NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0022 Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019) HCPCS · E&M
Classification E&M › Care Management/Coordination (CMS RBCS)
First observed 2024
National scale 23,408 services · 1,589 beneficiaries (CY2024, Medicare FFS)
Medicare paid $988K · $42.21 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group FFS services

17,625

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services YoY

—

Estimated all-Medicare volume estimate
FFS + estimated MA

~38,324 services

17,625 observed fee-for-service (46%) · ~20,699 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 — G0022 (CY2024)
FL 9,471 CA 7,000 AZ 2,766 TX 2,197 NY 782

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

Billed → allowed → paid
Named-group submitted charges
$1.8M
Named-group allowed amount
$898K
Named-group Medicare payments
$716K
Avg charge / svc
$100
Avg allowed / svc
$51
Avg payment / svc
$41
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$81 6 groups · avg submitted charge / service $209
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0022 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COLLINS PHYSICIAN SERVICES, LLC MIAMI FL INTERNAL MEDICINE 52 9,471 $947,100 $100 100.0% (305) 481-9776
2 SOLACE HEALTH MEDICAL GROUP INC DENVER AZ FAMILY PRACTICE 84 2,766 $276,364 $100 100.0% (201) 283-8515
3 SOLACE HEALTH MEDICAL GROUP INC DENVER CA FAMILY PRACTICE 84 2,375 $237,416 $100 33.9% (201) 283-8515
4 SOLACE HEALTH MEDICAL GROUP INC DENVER TX FAMILY PRACTICE 84 1,873 $187,292 $100 85.3% (201) 283-8515
5 SOLACE HEALTH MEDICAL GROUP INC DENVER IN FAMILY PRACTICE 84 656 $62,976 $96 100.0% (201) 283-8515
6 DIA HEALTH PLLC SAN ANTONIO TX NURSE PRACTITIONER 7 324 $26,244 $81 14.7% (210) 946-5633
7 PERFECT HEALTH MEDICAL LLC BROOKLYN NY NURSE PRACTITIONER 11 64 $13,071 $204 8.2% (212) 734-6621
8 GAMSS HEALTH URGENT MEDICINE PC BROOKLYN NY NURSE PRACTITIONER 14 49 $10,211 $208 6.3% (718) 819-6144
9 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 47 $9,803 $209 6.0% (212) 241-4812

*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 →