NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0023 Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner, including a patient navigator; 60 minutes per calendar month, in the following activities: person-centered assessmen HCPCS · E&M
Classification E&M Care Management/Coordination (CMS RBCS)
First observed 2024
National scale 2,884 services · 1,187 beneficiaries (CY2024, Medicare FFS)
Medicare paid $176K · $61.09 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
17
Named-group FFS services
1,707
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~3,404 services

1,707 observed fee-for-service (50%) · ~1,697 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 — G0023 (CY2024)

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

Named-group submitted charges
$247K
Named-group allowed amount
$141K
Named-group Medicare payments
$112K
Avg charge / svc
$145
Avg allowed / svc
$83
Avg payment / svc
$66
Average charge per group
$79 17 groups · avg submitted charge / service $263
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by G0023 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 G0023 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 MULTI CARE MEDICAL CLINIC INC VAN NUYS CA INTERNAL MEDICINE 2 561 $70,125 $125 premium 50.4% (818) 373-0200
2 PCR ONCOLOGY INC ARROYO GRANDE CA HEMATOLOGY/ONCOLOGY 2 250 $21,093 $84 premium 22.5% (805) 474-9143
3 RAVI PATEL M D INC BAKERSFIELD CA HEMATOLOGY/ONCOLOGY 20 228 $33,972 $149 premium 20.5% (661) 322-2206
4 IYENGAR HEMATOLOGY ONCOLOGY MEDICAL CENTER PA BAYONNE NJ HEMATOLOGY/ONCOLOGY 2 98 $20,938 $214 premium 81.0% (201) 858-1211
5 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 89 $23,425 $263 premium 65.0% (402) 484-4900
6 REHABILITATION AND PHYSICAL MEDICINE LLC DALLAS TX NURSE PRACTITIONER 15 57 $4,617 $81 premium 72.2% (214) 706-8200
7 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 44 $9,196 $209 premium 4.8% (239) 561-9622
8 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI KY UROLOGY 74 43 $6,450 $150 premium 100.0% (513) 841-7750
9 COLLINS PHYSICIAN SERVICES, LLC MIAMI FL INTERNAL MEDICINE 52 41 $8,200 $200 premium 4.5% (305) 481-9776
10 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI OH UROLOGY 74 37 $5,550 $150 premium 33.6% (513) 841-7750
11 NORMAN H. ANDERSON, MD, PA OCALA FL RADIATION ONCOLOGY 10 32 $2,536 $79 premium 3.5% (352) 732-0277
12 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI OK UROLOGY 74 29 $4,350 $150 premium 100.0% (513) 841-7750
13 NEXUS HEALTH PRIMARY CARE LLC SANTA FE NM INTERNAL MEDICINE 7 28 $6,440 $230 premium 100.0% (505) 395-3000
14 PAIRTU HEALTH MEDICAL GROUP OF CALIFORNIA PC SAN FRANCISCO CA INTERNAL MEDICINE 6 26 $4,550 $175 premium 2.3% (310) 415-5817
15 CANCER CENTER OF MIDDLE GEORGIA, LLC DUBLIN GA NURSE PRACTITIONER 4 25 $5,500 $220 premium 100.0% (941) 404-1851
16 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 25 $3,454 $138 premium 18.2% (402) 393-3110
17 SOLACE HEALTH MEDICAL GROUP INC DENVER AZ FAMILY PRACTICE 84 24 $4,800 $200 premium 100.0% (201) 283-8515
18 BRAIN AND MEMORY HEALTH GROUP PLLC SEATTLE WA CLINICAL PSYCHOLOGIST 7 24 $4,750 $198 premium 100.0% (425) 494-3554
19 IYENGAR HEMATOLOGY ONCOLOGY MEDICAL CENTER PA BAYONNE NY HEMATOLOGY/ONCOLOGY 2 23 $4,914 $214 premium 100.0% (201) 858-1211
20 ADVANCED CANCER CARE OF NEW JERSEY PC TOMS RIVER NJ HEMATOLOGY/ONCOLOGY 2 23 $2,185 $95 premium 19.0% (732) 244-3380

*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 →