NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed 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 2017
National scale 599,999 services ▲ 34.6% YoY · 212,632 beneficiaries (CY2024, Medicare FFS)
Medicare paid $58.4M · $97.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
742
Named-group FFS services
285,625
FFS of Medicare
49%
Services YoY
+34.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~573,213 services

285,625 observed fee-for-service (50%) · ~287,588 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 — 99487 (CY2024)

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

Named-group submitted charges
$60.0M
Named-group allowed amount
$35.5M
Named-group Medicare payments
$27.8M
Avg charge / svc
$210
Avg allowed / svc
$124
Avg payment / svc
$97
Average charge per group
$64 742 groups · avg submitted charge / service $1,359
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99487 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 99487 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 SC HOUSE CALLS INC WEST COLUMBIA SC NURSE PRACTITIONER 435 44,253 $6,661,604 $151 premium 50.4% (800) 491-0909
2 AMERICAN TELEHEALTH LLC ALLENTOWN NJ NURSE PRACTITIONER 38 9,201 $1,389,960 $151 premium 31.2% (888) 982-8594
3 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 6,279 $1,012,811 $161 premium 8.2% (855) 434-7763
4 PRIMARY CARE OF CENTRAL FLORIDA INC ORLANDO FL NURSE PRACTITIONER 38 4,843 $730,975 $151 premium 9.0% (321) 235-0692
5 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 4,719 $1,271,676 $269 premium 6.2% (530) 343-4757
6 COMMUNITY HOME PHYSICIANS LLC OAKBROOK TERRACE IL NURSE PRACTITIONER 86 4,657 $1,285,224 $276 premium 23.5% (630) 320-6871
7 SC HOUSE CALLS INC WEST COLUMBIA NC NURSE PRACTITIONER 435 4,166 $627,175 $151 premium 32.0% (800) 491-0909
8 HOUSECALLS MEDICINE NY PC NEW YORK NY NURSE PRACTITIONER 22 4,124 $1,894,648 $459 premium 10.9% (718) 360-9370
9 GHODS INC LOS ANGELES CA FAMILY PRACTICE 6 4,085 $1,123,375 $275 premium 5.4% (424) 258-0124
10 CRAIG CARDIOVASCULAR CENTER PA SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 3,785 $794,010 $210 premium 3.6% (830) 672-3845
11 ARVID LADE MD PLC TULSA OK NURSE PRACTITIONER 8 3,274 $491,100 $150 premium 55.2% (918) 743-2565
12 ENNOBLE HC NJ PC HACKENSACK NJ NURSE PRACTITIONER 114 3,269 $1,501,231 $459 premium 11.1% (973) 241-1356
13 INTERVENTIONAL PARTNERS PLLC FRISCO TX PODIATRY 93 3,231 $856,215 $265 premium 3.1% (972) 712-4161
14 CONNECTED CARDIOVASCULAR CARE ASSOCIATES, PLLC DALLAS TX INTERVENTIONAL CARDIOLOGY 6 2,913 $684,555 $235 premium 2.8% (214) 814-1550
15 NEXTGEN RPM PLAINVIEW TX NURSE PRACTITIONER 6 2,764 $917,648 $332 premium 2.6% (972) 807-3696
16 CRISTINA TOBON-CHUNG FNP A PROFESSIONAL NURSING CORPORATION LEMON GROVE CA NURSE PRACTITIONER 4 2,604 $627,300 $241 premium 3.4% (619) 253-6451
17 TOTAL CARE 2 U, LLC WAXAHACHIE TX NURSE PRACTITIONER 25 2,589 $657,606 $254 premium 2.5% (877) 868-2528
18 HOUSE CALL MEDICAL SERVICES OF NEW YORK, PLLC BRONX NY NURSE PRACTITIONER 163 2,452 $511,888 $209 premium 6.5% (718) 618-0401
