NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes CPT · E&M - Miscellaneous
Classification E&M E&M - Miscellaneous (CMS RBCS)
First observed 2020
National scale 2.07M services ▲ 47.8% YoY · 291,927 beneficiaries (CY2024, Medicare FFS)
Medicare paid $63.3M · $30.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1,307
Named-group FFS services
1,192,436
FFS of Medicare
49%
Services YoY
+47.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,448,466 services

1,192,436 observed fee-for-service (49%) · ~1,256,030 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 — 99458 (CY2024)

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

Named-group submitted charges
$101.8M
Named-group allowed amount
$46.2M
Named-group Medicare payments
$36.2M
Avg charge / svc
$85
Avg allowed / svc
$39
Avg payment / svc
$30
Average charge per group
$27 1,307 groups · avg submitted charge / service $460
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99458 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 99458 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 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 63,597 $3,663,521 $58 premium 24.7% (941) 255-3535
2 MEDSTREAMLINE LLC CHARLOTTE TX EMERGENCY MEDICINE 3 51,672 $2,790,288 $54 premium 19.9% (864) 420-8700
3 CABRILLO CARDIOLOGY MEDICAL GROUP INC OXNARD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 34,720 $3,472,000 $100 premium 7.7% (805) 351-8212
4 MEDSTREAMLINE LLC CHARLOTTE FL EMERGENCY MEDICINE 3 27,733 $1,497,582 $54 premium 10.8% (864) 420-8700
5 FREEDMAN RPM MEDICAL SC SKOKIE IL FAMILY PRACTICE 2 15,252 $1,144,125 $75 premium 22.0% (847) 443-1170
6 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 14,224 $1,135,486 $80 premium 3.2% (530) 343-4757
7 RENAL CARE CONSULTANTS PC MEDFORD OR NEPHROLOGY 14 13,313 $1,717,377 $129 premium 75.3% (541) 618-4400
8 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 11,370 $1,357,830 $119 premium 15.8% (928) 458-7583
9 PIEDMONT INTERNAL MEDICINE, P.C. ATLANTA GA INTERNAL MEDICINE 13 10,817 $1,081,602 $100 premium 9.1% 40435174674106
10 DALLAS RENAL GROUP, P.A. DALLAS TX NEPHROLOGY 50 10,815 $1,055,811 $98 premium 4.2% (888) 616-6322
11 VINEVILLE INTERNAL MEDICINE LLC MACON GA NURSE PRACTITIONER 24 10,814 $527,680 $49 premium 9.1% (478) 405-0045
12 MITTAL KIDNEY AND DIALYSIS, PC SOUTHAVEN TN NEPHROLOGY 6 10,719 $857,531 $80 premium 19.7% (901) 767-0101
13 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 10,200 $1,003,680 $98 premium 28.8% (336) 610-1300
14 RENAL CONSULTANTS MEDICAL GROUP NEWHALL CA NEPHROLOGY 8 9,552 $858,286 $90 premium 2.1% (661) 254-0193
15 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 8,995 $589,497 $66 premium 2.0% (760) 353-6363
16 LIEBER-MOORE CARDIOLOGY ASSOCIATES PA KINGWOOD TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 16 8,941 $1,306,976 $146 premium 3.5% (281) 358-1950
17 AXIS MEDICAL PLLC POUGHKEEPSIE NY NURSE PRACTITIONER 6 8,628 $668,770 $78 premium 6.8% (845) 473-8996
18 KANSAS NEPHROLOGY PHYSICIANS PA WICHITA KS NEPHROLOGY 9 8,594 $687,520 $80 premium 39.2% (316) 858-2610
19 SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP BEAUMONT TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 8,476 $678,080 $80 premium 3.3% (409) 832-8862
