NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99495 Transitional care management services for problem of at least moderate complexity CPT · E&M
Classification E&M › Care Management/Coordination › Chronic, Principal, and Transitional Care Management (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 414,897 services ▲ 6.5% YoY · 373,547 beneficiaries (CY2024, Medicare FFS)
Medicare paid $58.4M · $140.80 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
2,993
Named-group FFS services
275,840
FFS of Medicare
49%
Services YoY
+6.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~548,086 services

275,840 observed fee-for-service (50%) · ~272,246 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; 2 states without payer-mix data excluded. How we scale

Top states — 99495 (CY2024)
FL 49,281 PA 35,302 CA 23,127 IL 19,080 NY 18,331

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

Named-group submitted charges
$114.1M
Named-group allowed amount
$49.5M
Named-group Medicare payments
$38.2M
Avg charge / svc
$414
Avg allowed / svc
$179
Avg payment / svc
$139
Average charge per group
$95 2,993 groups · avg submitted charge / service $1,366
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 99495 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 2,692 $1,110,316 $412 5.5% (941) 255-3535
2 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 2,690 $1,068,289 $397 7.6% —
3 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 2,682 $780,283 $291 17.6% —
4 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 2,342 $842,499 $360 6.6% (484) 526-2400
5 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 2,198 $1,113,082 $506 4.5% —
6 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 2,193 $1,673,893 $763 32.6% (612) 863-4000
7 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,058 $879,755 $427 10.8% —
8 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,754 $881,757 $503 9.2% (847) 459-1160
9 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 1,727 $670,076 $388 18.1% (502) 928-1050
10 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 1,721 $558,800 $325 22.0% (520) 547-5725
11 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 1,606 $473,015 $295 24.8% (785) 354-9591
12 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 1,565 $749,635 $479 16.4% (859) 578-5880
13 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 1,516 $627,195 $414 29.3% (918) 502-4720
14 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 1,505 $746,589 $496 3.1% (727) 725-5060
15 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON MA INTERNAL MEDICINE 294 1,470 $930,446 $633 9.8% (781) 784-9212
16 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 1,340 $932,936 $696 12.5% (864) 587-3000
17 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 1,333 $641,654 $481 21.1% —
18 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 1,307 $487,511 $373 3.7% (717) 782-2100
19 BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC SOUTH HAMILTON MA NURSE PRACTITIONER 350 1,299 $825,500 $635 8.7% (978) 468-7381
20 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 1,253 $1,021,195 $815 19.5% (414) 421-8400
21 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 1,141 $528,283 $463 6.5% (903) 606-5560
22 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 1,133 $464,434 $410 7.4% —
23 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 1,099 $589,358 $536 5.8% (309) 683-5050
24 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,088 $441,586 $406 2.2% (321) 434-8878
25 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 1,065 $418,738 $393 11.8% (865) 938-3627
26 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,060 $932,972 $880 7.6% —
27 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 1,041 $614,190 $590 7.2% (201) 464-8888
28 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 1,028 $412,750 $402 20.9% —
29 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 1,024 $312,696 $305 16.2% (515) 239-4400
30 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 926 $467,738 $505 4.0% (805) 681-7500
31 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 925 $526,871 $570 4.0% (916) 681-8852
32 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 925 $677,153 $732 4.0% (916) 983-7476
33 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 915 $380,585 $416 6.3% (908) 273-4300
34 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 903 $339,978 $376 8.4% —
35 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 890 $369,620 $415 7.9% (910) 662-6000
36 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 866 $384,072 $444 2.5% —
37 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 859 $544,704 $634 12.8% (320) 252-5131
38 NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. JONESBORO AR NURSE PRACTITIONER 301 826 $249,760 $302 12.7% (870) 936-8000
39 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 825 $346,500 $420 9.8% (219) 836-4563
40 GUTHRIE MEDICAL GROUP PC SAYRE NY PHYSICIAN ASSISTANT 804 821 $369,801 $450 4.5% (570) 888-5858
41 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 811 $244,922 $302 5.8% —
42 SC HOUSE CALLS INC WEST COLUMBIA SC NURSE PRACTITIONER 435 797 $184,625 $232 7.4% (800) 491-0909
43 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 789 $337,282 $427 3.4% (831) 422-3636
44 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 782 $469,982 $601 3.4% (415) 600-1020
