NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99490 Chronic care management services, first 20 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 2015
National scale 6.68M services ▲ 17.7% YoY · 1.51M beneficiaries (CY2024, Medicare FFS)
Medicare paid $303.5M · $45.41 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
3,483
Named-group FFS services
3,664,399
FFS of Medicare
49%
Services YoY
+17.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,371,503 services

3,664,399 observed fee-for-service (50%) · ~3,707,104 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; 1 state without payer-mix data excluded. How we scale

Top states — 99490 (CY2024)
CA 668,870 TX 623,341 FL 595,701 NY 543,266 CT 449,248

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

Named-group submitted charges
$418.8M
Named-group allowed amount
$218.1M
Named-group Medicare payments
$165.3M
Avg charge / svc
$114
Avg allowed / svc
$60
Avg payment / svc
$45
Average charge per group
$2 3,483 groups · avg submitted charge / service $650
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

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 group City St Specialty Providers 99490 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 50,171 $7,525,496 $150 9.2% (631) 751-3000
2 INFINITE MEDICAL PC LAKELAND NY NURSE PRACTITIONER 87 46,883 $9,295,200 $198 8.6% (212) 734-6621
3 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 44,119 $7,423,117 $168 35.2% (410) 825-5454
4 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 42,515 $4,332,146 $102 26.0% —
5 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 41,914 $6,092,678 $145 44.1% —
6 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 29,748 $2,988,970 $100 13.1% (928) 458-7583
7 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 29,449 $2,503,165 $85 11.9% (804) 282-2685
8 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 25,706 $7,711,845 $300 3.8% (310) 534-8400
9 KINGS COUNTY HOUSE CALLS NP IN FAMILY HEALTH PLLC BROOKLYN NY NURSE PRACTITIONER 29 21,659 $2,666,580 $123 4.0% (646) 535-1545
10 NEVADA HEART AND VASCULAR CENTER RESH LLP LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 42 20,992 $2,573,693 $123 29.6% (702) 240-6482
11 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 20,108 $2,476,538 $123 3.4% (813) 910-8708
12 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 19,443 $1,720,711 $89 2.9% (760) 353-6363
13 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 17,822 $2,022,377 $113 27.7% (402) 354-8163
14 HAYS MEDICAL CENTER INC HAYS KS PHYSICIAN ASSISTANT 182 17,644 $2,117,280 $120 25.3% (785) 623-5774
15 ORTHOLONESTAR PLLC DALLAS TX PHYSICIAN ASSISTANT 407 16,803 $2,167,587 $129 2.7% (214) 220-2468
16 WEST TEXAS HEART AND VASCULAR PLLC LUBBOCK TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 15,616 $968,192 $62 2.5% (806) 701-4263
17 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 15,402 $1,386,242 $90 31.5% (505) 727-7090
18 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 14,932 $2,313,664 $155 2.5% (352) 726-9707
19 UROLOGIC SPECIALISTS OF OKLAHOMA INC TULSA OK UROLOGY 44 14,683 $954,395 $65 18.1% (918) 749-8765
20 PULMONARY AND INTERNAL MEDICINE ASSOCIATES INC STUART FL NURSE PRACTITIONER 5 14,242 $996,940 $70 2.4% (772) 283-4428
21 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER TX NURSE PRACTITIONER 14 14,124 $1,102,876 $78 2.3% (903) 533-0644
22 CABRILLO CARDIOLOGY MEDICAL GROUP INC OXNARD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 14,006 $2,100,900 $150 2.1% (805) 351-8212
23 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 13,990 $1,054,007 $75 20.1% (785) 354-9591
24 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 13,555 $1,664,551 $123 2.2% (214) 691-9377
25 FAMILY PRACTICE CENTER PC MIDDLEBURG PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 345 13,375 $1,003,125 $75 7.5% (570) 837-5889
26 INFINITE MEDICAL PC LAKELAND FL NURSE PRACTITIONER 87 13,293 $2,651,798 $199 2.2% (212) 734-6621
