A4561 — Pessary, reusable, rubber, any type
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
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
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 →| # | 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 →