NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99424 Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. CPT · E&M
Classification E&M Care Management/Coordination Chronic, Principal, and Transitional Care Management (CMS RBCS)
First observed 2022
National scale 82,718 services ▲ 53.0% YoY · 30,738 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.1M · $62.18 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
116
Named-group FFS services
39,632
FFS of Medicare
49%
Services YoY
+53.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~78,938 services

39,632 observed fee-for-service (50%) · ~39,306 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 — 99424 (CY2024)

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

Named-group submitted charges
$6.7M
Named-group allowed amount
$3.1M
Named-group Medicare payments
$2.4M
Avg charge / svc
$169
Avg allowed / svc
$79
Avg payment / svc
$62
Average charge per group
$65 116 groups · avg submitted charge / service $672
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99424 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 99424 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 MINERAL AREA PSYCHIATRIC SERVICES LLC FARMINGTON MO NURSE PRACTITIONER 11 4,204 $504,017 $120 premium 76.1% (573) 330-6468
2 MEMORIAL CARDIOLOGY MEDICAL GROUP INC LONG BEACH CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 3,993 $389,318 $98 premium 26.5% (562) 595-8671
3 PONDEROSA HEART HOUSE CALL GILBERT AZ NURSE PRACTITIONER 10 2,161 $374,250 $173 premium 63.5% (480) 795-1515
4 ENDOCRINE ASSOCIATE OF WEST VILLAGE PC NEW YORK NY NURSE PRACTITIONER 12 1,796 $332,260 $185 premium 22.7% (212) 675-9332
5 SUMMIT MEDICAL ARTS ASSOCIATES LLC NORTH BERGEN NJ INTERNAL MEDICINE 2 1,775 $253,395 $143 premium 36.2% (201) 453-2800
6 TAMID MEDICAL GROUP RIVERWOODS IL NURSE PRACTITIONER 6 1,720 $206,400 $120 premium 17.6% (847) 325-5110
7 JAMES PETROS MD INC SAN JOSE CA PHYSICAL MEDICINE AND REHABILITATION 20 1,335 $896,653 $672 premium 8.9% (408) 528-8833
8 HANSA MEDICAL GROUPE PLLC SKOKIE IL NURSE PRACTITIONER 39 1,044 $104,400 $100 premium 10.7% (847) 920-0902
9 SNF SPECIALTY SERVICES DU BOIS PA NURSE PRACTITIONER 5 998 $162,674 $163 premium 20.7% (570) 561-2990
10 ADVANCED WELLNESS MARLBORO NJ CHIROPRACTIC 16 876 $83,220 $95 premium 17.8% (732) 431-2155
11 FULTON MEDICAL PC SYOSSET NY NURSE PRACTITIONER 17 795 $80,700 $102 premium 10.1% (631) 271-9151
12 ADVANCED NEUROTHERAPEUTICS LLC ORLANDO FL NEUROLOGY 2 781 $97,344 $125 premium 11.1% (407) 916-0304
13 STUART ONCOLOGY ASSOCIATES PA STUART FL PHYSICIAN ASSISTANT 9 757 $130,825 $173 premium 10.8% (772) 276-7242
14 FREEDMAN RPM MEDICAL SC SKOKIE IL FAMILY PRACTICE 2 741 $92,625 $125 premium 7.6% (847) 443-1170
15 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 686 $116,620 $170 premium 9.8% (352) 693-3378
16 BETHESDA CHEVY CHASE ORTHOPAEDIC ASSOCIATES, LLC BETHESDA VA PHYSICAL THERAPIST IN PRIVATE PRACTICE 135 653 $90,114 $138 premium 52.9% (301) 530-1010
17 SILVER WILLOW WELLNESS PC PLYMOUTH MEETING DE NURSE PRACTITIONER 88 611 $99,593 $163 premium 53.6% (610) 272-8221
