NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes HCPCS · E&M
Classification E&M › Care Management/Coordination (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 32,361 services ▼ 0.1% YoY · 4,134 beneficiaries (CY2024, Medicare FFS)
Medicare paid $372K · $11.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
63
Named-group FFS services
23,864
FFS of Medicare
49%
Services YoY
-0.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~47,660 services

23,864 observed fee-for-service (50%) · ~23,796 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 — G0109 (CY2024)
FL 5,307 MD 3,021 CA 2,574 MO 1,981 NC 1,903

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

Named-group submitted charges
$1.2M
Named-group allowed amount
$368K
Named-group Medicare payments
$273K
Avg charge / svc
$49
Avg allowed / svc
$15
Avg payment / svc
$11
Average charge per group
$16 63 groups · avg submitted charge / service $135
Disease-burden context

Diagnosed diabetes prevalence: 7.2–15.6% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: WV 15.6% · PR 14.4% · KY 14.3% · LA 13.9% · AR 13.8%
CDC-published US estimate: 12.3% (BRFSS 2024, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0109 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 2,319 $195,048 $84 43.7% (239) 343-9888
2 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 1,981 $75,278 $38 100.0% —
3 DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM NC PHYSICIAN ASSISTANT 445 1,251 $57,859 $46 65.7% (919) 572-1868
4 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,245 $38,595 $31 23.5% (321) 434-8878
5 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 947 $62,008 $65 84.6% (864) 587-3000
6 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 847 $37,268 $44 61.7% (765) 962-8551
7 UPMC WESTERN MARYLAND HEALTH SERVICES LLC CUMBERLAND MD PHYSICIAN ASSISTANT 171 779 $18,696 $24 25.8% —
8 MVHE INC DAYTON OH INTERNAL MEDICINE 389 742 $34,874 $47 43.5% (937) 252-1831
9 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 721 $35,326 $49 23.9% (410) 757-7600
10 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 626 $23,788 $38 24.3% (831) 422-3636
11 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 598 $27,508 $46 42.5% (630) 933-4800
12 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 503 $19,708 $39 9.5% (850) 416-2400
13 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 488 $12,322 $25 49.7% (785) 354-9591
14 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 482 $26,992 $56 18.7% (925) 296-9720
15 MEDICAL NETWORK OF ALASKA LLC WASILLA AK PHYSICIAN ASSISTANT 71 442 $11,050 $25 100.0% (907) 357-9590
16 PIEDMONT MEDICAL CARE CORPORATION ATLANTA GA FAMILY PRACTICE 363 417 $22,935 $55 30.5% (404) 367-3210
17 PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA WEST PALM BCH FL ENDOCRINOLOGY 18 416 $24,960 $60 7.8% (561) 659-6336
18 DIABETES AND ENDOCRINOLOGY ASSOCIATES PC DECATUR GA ENDOCRINOLOGY 4 386 $13,592 $35 28.2% (404) 299-2223
19 BOICE-WILLIS CLINIC PA ROCKY MOUNT NC PHYSICIAN ASSISTANT 57 382 $18,498 $48 20.1% (252) 937-0200
20 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 358 $13,962 $39 31.1% (804) 764-6000
21 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 348 $10,788 $31 76.7% (501) 562-4838
22 WICHITA DIABETES AND ENDOCRINOLOGY LLC WICHITA KS PHYSICIAN ASSISTANT 7 309 $12,360 $40 31.5% (316) 330-3636
23 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 295 $13,542 $46 11.5% (858) 455-9100
24 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 289 $16,762 $58 32.4% (901) 226-3882
25 ENDOCRINE CLINIC OF SOUTHEAST TEXAS BEAUMONT TX ENDOCRINOLOGY 4 288 $14,400 $50 31.2% (409) 835-9834
26 FREDERICK HEALTH MEDICAL GROUP LLC FREDERICK MD PHYSICIAN ASSISTANT 202 271 $8,401 $31 9.0% (240) 215-6310
27 RYSE HEALTH MARYLAND PHYSICIANS PC VIENNA MD REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 7 265 $8,215 $31 8.8% (571) 999-7973
28 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 263 $10,520 $40 100.0% (601) 264-6000
