NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally 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 2019
National scale 275,177 services ▲ 25.2% YoY · 104,296 beneficiaries (CY2024, Medicare FFS)
Medicare paid $16.9M · $61.26 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
415
Named-group FFS services
124,263
FFS of Medicare
49%
Services YoY
+25.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~250,853 services

124,263 observed fee-for-service (50%) · ~126,590 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 — 99491 (CY2024)

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

Named-group submitted charges
$17.5M
Named-group allowed amount
$9.9M
Named-group Medicare payments
$7.6M
Avg charge / svc
$141
Avg allowed / svc
$80
Avg payment / svc
$61
Average charge per group
$20 415 groups · avg submitted charge / service $431
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99491 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 99491 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 VANTAGE MEDICAL ASSOCIATES PC FAR ROCKAWAY NY NURSE PRACTITIONER 56 5,340 $1,009,267 $189 premium 11.7% (516) 792-1600
2 VISTA COMPLETE CARE INC AUBURN OH FAMILY PRACTICE 8 3,445 $410,678 $119 premium 40.1% 5308853951113
3 M MEDICAL NC PLLC CHARLOTTE VA NURSE PRACTITIONER 32 3,060 $259,920 $85 premium 25.1% (704) 519-2400
4 MARGARET CHUSTECKA INTERNAL MEDICINE OF GREATER NEW HAVEN HAMDEN CT NURSE PRACTITIONER 29 2,796 $391,440 $140 premium 57.8% (203) 848-1803
5 NOEL SERRANO MD PC OAKLAND CA INTERNAL MEDICINE 8 2,729 $308,381 $113 premium 5.9% (707) 535-9279
6 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 2,448 $244,800 $100 premium 28.3% (928) 458-7583
7 KOPA LLC ORLANDO FL NURSE PRACTITIONER 32 2,195 $417,050 $190 premium 7.4% (407) 352-2542
8 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS GA ORTHOPEDIC SURGERY 1373 2,129 $317,925 $149 premium 10.7% (508) 385-4212
9 CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC DU BOIS PA NURSE PRACTITIONER 68 2,037 $183,330 $90 premium 42.5% (814) 503-8070
10 TIGALAT SHALITA, D O INC. WEST HILLS CA FAMILY PRACTICE 2 1,969 $295,350 $150 premium 4.3% (818) 676-0080
11 RENAISSANCE GENERAL MEDICINE PC CLIFFSIDE PARK NJ INTERNAL MEDICINE 2 1,861 $279,150 $150 premium 30.5% (201) 943-2700
12 PETER YANG MA MEDICAL INC ARCADIA CA INTERNAL MEDICINE 2 1,859 $215,200 $116 premium 4.0% (626) 294-9978
13 MEDICAL DIRECTOR SERVICES PC BROOKLYN NY NURSE PRACTITIONER 78 1,782 $267,300 $150 premium 3.9% (718) 345-2273
14 WEI WANG MEDICAL CORPORATION MONTEREY PARK CA INTERNAL MEDICINE 2 1,723 $209,961 $122 premium 3.7%
15 SOUTH BROOKLYN MEDICAL CARE PC BROOKLYN NY INTERNAL MEDICINE 3 1,663 $249,450 $150 premium 3.7% (718) 265-2222
16 COLLABORATIVE GERIATRICS INC KATY TX NURSE PRACTITIONER 46 1,643 $278,320 $169 premium 10.0% (346) 387-7171
17 DUTCH MEDICAL CLINICS, INC COLUMBUS MS NURSE PRACTITIONER 26 1,530 $130,050 $85 premium 44.3% (662) 570-4770
18 WESTMINSTER MEDICAL OFFICE INC WESTMINSTER CA INTERNAL MEDICINE 2 1,474 $154,770 $105 premium 3.2% (714) 467-4321
