NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99427 Principal care management services for a single high-risk disease, each additional 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 107,285 services ▲ 60.9% YoY · 46,042 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.8M · $35.81 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
186
Named-group FFS services
64,869
FFS of Medicare
49%
Services YoY
+60.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~128,100 services

64,869 observed fee-for-service (51%) · ~63,231 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 — 99427 (CY2024)

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

Named-group submitted charges
$7.1M
Named-group allowed amount
$2.9M
Named-group Medicare payments
$2.3M
Avg charge / svc
$109
Avg allowed / svc
$45
Avg payment / svc
$35
Average charge per group
$44 186 groups · avg submitted charge / service $286
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99427 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 99427 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 PALLICARE, INC TEXARKANA TX NURSE PRACTITIONER 78 3,428 $332,173 $97 premium 28.7% (903) 278-5747
2 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 2,957 $379,161 $128 premium 44.5% (410) 825-5454
3 MID-SOUTH NEPHROLOGY CONSULTANTS PLLC MEMPHIS TN NEPHROLOGY 13 2,904 $392,230 $135 premium 52.8% (901) 547-6401
4 INFINITE MEDICAL PC LAKELAND NY NURSE PRACTITIONER 87 2,605 $268,966 $103 premium 22.3% (212) 734-6621
5 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 2,385 $357,750 $150 premium 18.9% (954) 776-6880
6 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON MD OPHTHALMOLOGY 80 2,112 $270,336 $128 premium 31.7% (202) 331-1188
7 COLORADO RETINA ASSOCIATES, PLLC ENGLEWOOD CO OPHTHALMOLOGY 14 1,948 $188,956 $97 premium 46.6% (303) 261-1600
8 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK NJ OPHTHALMOLOGY 115 1,621 $207,488 $128 premium 66.6% (201) 837-7300
9 THE RETINA GROUP OF WASHINGTON PLLC WASHINGTON VA OPHTHALMOLOGY 80 1,346 $172,288 $128 premium 61.2% (202) 331-1188
10 CRAIG M RUNDBAKEN DO PLLC SUN CITY WEST AZ NURSE PRACTITIONER 10 1,224 $217,078 $177 premium 20.6% (623) 975-0500
11 PALLICARE, INC TEXARKANA AR NURSE PRACTITIONER 78 1,214 $117,637 $97 premium 32.8% (903) 278-5747
12 FREEDMAN RPM MEDICAL SC SKOKIE IL FAMILY PRACTICE 2 1,144 $74,360 $65 premium 18.6% (847) 443-1170
13 EMPOWERME MEDICAL GROUP PC BRENTWOOD KY NURSE PRACTITIONER 11 1,080 $74,568 $69 premium 19.3% (877) 367-9772
14 EMPOWERME MEDICAL GROUP PC BRENTWOOD MO NURSE PRACTITIONER 11 1,067 $73,893 $69 premium 38.5% (877) 367-9772
15 ARIZONA UROLOGY SPECIALISTS PLLC MESA AZ UROLOGY 81 1,025 $120,246 $117 premium 17.2% (602) 222-1900
16 NEW MEXICO CENTER FOR PAIN AND WELLNESS, LLC ALBUQUERQUE NM NURSE PRACTITIONER 19 945 $86,044 $91 premium 91.0% (505) 322-6687
17 BALANCED WELLBEING LLC OCALA FL NURSE PRACTITIONER 218 928 $64,960 $70 premium 7.4% (877) 779-2429
18 INFINITE MEDICAL PC LAKELAND FL NURSE PRACTITIONER 87 876 $90,489 $103 premium 6.9% (212) 734-6621
