NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99448 Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes CPT · E&M - Miscellaneous
Classification E&M › E&M - Miscellaneous (CMS RBCS)
First observed 2019
National scale 5,305 services ▲ 0.3% YoY · 3,805 beneficiaries (CY2024, Medicare FFS)
Medicare paid $204K · $38.54 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
57
Named-group FFS services
3,735
FFS of Medicare
49%
Services YoY
+0.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,983 services

3,735 observed fee-for-service (47%) · ~4,248 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 — 99448 (CY2024)
NC 1,716 TX 858 NY 385 CA 343 GA 193

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

Named-group submitted charges
$589K
Named-group allowed amount
$187K
Named-group Medicare payments
$142K
Avg charge / svc
$158
Avg allowed / svc
$50
Avg payment / svc
$38
Average charge per group
$64 57 groups · avg submitted charge / service $341
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99448 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 1,575 $212,625 $135 91.8% (336) 610-1300
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 212 $60,993 $288 55.1% —
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 131 $44,671 $341 100.0% —
4 BEHAVIORAL CARE SOLUTIONS FOR ADULTS AND SENIORS INC NOVI MI NURSE PRACTITIONER 72 114 $12,540 $110 89.8% (877) 906-9699
5 ATLANTA ID GROUP PC ATLANTA GA INFECTIOUS DISEASE 16 78 $9,435 $121 40.4% (404) 351-8873
6 POSITIVE PATHWAYS LLC MADISON NC CLINICAL SOCIAL WORKER 2 78 $11,310 $145 4.5% (336) 612-1827
7 SEGUE HEALTH PARTNERS LLC CORDOVA TN NURSE PRACTITIONER 28 72 $4,608 $64 44.4% (901) 626-3515
8 INOVA HEALTH CARE SERVICES FALLS CHURCH MD NURSE PRACTITIONER 1818 70 $10,220 $146 43.8% —
9 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 69 $10,596 $154 84.1% (602) 406-6017
10 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 68 $17,204 $253 80.0% (217) 545-8000
11 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 58 $10,904 $188 16.9% (916) 681-8852
12 MEDICAL CARE SOLUTIONS, LLC LAUREL SPRINGS NJ GENERAL PRACTICE 2 58 $6,380 $110 49.6% (856) 232-6058
13 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 52 $5,512 $106 46.4% —
14 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 51 $7,828 $154 47.2% (920) 496-4700
15 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 47 $6,862 $146 47.0% —
16 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 46 $3,440 $75 13.4% (805) 349-8514
17 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 42 $3,276 $78 4.9% (254) 724-2663
18 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGO CA INTERNAL MEDICINE 450 41 $4,570 $111 12.0% (858) 939-3400
19 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 40 $5,240 $131 36.0% (504) 842-3000
20 ALLINA HEALTH SYSTEM MINNEAPOLIS WI PHYSICIAN ASSISTANT 3855 39 $5,986 $154 36.1% (612) 863-4000
21 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 38 $5,117 $135 67.9% —
22 THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON CT PHYSICIAN ASSISTANT 206 37 $5,143 $139 68.5% (860) 489-0418
23 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 36 $7,164 $199 39.1% (239) 343-9888
24 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 35 $6,475 $185 18.1% (404) 367-3210
25 COUNTY OF SANTA CLARA SAN JOSE CA INTERNAL MEDICINE 1001 30 $9,652 $322 8.7% (408) 885-5000
26 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 29 $3,335 $115 24.8% (856) 247-7260
27 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 29 $5,568 $192 31.5% (850) 416-2400
28 CLEVELAND CLINIC CLEVELAND MD PHYSICIAN ASSISTANT 6828 29 $9,889 $341 18.1% —
29 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 25 $3,425 $137 15.6% (202) 429-2401
30 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MN NURSE PRACTITIONER 1815 24 $3,184 $133 100.0% (913) 588-1227
31 OLYMPIC MEDICAL IMAGING CONSULTANTS, PLLC SILVERDALE NC DIAGNOSTIC RADIOLOGY 17 22 $2,838 $129 1.3% (360) 337-6500
32 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 22 $3,190 $145 46.8% (303) 778-5797
33 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 21 $3,270 $156 32.3% (253) 428-2200
34 TS BILLINGS LLC PORTLAND OR MAXILLOFACIAL SURGERY 6 21 $5,640 $269 63.6% (503) 528-0704
35 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 19 $5,795 $305 4.9% (866) 633-8255
36 CAMBRIDGE PUBLIC HEALTH COMMISSION CAMBRIDGE MA PHYSICIAN ASSISTANT 656 18 $2,142 $119 32.1% (617) 665-3000
37 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 18 $2,970 $165 27.7% (509) 455-8820
38 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 18 $4,203 $234 16.7% —
39 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 18 $3,564 $198 5.2% (415) 600-1020
40 CAREY STROM M.D. APC LOS ANGELES CA GASTROENTEROLOGY 2 17 $1,530 $90 5.0% (310) 550-0400
41 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 17 $3,264 $192 44.7% (505) 841-1234
42 TOTAL CARE SOLUTIONS, SC ROCKFORD IL NURSE PRACTITIONER 10 17 $1,870 $110 20.0% (815) 877-5752
43 SUTTER BAY MEDICAL FOUNDATION PALO ALTO NJ INTERNAL MEDICINE 3716 17 $3,366 $198 14.5% (415) 600-1020
44 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 17 $3,553 $209 5.0% (877) 827-7463
45 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 17 $1,105 $65 31.5% —
46 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 16 $1,637 $102 14.3% (484) 526-2400
47 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 16 $2,048 $128 0.9% (704) 384-8200
48 SOUTHWEST FLORIDA MEDICINE PLLC BRADENTON FL FAMILY PRACTICE 3 15 $1,650 $110 16.3% (941) 877-7000
49 NEPHROLOGY AND HYPERTENSION ASSOCIATES COLUMBIA MO NEPHROLOGY 5 14 $1,470 $105 100.0% (573) 499-0642
50 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 14 $1,580 $113 7.3% (770) 422-2004
51 BAYCARE MEDICAL GROUP, INC. CLEARWATER TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 14 $1,876 $134 1.6% (727) 725-5060
52 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES SANTA MONICA CA OBSTETRICS/GYNECOLOGY 80 14 $3,220 $230 4.1% (310) 319-5098
53 UNITED WOUND HEALING PS PUYALLUP WA PHYSICIAN ASSISTANT 32 14 $1,218 $87 21.5% (855) 255-1750
54 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 13 $1,534 $118 10.2% (248) 898-5058
55 CAPITAL NEPHROLOGY MEDICAL GROUP SACRAMENTO CA NEPHROLOGY 22 13 $1,456 $112 3.8% (916) 564-6232
56 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 13 $1,792 $138 0.8% (919) 881-0160
57 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 12 $1,752 $146 0.7% (919) 684-8111
58 MARTHA JEFFERSON MEDICAL GROUP LLC CHARLOTTESVILLE VA PHYSICIAN ASSISTANT 192 12 $1,236 $103 12.0% (434) 817-1020
59 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 12 $1,866 $156 10.7% —
60 NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC NEW HYDE PARK NY PHYSICIAN ASSISTANT 155 11 $3,069 $279 2.9% —

*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 →