18 MULTI CARE MEDICAL CLINIC INC VAN NUYS CA INTERNAL MEDICINE 2 597 $57,800 $97 premium 4.0% (818) 373-0200
19 GLUTALITY PROVIDER GROUP PA LOUISVILLE GA FAMILY PRACTICE 10 596 $61,013 $102 premium 20.1% (561) 678-2026
20 VANTAGE MEDICAL ASSOCIATES PC FAR ROCKAWAY NY NURSE PRACTITIONER 56 576 $129,602 $225 premium 7.3% (516) 792-1600
21 ADVANCED GYNECOLOGY AND SURGERY PLLC BROOKLYN NY OBSTETRICS/GYNECOLOGY 2 531 $53,100 $100 premium 6.7% (718) 332-6525
22 GLUTALITY PROVIDER GROUP PA LOUISVILLE CT FAMILY PRACTICE 10 503 $51,492 $102 premium 86.0% (561) 678-2026
23 DAVENPORT MEDICAL INC OAK PARK IL INTERNAL MEDICINE 2 439 $43,900 $100 premium 4.5% (773) 543-8964
24 MOUNTAIN VIEW HEADACHE AND SPINE INSTITUTE PLLC PHOENIX AZ NURSE PRACTITIONER 8 437 $71,040 $163 premium 12.8% (602) 767-0007
25 CARLOS E COELHO M D P A LAUDERDALE LAKES FL ENDOCRINOLOGY 2 431 $44,121 $102 premium 6.1% (954) 516-0802
26 INFINITE MEDICAL PC LAKELAND NY NURSE PRACTITIONER 87 429 $51,544 $120 premium 5.4% (212) 734-6621
27 CARDIO AND RENAL THERAPEUTICS OF NORTH TEXAS PLLC MCKINNEY TX NURSE PRACTITIONER 34 407 $40,700 $100 premium 5.1% (214) 272-2774
28 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 340 $61,431 $181 premium 10.0% (866) 974-2673
29 AMIT AGARWAL MD PC PARAMUS NJ FAMILY PRACTICE 2 331 $49,650 $150 premium 6.7% (201) 483-9188
30 GULFSIDE BEHAVIORAL CARE NP INC BRADENTON FL NURSE PRACTITIONER 3 318 $28,095 $88 premium 4.5% 9417561200103
31 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 312 $75,504 $242 premium 54.9% 3372699777139
32 BEHAVIORAL HEALTH SOLUTIONS LLC HENDERSON NV NURSE PRACTITIONER 57 305 $46,502 $152 premium 19.4% (702) 589-4871
33 WILSON COUNTY MEMORIAL HOSPITAL DISTRICT FLORESVILLE TX FAMILY PRACTICE 23 289 $81,824 $283 premium 3.7% (830) 393-1300
34 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 270 $35,100 $130 premium 5.5% (973) 971-5596
35 REGIONAL ORTHOPAEDIC ASSOCIATES PA WILMINGTON DE PHYSICIAN ASSISTANT 59 244 $99,045 $406 premium 21.4% (302) 655-9494
36 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 241 $57,937 $240 premium 11.7% (919) 350-7270
37 HEARTFUL CARDIOLOGY, PLLC MANSFIELD TX NURSE PRACTITIONER 3 239 $37,407 $157 premium 3.0% (817) 752-5242
38 GLUTALITY PROVIDER GROUP PA LOUISVILLE DE FAMILY PRACTICE 10 234 $23,955 $102 premium 20.5% (561) 678-2026
39 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 233 $47,369 $203 premium 2.9%
40 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO CA PHYSICIAN ASSISTANT 16 225 $41,625 $185 premium 1.5% (949) 348-4000
41 LONG TERM HEALTH CARELINE CORP WAXAHACHIE IL PHYSICIAN ASSISTANT 9 224 $34,720 $155 premium 2.3% (972) 937-7320
42 HELEN PASLAY PROFESSIONAL NURSE PRACTITIONER SERVICES PLLC PRESCOTT AZ NURSE PRACTITIONER 2 210 $25,830 $123 premium 6.2% (928) 277-0593
43 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 210 $136,920 $652 premium 2.7% (212) 263-9700
44 BRONX MEDICAL PRACTICE PC BRONX NY NURSE PRACTITIONER 135 209 $25,707 $123 premium 2.6% (718) 299-7295
45 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 189 $47,250 $250 premium 79.4% (405) 692-9300