19 PULMONARY ASSOCIATES OF FREDERICKSBURG INC FREDERICKSBURG VA NURSE PRACTITIONER 8 1,438 $215,700 $150 premium 11.8% (540) 899-1615
20 CENTER FOR HEALTH INTERNAL MEDICINE ASSOCIATES SHAHEEN ALI MD PC RENO NV INTERNAL MEDICINE 2 1,436 $215,400 $150 premium 25.6% (775) 322-3393
21 PRIVATE PHYSICIANS MEDICAL ASSOCIATES NEWPORT BEACH CA INTERNAL MEDICINE 4 1,393 $188,055 $135 premium 3.0% (949) 566-8179
22 ANCURAM LLC BOKEELIA FL NURSE PRACTITIONER 3 1,353 $127,503 $94 premium 4.6% (833) 742-6276
23 MULTI CARE MEDICAL CLINIC INC VAN NUYS CA INTERNAL MEDICINE 2 1,345 $140,940 $105 premium 2.9% (818) 373-0200
24 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN NY NURSE PRACTITIONER 35 1,262 $189,300 $150 premium 2.8% (718) 534-0689
25 ALW ENTERPRISES, PA NICEVILLE FL NURSE PRACTITIONER 3 1,251 $118,845 $95 premium 4.2% (850) 252-4303
26 COMPLETE CARE GROUP INC BRADENTON FL FAMILY PRACTICE 6 1,113 $289,455 $260 premium 3.8%
27 PHYSICIAN SENIOR SERVICES, PLLC HURST TX NURSE PRACTITIONER 5 1,088 $103,360 $95 premium 6.6% (817) 522-1530
28 PALLIATIVE CARE CONSULTANTS OF SANTA BARBARA SANTA BARBARA CA INTERNAL MEDICINE 11 1,051 $110,480 $105 premium 2.3% (805) 563-3234
29 EXTEND CARE FAMILY HEALTH NP PLLC UTICA NY NURSE PRACTITIONER 2 1,007 $110,770 $110 premium 2.2% (315) 724-6144
30 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 1,006 $167,270 $166 premium 2.2% (516) 407-2727
31 FLORIDA REHAB SPECIALISTS, PLLC GAINESVILLE VA NURSE PRACTITIONER 74 1,002 $150,300 $150 premium 8.2% (352) 234-3050
32 SLP HEALTH CARE STUART FL NURSE PRACTITIONER 3 935 $140,250 $150 premium 3.2% (561) 332-2020
33 MARION HEART CENTER, PA OCALA FL FAMILY PRACTICE 6 928 $111,480 $120 premium 3.1% (352) 861-6633
34 POST ACUTE MEDICAL PLLC TOLUCA WA NURSE PRACTITIONER 337 924 $152,460 $165 premium 24.1% (877) 883-9430
35 GENESIS MEDICAL HEALTH PC MONSEY NY NURSE PRACTITIONER 35 888 $182,040 $205 premium 1.9% (845) 354-1212
36 WILLIS SENIOR HOUSECALLS PLLC MCKINNEY TX NURSE PRACTITIONER 4 885 $147,689 $167 premium 5.4% (214) 491-4191
37 HARDY RENEW WELLNESS,LLC EAST POINT GA NURSE PRACTITIONER 18 848 $127,725 $151 premium 4.3% (212) 734-6621
38 HOUSECALL DOCTORS. P.C. HIGHLAND VA NURSE PRACTITIONER 9 840 $66,962 $80 premium 6.9% (219) 750-9497
39 CURANA HEALTH OF ILLINOIS PC CHICAGO IL NURSE PRACTITIONER 30 831 $141,270 $170 premium 6.2% (337) 991-9276
40 WNY MEDICAL PC AMHERST NY PHYSICIAN ASSISTANT 44 800 $88,000 $110 premium 1.8% (716) 923-4380
41 GAUTAMI AGASTYA MD INC TRACY CA FAMILY PRACTICE 2 781 $117,150 $150 premium 1.7% (209) 833-7555
42 HANSA MEDICAL GROUPE PLLC SKOKIE IN NURSE PRACTITIONER 39 771 $131,070 $170 premium 13.9% (847) 920-0902
43 DIMENSIONS HEALTHCARE ASSOCIATES, INC UPPER MARLBORO MD PHYSICIAN ASSISTANT 216 764 $114,600 $150 premium 13.6% (240) 677-3000
44 COMPLETE HEALTH CARE SERVICES PA KANSAS CITY MO NURSE PRACTITIONER 8 744 $119,040 $160 premium 27.5% (913) 788-2100
45 DAVID D SOHN MD APC LOS ANGELES CA INTERNAL MEDICINE 2 744 $134,203 $180 premium 1.6% (213) 454-4740