19 POST ACUTE SPECIALISTS OF TEXAS PA AUSTIN TX NURSE PRACTITIONER 25 860 $88,795 $103 premium 7.2% (866) 473-0663
20 ARKANSAS UROLOGY, P.A. RUSSELLVILLE AR UROLOGY 37 859 $94,490 $110 premium 23.2% (501) 219-8900
21 MCHS HOSPITALS INC MARSHFIELD IL NURSE PRACTITIONER 1179 858 $47,816 $56 premium 14.0%
22 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 852 $63,900 $75 premium 7.1% (210) 403-7978
23 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 842 $94,576 $112 premium 15.3% (865) 691-3061
24 VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE LLC VERO BEACH FL NEUROLOGY 2 826 $70,125 $85 premium 6.5% (772) 492-7051
25 DALLAS PAIN INSTITUTE SHERMAN TX PAIN MANAGEMENT 6 816 $89,991 $110 premium 6.8% (903) 892-1999
26 INFINITE MEDICAL PC LAKELAND PA NURSE PRACTITIONER 87 795 $82,084 $103 premium 62.5% (212) 734-6621
27 RAJESH AGARWAL MD, LLC WARRENSVILLE HEIGHTS OH NURSE PRACTITIONER 12 784 $43,175 $55 premium 55.1% (216) 751-1212
28 RETINA CONSULTANTS OF NEVADA LLP LAS VEGAS NV OPHTHALMOLOGY 14 777 $111,888 $144 premium 33.5% (702) 369-0200
29 SHEPHERD EYE CENTER LTD LAS VEGAS NV OPHTHALMOLOGY 41 706 $101,664 $144 premium 30.5% (702) 896-6043
30 BRUCE E MULLEN A PROFESSIONAL CORPORATION CARSON CITY NV PHYSICAL MEDICINE AND REHABILITATION 4 706 $69,525 $98 premium 30.5% (775) 883-7938
31 CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION LLC SUN CITY AZ PHYSICIAN ASSISTANT 254 671 $77,769 $116 premium 11.3% (866) 974-2673
32 MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC VERO BEACH FL CLINICAL SOCIAL WORKER 10 644 $64,400 $100 premium 5.1% (772) 569-9788
33 EMPOWERME MEDICAL GROUP PC BRENTWOOD IL NURSE PRACTITIONER 11 636 $45,267 $71 premium 10.4% (877) 367-9772
34 MARC J HIRSH MD PA DELRAY BEACH FL RHEUMATOLOGY 9 609 $84,980 $140 premium 4.8% (561) 819-3100
35 CARE GUIDE PARTNERS INC LOUISVILLE KY NURSE PRACTITIONER 30 586 $25,841 $44 premium 10.5% (502) 456-6200
36 PALMETTO RETINA CENTER LLC WEST COLUMBIA SC OPHTHALMOLOGY 13 548 $49,320 $90 premium 63.4% (803) 744-0156
37 RETINA INSTITUTE, PLLC RENTON WA OPHTHALMOLOGY 3 503 $93,558 $186 premium 22.4% (425) 228-6262
38 EVERGREEN EYE CENTER PLLC SEATTLE WA OPHTHALMOLOGY 34 495 $92,070 $186 premium 22.0% (206) 215-2020
39 PACIFIC NORTHWEST RETINA PLLC BELLEVUE WA OPHTHALMOLOGY 19 491 $98,200 $200 premium 21.8% (206) 215-3850
40 UROLOGICAL ASSOCIATES PC MOLINE IA UROLOGY 16 488 $69,784 $143 premium 100.0% (563) 359-2997
41 CENTRAL TEXAS HEART CENTER BRYAN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 10 461 $43,334 $94 premium 3.9% (409) 774-4008
42 UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC FRESNO CA UROLOGY 11 443 $33,225 $75 premium 15.3% (559) 321-2800
43 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 438 $24,090 $55 premium 87.8% (205) 930-0920
44 HOPE MEDICAL SERVICES PC MIDDLE VILLAGE NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 421 $28,686 $68 premium 3.6% (718) 326-2522
45 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANY NY NURSE PRACTITIONER 68 403 $36,270 $90 premium 3.5% (518) 292-6000
