NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by 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 453,609 services ▲ 121.0% YoY · 115,710 beneficiaries (CY2024, Medicare FFS)
Medicare paid $21.2M · $46.71 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
386
Named-group FFS services
280,354
FFS of Medicare
49%
Services YoY
+121.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~553,811 services

280,354 observed fee-for-service (51%) · ~273,457 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 — 99426 (CY2024)
TX 54,677 NY 43,041 FL 40,857 MD 37,061 AZ 26,786

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

Named-group submitted charges
$40.7M
Named-group allowed amount
$16.8M
Named-group Medicare payments
$13.1M
Avg charge / svc
$145
Avg allowed / svc
$60
Avg payment / svc
$47
Average charge per group
$52 386 groups · avg submitted charge / service $630
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99426 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 19,238 $3,179,603 $165 51.9% (410) 825-5454
2 INFINITE MEDICAL PC LAKELAND NY NURSE PRACTITIONER 87 7,763 $1,311,559 $169 18.0% (212) 734-6621
3 ARIZONA UROLOGY SPECIALISTS PLLC MESA AZ UROLOGY 81 7,728 $1,176,109 $152 28.9% (602) 222-1900
4 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 6,948 $868,250 $125 42.4% (303) 261-1600
5 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 6,883 $1,376,600 $200 16.8% (954) 776-6880
6 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 6,033 $881,760 $146 27.3% (865) 691-3061
7 UROLOGICAL ASSOCIATES PC MOLINE IA UROLOGY 16 5,361 $986,424 $184 99.1% (563) 359-2997
8 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANY NY NURSE PRACTITIONER 68 5,287 $581,570 $110 12.3% (518) 292-6000
9 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 4,925 $812,625 $165 13.3% (202) 331-1188
10 CRAIG M RUNDBAKEN DO PLLC SUN CITY WEST AZ NURSE PRACTITIONER 10 4,349 $1,041,454 $239 16.2% (623) 975-0500
11 ADVANCED UROLOGY PLLC EVERGREEN CO UROLOGY 61 4,325 $680,131 $157 26.4% (303) 985-2550
12 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 4,285 $968,256 $226 10.0% (631) 751-3000
13 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 4,247 $757,877 $178 29.5% (614) 396-2684
14 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 3,913 $332,605 $85 71.1% (205) 930-0920
15 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 3,906 $816,354 $209 34.6% (317) 859-7222
16 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 3,776 $623,040 $165 34.3% (201) 837-7300
17 ARKANSAS UROLOGY, P.A. RUSSELLVILLE AR UROLOGY 37 3,651 $525,744 $144 33.3% (501) 219-8900
18 CENTRAL TEXAS HEART CENTER BRYAN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 10 3,579 $436,638 $122 6.5% (409) 774-4008
19 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 3,375 $489,375 $145 17.9% (559) 326-1222
20 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 3,362 $381,116 $113 29.7% (260) 494-3484
21 INFINITE MEDICAL PC LAKELAND FL NURSE PRACTITIONER 87 3,126 $528,138 $169 7.7% (212) 734-6621
22 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 3,124 $384,252 $123 7.3% (315) 478-4185
23 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 2,692 $444,180 $165 16.4% (202) 331-1188
24 POST ACUTE SPECIALISTS OF TEXAS PA AUSTIN TX NURSE PRACTITIONER 25 2,685 $453,631 $169 4.9% (866) 473-0663
25 FREDERICK MEDICAL AND PULMONARY ASSOC FREDERICK MD PULMONARY DISEASE 4 2,387 $167,090 $70 6.4% (301) 663-5922
26 INFINITE MEDICAL PC LAKELAND PA NURSE PRACTITIONER 87 2,377 $401,594 $169 45.0% (212) 734-6621
27 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 2,173 $217,300 $100 4.0% (210) 403-7978
28 MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC VERO BEACH FL CLINICAL SOCIAL WORKER 10 2,158 $215,800 $100 5.3% (772) 569-9788
