NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent 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 40,709 services ▼ 24.4% YoY · 11,644 beneficiaries (CY2024, Medicare FFS)
Medicare paid $248K · $6.08 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
92
Named-group FFS services
22,156
FFS of Medicare
49%
Services YoY
-24.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~44,792 services

22,156 observed fee-for-service (49%) · ~22,636 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 — G0250 (CY2024)

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

Named-group submitted charges
$614K
Named-group allowed amount
$182K
Named-group Medicare payments
$133K
Avg charge / svc
$28
Avg allowed / svc
$8
Avg payment / svc
$6
Average charge per group
$11 92 groups · avg submitted charge / service $74
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by G0250 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 G0250 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 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 1,785 $48,195 $27 premium 75.3% (616) 885-5000
2 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 1,512 $56,171 $37 premium 70.3% (608) 287-2050
3 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 1,027 $24,995 $24 premium 14.9% (319) 368-5757
4 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 999 $24,975 $25 premium 65.3%
5 CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC LAFAYETTE LA NURSE PRACTITIONER 142 835 $25,050 $30 premium 63.8% (337) 289-8429
6 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KS NURSE PRACTITIONER 1228 801 $20,025 $25 premium 54.2%
7 CATHOLIC HEALTH INITIATIVES-IOWA CORP WEST DES MOINES IA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 721 $18,746 $26 premium 10.5% (515) 358-8000
8 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 645 $19,350 $30 premium 35.0% (856) 247-7260
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 600 $22,800 $38 premium 50.5% (415) 600-1020
10 CARDIOVASCULAR ASSOCIATES OF THE DELAWARE VALLEY,P A HADDON HEIGHTS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 94 528 $13,270 $25 premium 28.6% (856) 546-3003
11 CRMC MSO SUB 1 INCORPORATED COOKEVILLE TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 21 491 $10,522 $21 premium 42.1% (931) 372-0405
12 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 470 $8,736 $19 premium 23.9% (717) 972-4250
13 CENTRAL MAINE MEDICAL CENTER LEWISTON KY NURSE PRACTITIONER 358 452 $11,596 $26 premium 45.2% (207) 753-3900
14 SCRANTON CARDIOVASCULAR PHYSICIAN SERVICES LLC SCRANTON PA CARDIAC ELECTROPHYSIOLOGY 17 398 $9,950 $25 premium 20.2% (570) 342-1776
15 INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA GAINESVILLE FL INTERVENTIONAL CARDIOLOGY 36 394 $7,130 $18 premium 18.5% (352) 375-1212
16 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 386 $10,808 $28 premium 18.1% (904) 308-6900
17 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 366 $6,588 $18 premium 57.6% (801) 261-8346
18 ST. LUKE'S HOSPITAL OF DULUTH DULUTH IA PHYSICIAN ASSISTANT 418 316 $8,216 $26 premium 4.6% (218) 249-7000
19 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 276 $8,247 $30 premium 27.6% (502) 937-2209
20 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 265 $13,250 $50 premium 12.3% (414) 421-8400
21 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 256 $5,040 $20 premium 51.9% (410) 502-4340
22 ATLANTA HEART ASSOCIATES PC MCDONOUGH GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 21 252 $5,220 $21 premium 19.1% 7706924000118
23 ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP ORANGE CA INTERVENTIONAL CARDIOLOGY 13 250 $4,500 $18 premium 21.0% 71456433001157
24 WMC PHYSICIAN PRACTICES LLC WEIRTON PA NURSE PRACTITIONER 109 239 $3,346 $14 premium 12.1% (304) 797-6557
25 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 231 $5,757 $25 premium 3.4% (515) 239-4400
26 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE IN NURSE PRACTITIONER 1377 229 $6,816 $30 premium 40.6% (502) 937-2209
27 CARDIOLOGY CONSULTANTS OF PHILADELPHIA PC PHILADELPHIA PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 143 218 $6,540 $30 premium 11.1% (215) 463-5333
28 CGH MEDICAL CENTER STERLING IL NURSE PRACTITIONER 199 217 $5,387 $25 premium 6.4% (815) 625-4790
29 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 217 $10,416 $48 premium 24.0%
30 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 212 $5,512 $26 premium 6.2% (309) 683-5050
31 BRYAN HOSPITAL KEARNEY KEARNEY NE PHYSICIAN ASSISTANT 112 209 $4,180 $20 premium 100.0% (308) 865-2263
32 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 202 $10,302 $51 premium 9.5% (904) 953-2000
33 GEORGIA HEART INSTITUTE LLC GAINESVILLE GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 128 199 $11,343 $57 premium 15.1% (770) 534-2020
34 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 198 $5,346 $27 premium 24.9% (602) 274-6506
35 TRINITY REGIONAL MEDICAL CENTER FORT DODGE IA NURSE PRACTITIONER 177 196 $5,096 $26 premium 2.8% (515) 573-2121
36 HEART CARE CENTERS OF ILLINOIS, S.C. PALOS PARK IL INTERVENTIONAL CARDIOLOGY 38 190 $5,700 $30 premium 5.6%
