NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99447 Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes CPT · E&M - Miscellaneous
Classification E&M › E&M - Miscellaneous (CMS RBCS)
First observed 2019
National scale 5,344 services ▼ 6.1% YoY · 5,007 beneficiaries (CY2024, Medicare FFS)
Medicare paid $141K · $26.41 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
65
Named-group FFS services
2,791
FFS of Medicare
49%
Services YoY
-6.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,553 services

2,791 observed fee-for-service (50%) · ~2,762 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 — 99447 (CY2024)
CA 1,137 MS 864 NY 565 NC 273 VA 248

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

Named-group submitted charges
$332K
Named-group allowed amount
$100K
Named-group Medicare payments
$75K
Avg charge / svc
$119
Avg allowed / svc
$36
Avg payment / svc
$27
Average charge per group
$42 65 groups · avg submitted charge / service $275
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99447 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 250 $38,113 $152 22.0% (415) 600-1020
2 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 200 $19,400 $97 80.6% —
3 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 126 $17,262 $137 68.1% —
4 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 113 $8,249 $73 47.5% —
5 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 112 $7,608 $68 47.1% (484) 526-2400
6 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 112 $25,536 $228 57.7% —
7 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 111 $20,424 $184 9.8% (310) 825-7922
8 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 99 $19,228 $194 17.5% —
9 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 68 $5,613 $83 66.0% (770) 422-2004
10 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 68 $2,875 $42 12.0% —
11 CAREY STROM M.D. APC LOS ANGELES CA GASTROENTEROLOGY 2 66 $4,950 $75 5.8% (310) 550-0400
12 UNITED WOUND HEALING PS PUYALLUP WA PHYSICIAN ASSISTANT 32 56 $3,248 $58 28.6% (855) 255-1750
13 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 53 $4,584 $86 100.0% (913) 588-1227
14 SCOTT AND WHITE CLINIC TEMPLE NC PHYSICIAN ASSISTANT 2435 52 $2,704 $52 19.0% (254) 724-2663
15 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 51 $4,488 $88 100.0% (504) 842-3000
16 RIDGEWOOD PRIMARY CARE CLINIC PROFESSIONAL CORPORATION RIDGEWOOD NJ INTERNAL MEDICINE 3 50 $13,750 $275 28.9% (201) 689-1900
17 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 48 $6,816 $142 4.2% (916) 681-8852
18 PRATT RADIOLOGY ASSOCIATES INC BOSTON IL DIAGNOSTIC RADIOLOGY 58 47 $6,638 $141 51.6% (617) 636-5000
19 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 46 $4,196 $91 4.0% —
20 COMMUNITY WELLNESS PHYSICIAN PLLC BROOKLYN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 45 $3,150 $70 8.0% (347) 350-9344
21 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 45 $4,050 $90 16.5% (336) 610-1300
22 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 42 $6,510 $155 68.9% (615) 322-5000
23 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 42 $4,371 $104 21.4% (253) 428-2200
24 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES SANTA MONICA CA OBSTETRICS/GYNECOLOGY 80 39 $7,176 $184 3.4% (310) 319-5098
25 INOVA HEALTH CARE SERVICES FALLS CHURCH MD NURSE PRACTITIONER 1818 36 $3,492 $97 27.1% —
26 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 34 $3,128 $92 25.6% (202) 429-2401
27 RIVER REGION PSYCHIATRY ASSOCIATES, LLC NASHVILLE SC PSYCHIATRY 114 33 $5,445 $165 100.0% (615) 342-1000
28 NEPHROLOGY AND HYPERTENSION ASSOCIATES COLUMBIA MO NEPHROLOGY 5 32 $2,240 $70 100.0% (573) 499-0642
29 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 31 $2,511 $81 34.1% —