19 FREEDMAN RPM MEDICAL SC SKOKIE IL FAMILY PRACTICE 2 2,451 $428,925 $175 premium 12.4% (847) 443-1170
20 MEDASSIST NJ II SPRING VALLEY MD GERIATRIC MEDICINE 23 2,445 $356,970 $146 premium 22.1% (845) 377-6670
21 ENNOBLE HC DMV LLC WASHINGTON VA NURSE PRACTITIONER 101 2,326 $1,068,611 $459 premium 36.1% (862) 812-9010
22 JAY N SCHAPIRA M D INC A PROFESSIONAL CORPORATION LOS ANGELES CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 2,156 $538,758 $250 premium 2.8% (310) 659-2030
23 EXCEL CARDIAC CARE PLLC FORT WORTH TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 2,078 $488,330 $235 premium 2.0% (817) 518-9005
24 J M GEISS DO APC SANTA ANA TX NURSE PRACTITIONER 156 2,023 $323,282 $160 premium 1.9% (855) 434-7763
25 TRANSITIONAL CARE SERVICES LLC WATERFORD MI NURSE PRACTITIONER 49 2,005 $330,953 $165 premium 11.8% (855) 466-3631
26 INDIAN RIVER PRIMARY CARE VERO BCH FL INTERNAL MEDICINE 10 2,001 $550,755 $275 premium 3.7% (772) 794-2222
27 BEACON MEDICAL LLC PENSACOLA FL NURSE PRACTITIONER 12 1,778 $233,818 $132 premium 3.3% (251) 533-3509
28 WACO CARDIOLOGY ASSOCIATES WACO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 20 1,759 $413,307 $235 premium 1.7% (254) 399-5400
29 ENNOBLE HC NJ PC HACKENSACK KS NURSE PRACTITIONER 114 1,691 $776,879 $459 premium 35.3% (973) 241-1356
30 ESOP REHABILITATION LLC CONYERS NC ORTHOPEDIC SURGERY 237 1,690 $309,270 $183 premium 13.0% (770) 785-7669
31 DFW PHYSICIANS MEDICAL ASSOCIATES LLC SHERMAN TX PSYCHIATRY 7 1,689 $168,900 $100 premium 1.6% (903) 957-0082
32 SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC GREEN BAY WI NURSE PRACTITIONER 15 1,681 $494,214 $294 premium 39.8% (920) 328-1220
33 MEDASSIST NJ II SPRING VALLEY PA GERIATRIC MEDICINE 23 1,637 $239,002 $146 premium 18.1% (845) 377-6670
34 NORTHERN LIGHTS HEALTH LLC WACONIA MN NURSE PRACTITIONER 11 1,570 $274,750 $175 premium 40.7% (651) 603-4565
35 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 1,541 $462,300 $300 premium 2.0% (310) 278-3400
36 PAHRUMP FAMILY MEDICAL PAHRUMP NV NURSE PRACTITIONER 4 1,514 $219,530 $145 premium 19.0% (775) 910-9811
37 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL UROLOGY 60 1,462 $218,732 $150 premium 22.0% (251) 433-1895
38 MULBERRY MEDICAL ASSOCIATES, P.C MONTGOMERY AL INTERNAL MEDICINE 4 1,456 $276,640 $190 premium 21.9% (334) 265-6153
39 FARROKH ALEMZADEH M D INC SAN CLEMENTE CA FAMILY PRACTICE 2 1,446 $315,975 $219 premium 1.9% (949) 661-4411
40 NEPHROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL NEPHROLOGY 40 1,427 $428,100 $300 premium 21.4% (251) 343-5004
41 WEST ORANGE NEPHROLOGY LLC WINTER GARDEN FL NEPHROLOGY 4 1,423 $199,220 $140 premium 2.7% (407) 297-8408
42 CHRONIC DISEASE MANAGEMENT OF GEORGIA LLC MONROE GA NURSE PRACTITIONER 79 1,355 $272,355 $201 premium 4.5% (888) 772-0076
43 JIMMY R COUGHRAN A MEDICAL CORPORATION COLUMBIA LA NURSE PRACTITIONER 8 1,338 $200,700 $150 premium 20.4% (318) 649-3766
44 GROW HEALTHCARE GROUP PA MIAMI FL CLINICAL SOCIAL WORKER 969 1,332 $357,493 $268 premium 2.5% (786) 244-7711
45 NEVADA HEART AND VASCULAR CENTER RESH LLP LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 42 1,324 $475,097 $359 premium 16.6% (702) 240-6482