45 PHYSICAL MEDICINE SPECIALISTS, INC JACKSONVILLE FL NURSE PRACTITIONER 61 769 $264,536 $344 1.6% (904) 345-7600
46 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 768 $314,880 $410 6.2% (410) 757-7600
47 BLUESTONE PHYSICIAN SERVICES PA STILLWATER MN NURSE PRACTITIONER 58 766 $201,144 $263 11.4% (651) 342-1039
48 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 765 $454,440 $594 23.7% (402) 354-8163
49 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 756 $833,274 $1,102 4.1% —
50 RIVERSIDE HEALTH SYSTEM KANKAKEE IL NURSE PRACTITIONER 211 752 $256,432 $341 3.9% (815) 936-3240
51 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 747 $310,239 $415 5.0% —
52 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 724 $263,836 $364 3.8% (618) 236-8000
53 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 711 $441,156 $620 4.7% (508) 334-1000
54 PALMETTO PRIMARY CARE PHYSICIANS LLC SUMMERVILLE SC NURSE PRACTITIONER 145 707 $288,396 $408 6.6% (843) 695-6071
55 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 703 $349,734 $497 2.0% (610) 431-5000
56 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 700 $480,010 $686 4.8% (732) 477-5600
57 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 696 $324,180 $466 2.0% (570) 271-6144
58 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 683 $136,600 $200 11.9% (662) 377-5300
59 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 678 $237,300 $350 3.6% (847) 755-8208
60 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 669 $287,178 $429 1.4% (239) 343-9888
61 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 668 $237,065 $355 3.5% (630) 933-4800
62 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 659 $194,540 $295 1.9% —
63 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 657 $212,892 $324 1.9% —
64 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 650 $215,150 $331 8.0% —
65 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 648 $556,106 $858 4.3% (978) 741-4133
66 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 646 $291,277 $451 1.8% (570) 888-5858
67 MARIETTA MEMORIAL HOSPITAL MARIETTA OH NURSE PRACTITIONER 394 643 $157,568 $245 4.6% (740) 568-2214
68 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 631 $561,590 $890 1.3% (772) 223-5665
69 CAMDEN-CLARK PHYSICIAN CORPORATION PARKERSBURG WV NURSE PRACTITIONER 353 622 $209,706 $337 15.6% (304) 424-2111
70 ANTAKI AND ASSOCIATES INFECTIOUS DISEASE MEDICAL GROUP INC GLENDALE CA NURSE PRACTITIONER 7 615 $153,750 $250 2.7% (323) 242-5299
71 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 601 $297,350 $495 6.3% (502) 937-2209
72 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NH NURSE PRACTITIONER 1270 597 $203,306 $341 19.8% (603) 650-5000
73 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 595 $321,895 $541 17.3% —
74 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 589 $313,937 $533 1.2% (239) 561-9622
75 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 587 $198,993 $339 3.9% (413) 774-6301
76 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 580 $197,844 $341 3.2% (914) 241-1050
77 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 577 $237,724 $412 5.8% —
78 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 577 $347,099 $602 1.2% (407) 831-4040
79 STEVE NGUYEN MD PA ORLANDO FL PHYSICIAN ASSISTANT 9 575 $340,411 $592 1.2% 4073553120109
80 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 563 $172,014 $306 11.4% (302) 744-4700
81 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 563 $334,608 $594 8.7% (253) 428-2200
82 PREFERRED PRIMARY CARE PHYSICIANS, INC. CARNEGIE PA FAMILY PRACTICE 87 560 $115,430 $206 1.6% (412) 249-1663
83 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 545 $285,597 $524 3.7% (973) 971-5596
84 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 544 $187,680 $345 6.1% (423) 926-8181
85 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 542 $313,276 $578 8.4% (608) 260-2900
86 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 539 $229,505 $426 5.4% (770) 422-2004
87 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 538 $335,712 $624 22.7% (406) 327-1900
88 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 527 $211,854 $402 2.8% (217) 423-2889
89 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 524 $213,268 $407 9.0% (816) 472-5157
90 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON IA NURSE PRACTITIONER 293 522 $208,800 $400 8.3% (319) 768-1000
91 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE NJ DIAGNOSTIC RADIOLOGY 238 518 $235,841 $455 3.6% (856) 358-6161
92 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 511 $332,115 $650 16.9% —
93 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 506 $277,009 $547 7.8% —
94 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 506 $151,800 $300 8.8% (601) 264-6000
95 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 505 $136,365 $270 41.0% —
96 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 485 $191,388 $395 3.2% (540) 689-1110
97 TOTAL CARE 2 U, LLC WAXAHACHIE TX NURSE PRACTITIONER 25 483 $199,456 $413 2.8% (877) 868-2528
98 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 483 $123,165 $255 8.4% —
99 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 471 $330,642 $702 14.1% —
100 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 468 $132,991 $284 0.9% (352) 693-3378

Showing the top 100 of 2,993 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 →