27 PHYSICIAN HOUSECALLS LLC LAKEWOOD CO NURSE PRACTITIONER 119 13,138 $1,653,174 $126 18.3% (720) 923-1250
28 JOSEPH A CAPLAN MD PC SUN CITY WEST AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 31 12,902 $1,983,591 $154 5.7% (623) 876-8816
29 SHIFA PSC CHAVIES KY FAMILY PRACTICE 2 12,794 $20,950 $2 8.9% —
30 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 12,747 $1,274,700 $100 2.0% (210) 403-7978
31 SELECT REHABILITATION, LLC GLENVIEW VA FAMILY PRACTICE 2028 12,746 $1,341,395 $105 5.1% —
32 CENTER FOR ADVANCED CARDIAC AND VASCULAR INTERVENTIONS TARZANA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 12,638 $2,125,025 $168 1.9% (818) 905-5904
33 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 12,099 $1,152,701 $95 1.9% (512) 788-9688
34 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 11,637 $1,494,489 $128 6.5% (610) 579-3577
35 WOODLANDS MEDICAL SPECIALISTS P A PENSACOLA FL PHYSICIAN ASSISTANT 51 11,632 $1,093,408 $94 2.0% (850) 696-4000
36 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 11,210 $941,640 $84 1.9% (850) 863-8150
37 FIRST UROLOGY PSC LOUISVILLE IN UROLOGY 55 11,150 $1,338,000 $120 9.4% (812) 282-3899
38 INDIAN RIVER PRIMARY CARE VERO BCH FL INTERNAL MEDICINE 10 10,919 $1,444,256 $132 1.8% (772) 794-2222
39 THINK AKSARBEN LLC OMAHA NE FAMILY PRACTICE 73 10,818 $781,211 $72 16.8% (402) 991-7000
40 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 10,541 $1,190,644 $113 9.4% (601) 264-6000
41 MEDICAL ASSOCIATE OF WALL STREET, P.C NEW YORK NY NURSE PRACTITIONER 11 10,384 $1,033,831 $100 1.9% (212) 233-3040
42 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 10,356 $2,018,589 $195 16.7% (508) 973-5919
43 SC HOUSE CALLS INC WEST COLUMBIA SC NURSE PRACTITIONER 435 10,228 $726,235 $71 6.2% (800) 491-0909
44 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 10,200 $1,195,675 $117 1.6% (903) 590-5611
45 SOUTHERN UROLOGY LLC OPELOUSAS LA UROLOGY 28 10,177 $1,831,860 $180 9.5% (337) 594-4025
46 HOUSE CALL MEDICAL SERVICES OF NEW YORK, PLLC BRONX NY NURSE PRACTITIONER 163 10,164 $957,521 $94 1.9% (718) 618-0401
47 CARDIOVASCULAR ASSOCIATES OF THE DELAWARE VALLEY,P A HADDON HEIGHTS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 94 9,971 $1,196,520 $120 5.1% (856) 546-3003
48 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 9,719 $534,545 $55 4.8% (336) 610-1300
49 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 9,643 $838,643 $87 3.9% (757) 452-3599
50 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 9,547 $864,848 $91 8.9% (504) 842-3000
51 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 9,535 $3,278,705 $344 6.9% (423) 698-0927
52 STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC STOCKTON CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 14 9,492 $958,870 $101 1.4% —
53 CARDIOVASCULAR ASSOCIATES INC KISSIMMEE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 18 9,277 $1,131,796 $122 1.6% 4078460626239
54 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 9,229 $599,459 $65 1.5% (806) 358-8331
55 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 9,216 $1,441,700 $156 4.5% (704) 372-7974
56 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 9,198 $919,800 $100 6.0% (205) 930-0920
57 HOLSTON MEDICAL GROUP PC BRISTOL TN NURSE PRACTITIONER 244 8,978 $691,923 $77 6.5% (423) 844-7000
58 ARKANSAS CENTRAL PRIMARY CARE PLLC CABOT AR FAMILY PRACTICE 21 8,751 $647,574 $74 13.6% (501) 843-4555
59 CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC SANTA MARIA CA FAMILY PRACTICE 9 8,719 $1,177,065 $135 1.3% (805) 938-7444
60 LAGRANGE INTERNAL MEDICINE, PC LAGRANGE GA INTERNAL MEDICINE 8 8,459 $603,787 $71 3.2% (706) 882-9341
61 HOUSTON METRO UROLOGY HOUSTON TX UROLOGY 31 8,383 $536,728 $64 1.3% (713) 634-4441
62 UROPARTNERS LLC WESTCHESTER IL UROLOGY 130 8,210 $1,055,231 $129 4.5% (708) 486-0076
63 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 8,122 $1,218,300 $150 5.9% (662) 349-1964
64 FAMILY CHOICE ACO INC WESTMINSTER CA FAMILY PRACTICE 62 8,078 $859,528 $106 1.2% (714) 898-0765
