NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99437 Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally 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 28,882 services ▲ 106.0% YoY · 11,348 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2M · $41.67 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
60
Named-group FFS services
13,953
FFS of Medicare
49%
Services YoY
+106.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~29,160 services

13,953 observed fee-for-service (48%) · ~15,207 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 — 99437 (CY2024)

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$758K
Named-group Medicare payments
$592K
Avg charge / svc
$111
Avg allowed / svc
$54
Avg payment / svc
$42
Average charge per group
$53 60 groups · avg submitted charge / service $250
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99437 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 99437 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 KOPA LLC ORLANDO FL NURSE PRACTITIONER 32 2,152 $273,304 $127 premium 34.4% (407) 352-2542
2 MARION HEART CENTER, PA OCALA FL FAMILY PRACTICE 6 1,360 $115,615 $85 premium 21.7% (352) 861-6633
3 PRIVATE PHYSICIANS MEDICAL ASSOCIATES NEWPORT BEACH CA INTERNAL MEDICINE 4 794 $79,008 $100 premium 71.7% (949) 566-8179
4 SLP HEALTH CARE STUART FL NURSE PRACTITIONER 3 659 $82,335 $125 premium 10.5% (561) 332-2020
5 NABIL BARSOUM MD PA DEERFIELD BEACH FL NURSE PRACTITIONER 4 572 $42,500 $74 premium 9.1% (954) 426-9600
6 MEDICAL DIRECTOR SERVICES PC BROOKLYN NY NURSE PRACTITIONER 78 544 $80,132 $147 premium 18.1% (718) 345-2273
7 FREEDMAN RPM MEDICAL SC SKOKIE IL FAMILY PRACTICE 2 467 $34,855 $75 premium 30.4% (847) 443-1170
8 PINGETON CONSULTING SERVICE INC CUMMING GA NURSE PRACTITIONER 2 463 $69,218 $150 premium 7.7%
9 CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC DU BOIS PA NURSE PRACTITIONER 68 444 $31,080 $70 premium 59.4% (814) 503-8070
10 ALW ENTERPRISES, PA NICEVILLE FL NURSE PRACTITIONER 3 372 $24,924 $67 premium 5.9% (850) 252-4303
11 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN NY NURSE PRACTITIONER 35 359 $53,670 $150 premium 11.9% (718) 534-0689
12 COLLABORATIVE GERIATRICS INC KATY TX NURSE PRACTITIONER 46 354 $42,845 $121 premium 19.6% (346) 387-7171
13 RENAISSANCE GENERAL MEDICINE PC CLIFFSIDE PARK NJ INTERNAL MEDICINE 2 337 $33,750 $100 premium 28.4% (201) 943-2700
14 APEX HEALTHCARE LLC TOWSON MD NURSE PRACTITIONER 15 319 $30,305 $95 premium 58.4% (410) 500-9182
15 SLEEP AND FAMILY MEDICINE LLP VICTORIA TX FAMILY PRACTICE 4 296 $22,100 $75 premium 16.4% (361) 573-4000
16 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 286 $28,600 $100 premium 18.6% (847) 800-0998
17 DUTCH MEDICAL CLINICS, INC COLUMBUS MS NURSE PRACTITIONER 26 267 $18,690 $70 premium 100.0% (662) 570-4770
18 RELY PRIMARY CARE INC DENVER CO NURSE PRACTITIONER 3 257 $34,695 $135 premium 62.2% (720) 795-3260
19 DIA HEALTH PLLC SAN ANTONIO TX NURSE PRACTITIONER 7 235 $28,200 $120 premium 13.0% (210) 946-5633
20 CHRONIC DISEASE MANAGEMENT OF GEORGIA LLC MONROE GA NURSE PRACTITIONER 79 220 $32,741 $149 premium 3.7% (888) 772-0076
21 GEORGIA MSO LLC MARIETTA GA NURSE PRACTITIONER 21 204 $30,947 $152 premium 3.4% (212) 734-6621
22 HARDY RENEW WELLNESS,LLC EAST POINT GA NURSE PRACTITIONER 18 176 $26,461 $150 premium 2.9% (212) 734-6621
23 DMLC MEDICAL LLC COPPELL NV PHYSICIAN ASSISTANT 3 165 $41,250 $250 premium 100.0% (972) 235-6311
24 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 162 $23,004 $142 premium 39.7% (918) 710-4112
25 DENG FAMILY MEDICINE CENTER, PC MIDWEST CITY OK FAMILY PRACTICE 2 161 $15,295 $95 premium 39.5% (405) 737-3278
26 ALTITUDE FAMILY AND INTERNAL MEDICINE, LLC LITTLETON CO FAMILY PRACTICE 4 156 $24,960 $160 premium 37.8% (303) 730-2167
27 BRONX MEDICAL PRACTICE PC BRONX NY NURSE PRACTITIONER 135 152 $16,744 $110 premium 5.1% (718) 299-7295