20 SRIDHAR CHATRATHI MD PC GREENBELT MD PHYSICIAN ASSISTANT 4 8,193 $426,036 $52 premium 17.4% (301) 220-2220
21 ZAKI LABABIDI MD SC GILBERT AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 7,727 $618,160 $80 premium 10.7% (480) 728-8000
22 KIDNEY CARE CONSULTANTS PSC LOUISVILLE KY NEPHROLOGY 12 6,961 $285,401 $41 premium 46.0% (502) 425-9121
23 REDROCKREHAB PLLC SANDY UT NURSE PRACTITIONER 8 6,603 $402,783 $61 premium 31.4% (801) 561-3400
24 PULMONARY MEDICAL CORPORATION TARZANA CA CRITICAL CARE (INTENSIVISTS) 2 6,199 $1,054,340 $170 premium 1.4% (818) 758-0020
25 PORTSMOUTH NEPHROLOGY PC PORTSMOUTH VA NEPHROLOGY 4 6,159 $734,261 $119 premium 12.7% (757) 484-9400
26 GANDHI MEDICAL CONSULTANTS S C JOLIET IL NURSE PRACTITIONER 3 6,083 $788,357 $130 premium 8.8% (815) 773-7827
27 MACON MEDICAL GROUP PC MACON GA NEPHROLOGY 6 5,954 $446,550 $75 premium 5.0%
28 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 5,896 $1,281,319 $217 premium 10.8% (423) 698-0927
29 GLUTALITY PROVIDER GROUP PA LOUISVILLE DE FAMILY PRACTICE 10 5,836 $694,192 $119 premium 55.2% (561) 678-2026
30 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 5,836 $484,388 $83 premium 2.3% (850) 863-8150
31 DYNAMIC PAIN AND WELLNESS LLC MOBILE FL NURSE PRACTITIONER 26 5,678 $708,955 $125 premium 2.2% (251) 308-9800
32 KIDNEY AND HYPERTENSION CONSULTANTS INC CANTON OH NEPHROLOGY 9 5,622 $320,454 $57 premium 20.5% (330) 649-9400
33 PREMIER CARDIOLOGY AND VASCULAR ASSOCIATES PL ORLANDO FL NURSE PRACTITIONER 8 5,594 $306,283 $55 premium 2.2% (407) 622-0793
34 GLUTALITY PROVIDER GROUP PA LOUISVILLE CT FAMILY PRACTICE 10 5,539 $658,864 $119 premium 18.6% (561) 678-2026
35 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 5,528 $600,920 $109 premium 2.1% (713) 512-7500
36 JAMES RIVER CARDIOLOGY, LLC COLONIAL HEIGHTS VA PHYSICIAN ASSISTANT 49 5,513 $645,438 $117 premium 11.3% (804) 520-1764
37 PENINSULA NEPHROLOGY ASSOCIATES PA SALISBURY MD NEPHROLOGY 6 5,319 $317,496 $60 premium 11.3% 4105464427128
38 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 5,247 $472,230 $90 premium 10.8% (804) 282-2685
39 GLUTALITY PROVIDER GROUP PA LOUISVILLE GA FAMILY PRACTICE 10 4,991 $593,679 $119 premium 4.2% (561) 678-2026
40 FIRST COAST NEPHROLOGY INC JACKSONVILLE FL NURSE PRACTITIONER 5 4,965 $297,900 $60 premium 1.9% (904) 744-4448
41 LHAW LLC NAPLES FL INTERVENTIONAL CARDIOLOGY 2 4,960 $396,800 $80 premium 1.9% (239) 206-2833
42 BALBOA NEPHROLOGY MEDICAL GROUP INC SAN DIEGO CA NEPHROLOGY 80 4,790 $426,310 $89 premium 1.1% (619) 582-4490
43 HEART SOUTH CARDIOVASCULAR GROUP, P.C. BIRMINGHAM AL NURSE PRACTITIONER 23 4,654 $209,418 $45 premium 28.8% (205) 877-2838
44 FAMILY MEDICINE ASSOCIATES WESTFIELD MA INTERNAL MEDICINE 3 4,652 $325,640 $70 premium 20.9% 4135625173106
45 INTERNAL MEDICINE ASSOCIATES OF PLANO PA PLANO TX FAMILY PRACTICE 23 4,626 $393,210 $85 premium 1.8% (972) 981-7500
46 MAURICIO WAINTRUB, M.D., P.C AURORA CO PHYSICIAN ASSISTANT 26 4,536 $312,984 $69 premium 26.8% (303) 337-5575
47 MILL BASIN MEDICAL HEALTH PC BROOKLYN NY PHYSICIAN ASSISTANT 101 4,326 $415,973 $96 premium 3.4% (646) 296-1508