46 JAMES PETROS MD INC SAN JOSE PA PHYSICAL MEDICINE AND REHABILITATION 20 183 $122,912 $672 premium 3.8% (408) 528-8833
47 GLUTALITY PROVIDER GROUP PA LOUISVILLE OH FAMILY PRACTICE 10 176 $18,017 $102 premium 76.2% (561) 678-2026
48 FREDERICKSBURG NEPHROLOGY ASSOCIATES INC FREDERICKSBURG VA NEPHROLOGY 11 170 $20,694 $122 premium 13.8% (540) 371-3010
49 ROTHMAN ORTHOPAEDICS OF NEW JERSEY, LLC MARLTON NJ PHYSICIAN ASSISTANT 176 165 $70,174 $425 premium 3.4% (800) 321-9999
50 R.S. VENUTURUPALLI, M.D. INC BEVERLY HILLS CA RHEUMATOLOGY 7 162 $40,500 $250 premium 1.1% 3106520010120
51 LTHC SOLUTIONS LLC ARLINGTON TX INTERNAL MEDICINE 11 159 $24,645 $155 premium 2.0% (808) 561-0579
52 REGENERATIVE ORTHOPEDIC CENTER LLC TIGARD OR PHYSICIAN ASSISTANT 27 156 $36,340 $233 premium 53.6% (503) 639-6002
53 VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 67 148 $14,800 $100 premium 12.0% (757) 321-3300
54 ST PETERS HEALTH HELENA MT PHYSICIAN ASSISTANT 204 135 $21,500 $159 premium 55.6% (406) 447-2828
55 LONG TERM HEALTH CARELINE CORP WAXAHACHIE KS PHYSICIAN ASSISTANT 9 124 $19,220 $155 premium 100.0% (972) 937-7320
56 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGE CA PHYSICIAN ASSISTANT 58 119 $29,750 $250 premium 0.8% (714) 634-4567
57 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 116 $18,208 $157 premium 41.6% (207) 885-9905
58 NOEL SERRANO MD PC OAKLAND CA INTERNAL MEDICINE 8 113 $12,995 $115 premium 0.8% (707) 535-9279
59 GLUTALITY PROVIDER GROUP PA LOUISVILLE MT FAMILY PRACTICE 10 108 $11,056 $102 premium 44.4% (561) 678-2026
60 NEWTON WELLESLEY ORTHOPEDIC ASSOCIATES INC NEWTON MA ORTHOPEDIC SURGERY 27 108 $29,700 $275 premium 10.9% (617) 964-0024
61 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 107 $45,644 $427 premium 18.8% (337) 235-8007
62 REHABILITATION AND ELECTRODIAGNOSTICS PA TAMPA FL PHYSICAL MEDICINE AND REHABILITATION 29 107 $48,150 $450 premium 1.5% (813) 228-7696
63 ST JOSEPHS MEDICAL GROUP PC PATERSON NJ NURSE PRACTITIONER 228 103 $15,450 $150 premium 2.1% (973) 754-6331
64 ORTHOPEDIC AND SPORTS MEDICINE CENTER OF OREGON LLC LAKE OSWEGO OR PHYSICIAN ASSISTANT 16 101 $23,787 $236 premium 34.7% (503) 224-8399
65 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 99 $23,477 $237 premium 4.8% (252) 752-8880
66 ORTHOPAEDICS EAST AND SPORTS MEDICINE CENTER INC GREENVILLE NC PHYSICIAN ASSISTANT 20 97 $22,603 $233 premium 4.7% (252) 757-2663
67 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 93 $9,300 $100 premium 1.0% (847) 800-0998
68 EAST BAY AREA QUALITY HEALTH CORPORATION OAKLAND CA FAMILY PRACTICE 2 86 $12,900 $150 premium 0.6% (707) 343-1412
69 DERMATOLOGY HOUSE CALLS LLC ANDERSON SC NURSE PRACTITIONER 2 84 $7,351 $88 premium 100.0% (864) 365-6405
70 PRECISION PAIN AND SPINE INSTITUTE LLC EDISON NJ PAIN MANAGEMENT 5 84 $37,800 $450 premium 1.7% (732) 444-8888
71 GHASSAN A ATTO MD PLLC ALLEN PARK MI INTERNAL MEDICINE 8 75 $9,264 $124 premium 9.1% (313) 383-7071
72 SOUTHERN PRIMARY CARE, LLC MACON GA FAMILY PRACTICE 6 72 $17,208 $239 premium 2.4% (478) 477-0966