46 PULMONOLOGY GROUP LLC HENDERSON AZ PULMONARY DISEASE 12 393 $55,413 $141 premium 6.6% (702) 780-0300
47 2HT KIDNEY CARE LTD BOURBONNAIS IL NEPHROLOGY 3 353 $26,475 $75 premium 5.7% (815) 937-4880
48 INFINITE MEDICAL PC LAKELAND RI NURSE PRACTITIONER 87 346 $35,724 $103 premium 100.0% (212) 734-6621
49 ADVANCED UROLOGY PLLC EVERGREEN CO UROLOGY 61 342 $41,892 $122 premium 8.2% (303) 985-2550
50 HERRERA MEDICAL GROUP OF BEDFORD AND ASSOCIATES BEDFORD TX PHYSICIAN ASSISTANT 5 326 $57,875 $178 premium 2.7% (817) 786-8238
51 SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC SAN ANTONIO TX INTERNAL MEDICINE 3 318 $23,850 $75 premium 2.7% (210) 352-5006
52 UNIVERSITY EYE SPECIALISTS, P.C. KNOXVILLE TN OPHTHALMOLOGY 15 309 $21,012 $68 premium 5.6%
53 BRANDYWINE UROLOGY CONSULTANTS PA WILMINGTON DE PHYSICIAN ASSISTANT 20 303 $19,695 $65 premium 21.3% (302) 652-8990
54 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 303 $80,410 $265 premium 10.4% (310) 534-8400
55 GERIO PRIMARY CARE PC BECKEMEYER IL NURSE PRACTITIONER 13 286 $20,238 $71 premium 4.7% (618) 484-9030
56 ORTHOPAEDIC CENTER PC TULSA OK PHYSICAL THERAPIST IN PRIVATE PRACTICE 19 283 $31,696 $112 premium 16.8% (918) 582-6800
57 CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC LAFAYETTE LA NURSE PRACTITIONER 142 279 $25,110 $90 premium 29.9% (337) 289-8429
58 ANNE ARUNDEL UROLOGY, PA ANNAPOLIS MD UROLOGY 31 269 $24,210 $90 premium 4.0% (410) 266-8049
59 UROLOGY GROUP PC GERMANTOWN TN UROLOGY 17 268 $22,244 $83 premium 4.9% (901) 767-8158
60 BETHLEHEM EYE ASSOCIATES PC BETHLEHEM PA OPHTHALMOLOGY 10 267 $34,176 $128 premium 21.0% (610) 691-3335
61 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 264 $22,884 $87 premium 42.8% (260) 494-3484
62 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 264 $26,400 $100 premium 2.2% (214) 692-6941
63 TENNESSEE VALLEY UROLOGY CENTER PC CLEVELAND TN UROLOGY 5 252 $15,120 $60 premium 4.6% (423) 472-3201
64 AMERICAN ARTHRITIS AND RHEUMATOLOGY ASSOCIATES - AZ PLLC SURPRISE AZ RHEUMATOLOGY 3 252 $26,773 $106 premium 4.2% (623) 219-4040
65 IDAHO UROLOGIC INSTITUTE PA MERIDIAN ID PHYSICIAN ASSISTANT 20 245 $26,950 $110 premium 58.9% (208) 639-4900
66 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 232 $31,467 $136 premium 16.3% (614) 396-2684
67 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 225 $19,125 $85 premium 37.5%
68 CARDIOVASCULAR ASSOCIATES INC KISSIMMEE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 18 219 $20,148 $92 premium 1.7% 4078460626239
69 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC DECATUR IL HEMATOLOGY/ONCOLOGY 30 215 $20,855 $97 premium 3.5% (217) 876-4700
70 UNIVERSITY UROLOGY PC KNOXVILLE TN UROLOGY 15 207 $13,464 $65 premium 3.8% (865) 305-9254
71 ADVANCED MEDICAL CARE PLLC FOREST HILLS NY NEUROLOGY 8 204 $17,024 $83 premium 1.7% (718) 261-8881
72 POST ACUTE PHYSICIAN CARE PC TROY OH NURSE PRACTITIONER 4 189 $17,010 $90 premium 13.3% (248) 515-4735
73 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 189 $17,955 $95 premium 100.0% (402) 393-3110
