NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0019 Community health integration services performed by certified or trained auxiliary personnel, including a community health worker, under the direction of a physician or other practitioner; 60 minutes per calendar month, in the following activities to addres HCPCS · E&M
Classification E&M Care Management/Coordination (CMS RBCS)
First observed 2024
National scale 4,881 services · 2,321 beneficiaries (CY2024, Medicare FFS)
Medicare paid $303K · $62.08 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
10
Named-group FFS services
2,681
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~5,808 services

2,681 observed fee-for-service (46%) · ~3,127 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 — G0019 (CY2024)

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

Named-group submitted charges
$568K
Named-group allowed amount
$210K
Named-group Medicare payments
$166K
Avg charge / svc
$212
Avg allowed / svc
$78
Avg payment / svc
$62
Average charge per group
$117 10 groups · avg submitted charge / service $350
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by G0019 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 G0019 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 COLLINS PHYSICIAN SERVICES, LLC MIAMI FL INTERNAL MEDICINE 52 1,069 $213,800 $200 premium 59.0% (305) 481-9776
2 VILLAGE PRIMARY CARE PROVIDERS LLC PALMYRA WI NURSE PRACTITIONER 2 325 $113,750 $350 premium 100.0% (262) 395-7951
3 SOLACE HEALTH MEDICAL GROUP INC DENVER TX FAMILY PRACTICE 84 238 $47,600 $200 premium 50.1% (201) 283-8515
4 DIA HEALTH PLLC SAN ANTONIO TX NURSE PRACTITIONER 7 237 $28,220 $119 premium 49.9% (210) 946-5633
5 SOLACE HEALTH MEDICAL GROUP INC DENVER AZ FAMILY PRACTICE 84 218 $43,462 $199 premium 100.0% (201) 283-8515
6 SOLACE HEALTH MEDICAL GROUP INC DENVER CA FAMILY PRACTICE 84 203 $40,554 $200 premium 19.2% (201) 283-8515
7 CAROLINA BLOOD AND CANCER CARE ASSOCIATES PA ROCK HILL SC HEMATOLOGY/ONCOLOGY 8 96 $14,400 $150 premium 100.0% (803) 329-7772
8 SOLACE HEALTH MEDICAL GROUP INC DENVER IN FAMILY PRACTICE 84 66 $10,164 $154 premium 71.0% (201) 283-8515
9 HOMETOWN FAMILY HEALTH PLLC PLANKINTON SD NURSE PRACTITIONER 3 52 $6,109 $117 premium 100.0% (605) 299-8234
10 GAMSS HEALTH URGENT MEDICINE PC BROOKLYN NY NURSE PRACTITIONER 14 51 $16,749 $328 premium 16.6% (718) 819-6144
11 PERFECT HEALTH MEDICAL LLC BROOKLYN NY NURSE PRACTITIONER 11 49 $16,092 $328 premium 16.0% (212) 734-6621
12 MD @ HOME ILLINOIS, SC CHICAGO IN NURSE PRACTITIONER 53 27 $4,266 $158 premium 29.0% (312) 243-2223
13 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 27 $8,867 $328 premium 8.8% (212) 241-4812
14 MD @ HOME ILLINOIS, SC CHICAGO IL NURSE PRACTITIONER 53 23 $3,634 $158 premium 100.0% (312) 243-2223

*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 →