NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99459 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99459 — Pelvic exam

Billing groups
833
Named-group FFS services
179,145
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~357,647 services

179,145 observed fee-for-service (50%) · ~178,502 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 — 99459 (CY2024)

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

Named-group submitted charges
$11.6M
Named-group allowed amount
$3.9M
Named-group Medicare payments
$3.0M
Avg charge / svc
$65
Avg allowed / svc
$22
Avg payment / svc
$17
Average charge per group
$20 833 groups · avg submitted charge / service $1,150
Market analyticsPlatform

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99459 services, CY2024
#Physician group City St Specialty Providers 99459 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 6,107 $736,406 $121 premium 26.6%
2 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 5,056 $328,213 $65 premium 18.4% (305) 273-4641
3 FLORIDA WOMAN CARE LLC ORLANDO FL OBSTETRICS/GYNECOLOGY 604 3,990 $267,799 $67 premium 14.5% (407) 857-2502
4 CAPITAL WOMENS CARE LLC ROCKVILLE MD OBSTETRICS/GYNECOLOGY 284 3,355 $251,625 $75 premium 25.2% (301) 424-1696
5 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 2,583 $170,478 $66 premium 19.4%
6 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 2,399 $157,333 $66 premium 17.4%
7 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 2,066 $144,215 $70 premium 16.5% (856) 424-3323
8 LIFELINE MEDICAL ASSOCIATES LLC DENVILLE NJ OBSTETRICS/GYNECOLOGY 150 1,971 $98,550 $50 premium 18.0%
9 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES NJ OBSTETRICS/GYNECOLOGY 352 1,891 $132,370 $70 premium 17.3% (856) 424-3323
10 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 1,712 $102,720 $60 premium 24.7% (662) 349-1964
11 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 1,703 $124,319 $73 premium 10.0%
12 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 1,463 $121,429 $83 premium 16.1% (919) 684-8111
13 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 1,444 $70,714 $49 premium 10.2%
14 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 1,397 $56,656 $41 premium 10.1%
15 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,358 $58,036 $43 premium 4.9% (321) 434-8878
16 MID-ATLANTIC WOMENS CARE PLC NORFOLK VA OBSTETRICS/GYNECOLOGY 153 1,338 $89,646 $67 premium 9.7% (757) 466-6350
17 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 1,333 $67,878 $51 premium 10.7%
18 MIDWEST CENTER FOR WOMEN'S HEALTHCARE, LTD PARK RIDGE IL OBSTETRICS/GYNECOLOGY 92 1,285 $86,095 $67 premium 15.3% (847) 825-8108
19 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OBSTETRICS/GYNECOLOGY 54 1,276 $170,425 $134 premium 7.5% (310) 794-7274
20 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 1,231 $88,632 $72 premium 9.3% (410) 663-8100
21 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 1,215 $65,610 $54 premium 4.4% (561) 616-9988
22 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 1,208 $82,144 $68 premium 9.7%
23 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 1,116 $119,887 $107 premium 25.4% (617) 724-0287
24 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 1,105 $55,250 $50 premium 12.2% (910) 662-6000
25 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 1,098 $68,577 $62 premium 4.0% (407) 896-1100
26 AFFILIATED ONCOLOGISTS LLC OAK LAWN IL PHYSICIAN ASSISTANT 40 1,098 $53,802 $49 premium 13.1% (708) 684-5475
27 UNIVERSITY ASSOCIATES IN OBSTETRICS AND GYNECOLOGY UNIVERSITY FACULTY STONY BROOK NY OBSTETRICS/GYNECOLOGY 113 1,079 $68,467 $63 premium 4.7% (631) 444-7650
28 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 1,047 $46,072 $44 premium 7.4% (214) 691-9377
29 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPO CA PHYSICIAN ASSISTANT 13 1,042 $46,890 $45 premium 6.1%