46 ZENMEDICINE WEST COVINA CA NURSE PRACTITIONER 9 1,321 $317,040 $240 premium 1.7% (626) 960-7117
47 SCIOMETRIX LLC ROYAL OAK MI INTERNAL MEDICINE 57 1,297 $181,580 $140 premium 7.6% (860) 335-5064
48 EAST BAY AREA QUALITY HEALTH CORPORATION OAKLAND CA FAMILY PRACTICE 2 1,287 $256,940 $200 premium 1.7% (707) 343-1412
49 COMPLETE CARE MANAGEMENT SERVICES ACO LLC MIRAMAR FL GENERAL PRACTICE 2 1,216 $195,375 $161 premium 2.3% (877) 212-2267
50 THOMAS LUISKUTTY MD PLC TULSA OK NURSE PRACTITIONER 9 1,196 $179,400 $150 premium 20.2% (918) 252-2521
51 COMMUNITY HOME PHYSICIANS LLC OAKBROOK TERRACE IN NURSE PRACTITIONER 86 1,187 $327,601 $276 premium 14.2% (630) 320-6871
52 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO TX ENDOCRINOLOGY 5 1,168 $169,360 $145 premium 1.1% (210) 650-3360
53 SUMMIT MEDICAL ARTS ASSOCIATES LLC NORTH BERGEN NJ INTERNAL MEDICINE 2 1,158 $262,183 $226 premium 3.9% (201) 453-2800
54 JAX'S FAMILY CARE AND RESEARCH CENTER, P.A. JACKSONVILLE FL NURSE PRACTITIONER 3 1,153 $161,420 $140 premium 2.2% (904) 800-2332
55 FAMILY PHYSICIANS OF SPARTANBURG, PC SPARTANBURG SC FAMILY PRACTICE 10 1,115 $144,950 $130 premium 1.3% (864) 576-9201
56 NORTH GEORGIA MEDICINE LLC BLAIRSVILLE GA NURSE PRACTITIONER 17 1,080 $184,680 $171 premium 3.6% (706) 745-9417
57 HOMETOWN PHYSICIAN SERVICES MD SC WOODVILLE MN NURSE PRACTITIONER 4 1,061 $415,912 $392 premium 27.5% (715) 600-0549
58 NURSE PRACTITIONER PROFESSIONAL RESOURCES LAKEWOOD NJ NURSE PRACTITIONER 13 1,061 $212,000 $200 premium 3.6% (856) 885-4579
59 ENNOBLE HC DMV LLC WASHINGTON MD NURSE PRACTITIONER 101 1,045 $480,094 $459 premium 9.4% (862) 812-9010
60 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 1,032 $231,840 $225 premium 1.9% (813) 844-7585
61 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 1,023 $368,303 $360 premium 9.2% (410) 825-5454
62 AMERICAN TELEHEALTH LLC ALLENTOWN PA NURSE PRACTITIONER 38 1,009 $151,738 $150 premium 11.1% (888) 982-8594
63 RELIANT HOUSECALLS, PLLC VERNON CT NURSE PRACTITIONER 20 951 $213,975 $225 premium 35.4% (800) 391-0599
64 ALW ENTERPRISES, PA NICEVILLE FL NURSE PRACTITIONER 3 931 $134,995 $145 premium 1.7% (850) 252-4303
65 HEALTHY AT HOME LLC PORTLAND OR NURSE PRACTITIONER 2 905 $142,990 $158 premium 44.0% (503) 917-5928
66 SCOTTY ORTEGA MD LLP ODESSA TX NURSE PRACTITIONER 14 893 $119,662 $134 premium 0.8% (432) 366-0770
67 COWRY MEDICAL GROUP LLC ACWORTH GA NEPHROLOGY 6 885 $265,500 $300 premium 2.9% (470) 277-8130
68 INSIGHT PHYSICIANS CARE LLC BLOOMINGDALE IL NURSE PRACTITIONER 6 872 $174,040 $200 premium 4.4% (224) 653-9507
69 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 859 $556,640 $648 premium 1.1% (310) 534-8400
70 FAMILY PRACTICE CENTER PC MIDDLEBURG PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 345 851 $127,500 $150 premium 9.4% (570) 837-5889
71 WESTCHESTER FAMILY MEDICAL PRACTICE PC YONKERS NY INTERNAL MEDICINE 3 836 $209,000 $250 premium 2.2% (914) 375-2300
72 VILLAGE PRIMARY CARE PROVIDERS LLC PALMYRA WI NURSE PRACTITIONER 2 828 $206,150 $249 premium 19.6% (262) 395-7951
73 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 803 $120,450 $150 premium 20.0% (413) 774-6301
