NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99497 Advance care planning, first 30 minutes CPT · E&M
Classification E&M Care Management/Coordination (CMS RBCS)
First observed 2016
National scale 2.54M services ▲ 12.3% YoY · 2.22M beneficiaries (CY2024, Medicare FFS)
Medicare paid $156.8M · $61.75 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4,911
Named-group FFS services
1,468,592
FFS of Medicare
49%
Services YoY
+12.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,973,787 services

1,468,592 observed fee-for-service (49%) · ~1,505,195 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; 3 states without payer-mix data excluded. How we scale

Top states — 99497 (CY2024)

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

Named-group submitted charges
$282.6M
Named-group allowed amount
$107.7M
Named-group Medicare payments
$90.5M
Avg charge / svc
$192
Avg allowed / svc
$73
Avg payment / svc
$62
Average charge per group
$0 4,911 groups · avg submitted charge / service $1,500
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99497 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 99497 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 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 23,311 $3,928,019 $169 premium 8.2% (941) 255-3535
2 SC HOUSE CALLS INC WEST COLUMBIA SC NURSE PRACTITIONER 435 18,661 $1,804,998 $97 premium 27.3% (800) 491-0909
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 13,209 $5,890,028 $446 premium 6.3%
4 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 12,589 $2,429,118 $193 premium 13.5% (847) 459-1160
5 PLATINUM HOSPITALISTS LLP LAS VEGAS NV INTERNAL MEDICINE 192 10,654 $1,065,450 $100 premium 17.7% (702) 407-7700
6 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 9,623 $1,912,846 $199 premium 4.8%
7 ARAM HARIJAN MD PC LA MESA CA NURSE PRACTITIONER 8 8,211 $1,642,200 $200 premium 2.2% (858) 717-5029
8 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 7,380 $1,829,960 $248 premium 2.6% (407) 896-1100
9 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 5,370 $1,172,383 $218 premium 7.3% (704) 667-1000
10 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 5,273 $1,266,082 $240 premium 13.5% (253) 428-2200
11 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 5,215 $1,352,134 $259 premium 5.3% (973) 971-5596
12 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 5,032 $1,209,805 $240 premium 6.3% (928) 458-7583
13 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 4,988 $734,789 $147 premium 8.6%
14 NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC NEW HYDE PARK NY NEUROLOGY 15 4,836 $453,027 $94 premium 2.3% 5164664700110
15 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 4,755 $747,798 $157 premium 1.7% (321) 434-8878
16 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 4,638 $767,217 $165 premium 8.0%
17 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 4,605 $702,556 $153 premium 2.3% (713) 242-2222
18 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 4,556 $546,720 $120 premium 7.9% (757) 595-9880
19 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 4,298 $1,161,871 $270 premium 4.4% (732) 362-3663
20 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 4,157 $2,368,246 $570 premium 2.0% (212) 263-9700
21 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 3,790 $1,998,108 $527 premium 3.8% (908) 994-5422
22 HEALTH SERVICE SYSTEMS, INC NEW LENOX IL FAMILY PRACTICE 60 3,567 $797,729 $224 premium 3.8% (815) 727-4292
23 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 3,544 $1,158,521 $327 premium 1.0% (415) 600-1020
24 KINGS COUNTY HOUSE CALLS NP IN FAMILY HEALTH PLLC BROOKLYN NY NURSE PRACTITIONER 29 3,498 $602,689 $172 premium 1.7% (646) 535-1545
25 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 3,482 $641,625 $184 premium 5.0%
26 ALIVE HOSPICE, INC NASHVILLE TN NURSE PRACTITIONER 29 3,386 $203,052 $60 premium 6.0% (615) 346-8546
27 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 3,364 $1,110,834 $330 premium 6.0% (615) 612-2146