29 MID-SOUTH NEPHROLOGY CONSULTANTS PLLC MEMPHIS TN NEPHROLOGY 13 2,064 $333,365 $162 9.3% (901) 547-6401
30 TENNESSEE VALLEY UROLOGY CENTER PC CLEVELAND TN UROLOGY 5 2,048 $153,600 $75 9.3% (423) 472-3201
31 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 2,037 $407,400 $200 5.0% (561) 819-3100
32 DAYTON PHYSICIANS LLC CENTERVILLE OH NURSE PRACTITIONER 40 1,975 $229,733 $116 13.7% (937) 293-1622
33 UNIVERSITY UROLOGY PC KNOXVILLE TN UROLOGY 15 1,911 $164,271 $86 8.6% (865) 305-9254
34 SOUTHERN UROLOGY LLC OPELOUSAS LA UROLOGY 28 1,856 $334,080 $180 18.9% (337) 594-4025
35 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 1,823 $151,290 $83 11.1% (804) 288-7901
36 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 1,812 $337,032 $186 38.0% (702) 369-0200
37 ONCOLOGY HEMATOLOGY CONSULTANTS, PA FORT WORTH TX HEMATOLOGY/ONCOLOGY 69 1,801 $288,160 $160 3.3% (817) 759-7000
38 VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE LLC VERO BEACH FL NEUROLOGY 2 1,801 $232,285 $129 4.4% (772) 492-7051
39 UROLOGY GROUP PC GERMANTOWN TN UROLOGY 17 1,794 $258,336 $144 8.1% (901) 767-8158
40 PHYSICIANS HEALTH GROUP OF KENTUCKY PLLC LEXINGTON KY NURSE PRACTITIONER 9 1,753 $203,022 $116 18.0% (859) 687-9456
41 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 1,744 $148,240 $85 25.8% —
42 CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC LAFAYETTE LA NURSE PRACTITIONER 142 1,728 $190,080 $110 17.6% (337) 289-8429
43 PALLICARE, INC TEXARKANA TX NURSE PRACTITIONER 78 1,726 $222,654 $129 3.2% (903) 278-5747
44 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 1,678 $161,088 $96 29.9% (843) 763-4466
45 IDAHO UROLOGIC INSTITUTE PA MERIDIAN ID PHYSICIAN ASSISTANT 20 1,654 $236,522 $143 57.1% (208) 639-4900
46 SHEPHERD EYE CENTER LTD LAS VEGAS NV OPHTHALMOLOGY 41 1,614 $300,204 $186 33.9% (702) 896-6043
47 BRANDYWINE UROLOGY CONSULTANTS PA WILMINGTON DE PHYSICIAN ASSISTANT 20 1,590 $119,250 $75 22.0% (302) 652-8990
48 MARCUS MALONE MD LLC VERO BEACH FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 3 1,581 $301,971 $191 3.9% (772) 978-7808
49 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 1,576 $228,520 $145 7.1% (662) 349-1964
50 MINERAL AREA PSYCHIATRIC SERVICES LLC FARMINGTON MO NURSE PRACTITIONER 11 1,553 $275,397 $177 17.2% (573) 330-6468
51 MEDICAL OFFICES OF NEW JERSEY SHORE LLC WALL TOWNSHIP NJ NURSE PRACTITIONER 10 1,523 $199,524 $131 13.9% (732) 655-6111
52 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 1,495 $180,895 $121 9.1% (804) 330-9105
53 BALANCED WELLBEING LLC OCALA FL NURSE PRACTITIONER 218 1,438 $132,871 $92 3.5% (877) 779-2429
54 CARDIOLOGY ASSOCIATES OF SOMERSET COUNTY,P.A. BRIDGEWATER NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 1,419 $141,900 $100 12.9% (908) 722-6410
55 TEXAS ALLERGY AND BREATHING CENTERS, P.A. MESQUITE TX NURSE PRACTITIONER 6 1,413 $211,950 $150 2.6% (972) 288-3471
56 PULMONOLOGY GROUP LLC HENDERSON AZ PULMONARY DISEASE 12 1,405 $258,520 $184 5.2% (702) 780-0300
57 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN TN GASTROENTEROLOGY 154 1,400 $210,731 $151 6.3% (901) 755-9110
58 RETINA INSTITUTE, PLLC RENTON WA OPHTHALMOLOGY 3 1,377 $198,288 $144 24.2% (425) 228-6262
59 TULSA PAIN CONSULTANTS INC TULSA OK PAIN MANAGEMENT 5 1,360 $136,000 $100 31.2% (918) 742-7030
60 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 1,360 $204,109 $150 5.1% (866) 974-2673
61 EVERGREEN EYE CENTER PLLC SEATTLE WA OPHTHALMOLOGY 34 1,293 $186,192 $144 22.7% (206) 215-2020
62 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 1,288 $235,704 $183 13.1% 3372699777139
63 INFINITE MEDICAL PC LAKELAND RI NURSE PRACTITIONER 87 1,246 $210,512 $169 97.2% (212) 734-6621
64 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 1,234 $101,188 $82 2.3% (512) 788-9688