74 EXPANDING MEDICINE LLC FREDERICK MD PHYSICIAN ASSISTANT 4 788 $118,135 $150 premium 7.1% (301) 371-7160
75 DANDG MEDICAL ASSOCIATES PLLC MERIDIAN ID PHYSICIAN ASSISTANT 16 785 $121,378 $155 premium 26.9% (208) 286-8670
76 INTERNAL MEDICINE AND CARDIOLOGY GREENVILLE SC INTERNAL MEDICINE 5 783 $105,705 $135 premium 0.9% 86423327442427
77 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 770 $142,605 $185 premium 0.7% (903) 533-0644
78 DIGESTIVE DISEASE CARE, PC RICHMOND HILL NY GASTROENTEROLOGY 37 758 $181,684 $240 premium 2.0% (516) 750-8000
79 ZAREK DONOHUE LLC WILMINGTON DE PHYSICIAN ASSISTANT 22 739 $143,772 $195 premium 35.3% (302) 543-5454
80 MODERN MEDICAL HOUSE CALLS PLLC SOUTHLAKE TX NURSE PRACTITIONER 6 677 $111,705 $165 premium 0.6% (817) 912-1771
81 EPIC MEDICAL GROUP,INC SHERMAN OAKS CA NURSE PRACTITIONER 52 675 $168,750 $250 premium 0.9% (818) 528-1260
82 LIFE POINT MEDICAL, LLC CLAYTON GA INTERNAL MEDICINE 5 661 $99,150 $150 premium 2.2%
83 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 646 $153,102 $237 premium 0.8%
84 NORTH TEXAS NEUROLOGY ALLIANCE PLLC WICHITA FALLS TX NEUROLOGY 2 646 $92,378 $143 premium 0.6% (940) 322-1075
85 PENSACOLA CARDIOLOGY, PA PENSACOLA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 644 $122,360 $190 premium 1.2% (850) 912-6100
86 WEST CARROLL HEALTH SYSTEMS, LLC OAK GROVE AZ DIAGNOSTIC RADIOLOGY 20 642 $96,200 $150 premium 11.1% (318) 428-3237
87 NORTHVIEW HEALTH SPECIALISTS, PLLC GRAND RAPIDS MI NURSE PRACTITIONER 27 637 $106,420 $167 premium 3.8% (616) 272-3533
88 ALTITUDE FAMILY AND INTERNAL MEDICINE, LLC LITTLETON CO FAMILY PRACTICE 4 615 $210,330 $342 premium 20.5% (303) 730-2167
89 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 613 $91,950 $150 premium 1.1% (239) 690-7791
90 ADDISON INTERNAL MEDICINE PA ADDISON TX INTERNAL MEDICINE 4 612 $143,820 $235 premium 0.6% (972) 733-3090
91 ANDREW CHUNG, M.D. PLLC DALLAS TX PHYSICIAN ASSISTANT 5 608 $114,000 $188 premium 0.6% (214) 823-4200
92 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH GA PULMONARY DISEASE 23 607 $160,855 $265 premium 2.0% (912) 629-2290
93 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 590 $156,350 $265 premium 1.6% (212) 305-8559
94 PALM BEACH WELLNESS LLC DELRAY BEACH FL FAMILY PRACTICE 6 574 $110,782 $193 premium 1.1% (561) 740-2004
95 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 573 $91,623 $160 premium 0.8% (562) 698-0811
96 RAEF M ELSANADI MD INC A PROFESSIONAL CORPORATION LADERA RANCH CA INTERNAL MEDICINE 2 566 $99,050 $175 premium 0.7% (949) 364-3582
97 FAITH FAMILY WELLNESS CLINIC PLLC SHELBYVILLE TN GERIATRIC MEDICINE 3 562 $102,318 $182 premium 10.2% (931) 492-5290
98 DONNA L CASEY MD PLLC DALLAS TX INTERNAL MEDICINE 2 562 $101,160 $180 premium 0.5% (214) 691-5491
99 ANIL GEORGE MD PA JACKSONVILLE FL FAMILY PRACTICE 4 559 $106,210 $190 premium 1.0% (904) 353-8562
100 CARING HEART FAMILY NURSE PRACTITIONER PLLC PALM COAST FL NURSE PRACTITIONER 4 555 $138,725 $250 premium 1.0% (407) 550-7077

Showing the top 100 of 742 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 →