28 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 3,300 $607,397 $184 premium 8.8%
29 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 3,296 $889,920 $270 premium 7.1%
30 ARIZONA INPATIENT MEDICINE ASSOCIATES LLC TUCSON AZ INTERNAL MEDICINE 69 3,233 $406,278 $126 premium 4.1% (520) 318-3434
31 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 3,165 $664,650 $210 premium 1.6% (254) 724-2663
32 NORMAN REGIONAL PROVIDERS PRIMARY CARE OKLAHOMA CITY OK FAMILY PRACTICE 55 3,138 $1,019,817 $325 premium 13.1% (405) 912-3900
33 ADVANCED CARE AND WELLNESS CENTER LLC LAS VEGAS NV NURSE PRACTITIONER 6 3,129 $224,223 $72 premium 5.2% (702) 591-3381
34 PCMA PALLIATIVE DIVISION LLC SARASOTA FL NURSE PRACTITIONER 79 3,123 $624,600 $200 premium 1.1% (878) 201-3312
35 SEASONS MEDICAL GROUP OF FLORIDA PA MIAMI FL NURSE PRACTITIONER 46 3,084 $496,060 $161 premium 1.1% (305) 762-3883
36 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 3,032 $625,107 $206 premium 4.1% (704) 384-8200
37 PRIMARY PARTNERCARE PHYSICIANS PLLC BETHPAGE NY INTERNAL MEDICINE 18 3,029 $760,279 $251 premium 1.4% (516) 656-1414
38 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 3,014 $1,103,493 $366 premium 1.4% (914) 241-1050
39 PAIN AND PALLIATIVE ASSOCIATES OF ARIZONA PHOENIX AZ NURSE PRACTITIONER 28 3,010 $376,250 $125 premium 3.8% (480) 985-1093
40 PIEDMONT HOSPITALIST PHYSICIANS LLC ATLANTA GA INTERNAL MEDICINE 489 2,980 $808,447 $271 premium 3.7% (404) 605-5000
41 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 2,949 $378,932 $128 premium 3.7% (602) 445-0751
42 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 2,884 $331,544 $115 premium 1.0% (850) 416-2400
43 GET WELL HOUSE CALLS LLC LAS VEGAS NV NURSE PRACTITIONER 3 2,868 $282,842 $99 premium 4.8% (702) 693-4202
44 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 2,860 $408,155 $143 premium 1.0% (352) 693-3378
45 LONG TERM CARE SPECIALISTS, INC OKLAHOMA CITY OK NURSE PRACTITIONER 35 2,850 $256,715 $90 premium 11.9% (405) 557-1200
46 MEDHEALTH DALLAS TX PHYSICIAN ASSISTANT 430 2,845 $652,372 $229 premium 1.4% (214) 599-8624
47 PALLICARE, INC TEXARKANA TX NURSE PRACTITIONER 78 2,837 $664,963 $234 premium 1.4% (903) 278-5747
48 COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC JACKSONVILLE FL NURSE PRACTITIONER 30 2,796 $295,238 $106 premium 1.0% (904) 407-7700
49 REDDING FAMILY MEDICAL GROUP INC REDDING CA FAMILY PRACTICE 5 2,785 $306,350 $110 premium 0.8% (530) 244-4034
50 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 2,739 $493,020 $180 premium 1.3% (845) 469-4211
51 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 2,713 $542,600 $200 premium 0.7% (760) 353-6363
52 COMPASS PALLIATIVE CARE INC BURBANK CA INTERNAL MEDICINE 5 2,707 $752,546 $278 premium 0.7% (818) 856-9535
53 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 2,707 $1,163,697 $430 premium 0.7% (310) 825-7922
54 HOSPITALIST MEDICINE PHYSICIANS OF TEXAS PLLC WICHITA TX INTERNAL MEDICINE 714 2,691 $1,460,338 $543 premium 1.3% (316) 291-4396
55 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 2,691 $258,844 $96 premium 1.3% (845) 342-4774
56 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 2,645 $539,482 $204 premium 3.1% (202) 429-2401
57 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 2,637 $714,607 $271 premium 5.7% (508) 973-5919
58 HHA ASSOCIATES LLC ATLANTIS FL INTERNAL MEDICINE 114 2,606 $260,600 $100 premium 0.9% (561) 548-1953
59 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 2,598 $263,333 $101 premium 8.8% (601) 292-4261
60 CHINATOWN TRUE CARE MEDICAL PLLC BROOKLYN NY NURSE PRACTITIONER 246 2,589 $348,477 $135 premium 1.2% (718) 871-8255
61 BEAUMONT INTERNAL MEDICINE AND GERIATRIC ASSOC. BEAUMONT TX NURSE PRACTITIONER 17 2,577 $283,470 $110 premium 1.3% (409) 898-2994
62 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 2,535 $465,946 $184 premium 3.1% (770) 422-2004
63 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 2,525 $789,281 $313 premium 29.4% (612) 863-4000
64 COMPASS PALLIATIVE CARE INC BURBANK HI INTERNAL MEDICINE 5 2,525 $701,950 $278 premium 19.4% (818) 856-9535