65 MEDCORPS ASTHMA AND PULMONARY SPECIALISTS LLC LINWOOD NJ NURSE PRACTITIONER 18 7,971 $623,332 $78 4.1% (609) 788-8593
66 HOUSECALLS MEDICINE NY PC NEW YORK NY NURSE PRACTITIONER 22 7,752 $1,653,036 $213 1.4% (718) 360-9370
67 ADVANCED MEDICAL CARE PLLC FOREST HILLS NY NEUROLOGY 8 7,729 $564,032 $73 1.4% (718) 261-8881
68 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 7,597 $789,295 $104 1.3% (813) 844-7585
69 HEALTH SERVICE SYSTEMS, INC NEW LENOX IL FAMILY PRACTICE 60 7,556 $835,285 $111 4.2% (815) 727-4292
70 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 7,549 $1,126,368 $149 5.5% (865) 691-3061
71 BAYLOR ST. LUKE'S MEDICAL GROUP THE WOODLANDS TX PHYSICIAN ASSISTANT 177 7,471 $814,339 $109 1.2% (281) 444-3278
72 Y J LEE MD CORP LOS ANGELES CA INTERNAL MEDICINE 2 7,457 $1,267,690 $170 1.1% (213) 383-9388
73 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 7,414 $815,540 $110 6.6% —
74 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 7,379 $479,765 $65 4.8% —
75 PREMIER GASTROENTEROLOGY ASSOCIATES PLLC LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 28 7,271 $712,558 $98 11.3% (501) 747-2828
76 BERKELEY FAMILY PRACTICE LLC MONCKS CORNER SC FAMILY PRACTICE 5 7,270 $508,900 $70 4.4% 84376188002262
77 SOUTHWEST KIDNEY INSTITUTE PLC PHOENIX AZ NEPHROLOGY 97 7,214 $886,344 $123 3.2% (623) 247-9235
78 MDWATCH MEDICAL CORP DETROIT CA NURSE PRACTITIONER 8 7,138 $699,650 $98 1.1% (888) 202-9960
79 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL UROLOGY 60 7,066 $686,430 $97 4.6% (251) 433-1895
80 D.H. MEDICAL, LLC ORMOND BEACH FL NURSE PRACTITIONER 21 6,934 $558,286 $81 1.2% (888) 808-0488
81 TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA TEXARKANA TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 18 6,910 $840,256 $122 1.1% 90379280302080
82 DIGESTIVE CARE OF EVANSVILLE PC NEWBURGH IN NURSE PRACTITIONER 27 6,859 $1,676,463 $244 5.8% (812) 477-6103
83 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 6,716 $503,700 $75 10.8% (413) 774-6301
84 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 6,700 $850,900 $127 5.2% (314) 567-6071
85 GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC TOMS RIVER NJ GASTROENTEROLOGY 82 6,611 $1,000,950 $151 3.4% (732) 281-1590
86 RNA OF ROCKFORD, PLLC ROCKFORD IL NEPHROLOGY 18 6,589 $797,002 $121 3.6% (815) 227-8300
87 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 6,577 $717,270 $109 8.1% (405) 692-9300
88 BIRMINGHAM GASTROENTEROLOGY ASSOCIATES PC BIRMINGHAM AL PHYSICIAN ASSISTANT 52 6,537 $326,850 $50 4.2% (205) 271-8000
89 PENINSULA NEPHROLOGY ASSOCIATES PA SALISBURY MD NEPHROLOGY 6 6,500 $740,750 $114 5.2% 4105464427128
90 GUT PC DOTHAN AL GASTROENTEROLOGY 52 6,444 $483,300 $75 4.2% (334) 836-1212
91 INFINITE MEDICAL PC LAKELAND RI NURSE PRACTITIONER 87 6,372 $1,274,400 $200 59.8% (212) 734-6621
92 PULMONARY ASSOCIATES OF RICHMOND INC MIDLOTHIAN VA PULMONARY DISEASE 49 6,346 $710,752 $112 2.6% (804) 639-9910
93 FAMILY MEDICAL CLINIC OF NORTH MS INC SOUTHAVEN MS NURSE PRACTITIONER 13 6,335 $633,500 $100 5.6% (662) 890-5555
94 CARIENT HEART AND VASCULAR, LLC MANASSAS VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 26 6,283 $785,191 $125 2.5% 57158117712611
95 ENNOBLE HC NJ PC HACKENSACK NJ NURSE PRACTITIONER 114 6,254 $1,333,461 $213 3.2% (973) 241-1356
96 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 6,240 $775,992 $124 6.7% (419) 874-3246
97 PRIMARY CARE PARTNERS LLC MORRISTOWN NJ INTERNAL MEDICINE 74 6,231 $883,794 $142 3.2% (973) 971-5000
98 OCOTILLO INTERNAL MEDICINE ASSOCIATES CHANDLER AZ PHYSICIAN ASSISTANT 8 6,227 $311,301 $50 2.7% (480) 895-5870
99 GASTROENTEROLOGY ASSOCIATES KINGSPORT TN CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 27 6,205 $489,450 $79 4.5% (423) 246-6777
100 VISAVIS HEALTH CARE MEDICAL GROUP OF NJ LLC TRENTON DE NURSE PRACTITIONER 16 6,198 $663,116 $107 10.9% (718) 534-0689

Showing the top 100 of 3,483 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 →