AT OCEAN REEF KEY LARGO FL FAMILY PRACTICE 6 31 $1,922 $62 premium 2.9% (305) 367-2600
85 HEART AND HEALTH PLLC NORTH BABYLON NY FAMILY PRACTICE 12 31 $3,720 $120 premium 1.6% (631) 482-1355
86 ATLANTIC ADULT AND PEDIATRIC MEDICINE PA LEWES DE FAMILY PRACTICE 2 30 $1,050 $35 premium 62.5% 3026441300104
87 BRIAN S KAHAN DO PA ANNAPOLIS MD PHYSICIAN ASSISTANT 3 30 $1,491 $50 premium 5.9% 41057190000230
88 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 30 $2,370 $79 premium 10.9% (734) 763-5459
89 TRI-CITY CARDIOLOGY CONSULTANTS PC MESA AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 30 $1,707 $57 premium 4.4% (480) 835-6100
90 CARDIOCARE LLC CHEVY CHASE MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 30 $2,093 $70 premium 5.9% (301) 656-5050
91 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 29 $1,595 $55 premium 100.0% (770) 536-9864
92 IMMEDIATE CARE MEDICAL CENTER, PC FARMINGTON HILLS MI CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 28 $2,240 $80 premium 10.2% (248) 474-3132
93 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 28 $4,424 $158 premium 0.4% (415) 476-1000
94 THOMAS J LOMIS M D INC A PROFESSIONAL CORPORATION VAN NUYS CA GENERAL SURGERY 12 27 $7,155 $265 premium 0.4% (818) 782-3255
95 SIMPLICITY HEALTH PA SAINT CLOUD MN FAMILY PRACTICE 17 27 $2,162 $80 premium 13.4% (320) 227-5000
96 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 26 $4,108 $158 premium 0.4% (415) 476-4029
97 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 25 $1,125 $45 premium 3.6% (614) 451-9612
98 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 25 $1,825 $73 premium 28.4%
99 AUBURN MEMORIAL MEDICAL SERVICES PC AUBURN NY PHYSICIAN ASSISTANT 120 24 $3,000 $125 premium 1.2%
100 MESA WEST MEDICAL INC BAKERSFIELD CA INTERNAL MEDICINE 2 24 $1,317 $55 premium 0.4% 6618297677202

Showing the top 100 of 170 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 →