NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0102 Prostate cancer screening; digital rectal examination HCPCS · E&M
Classification E&M › Office/Outpatient Services (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,486 services ▼ 30.4% YoY · 5,486 beneficiaries (CY2024, Medicare FFS)
Medicare paid $72K · $13.08 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
68
Named-group FFS services
3,021
FFS of Medicare
49%
Services YoY
-30.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,937 services

3,021 observed fee-for-service (51%) · ~2,916 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 — G0102 (CY2024)
TX 680 CA 650 NY 562 IL 402 MI 322

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

Named-group submitted charges
$155K
Named-group allowed amount
$68K
Named-group Medicare payments
$39K
Avg charge / svc
$51
Avg allowed / svc
$22
Avg payment / svc
$13
Average charge per group
$21 68 groups · avg submitted charge / service $152
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0102 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 202 $22,624 $112 35.9% (212) 263-9700
2 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 149 $8,438 $57 62.3% —
3 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 114 $2,964 $26 71.7% (629) 255-2115
4 FAMILY MEDCENTERS PA DERBY KS FAMILY PRACTICE 16 106 $2,650 $25 56.1% 31678869631150
5 CAPITAL AREA PRIMARY CARE, PLLC GEORGETOWN TX FAMILY PRACTICE 19 103 $6,677 $65 15.1% (512) 763-4060
6 H LUCIUS LAFFITTE JR MD LLC BEAUFORT SC FAMILY PRACTICE 2 100 $2,500 $25 64.5% (843) 322-8477
7 PANHANDLE GASTROENTEROLOGY, PA AMARILLO TX NURSE PRACTITIONER 3 98 $9,593 $98 14.4% (806) 467-9820
8 WILLOW BEND FAMILY MEDICINE P.A. PLANO TX FAMILY PRACTICE 3 98 $2,450 $25 14.4% (972) 981-7000
9 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 91 $5,642 $62 14.0% (805) 681-7500
10 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 88 $3,696 $42 28.7% (520) 547-5725
11 LEGACY HEALTHCARE SERVICES INC DURHAM VA INTERNAL MEDICINE 3859 88 $2,865 $33 51.8% (919) 419-9600
12 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 85 $2,396 $28 15.1% (914) 241-1050
13 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 83 $5,063 $61 12.8% (925) 296-9720
14 ASHCAKE FAMILY PHYSICIANS INC MECHANICSVILLE VA FAMILY PRACTICE 5 82 $3,690 $45 48.2% (804) 559-2916
15 SOUTH OAKS FAMILY MEDICINE, P.A. AUSTIN TX FAMILY PRACTICE 4 80 $3,280 $41 11.8% (512) 416-0044
16 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 79 $6,787 $86 26.7% (508) 334-1000
17 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA INTERNAL MEDICINE 228 68 $2,720 $40 10.5% (562) 495-4952
18 DIGESTIVE HEALTHCARE ASSOCIATES PC GREAT NECK NY ANESTHESIOLOGY 16 65 $3,250 $50 11.6% (516) 487-7677
19 SELECT REHABILITATION, LLC GLENVIEW IL FAMILY PRACTICE 2028 63 $4,365 $69 15.7% —
20 HV FAMILY MEDICINE, PLLC HIGHLAND VILLAGE TX FAMILY PRACTICE 4 59 $1,600 $27 8.7% (972) 317-0331
21 PHOENIX REHABILITATION AND HEALTH SERVICES INC CRANBERRY TOWNSHIP PA PHYSICIAN ASSISTANT 2664 57 $1,995 $35 18.2% —
22 INTEGRATED MEDICINE ALLIANCE PA SHREWSBURY NJ FAMILY PRACTICE 41 54 $1,512 $28 24.5% (732) 460-9840
23 PILLAR HEALTH PLLC HIAWATHA IA FAMILY PRACTICE 2 47 $2,220 $47 100.0% (319) 449-4052
24 PERSONALMDS, LLC CHESTNUT HILL MA INTERNAL MEDICINE 9 39 $975 $25 13.2% (617) 307-3200
25 CONEJO MEDICAL AND BREAST CARE CENTER A MEDICAL CORPORATION THOUSAND OAKS CA INTERNAL MEDICINE 3 38 $1,900 $50 5.8% (805) 497-3239
26 UROLOGY GROUP PC GERMANTOWN TN UROLOGY 17 34 $2,550 $75 21.4% (901) 767-8158
27 PAOLI FAMILY MEDICINE PAOLI PA FAMILY PRACTICE 10 34 $1,700 $50 10.9% —
28 SUGAR PINE FAMILY MEDICINE PC PAUL SMITH MD ET AL RENO NV FAMILY PRACTICE 3 34 $850 $25 43.0% (775) 321-1044
29 RELIANT MEDICAL GROUP INC WORCESTER MA NURSE PRACTITIONER 634 34 $1,938 $57 11.5% (508) 363-5000
30 INTERNET MEDICAL GROUP P C NUTLEY NJ INTERNAL MEDICINE 3 32 $1,120 $35 14.5% (973) 667-8117