73 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANY NY NURSE PRACTITIONER 68 71 $11,360 $160 premium 0.9% (518) 292-6000
74 INFINITE MEDICAL PC LAKELAND PA NURSE PRACTITIONER 87 70 $8,410 $120 premium 1.5% (212) 734-6621
75 UROLOGY SPECIALISTS CHARTERED SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 45 63 $9,450 $150 premium 100.0% (605) 336-0635
76 INFINITE MEDICAL PC LAKELAND FL NURSE PRACTITIONER 87 60 $7,209 $120 premium 0.9% (212) 734-6621
77 THE LONGSTREET CLINIC, PC GAINESVILLE GA NURSE PRACTITIONER 144 60 $8,400 $140 premium 2.0% (770) 533-6511
78 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 60 $14,500 $242 premium 6.0%
79 FOUNDATION PAIN AND SPINE PLLC DALLAS TX NURSE PRACTITIONER 2 60 $31,986 $533 premium 0.8% (469) 214-5735
80 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 57 $11,160 $196 premium 0.7% (212) 305-8559
81 DAWN ATWAL MD INC LAGUNA BEACH CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 52 $8,776 $169 premium 0.3% (949) 715-2020
82 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 51 $5,100 $100 premium 1.5%
83 WILLIAM NOYES MD PC GRAND FORKS ND MEDICAL ONCOLOGY 4 50 $8,150 $163 premium 75.8% (701) 787-5800
84 SOUTH HILLS REHAB ASSOC INC JEFFERSON HILLS PA PHYSICAL MEDICINE AND REHABILITATION 5 47 $4,580 $97 premium 1.0% (412) 469-7722
85 MIDWEST PULMONARY CRITICAL CARE AND SLEEP CONSULTANTS LLC PALOS HEIGHTS IL PULMONARY DISEASE 33 47 $10,105 $215 premium 0.5% (708) 371-8006
86 DALLAS NEUROSCIENCE, P.A. DALLAS TX NEUROLOGY 4 47 $3,055 $65 premium 0.6% (214) 941-7655
87 ORTHONJ LLC MANASQUAN NJ PHYSICIAN ASSISTANT 300 45 $4,500 $100 premium 0.9% (732) 974-0404
88 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE IN ORTHOPEDIC SURGERY 144 45 $9,000 $200 premium 27.4% (765) 284-7738
89 HARBOR YOUTH AND FAMILY COUNSELING TUKWILA WA NURSE PRACTITIONER 29 44 $7,040 $160 premium 10.3% 70279035833583
90 ROME ORTHOPAEDIC CENTER PC ROME GA PHYSICIAN ASSISTANT 16 43 $6,450 $150 premium 1.5%
91 SHIFA NEPHROLOGY ASSOCIATES LLC CHICAGO IL NURSE PRACTITIONER 13 43 $4,300 $100 premium 0.4% (773) 423-6400
92 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACH CA PHYSICIAN ASSISTANT 30 42 $10,324 $246 premium 0.3% (949) 722-7038
93 SUMMA PHYSICIANS LLC AKRON OH NURSE PRACTITIONER 677 42 $13,062 $311 premium 18.2%
94 RAJIV SIDDARAMU MD PLLC SCOTTSDALE AZ NURSE PRACTITIONER 9 41 $6,150 $150 premium 1.2% (602) 753-8120
95 ORTHOCAROLINA CHARLOTTE NC PHYSICIAN ASSISTANT 304 40 $9,332 $233 premium 1.9% (704) 323-2100
96 THUNDER BASIN ORTHOPAEDICS AND SPORTS MEDICINE PC GILLETTE WY PHYSICIAN ASSISTANT 5 40 $10,400 $260 premium 47.6% (307) 682-6222
97 TRU COMMUNITY CARE LAFAYETTE CO NURSE PRACTITIONER 10 35 $3,730 $107 premium 17.9% (303) 449-7740
98 PARADIGM HEALTH SYSTEM LACOMBE LA NEUROLOGY 37 35 $8,400 $240 premium 6.2% (985) 882-4500
99 PUENTES MEDICAL CONSULTANTS PLLC SAN ANTONIO TX NURSE PRACTITIONER 3 35 $3,785 $108 premium 0.4% (210) 693-5119
100 BEAUMONT BONE AND JOINT INSTITUTE PA BEAUMONT TX ORTHOPEDIC SURGERY 19 35 $6,300 $180 premium 0.4% (409) 838-0346

Showing the top 100 of 116 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 →