48 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 4,310 $262,910 $61 premium 20.5% (801) 261-8346
49 PHYSICIANS TO YOU HOME HEALTH LIMITED BERWYN IL NURSE PRACTITIONER 10 4,267 $264,554 $62 premium 6.2% (708) 933-3840
50 MID-SOUTH NEPHROLOGY CONSULTANTS PLLC MEMPHIS TN NEPHROLOGY 13 4,267 $467,708 $110 premium 7.8% (901) 547-6401
51 NOEL SERRANO MD PC OAKLAND CA INTERNAL MEDICINE 8 4,210 $196,664 $47 premium 0.9% (707) 535-9279
52 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 4,193 $314,475 $75 premium 1.6% (863) 680-7780
53 CARDIOVASCULAR CARE INC LOS ALAMITOS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 4,106 $225,830 $55 premium 0.9% (562) 594-1772
54 CONNECTICUT KIDNEY AND HYPERTENSION SPECIALISTS, LLC WATERBURY CT NEPHROLOGY 6 3,936 $314,880 $80 premium 13.3% (203) 597-9733
55 SOUTHERN COLORADO NEPHROLOGY ASSOC PC PUEBLO CO NEPHROLOGY 7 3,897 $175,365 $45 premium 23.0% (719) 561-5264
56 CENTER FOR ADVANCED CARDIAC AND VASCULAR INTERVENTIONS TARZANA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 3,870 $232,450 $60 premium 0.9% (818) 905-5904
57 PULMONARY AND INTERNAL MEDICINE ASSOCIATES INC STUART FL NURSE PRACTITIONER 5 3,821 $179,587 $47 premium 1.5% (772) 283-4428
58 BERKELEY ENDOCRINE CLINIC INC BERKELEY CA ENDOCRINOLOGY 2 3,762 $300,960 $80 premium 0.8% (510) 883-9005
59 HORIZONS DIAGNOSTICS, L.L.C. COLUMBUS GA FAMILY PRACTICE 23 3,713 $501,255 $135 premium 3.1% (706) 322-0304
60 CENTRAL TEXAS HEART CENTER BRYAN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 10 3,701 $292,063 $79 premium 1.4% (409) 774-4008
61 HEART CENTER PLLC STAMFORD CT NURSE PRACTITIONER 3 3,647 $401,170 $110 premium 12.3% (203) 674-1810
62 INTERNAL MEDICINE ASSOCIATES, P.C. MACON GA INTERNAL MEDICINE 9 3,591 $305,235 $85 premium 3.0% (478) 745-1191
63 HOUSECALLS MEDICINE NY PC NEW YORK NY NURSE PRACTITIONER 22 3,495 $467,631 $134 premium 2.7% (718) 360-9370
64 KIDNEY ASSOCIATES, PLLC HOUSTON TX NEPHROLOGY 8 3,491 $159,146 $46 premium 1.3% (713) 691-0107
65 HEART CARE CFL PLLC TITUSVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 3,485 $291,228 $84 premium 1.4%
66 ADVANCED CARDIOLOGY LLC CEDAR KNOLLS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 28 3,442 $344,200 $100 premium 6.4% (973) 401-1100
67 NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA PC FORT WAYNE IN NEPHROLOGY 68 3,405 $254,490 $75 premium 17.1% (260) 494-3484
68 RENALCARE ASSOCIATES, S.C. PEORIA IL NEPHROLOGY 48 3,392 $261,107 $77 premium 4.9% (309) 676-8123
69 DANDG MEDICAL ASSOCIATES PLLC MERIDIAN ID PHYSICIAN ASSISTANT 16 3,365 $235,700 $70 premium 67.0% (208) 286-8670
70 WEST ORANGE NEPHROLOGY LLC WINTER GARDEN FL NEPHROLOGY 4 3,289 $328,900 $100 premium 1.3% (407) 297-8408
71 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 3,220 $384,460 $119 premium 9.1% (919) 350-7270
72 PHOENIX CARDIOVASCULAR INSTITUTE LLC CHATTANOOGA GA NURSE PRACTITIONER 6 3,173 $348,718 $110 premium 2.7% (706) 858-3988
73 HEART CENTER USA INCORPORATED MEMPHIS TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 3,148 $125,920 $40 premium 5.8% (901) 572-1801
74 L.E.V. MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION WEST HOLLYWOOD CA INTERNAL MEDICINE 2 3,064 $459,600 $150 premium 0.7% (310) 623-9222