46 HANSA MEDICAL GROUPE PLLC SKOKIE IL NURSE PRACTITIONER 39 697 $118,490 $170 premium 5.2% (847) 920-0902
47 PARTNERS IN FAMILY CARE LLC MOUNDRIDGE KS FAMILY PRACTICE 9 689 $62,010 $90 premium 15.0% (620) 345-6322
48 GERIATRIC MEDICINE CONSULTANTS PA WILMINGTON DE NURSE PRACTITIONER 25 684 $73,580 $108 premium 29.8% (302) 543-6165
49 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 666 $66,600 $100 premium 5.0% (847) 800-0998
50 LTHC SOLUTIONS LLC ARLINGTON TX INTERNAL MEDICINE 11 664 $109,360 $165 premium 4.0% (808) 561-0579
51 BAY AREA COMMUNITY HEALTH FREMONT CA INTERNAL MEDICINE 102 664 $80,324 $121 premium 1.4% (510) 770-8040
52 GEORGIA MSO LLC MARIETTA GA NURSE PRACTITIONER 21 662 $99,660 $151 premium 3.3% (212) 734-6621
53 NURSE PRACTITIONER PROFESSIONAL RESOURCES LAKEWOOD NJ NURSE PRACTITIONER 13 659 $131,600 $200 premium 10.8% (856) 885-4579
54 LINDA WROTEN PC Tucson AZ NURSE PRACTITIONER 9 657 $98,550 $150 premium 7.6%
55 HOME DOCTORS MEDICAL PRACTICE PLLC SCHAUMBURG IL NURSE PRACTITIONER 7 654 $130,800 $200 premium 4.9% (847) 908-3471
56 PINGETON CONSULTING SERVICE INC CUMMING GA NURSE PRACTITIONER 2 642 $96,300 $150 premium 3.2%
57 NEW SOUTHTOWN MEDICAL GROUP S C DARIEN IL NURSE PRACTITIONER 14 638 $69,430 $109 premium 4.8% (773) 840-4747
58 DR JOSE JESUS SANCHEZ MD PA MIAMI FL NURSE PRACTITIONER 3 635 $101,992 $161 premium 2.2% (305) 804-9326
59 FIVE TOWNS HEART IMAGING MEDICAL P.C. CEDARHURST NY NURSE PRACTITIONER 11 628 $125,600 $200 premium 1.4% (516) 804-8590
60 ION OLTEAN PHYSICIAN PC FLUSHING NY INTERNAL MEDICINE 10 612 $122,400 $200 premium 1.3% (718) 961-5300
61 DES PLAINES COMMUNITY HEALTH CARE CENTER INC DES PLAINES IL INTERNAL MEDICINE 4 607 $66,790 $110 premium 4.5% (847) 813-0700
62 INFINITE CARE HOME PHYSICIANS LLC DES PLAINES IL INTERNAL MEDICINE 7 605 $60,500 $100 premium 4.5% (847) 238-8300
63 IHEALTH CLINICS INC KATY TX INTERNAL MEDICINE 2 566 $68,091 $120 premium 3.4% (281) 372-7986
64 GESIOTTO,HENRICKS,KORDONOWY,AND SIMMONS,MDS,PA FORT MYERS FL INTERNAL MEDICINE 3 536 $47,800 $89 premium 1.8% (239) 275-0040
65 SEGUE HEALTH OF TEXAS PLLC AZLE TX NURSE PRACTITIONER 22 523 $49,685 $95 premium 3.2% 8885512538101
66 NEW HORIZONS PHYSICAL THERAPY LIMITED PARTNERSHIP NEW ALBANY KY ORTHOPEDIC SURGERY 86 511 $51,100 $100 premium 39.1%
67 AVALON CONSULTANTS PLLC NOVI MI FAMILY PRACTICE 6 506 $66,286 $131 premium 24.4% (248) 277-3110
68 NOVARI PRIMARY CARE LLC MUKILTEO WA NURSE PRACTITIONER 20 499 $66,866 $134 premium 13.0% (425) 405-8089
69 CALVARY HOSPITAL INC BRONX NY INTERNAL MEDICINE 48 492 $73,800 $150 premium 1.1% (718) 518-2000
70 MINERVA HEALTH LLC RICHMOND VA NURSE PRACTITIONER 8 490 $64,858 $132 premium 4.0% (804) 474-8870
71 VISTA COMPLETE CARE INC AUBURN CA FAMILY PRACTICE 8 484 $57,698 $119 premium 1.0% 5308853951113
72 HARDY RENEW WELLNESS,LLC EAST POINT PA NURSE PRACTITIONER 18 483 $72,450 $150 premium 10.1% (212) 734-6621
73 HELEN PASLAY PROFESSIONAL NURSE PRACTITIONER SERVICES PLLC PRESCOTT AZ NURSE PRACTITIONER 2 482 $61,214 $127 premium 5.6% (928) 277-0593
