NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

A4561 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

A4561 — Pessary, reusable, rubber, any type

Billing groups
35
Named-group FFS services
1,152
FFS of Medicare
49%
Services YoY
+8.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,321 services

1,152 observed fee-for-service (50%) · ~1,169 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 — A4561 (CY2024)

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

Named-group submitted charges
$77K
Named-group allowed amount
$31K
Named-group Medicare payments
$23K
Avg charge / svc
$67
Avg allowed / svc
$27
Avg payment / svc
$20
Average charge per group
$23 35 groups · avg submitted charge / service $247
Market analyticsPlatform
a taste of the twelve-year trend layer

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 groups ranked by A4561 services, CY2024
#Physician group City St Specialty Providers A4561 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 136 $7,616 $56 premium 43.0% (858) 455-9100
2 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 103 $6,180 $60 premium 60.9% (662) 349-1964
3 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 78 $3,588 $46 premium 100.0%
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 78 $5,148 $66 premium 100.0% (410) 502-4340
5 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 77 $3,708 $48 premium 24.4% (415) 600-1020
6 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 71 $4,355 $61 premium 65.1% (732) 362-3663
7 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPO CA PHYSICIAN ASSISTANT 13 60 $3,600 $60 premium 19.0%
8 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 41 $3,034 $74 premium 55.4% (570) 888-5858
9 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE FL UROLOGY 36 35 $1,751 $50 premium 49.3% (904) 483-2310
10 UROLOGY GROUP PC GERMANTOWN TN UROLOGY 17 30 $4,800 $160 premium 17.8% (901) 767-8158
11 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 30 $2,517 $84 premium 24.8% (614) 396-2684
12 AUSTIN UROGYNECOLOGY, PLLC AUSTIN TX NURSE PRACTITIONER 3 25 $3,000 $120 premium 44.6% (512) 973-8276
13 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 21 $1,470 $70 premium 19.3% (856) 247-7260
14 FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC GERMANTOWN WI NURSE PRACTITIONER 1260 21 $1,197 $57 premium 100.0% (262) 253-5060
15 WEST TENNESSEE MEDICAL GROUP INC JACKSON TN NURSE PRACTITIONER 189 20 $950 $48 premium 11.8%
16 SUSQUEHANNA PHYSICIAN SERVICES WILLIAMSPORT PA PHYSICIAN ASSISTANT 608 20 $800 $40 premium 27.0% (570) 326-8005
17 LOWCOUNTRY UROLOGY CLINICS, PA CHARLESTON SC UROLOGY 14 19 $1,235 $65 premium 100.0% (843) 766-4070
18 TOGETHER WOMEN'S HEALTH MEDICAL GROUP OF ALABAMA PC BIRMINGHAM AL OBSTETRICS/GYNECOLOGY 23 19 $950 $50 premium 100.0% (205) 877-2950
19 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 19 $1,520 $80 premium 63.3% (336) 713-9800
20 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 19 $1,083 $57 premium 59.4% (801) 261-8346
21 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 18 $1,350 $75 premium 32.1%
22 WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC HACKENSACK NJ OBSTETRICS/GYNECOLOGY 3 17 $4,200 $247 premium 15.6% (201) 301-2772
23 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 17 $2,040 $120 premium 51.5% (212) 305-8559
24 RENAISSANCE HEALTH AND SURGICAL ASSOCIATES, P.C. SOUTH PITTSBURG TN NURSE PRACTITIONER 2 16 $1,408 $88 premium 9.5% (423) 837-5801
25 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 16 $1,280 $80 premium 48.5%
26 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 15 $1,005 $67 premium 21.1% (813) 961-7440
27 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 15 $525 $35 premium 12.4%
28 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 15 $675 $45 premium 100.0%
29 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 14 $1,330 $95 premium 11.6% (513) 751-4222
30 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 13 $975 $75 premium 100.0%
31 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPO MN PHYSICIAN ASSISTANT 13 13 $780 $60 premium 100.0%
32 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 13 $689 $53 premium 23.2% (903) 606-5560
33 PHASE II CENTER FOR WOMENS HEALTH MURRAY UT NURSE PRACTITIONER 4 13 $975 $75 premium 40.6% (385) 257-6284
34 LA PORTE CLINIC COMPANY LLC LA PORTE IN NURSE PRACTITIONER 67 13 $793 $61 premium 43.3% (219) 326-5700
35 DARE COUNTY ADMINISTRATIVE OFFICES MANTEO NC MENTAL HEALTH COUNSELOR 5 11 $495 $45 premium 36.7% (252) 475-5006
36 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 11 $250 $23 premium 100.0%

*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 →