65 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 2,505 $460,920 $184 premium 2.7% (847) 755-8208
66 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 2,475 $965,152 $390 premium 2.5%
67 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 2,473 $571,930 $231 premium 4.4% (865) 938-3627
68 GALEN INPATIENT PHYSICIANS PC PENSACOLA CA HOSPITALIST 1012 2,461 $955,331 $388 premium 0.7% (850) 416-7000
69 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 2,446 $565,026 $231 premium 4.1%
70 INTEGRATIVE PRIMARY CARE PLLC KATY TX INTERNAL MEDICINE 2 2,431 $291,730 $120 premium 1.2% (832) 500-7585
71 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 2,423 $911,902 $376 premium 0.7% (916) 983-7476
72 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC MESA AZ INTERNAL MEDICINE 644 2,415 $467,971 $194 premium 3.0% (480) 412-3000
73 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA INTERNAL MEDICINE 228 2,406 $422,323 $176 premium 0.7% (562) 495-4952
74 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 2,369 $573,438 $242 premium 2.8% (410) 761-1222
75 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 2,365 $560,208 $237 premium 0.8% (813) 751-3375
76 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 2,353 $437,939 $186 premium 19.1% (913) 588-1227
77 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 2,350 $408,804 $174 premium 0.8%
78 PHYSICIAN HOUSECALLS LLC LAKEWOOD CO NURSE PRACTITIONER 119 2,345 $381,447 $163 premium 7.2% (720) 923-1250
79 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,322 $1,107,011 $477 premium 4.0%
80 SUMMIT MEDICAL CONSULTANTS PLLC PARKER CO NURSE PRACTITIONER 72 2,297 $367,039 $160 premium 7.0% (720) 644-9355
81 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON MA INTERNAL MEDICINE 294 2,283 $586,108 $257 premium 4.9% (781) 784-9212
82 COLONIAL INTERNAL MEDICINE ASSOCIATES PC FREDERICKSBURG VA PHYSICIAN ASSISTANT 18 2,276 $195,736 $86 premium 3.9% (540) 374-5599
83 TIGALAT SHALITA, D O INC. WEST HILLS CA FAMILY PRACTICE 2 2,267 $396,571 $175 premium 0.6% (818) 676-0080
84 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 2,259 $455,045 $201 premium 6.1% (317) 338-2345
85 HOSPICE OF HENDERSON COUNTY INC FLAT ROCK NC NURSE PRACTITIONER 41 2,259 $321,583 $142 premium 3.1% (828) 692-6178
86 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 2,246 $352,622 $157 premium 3.9% (757) 410-4488
87 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 2,222 $633,641 $285 premium 0.6% (916) 681-8852
88 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 2,187 $733,967 $336 premium 2.2%
89 BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. SUFFERN NY NURSE PRACTITIONER 155 2,179 $710,354 $326 premium 1.0% 845353560025027
90 CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA NURSE PRACTITIONER 127 2,172 $280,188 $129 premium 8.3% (877) 260-4747
91 ACCOUNTABLE INPATIENT MEDICINE LAKEWOOD RANCH FL NURSE PRACTITIONER 52 2,170 $369,551 $170 premium 0.8%
92 MEDICAL ASSOCIATES OF THE SHOALS, P.C. SHEFFIELD AL NURSE PRACTITIONER 24 2,140 $224,700 $105 premium 6.5% 2563834447104
93 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 2,138 $848,367 $397 premium 16.4% (414) 421-8400
94 GILCHRIST HOSPICE CARE INC GILCHRIST ELDER MEDICAL C MD NURSE PRACTITIONER 51 2,122 $327,764 $154 premium 2.5% (443) 849-3184
95 INTERNAL MEDICINE SPEC OF SOUTHERN NV GROSSMAN PANIKKAR GHADISHAH WHI LAS VEGAS NV INTERNAL MEDICINE 8 2,101 $316,350 $151 premium 3.5% 70224227372
96 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 2,081 $266,998 $128 premium 3.2% (248) 477-0552
97 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,074 $1,139,420 $549 premium 1.0% (631) 751-3000
98 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 2,072 $358,760 $173 premium 2.2% (630) 469-9200
99 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 2,059 $422,095 $205 premium 2.4% (410) 522-9800
100 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 2,053 $570,734 $278 premium 1.0%

Showing the top 100 of 4,911 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 →