31 LEGACY HEALTHCARE SERVICES INC DURHAM NC INTERNAL MEDICINE 3859 32 $1,600 $50 35.6% (919) 419-9600
32 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 31 $961 $31 4.8% (925) 462-7060
33 SATIR AND SATIR, PA NACOGDOCHES TX FAMILY PRACTICE 2 30 $1,800 $60 4.4% (936) 560-9595
34 APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH PHYSICIAN ASSISTANT 202 28 $1,246 $44 34.1% (603) 334-2065
35 SPECTRUM CARE AND WELLNESS PROFESSIONAL CORPORATION BURBANK CA FAMILY PRACTICE 2 28 $1,204 $43 4.3% (818) 848-3333
36 ELLIOT PHYSICIANS NETWORK MANCHESTER NH NURSE PRACTITIONER 79 25 $1,114 $45 30.5% —
37 PENTAHEALTH, LLC WEST CHESTER PA FAMILY PRACTICE 67 22 $792 $36 7.0% (610) 235-4100
38 COMPLETE FAMILY MEDICINE LLC NORTH PLATTE NE FAMILY PRACTICE 2 22 $484 $22 100.0% (308) 696-2273
39 RICHARD F PACROPIS MD PC RADNOR PA INTERNAL MEDICINE 2 21 $756 $36 6.7% (610) 688-8801
40 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 21 $1,365 $65 3.7% (914) 682-0700
41 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 21 $1,785 $85 6.8% (928) 458-7583
42 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 21 $3,187 $152 7.1% (508) 771-1800
43 PROVIDENT PRIMARY CARE INC MERCED CA NURSE PRACTITIONER 10 20 $500 $25 3.1% (209) 384-9108
44 TATUM RIDGE INTERNAL MEDICINE PLC PHOENIX AZ INTERNAL MEDICINE 5 20 $600 $30 6.5% (602) 971-5500
45 FORSYTH MEDICAL GROUP, LLC HENDERSONVILLE NC NURSE PRACTITIONER 47 20 $1,500 $75 22.2% (828) 687-3800
46 PRESENCE HEALTHCARE SERVICES CHICAGO IL FAMILY PRACTICE 75 20 $900 $45 5.0% (312) 770-2000
47 KEITH C MCKENZIE MD PLLC CLINTON TOWNSHIP MI FAMILY PRACTICE 4 20 $800 $40 6.2% 5862869720126
48 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 20 $632 $32 2.9% —
49 MD PROGRESSIVE CARE PLLC DALLAS TX INTERNAL MEDICINE 2 19 $922 $49 2.8% (214) 521-0100
50 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 18 $796 $44 4.5% (630) 469-9200
51 TERRENCE L JOHNSON AND ROBERT C ADAMS PTR VAN WERT OH FAMILY PRACTICE 7 18 $505 $28 19.8% (419) 238-6251
52 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 16 $832 $52 4.0% —
53 MIDDLETON FAMILY MEDICINE URGENT CARE LLC MIDDLETON MA NURSE PRACTITIONER 69 16 $737 $46 5.4% (978) 774-2555
54 ACCESS WELLNESS RESOURCES SCOTTSDALE AZ FAMILY PRACTICE 37 15 $766 $51 4.9% (855) 893-5637
55 BELLEVUE LEGACY PRIMARY CARE PLLC BELLEVUE WA FAMILY PRACTICE 2 15 $525 $35 15.5% (425) 484-4050
56 THE MADISON PHYSICIANS, LLP NEW YORK NY INTERNAL MEDICINE 6 15 $1,125 $75 2.7% (212) 857-4522
57 BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC SOUTH HAMILTON MA NURSE PRACTITIONER 350 14 $1,062 $76 4.7% (978) 468-7381
58 EAST GRANBY FAMILY PRACTICE LLC EAST GRANBY CT FAMILY PRACTICE 12 14 $420 $30 56.0% (860) 653-4526
59 JEFFREY C YOUNG DO INC SAN GABRIEL CA FAMILY PRACTICE 2 14 $448 $32 2.2% (626) 571-7958
60 SN KENTUCKIANA REHAB, LLC LOUISVILLE KY PHYSICAL THERAPIST IN PRIVATE PRACTICE 316 14 $420 $30 100.0% (502) 537-7870
61 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 13 $559 $43 14.4% (704) 838-8210
62 VALLEYCARE GASTROENTEROLOGY MEDICAL GROUP INC PLEASANTON CA GASTROENTEROLOGY 2 13 $325 $25 2.0% (925) 460-8167
63 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 13 $475 $37 15.9% —
64 LEXINGTON FAMILY PHYSICIANS PA LEXINGTON NC FAMILY PRACTICE 5 13 $278 $21 14.4% (336) 249-3329
65 RICHARD J RUGGIERI MD INC PROVIDENCE RI INTERNAL MEDICINE 3 11 $506 $46 27.5% (401) 521-1221
66 UROLOGY ASSOCIATES OF NORTH CENTRAL OHIO, INC. MANSFIELD OH PHYSICIAN ASSISTANT 2 11 $550 $50 12.1% (419) 756-4999
67 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 11 $660 $60 3.7% (617) 421-1000
68 NORTH COAST FAMILY MEDICAL GROUP ENCINITAS CA PHYSICIAN ASSISTANT 11 11 $484 $44 1.7% 76094261181142
69 VIRGINIA FAMILY CARE CENTER,INC RENO NV FAMILY PRACTICE 2 11 $1,100 $100 13.9% (775) 327-4700

*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 →