74 NOVACURE CONSULTANTS PC ALEXANDRIA VA HEMATOLOGY/ONCOLOGY 2 477 $47,700 $100 premium 3.9% (703) 780-2216
75 YU YAO MD A PROFESSIONAL CORPORATION SAN GABRIEL CA FAMILY PRACTICE 2 473 $85,140 $180 premium 1.0% (626) 288-1918
76 LEGACY HEALTHCARE SERVICES INC DURHAM FL INTERNAL MEDICINE 3859 462 $53,520 $116 premium 1.6% (919) 419-9600
77 CHIPOLA MEDICAL ASSOCIATES LLC MARIANNA FL NURSE PRACTITIONER 8 458 $76,028 $166 premium 1.6% (850) 526-3434
78 LAURA SNIDER CONSULTING, LLC MCCORDSVILLE IN NURSE PRACTITIONER 6 420 $54,600 $130 premium 7.6% (317) 335-5189
79 GERIHEAL PC CULVER CITY CA NURSE PRACTITIONER 15 419 $83,800 $200 premium 0.9% (310) 963-0365
80 FAIRVIEW MEDICAL GROUP LLC SWANSEA IL INTERNAL MEDICINE 2 406 $38,570 $95 premium 3.0% 6186323343108
81 POCAHONTAS MEDICAL CLINIC PA POCAHONTAS AR FAMILY PRACTICE 8 396 $39,600 $100 premium 14.3% (870) 892-4467
82 VIVIAN BILASANO MD LLC MIRAMAR FL FAMILY PRACTICE 2 396 $37,620 $95 premium 1.3% (305) 502-5272
83 THIBODEAUX MEDICAL CLINIC, LLC VINTON LA NURSE PRACTITIONER 3 394 $31,520 $80 premium 24.3% (337) 739-3134
84 DENG FAMILY MEDICINE CENTER, PC MIDWEST CITY OK FAMILY PRACTICE 2 385 $39,270 $102 premium 22.7% (405) 737-3278
85 WAKE FOREST EMERGENCY PROVIDERS CONCORD NC EMERGENCY MEDICINE 471 374 $49,016 $131 premium 21.8% (704) 403-3000
86 WELLSTREET OF GEORGIA PC ATLANTA GA NURSE PRACTITIONER 429 370 $55,500 $150 premium 1.9% (404) 382-9941
87 CHRONIC DISEASE MANAGEMENT OF GEORGIA LLC MONROE GA NURSE PRACTITIONER 79 369 $55,350 $150 premium 1.9% (888) 772-0076
88 PEACE OF MIND CONSULTANTS PLLC PHOENIX AZ NURSE PRACTITIONER 6 354 $35,400 $100 premium 4.1% (602) 710-8029
89 ALTITUDE FAMILY AND INTERNAL MEDICINE, LLC LITTLETON CO FAMILY PRACTICE 4 352 $76,384 $217 premium 37.4% (303) 730-2167
90 BIJAN SOROURI M.D. P.A. NEWARK DE FAMILY PRACTICE 2 351 $31,590 $90 premium 15.3% (302) 453-9171
91 MENAVRY LLC OAKDALE LA NURSE PRACTITIONER 6 345 $28,980 $84 premium 21.3% (318) 335-2000
92 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 330 $33,000 $100 premium 5.9%
93 RELY PRIMARY CARE INC DENVER CO NURSE PRACTITIONER 3 329 $62,510 $190 premium 34.9% (720) 795-3260
94 INVICTA FAMILY HEALTHCARE CLINIC PLLC TERRELL TX NURSE PRACTITIONER 2 327 $59,998 $183 premium 2.0% (972) 563-1475
95 SOUTH HEALTH LLC MIAMI FL NURSE PRACTITIONER 20 326 $35,860 $110 premium 1.1% (305) 385-3949
96 APEX HEALTHCARE LLC TOWSON MD NURSE PRACTITIONER 15 321 $43,014 $134 premium 5.7% (410) 500-9182
97 RADHIKA TULPULE MD INC COVINA CA NURSE PRACTITIONER 3 320 $45,360 $142 premium 0.7% (626) 859-6400
98 SLEEP AND FAMILY MEDICINE LLP VICTORIA TX FAMILY PRACTICE 4 320 $45,045 $141 premium 1.9% (361) 573-4000
99 POST ACUTE SPECIALTY CARE LLC WILMINGTON DE NURSE PRACTITIONER 6 315 $32,540 $103 premium 13.7% (302) 998-1151
100 BERGEN GERIATRIC CARE, LLC ORADELL NJ NURSE PRACTITIONER 6 308 $46,125 $150 premium 5.0% (201) 387-2003

Showing the top 100 of 415 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 →