29 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 251 $18,825 $75 27.2% (214) 633-5555
30 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 232 $24,824 $107 100.0% (608) 287-2050
31 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 228 $11,172 $49 7.5% (667) 234-6000
32 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 228 $12,084 $53 19.8% —
33 MEDICAL CENTER LLP DUBLIN GA FAMILY PRACTICE 13 225 $12,375 $55 16.5% 4782727411203
34 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 225 $12,734 $57 16.5% (404) 778-7525
35 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 206 $7,622 $37 100.0% (859) 578-5880
36 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 206 $6,180 $30 23.1% (901) 261-0700
37 THE VILLAGES HEALTH SYSTEM LLC THE VILLAGES FL NURSE PRACTITIONER 156 204 $5,896 $29 3.8% (352) 674-1750
38 VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER MIDLOTHIAN VA ENDOCRINOLOGY 15 197 $4,925 $25 17.1% (804) 423-3636
39 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 196 $9,408 $48 21.2% (254) 724-2663
40 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 189 $5,292 $28 11.1% (419) 874-3246
41 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KS NURSE PRACTITIONER 1228 184 $6,992 $38 18.8% —
42 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 166 $6,640 $40 12.8% —
43 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 166 $4,814 $29 12.8% —
44 RYSE HEALTH MARYLAND PHYSICIANS PC VIENNA OH REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 7 165 $8,085 $49 9.7% (571) 999-7973
45 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 164 $7,052 $43 100.0% (719) 776-4780
46 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM PA NURSE PRACTITIONER 803 160 $21,600 $135 12.3% (978) 741-4133
47 UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY MOBILE AL INTERNAL MEDICINE 85 156 $6,864 $44 100.0% (251) 633-8880
48 OSU GENERAL INTERNAL MEDICINE LLC COLUMBUS OH INTERNAL MEDICINE 270 145 $9,425 $65 8.5% (614) 293-8054
49 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 140 $11,200 $80 8.2% (614) 293-8000
50 AMER AL-KARADSHEH, M.D., P.A HOUSTON PA ENDOCRINOLOGY 9 131 $3,799 $29 10.1% —
51 US DIABETES CARE AND SURGICAL SPECIALTY OF MORRISTOWN TN MORRISTOWN TN INTERNAL MEDICINE 3 125 $4,573 $37 14.0% (423) 616-0625
52 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 122 $11,834 $97 8.7% —
53 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 122 $5,368 $44 2.3% (904) 308-6900
54 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE IN NURSE PRACTITIONER 2448 119 $3,570 $30 8.7% (502) 928-1050
55 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 119 $5,236 $44 4.6% (415) 600-1020
56 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 114 $4,560 $40 6.7% (937) 395-8646
57 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 99 $4,059 $41 7.0% —
58 ORLANDO PHYSICIANS NETWORK INC ORLANDO FL FAMILY PRACTICE 232 97 $4,462 $46 1.8% (321) 841-6600
59 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES NY INTERNAL MEDICINE 1424 91 $8,280 $91 87.5% (310) 825-7922
60 FLORIDA DEPARTMENT OF HEALTH TAMPA FL NURSE PRACTITIONER 136 84 $1,362 $16 1.6% 81330780156401
61 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 76 $3,776 $50 48.1% (507) 389-8509
62 MY DIABETES TUTOR INC HANFORD OH REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 17 71 $5,680 $80 4.2% (844) 623-0999
63 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 61 $8,235 $135 100.0% (978) 741-4133
64 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 55 $5,112 $93 2.1% (310) 825-7922
65 TRYON MEDICAL PARTNERS, PLLC CHARLOTTE NC INTERNAL MEDICINE 145 44 $1,584 $36 2.3% (704) 495-6334
66 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 30 $1,440 $48 100.0% (505) 841-1234
67 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 13 $1,170 $90 12.5% (212) 305-8559

*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 →