30 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 1,028 $68,876 $67 premium 7.2% (713) 512-7500
31 DEDICATED TO WOMEN OB-GYN, P.A. DOVER DE OBSTETRICS/GYNECOLOGY 15 1,019 $61,140 $60 premium 56.9% (302) 674-0223
32 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 994 $47,752 $48 premium 22.1% (602) 843-1265
33 SQUARE CARE MEDICAL GROUP LLP WOODBURY NY OBSTETRICS/GYNECOLOGY 70 982 $65,794 $67 premium 4.3% (516) 496-3900
34 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 977 $43,965 $45 premium 7.8%
35 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD NY UROLOGY 98 957 $76,713 $80 premium 4.2% (516) 520-8080
36 HERA SAMBAZIOTIS MD MPH AND MARTINA FRANDINA MD, OBSTETRICS AND GYNECO NEW HYDE PARK NY OBSTETRICS/GYNECOLOGY 4 954 $33,390 $35 premium 4.2% (516) 437-2020
37 VIRGINIA PHYSICIANS FOR WOMEN, LTD NORTH CHESTERFIELD VA OBSTETRICS/GYNECOLOGY 45 951 $38,040 $40 premium 6.9% (804) 897-2100
38 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 941 $54,578 $58 premium 3.4% (239) 561-9622
39 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 929 $45,752 $49 premium 8.5% (856) 247-7260
40 ILLINOIS UROGYNECOLOGY LTD PARK RIDGE IL OBSTETRICS/GYNECOLOGY 6 899 $71,920 $80 premium 10.7% (847) 825-1590
41 TOGETHER WOMEN'S HEALTH MEDICAL GROUP, P.C. ROYAL OAK MI OBSTETRICS/GYNECOLOGY 70 896 $41,128 $46 premium 20.4% (248) 584-7600
42 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 895 $44,750 $50 premium 23.1% (918) 505-3200
43 UWH OF THE CAROLINAS PLLC WINSTON SALEM NC OBSTETRICS/GYNECOLOGY 328 887 $59,159 $67 premium 9.8% (336) 768-3632
44 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 872 $47,960 $55 premium 6.1% (512) 788-9688
45 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 868 $56,580 $65 premium 7.9% (856) 354-2211
46 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 867 $41,616 $48 premium 66.9% (207) 885-9905
47 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL UROLOGY 60 861 $41,328 $48 premium 21.1% (251) 433-1895
48 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 847 $81,460 $96 premium 3.7% (212) 746-5454
49 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 840 $50,400 $60 premium 6.7%
50 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 827 $51,145 $62 premium 3.6% (914) 241-1050
51 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 817 $66,169 $81 premium 5.7% (214) 633-5555
52 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 812 $45,710 $56 premium 5.7%
53 ORANGE COUNTY UROLOGY ASSOCIATES INC A MEDICAL GROUP LAGUNA HILLS CA UROLOGY 18 811 $64,693 $80 premium 4.8% (949) 855-1101
54 UROLOGY OF INDIANA LLC GREENWOOD IN PHYSICIAN ASSISTANT 83 808 $49,288 $61 premium 25.2% (317) 859-7222
55 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 779 $62,320 $80 premium 7.1% (732) 362-3663
56 UNIFIED WOMENS HEALTHCARE OF TEXAS PLLC MCKINNEY TX OBSTETRICS/GYNECOLOGY 184 772 $51,724 $67 premium 5.4% (972) 542-8884
57 NEBRASKA METHODIST HOSPITAL OMAHA NE NURSE PRACTITIONER 129 745 $45,445 $61 premium 43.4% (402) 354-4540
58 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 744 $62,496 $84 premium 5.2% (713) 566-5000
59 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 742 $65,949 $89 premium 2.7% (561) 955-7100
60 UROGYNECOLOGY OF OKLAHOMA, PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 4 724 $36,200 $50 premium 18.7% (405) 400-8188
61 SOUTHLAND URO GYNECOLOGY, LLC AMERICUS GA NURSE PRACTITIONER 9 722 $57,400 $80 premium 10.3% (229) 474-6933
62 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 707 $56,249 $80 premium 4.2% (858) 455-9100
63 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 707 $36,057 $51 premium 15.7% (480) 834-5111
64 UROLOGY OF GREATER ATLANTA LLC STOCKBRIDGE GA UROLOGY 11 698 $48,860 $70 premium 10.0% (770) 474-5281