75 AFROUZ GERAYLI MD INC CAMARILLO CA INTERNAL MEDICINE 3 3,031 $214,393 $71 premium 0.7% (805) 484-1033
76 FISCHER HEALTH LLC CRESTVIEW FL NURSE PRACTITIONER 3 2,956 $251,260 $85 premium 1.1% (850) 398-5922
77 EAST BAY AREA QUALITY HEALTH CORPORATION OAKLAND CA FAMILY PRACTICE 2 2,936 $356,812 $122 premium 0.7% (707) 343-1412
78 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 2,924 $286,552 $98 premium 16.9%
79 NORTHWEST HOUSTON HEART CENTER, P.A. TOMBALL TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 2,918 $461,124 $158 premium 1.1% (281) 351-4911
80 NORTH MISSISSIPPI CLINICS LLC TUPELO MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 21 2,864 $280,868 $98 premium 22.4% (662) 620-6800
81 KEYAMED, INC A P C SIERRA VISTA AZ FAMILY PRACTICE 2 2,790 $217,620 $78 premium 3.9% (520) 439-0115
82 NEPHROLOGY ASSOCIATES OF UPLAND AND POMONA POMONA CA NEPHROLOGY 6 2,777 $347,050 $125 premium 0.6% (909) 981-5882
83 TRI-COUNTY COMMUNITY CLINIC LLC PORTAGEVILLE MO NURSE PRACTITIONER 4 2,731 $204,825 $75 premium 11.3% (573) 391-8031
84 CONSULTANTS IN CARDIOLOGY AND ELECTROPHYSIOLOLGY LLC EVERGREEN PARK IL NURSE PRACTITIONER 21 2,714 $287,385 $106 premium 3.9% (708) 346-5562
85 TAPIA INTERNAL MEDICINE CLINIC PLLC PARIS TX NURSE PRACTITIONER 6 2,697 $134,850 $50 premium 1.0% (903) 739-7920
86 EUGENE SPRINGFIELD NEPHROLOGY ASSOCIATES PC SPRINGFIELD OR NEPHROLOGY 14 2,682 $364,752 $136 premium 15.2% (541) 485-6478
87 DALLAS RENAL GROUP, P.A. DALLAS OK NEPHROLOGY 50 2,676 $261,210 $98 premium 12.5% (888) 616-6322
88 MORENO VALLEY COMMUNITY MEDICAL GROUP MORENO VALLEY CA NURSE PRACTITIONER 3 2,661 $262,380 $99 premium 0.6% (951) 243-6460
89 MDWATCH MEDICAL CORP DETROIT CA NURSE PRACTITIONER 8 2,658 $177,876 $67 premium 0.6% (888) 202-9960
90 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA INTERNAL MEDICINE 228 2,657 $176,870 $67 premium 0.6% (562) 495-4952
91 JOSEPH A CAPLAN MD PC SUN CITY WEST AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 31 2,647 $256,759 $97 premium 3.7% (623) 876-8816
92 SOUTHERN CALIFORNIA INTERNISTS MEDICAL GROUP PASADENA CA NURSE PRACTITIONER 3 2,606 $221,510 $85 premium 0.6% (626) 696-3607
93 SALINE HEART GROUP PA BENTON AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 2,573 $203,267 $79 premium 20.3% (501) 315-4008
94 PREMIER MEDICINE PC LIVONIA MI PHYSICIAN ASSISTANT 12 2,545 $198,510 $78 premium 5.2% (248) 987-1250
95 RICHMOND NEPHROLOGY ASSOCIATES INC RICHMOND VA PHYSICIAN ASSISTANT 24 2,545 $203,600 $80 premium 5.2% (804) 323-6903
96 SUNSHINE KIDNEY CARE LLC THE VILLAGES FL NEPHROLOGY 2 2,522 $113,500 $45 premium 1.0% (352) 388-5800
97 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 2,499 $162,435 $65 premium 11.9%
98 COPILOTIQ PC DALLAS TN NURSE PRACTITIONER 10 2,463 $292,009 $119 premium 4.5% (615) 412-8777
99 LEGACY HEALTHCARE SERVICES INC DURHAM TX INTERNAL MEDICINE 3859 2,447 $250,404 $102 premium 0.9% (919) 419-9600
100 PREMIERCARE PHYSICIANS A CALIFORNIA GENERAL PARTNERSHIP TRACY CA FAMILY PRACTICE 5 2,424 $145,440 $60 premium 0.5% (209) 883-0525

Showing the top 100 of 1,307 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 →