74 FRONTIER NEUROSCIENCES, LLC CODY WY INTERNAL MEDICINE 4 188 $27,260 $145 premium 100.0% (307) 578-1985
75 CARDIOLOGY ASSOCIATES OF SOMERSET COUNTY,P.A. BRIDGEWATER NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 186 $13,950 $75 premium 7.6% (908) 722-6410
76 RETINA SPECIALISTS OF MICHIGAN PC GRAND RAPIDS MI OPHTHALMOLOGY 10 178 $14,240 $80 premium 17.2% (616) 954-2020
77 EYE HEALTH NORTHWEST PC PORTLAND OR OPHTHALMOLOGY 69 177 $20,355 $115 premium 48.2% (503) 255-2291
78 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 171 $16,245 $95 premium 5.9% (714) 871-3006
79 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 165 $11,415 $69 premium 2.7% (309) 683-5050
80 GRANTS PASS CLINIC LLP GRANTS PASS OR INTERNAL MEDICINE 17 154 $19,712 $128 premium 42.0% (541) 476-6644
81 DELAWARE PHYSIATRY DOVER DE NURSE PRACTITIONER 18 154 $15,400 $100 premium 10.8% (302) 387-1407
82 ASSOCIATED RETINAL CONSULTANTS LLC TEANECK MO OPHTHALMOLOGY 115 152 $19,456 $128 premium 5.5% (201) 837-7300
83 RCI (WRS) LLC DEMOTTE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 504 149 $11,324 $76 premium 2.4% (219) 987-3073
84 BESPOKE PSYCHIATRY CHICAGO IL NURSE PRACTITIONER 45 146 $14,600 $100 premium 2.4% (773) 248-2255
85 TEXAN EYE, PA AUSTIN TX OPHTHALMOLOGY 18 146 $21,024 $144 premium 1.2% (512) 327-7000
86 TEXAS ASSOCIATES OF ENDOCRINOLOGY AND DIABETES PA MCKINNEY TX ENDOCRINOLOGY 3 145 $10,875 $75 premium 1.2% (214) 547-7557
87 HORIZON EYE CARE PA CHARLOTTE NC OPHTHALMOLOGY 25 141 $13,818 $98 premium 26.7% (704) 365-0555
88 LAKE NORMAN PULMONARY AND SLEEP, PA MOORESVILLE NC PHYSICIAN ASSISTANT 4 137 $8,832 $64 premium 25.9% (704) 660-4094
89 PEAK NEUROLOGY CORP PC COLORADO SPRINGS CO NEUROLOGY 8 131 $6,550 $50 premium 3.1% (719) 445-9902
90 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 125 $8,125 $65 premium 2.0% (847) 800-0998
91 RETINA ASSOCIATES, PLLC RALEIGH SC OPHTHALMOLOGY 19 124 $11,160 $90 premium 14.4% (919) 782-8038
92 CHARLESTON NEUROSCIENCES INSTITUTE CHARLESTON SC OPHTHALMOLOGY 9 123 $11,808 $96 premium 14.2% (843) 763-4466
93 TRIANGLE UROLOGY ASSOCIATES PA DURHAM NC UROLOGY 5 120 $13,863 $116 premium 22.7% (919) 477-7003
94 POST ACUTE PHYSICIAN CARE PC TROY MI NURSE PRACTITIONER 4 118 $8,865 $75 premium 11.4% (248) 515-4735
95 TRI-VALLEY UROLOGY MEDICAL GROUP MURRIETA CA UROLOGY 9 118 $11,673 $99 premium 4.1% (951) 698-1901
96 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 114 $10,815 $95 premium 18.5% (317) 859-7222
97 TELEMEDICO PHYSICIANS PULMONARY PC FLORISSANT IL NURSE PRACTITIONER 4 112 $9,520 $85 premium 1.8% (866) 227-3606
98 BON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC PORTSMOUTH IN NURSE PRACTITIONER 200 112 $16,800 $150 premium 18.2% (757) 215-3565
99 ROCKY MOUNTAIN RETINA ASSOCIATES INC LONGMONT CO OPHTHALMOLOGY 2 109 $7,922 $73 premium 2.6% (303) 900-8507
100 AMERICAN ONCOLOGY PARTNERS OF HAWAII LLC HONOLULU HI NURSE PRACTITIONER 8 107 $14,078 $132 premium 48.6% (808) 524-6115

Showing the top 100 of 186 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 →