65 OBGYN PARTNERS OF AUGUSTA, PROFESSIONAL CORPORATION AUGUSTA GA OBSTETRICS/GYNECOLOGY 22 677 $30,465 $45 premium 9.7% (706) 722-1381
66 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 675 $28,395 $42 premium 15.4%
67 GREAT LAKES PHYSICIAN PC CHEEKTOWAGA NY PHYSICIAN ASSISTANT 69 658 $32,900 $50 premium 2.9% (716) 844-5000
68 GENESIS OB GYN PLLC ORO VALLEY AZ OBSTETRICS/GYNECOLOGY 112 653 $42,388 $65 premium 14.5% (520) 545-0573
69 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 650 $39,453 $61 premium 2.4% (352) 265-8990
70 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 642 $44,940 $70 premium 34.1% (507) 284-2511
71 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 625 $31,875 $51 premium 16.4%
72 FAMILYCARE MEDICAL GROUP PC SYRACUSE NY FAMILY PRACTICE 106 614 $20,506 $33 premium 2.7% (315) 472-1488
73 MANATEE GYNECOLOGY LLC BRADENTON FL NURSE PRACTITIONER 8 605 $25,410 $42 premium 2.2% (941) 792-4993
74 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 599 $30,165 $50 premium 3.5% (949) 791-3370
75 MEDICAL SERVICES OF BELLMORE PC NEW HYDE PARK NY OBSTETRICS/GYNECOLOGY 17 588 $62,408 $106 premium 2.6% (718) 470-4400
76 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 585 $41,247 $71 premium 2.1% (813) 961-7440
77 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 583 $43,850 $75 premium 3.4% (310) 423-0674
78 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE MS UROLOGY 60 563 $27,024 $48 premium 17.7% (251) 433-1895
79 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 557 $27,293 $49 premium 28.1% (502) 629-2398
80 UROLOGIC SPECIALISTS OF OKLAHOMA INC TULSA OK UROLOGY 44 550 $18,150 $33 premium 14.2% (918) 749-8765
81 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 543 $33,516 $62 premium 6.5% (217) 545-8000
82 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 538 $51,680 $96 premium 3.9% (757) 446-7900
83 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 537 $29,451 $55 premium 4.3%
84 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 522 $27,483 $53 premium 20.4% (913) 588-1227
85 HOLSTON MEDICAL GROUP PC BRISTOL TN NURSE PRACTITIONER 244 520 $26,000 $50 premium 7.5% (423) 844-7000
86 WOMEN'S WELLNESS PLACE, PC SYRACUSE NY OBSTETRICS/GYNECOLOGY 4 517 $18,095 $35 premium 2.3% (315) 478-1158
87 SOUTHERN UROGYNECOLOGY LLC WEST COLUMBIA SC CERTIFIED NURSE MIDWIFE (CNM) 5 517 $12,925 $25 premium 13.6% (803) 457-7000
88 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 509 $30,986 $61 premium 3.8% (410) 825-5454
89 CAPITAL WOMENS CARE LLC ROCKVILLE VA OBSTETRICS/GYNECOLOGY 284 494 $37,050 $75 premium 3.6% (301) 424-1696
90 UNIVERSITY UROGYNECOLOGY ASSOCIATION PC VOORHEES NJ OBSTETRICS/GYNECOLOGY 9 490 $24,010 $49 premium 4.5% (856) 325-6622
91 SYNERGY HEALTHCARE ASSOCIATES, PLLC SPRING BRANCH TX OBSTETRICS/GYNECOLOGY 22 483 $18,344 $38 premium 3.4% (210) 653-5501
92 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 482 $22,428 $47 premium 6.9% (770) 422-2004
93 ABINGTON MEMORIAL HOSPITAL ABINGTON PA NURSE PRACTITIONER 454 480 $28,800 $60 premium 3.8% (215) 481-2222
94 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 478 $22,466 $47 premium 22.7%
95 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 472 $27,872 $59 premium 10.7% (508) 771-1800
96 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 470 $25,850 $55 premium 1.7% (863) 680-7780
97 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 465 $25,575 $55 premium 3.4% (703) 396-5292
98 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 464 $25,520 $55 premium 6.7% (865) 305-6333
99 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 458 $20,610 $45 premium 12.0% (864) 255-1901
100 PROVIDENCE MEDICAL INSTITUTE TORRANCE CA INTERNAL MEDICINE 339 451 $32,923 $73 premium 2.7% (310) 303-7496

Showing the top 100 of 833 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 →