28 GERIATRIC MEDICINE CONSULTANTS PA WILMINGTON DE NURSE PRACTITIONER 25 134 $8,710 $65 premium 69.4% (302) 543-6165
29 GIM OF KENTUCKY PLLC BARDSTOWN KY NURSE PRACTITIONER 3 131 $15,720 $120 premium 84.5% (502) 348-9260
30 COMMUNITY TRANSITION NURSE CARE MANAGER, LLC MEMPHIS TN NURSE PRACTITIONER 2 128 $6,784 $53 premium 22.8% (901) 550-1486
31 FAIRVIEW MEDICAL GROUP LLC SWANSEA IL INTERNAL MEDICINE 2 121 $9,075 $75 premium 7.9% 6186323343108
32 HARDY RENEW WELLNESS,LLC EAST POINT PA NURSE PRACTITIONER 18 113 $16,894 $150 premium 15.1% (212) 734-6621
33 PHOENIX MEDICAL CENTERS CORP TAMPA FL GENERAL PRACTICE 2 99 $7,425 $75 premium 1.6% (813) 462-2595
34 DENNIS G WALKER FAMILY CLINIC CROWLEY LA NURSE PRACTITIONER 5 96 $9,600 $100 premium 10.1% (337) 514-4757
35 SPECIALTY MEDCONSULTANTS LLC VENTNOR CITY NJ NEPHROLOGY 18 90 $10,800 $120 premium 7.6% (609) 350-6780
36 ANGEL HEALTH CARE SERVICES SC CHICAGO CA INTERNAL MEDICINE 2 82 $13,120 $160 premium 7.4% (773) 221-3333
37 POWERBACK REHABILITATION LLC CLINTON TWP TX FAMILY PRACTICE 591 82 $9,850 $120 premium 4.5% (342) 627-3267
38 PATRIOT MEDICAL WHITE PLAINS NY NURSE PRACTITIONER 14 79 $11,810 $150 premium 2.6% (845) 362-8400
39 HANSA MEDICAL GROUPE PLLC SKOKIE IL NURSE PRACTITIONER 39 71 $13,140 $185 premium 4.6% (847) 920-0902
40 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 67 $8,070 $120 premium 3.7% (817) 281-2977
41 ROSALYN CARES CONSULTING LLC FLORENCE SC NURSE PRACTITIONER 5 60 $3,419 $57 premium 100.0% (888) 918-2415
42 MEDICAL DIRECTOR SERVICES PC BROOKLYN PA NURSE PRACTITIONER 78 53 $7,475 $141 premium 7.1% (718) 345-2273
43 AMERICAN MEDICAL TODAY PC BROOKLYN NY INTERNAL MEDICINE 10 50 $5,000 $100 premium 1.7% (718) 306-5025
44 INSULINIC OF LAFAYETTE LLC LAFAYETTE LA NURSE PRACTITIONER 2 49 $4,113 $84 premium 5.2% (337) 254-9999
45 INFINITE CARE HOME PHYSICIANS LLC DES PLAINES IL INTERNAL MEDICINE 7 49 $3,430 $70 premium 3.2% (847) 238-8300
46 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE NJ PHYSICIAN ASSISTANT 937 48 $6,578 $137 premium 4.1% (908) 685-2200
47 CENTERWELL SENIOR PRIMARY CARE GA PC SOUTH FULTON GA NURSE PRACTITIONER 50 48 $7,176 $150 premium 0.8% (470) 754-6360
48 WNY MEDICAL PC AMHERST NY PHYSICIAN ASSISTANT 44 45 $3,375 $75 premium 1.5% (716) 923-4380
49 BESPOKE PSYCHIATRY CHICAGO IL NURSE PRACTITIONER 45 42 $6,300 $150 premium 2.7% (773) 248-2255
50 PICKENS COUNTY PRIMARY CARE, PC REFORM AL NURSE PRACTITIONER 10 35 $2,555 $73 premium 12.7% (205) 375-6251
51 AMG-CROCKETT, LLC LAWRENCEBURG TN NURSE PRACTITIONER 37 28 $3,138 $112 premium 5.0%
52 CLIFFSIDE MEDICAL LLC CLIFFSIDE PARK NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 28 $5,600 $200 premium 2.4%
53 POST ACUTE SPECIALTY CARE LLC WILMINGTON DE NURSE PRACTITIONER 6 27 $1,755 $65 premium 14.0% (302) 998-1151
54 BERGEN GERIATRIC CARE, LLC ORADELL NJ NURSE PRACTITIONER 6 26 $1,975 $76 premium 2.2% (201) 387-2003
55 ONSITE MEDICAL HOUSE CALLS WOODBINE MD NURSE PRACTITIONER 3 21 $1,575 $75 premium 3.8%
56 HOUSE CALLS PRIMARY HEALTHCARE PLLC GREAT FALLS MT NURSE PRACTITIONER 2 19 $1,770 $93 premium 100.0% (406) 799-9747
57 KINGSWAY ARMS NURSING CENTER, INC. SCHENECTADY NY FAMILY PRACTICE 5 18 $1,305 $72 premium 0.6% (518) 393-4117
58 VALDAR LLC BOUNTIFUL UT NURSE PRACTITIONER 4 16 $1,407 $88 premium 9.1% (801) 784-8414
59 POCAHONTAS MEDICAL CLINIC PA POCAHONTAS AR FAMILY PRACTICE 8 14 $1,050 $75 premium 100.0% (870) 892-4467
60 ROBERT G. SZEWC, M.D., P.A. SAN ANTONIO TX NURSE PRACTITIONER 5 13 $1,486 $114 premium 0.7% (210) 277-1418
61 EZRA MEDICAL LLC HOLLYWOOD FL NURSE PRACTITIONER 5 13 $845 $65 premium 0.2% (917) 509-2538
62 GERIATRIC MEDICINE CONSULTANTS PA WILMINGTON IL NURSE PRACTITIONER 25 13 $845 $65 premium 0.8% (302) 543-6165
63 PARMINDER B. SINGH M.D., INC. MARION OH PHYSICIAN ASSISTANT 3 12 $840 $70 premium 4.6% (740) 382-9293

*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 →