30 CAMBRIDGE PUBLIC HEALTH COMMISSION CAMBRIDGE MA PHYSICIAN ASSISTANT 656 29 $2,320 $80 25.2% (617) 665-3000
31 OLYMPIC MEDICAL IMAGING CONSULTANTS, PLLC SILVERDALE NC DIAGNOSTIC RADIOLOGY 17 28 $2,408 $86 10.3% (360) 337-6500
32 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 27 $1,890 $70 10.9% (434) 817-1020
33 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 25 $1,675 $67 12.9% —
34 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 25 $3,500 $140 2.2% (877) 827-7463
35 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 24 $1,992 $83 2.1% (760) 340-3911
36 INFECTIOUS DISEASE CONSULTANTS PC SUWANEE GA INFECTIOUS DISEASE 11 24 $4,560 $190 23.3% (678) 347-2153
37 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 23 $1,909 $83 41.8% (304) 598-4865
38 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 22 $2,816 $128 21.0% (850) 416-2400
39 PEAK INTERNAL MEDICINE SUPERIOR CO INTERNAL MEDICINE 3 22 $1,650 $75 11.9% (720) 222-0648
40 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 21 $1,491 $71 8.5% (434) 947-3033
41 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 21 $1,575 $75 1.8% (559) 583-4695
42 SUTTER BAY MEDICAL FOUNDATION PALO ALTO NJ INTERNAL MEDICINE 3716 20 $3,020 $151 11.6% (415) 600-1020
43 MEDICAL CARE SOLUTIONS, LLC LAUREL SPRINGS NJ GENERAL PRACTICE 2 18 $1,980 $110 10.4% (856) 232-6058
44 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 18 $936 $52 9.5% (254) 724-2663
45 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 18 $1,617 $90 15.7% —
46 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGO CA INTERNAL MEDICINE 450 17 $2,578 $152 1.5% (858) 939-3400
47 NORTH TEXAS STROKE CENTER, PLLC PLANO OH NEUROLOGY 15 17 $1,327 $78 8.8% (972) 566-5411
48 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 16 $1,216 $76 9.2% (856) 247-7260
49 NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC NEW HYDE PARK NY PHYSICIAN ASSISTANT 155 16 $2,960 $185 2.8% —
50 SINAI DIAGNOSTICS AND INTERVENTIONAL RADIOLOGY PC BROOKLYN NY VASCULAR SURGERY 4 16 $2,000 $125 2.8% (718) 615-4100
51 DISTRICT MEDICAL GROUP INC PHOENIX CA PSYCHIATRY 466 16 $1,164 $73 1.4% (602) 914-1520
52 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 16 $3,240 $202 1.4% (800) 926-8273
53 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 16 $1,584 $99 8.2% —
54 BEHAVIORAL CARE SOLUTIONS FOR ADULTS AND SENIORS INC NOVI MI NURSE PRACTITIONER 72 15 $1,200 $80 44.1% (877) 906-9699
55 RADIOLOGY ASSOCIATES OF NORTHERN KENTUCKY PLLC EDGEWOOD OH DIAGNOSTIC RADIOLOGY 56 15 $1,350 $90 7.7% (859) 301-2160
56 TRA-MINW P S TACOMA WA DIAGNOSTIC RADIOLOGY 153 15 $1,680 $112 7.7% (253) 841-4353
57 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 15 $1,877 $125 100.0% (801) 581-2121
58 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 14 $2,576 $184 1.2% (800) 954-8000
59 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 14 $1,252 $89 100.0% (208) 381-4210
60 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 12 $1,584 $132 11.4% (239) 343-9888
61 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 12 $1,584 $132 50.0% (651) 221-3456
62 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 11 $913 $83 100.0% (888) 484-3258
63 INFECTIOUS DISEASE CONSULTANTS, INC. COLUMBUS OH INFECTIOUS DISEASE 4 11 $1,650 $150 5.7% (614) 461-3214
64 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 11 $1,089 $99 5.6% (206) 386-6000
65 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 11 $2,200 $200 1.9% (866) 633-8255
66 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 11 $1,225 $111 9.6% —
67 ROCHESTER GENERAL HOSPITAL ROCHESTER NY PHYSICIAN ASSISTANT 1218 11 $652 $59 1.9% (585) 922-4000
68 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OBSTETRICS/GYNECOLOGY 54 11 $2,024 $184 1.0% (310) 794-7274

*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 →