65 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 1,208 $302,000 $250 21.2% (206) 215-3850
66 CARE GUIDE PARTNERS INC LOUISVILLE KY NURSE PRACTITIONER 30 1,158 $67,167 $58 11.9% (502) 456-6200
67 UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC FRESNO CA UROLOGY 11 1,142 $110,774 $97 6.0% (559) 321-2800
68 ACTIVE LIFE HEALTH OF COLUMBUS LLC DUBLIN OH EMERGENCY MEDICINE 4 1,125 $132,916 $118 7.8% (614) 504-0741
69 DAMARIS VEGA MD PLLC HOUSTON TX ENDOCRINOLOGY 9 1,104 $110,400 $100 2.0% (281) 251-5234
70 TRIANGLE UROLOGY ASSOCIATES PA DURHAM NC UROLOGY 5 1,069 $165,507 $155 29.4% (919) 477-7003
71 ARIZONA HEALTH SERVICES PLLC PHOENIX AZ DIAGNOSTIC RADIOLOGY 4 1,067 $126,793 $119 4.0% (602) 806-7575
72 ACTIVE LIFE HEALTH OF COLUMBIA LLC COLUMBIA SC EMERGENCY MEDICINE 6 1,060 $123,901 $117 18.9% (803) 233-5500
73 MEMORIAL CARDIOLOGY MEDICAL GROUP INC LONG BEACH CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 1,060 $143,100 $135 5.6% (562) 595-8671
74 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 1,023 $127,875 $125 11.3% (314) 567-6071
75 NEUROLOGY CARE PLLC WAXAHACHIE TX NEUROLOGY 11 1,016 $122,445 $121 1.9% (469) 466-6524
76 BAY ARTHRITIS INSTITUTE PANAMA CITY FL NURSE PRACTITIONER 3 1,010 $101,000 $100 2.5% 8502153062207
77 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 949 $143,400 $151 1.7% —
78 CAROLINA CARDIOLOGY ASSOCIATES LLC ROCK HILL SC CARDIOVASCULAR DISEASE (CARDIOLOGY) 16 942 $70,650 $75 16.8% (803) 324-5130
79 PALMETTO RETINA CENTER LLC WEST COLUMBIA SC OPHTHALMOLOGY 13 932 $111,840 $120 16.6% (803) 744-0156
80 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 924 $80,325 $87 1.7% (806) 358-8331
81 EMPOWERME MEDICAL GROUP PC BRENTWOOD MO NURSE PRACTITIONER 11 920 $80,730 $88 10.2% (877) 367-9772
82 NEW MEXICO CENTER FOR PAIN AND WELLNESS, LLC ALBUQUERQUE NM NURSE PRACTITIONER 19 907 $108,400 $120 52.5% (505) 322-6687
83 MINNESOTA UROLOGY, PA WOODBURY MN PHYSICIAN ASSISTANT 81 891 $156,816 $176 44.2% (651) 999-6800
84 FLORIDA ENDOCRINOLOGY AND DIABETES CENTER LLC PINELLAS PARK FL ENDOCRINOLOGY 5 877 $106,992 $122 2.1% (727) 623-9913
85 ANNE ARUNDEL UROLOGY, PA ANNAPOLIS MD UROLOGY 31 869 $104,280 $120 2.3% (410) 266-8049
86 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 864 $129,600 $150 45.2% (503) 255-2291
87 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 863 $112,190 $130 1.6% (214) 692-6941
88 LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY HAMILTON NJ UROLOGY 7 819 $108,518 $132 7.4% (609) 581-5900
89 MCHS HOSPITALS INC MARSHFIELD IL NURSE PRACTITIONER 1179 797 $47,657 $60 7.8% —
90 BRUCE E MULLEN A PROFESSIONAL CORPORATION CARSON CITY NV PHYSICAL MEDICINE AND REHABILITATION 4 791 $79,100 $100 16.6% (775) 883-7938
91 ACTIVE LIFE HEALTH OF NY PC SMITHTOWN NY DIAGNOSTIC RADIOLOGY 3 755 $107,394 $142 1.8% (631) 656-5544
92 2HT KIDNEY CARE LTD BOURBONNAIS IL NEPHROLOGY 3 742 $74,248 $100 7.3% (815) 937-4880
93 EMPOWERME MEDICAL GROUP PC BRENTWOOD KY NURSE PRACTITIONER 11 741 $66,579 $90 7.6% (877) 367-9772
94 UROLOGY ASSOCIATES INC LONE TREE CO PHYSICIAN ASSISTANT 21 736 $141,180 $192 4.5% (303) 733-8848
95 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 729 $91,125 $125 97.9% (402) 393-3110
96 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC DECATUR IL HEMATOLOGY/ONCOLOGY 30 729 $93,312 $128 7.1% (217) 876-4700
97 NEO UROLOGY ASSOCIATES INC BOARDMAN OH UROLOGY 18 722 $133,575 $185 5.0% (330) 729-9214
98 PAGIEL SHECHTER MD INC LOS ANGELES CA NURSE PRACTITIONER 4 718 $53,850 $75 3.8% (310) 507-7100
99 CLINICAL UROLOGY ASSOCIATES, P.C. GADSDEN AL UROLOGY 11 718 $41,644 $58 13.0% (256) 492-4040
100 BETHLEHEM EYE ASSOCIATES PC BETHLEHEM PA OPHTHALMOLOGY 10 716 $118,140 $165 13.6% (610) 691-3335

Showing the top 100 of 386 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 →