37 COASTAL CAROLINA MULTISPECIALTY ASSOCIATES LLC CHARLESTON SC NURSE PRACTITIONER 49 175 $4,769 $27 premium 88.8%
38 NORTH SHORE - LIJ MEDICAL GROUP AT SYOSSET PC SMITHTOWN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 158 $7,584 $48 premium 17.5% (631) 724-1331
39 CHAS PHYSICIAN SERVICES LLC COLUMBIA MO CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 157 $3,140 $20 premium 10.3% (573) 256-7700
40 ROSWELL CLINIC CORP ROSWELL NM NURSE PRACTITIONER 30 156 $5,460 $35 premium 79.6% (575) 627-4074
41 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIA PA PHYSICIAN ASSISTANT 489 154 $3,850 $25 premium 7.8% (215) 890-3030
42 NEWPORT HEART MEDICAL GROUP INC NEWPORT BEACH CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 150 $3,603 $24 premium 12.6% (949) 548-9611
43 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 141 $4,230 $30 premium 4.1% (847) 459-1160
44 CARDIOVASCULAR MEDICINE PLLC DAVENPORT IA NURSE PRACTITIONER 49 139 $3,338 $24 premium 2.0% (563) 324-2992
45 PIKEVILLE MEDICAL CENTER INC PIKEVILLE KY NURSE PRACTITIONER 435 137 $1,644 $12 premium 13.7%
46 COUNTY OF SANTA CLARA SAN JOSE IA INTERNAL MEDICINE 1001 133 $3,458 $26 premium 1.9% (408) 885-5000
47 NCHMD INC NAPLES FL NEUROLOGY 515 132 $2,904 $22 premium 6.2% (239) 436-5100
48 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 132 $7,920 $60 premium 14.6% (212) 305-8559
49 PROHEALTH MEDICAL GROUP INC WAUKESHA IA PHYSICIAN ASSISTANT 465 128 $3,328 $26 premium 1.9% (262) 696-0808
50 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 128 $3,584 $28 premium 100.0% (919) 350-7270
51 BAPTIST CARDIOLOGY, INC. JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 125 $2,758 $22 premium 5.9% (904) 399-1171
52 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 122 $1,586 $13 premium 18.5% (434) 947-3033
53 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 120 $3,600 $30 premium 6.5% (732) 362-3663
54 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 113 $2,260 $20 premium 4.8% (248) 477-0552
55 MERIDIAN CARDIOVASCULAR INTERPRETIVE SERVICES PC NEPTUNE NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 59 110 $1,777 $16 premium 6.0%
56 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 109 $1,962 $18 premium 17.2%
57 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE FL NURSE PRACTITIONER 1377 102 $3,045 $30 premium 4.8% (502) 937-2209
58 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES EVANSVILLE MN NURSE PRACTITIONER 67 102 $3,849 $38 premium 49.3% (218) 948-2040
59 HANNIBAL REGIONAL HEALTHCARE SYSTEM INC HANNIBAL MO NURSE PRACTITIONER 265 98 $2,156 $22 premium 6.4% (573) 248-1300
60 BARTZOKIS RUBENSTEIN SERVOSS MD PL BOCA RATON FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 94 $1,044 $11 premium 4.4% (561) 368-4444
61 NEVADA CARDIOLOGY PROFESSIONAL ASSN LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 87 $2,871 $33 premium 53.7% (702) 233-1000
62 MONMOUTH CARDIOLOGY ASSOCIATES, LLC EATONTOWN NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 43 86 $1,394 $16 premium 4.7% (732) 663-0300
63 CARDIOLOGY ASSOCIATES, PA DOTHAN AL INTERVENTIONAL CARDIOLOGY 8 86 $1,290 $15 premium 19.9%
64 SOUTHWESTERN VERMONT MEDICAL CENTER, INC BENNINGTON VT NURSE PRACTITIONER 178 84 $1,995 $24 premium 100.0% (802) 440-4077
65 HOUSTON INTERVENTIONAL CARDIOLOGY PA CYPRESS TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 83 $2,075 $25 premium 7.1% (832) 912-6777
66 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE GA NURSE PRACTITIONER 294 80 $2,240 $28 premium 6.1% (904) 308-6900
67 DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN SYRACUSE NY NURSE PRACTITIONER 281 79 $1,875 $24 premium 8.7% (315) 464-5240
68 SAINT MARYS MEDICAL GROUP INC RENO NV NURSE PRACTITIONER 52 75 $3,146 $42 premium 46.3% (775) 770-3327
69 PREMIER CARDIOVASCULAR CENTER, PLC CASA GRANDE AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 75 $1,425 $19 premium 9.4% (520) 381-6300
70 WMC PHYSICIAN PRACTICES LLC WEIRTON WV NURSE PRACTITIONER 109 75 $1,050 $14 premium 7.6% (304) 797-6557
71 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 74 $1,406 $19 premium 2.2% (217) 423-2889
72 WYOMING CARDIOPULMONARY SERVICES PC CASPER WY INTERVENTIONAL CARDIOLOGY 11 73 $2,286 $31 premium 100.0% (307) 266-3174
73 GAINESVILLE HEART AND VASCULAR GROUP PC GAINESVILLE GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 68 $3,400 $50 premium 5.2% 77053490145645
74 SHAWNEE MISSION MEDICAL CENTER INC MERRIAM KS NURSE PRACTITIONER 262 66 $1,782 $27 premium 4.5% (913) 676-2000
75 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 66 $1,254 $19 premium 3.1%
76 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 65 $1,495 $23 premium 100.0% (405) 951-4345
77 MOBILE HEART SPECIALISTS PC MOBILE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 65 $975 $15 premium 15.0% (251) 433-4700
78 DON W LEE M D A MEDICAL CORPORATION GLENDALE CA CARDIAC ELECTROPHYSIOLOGY 3 63 $1,575 $25 premium 5.3% (818) 247-0160
79 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 62 $1,860 $30 premium 1.8%
80 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 61 $1,220 $20 premium 5.2% (865) 305-6333
81 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 59 $1,239 $21 premium 1.7% (630) 469-9200
82 ALASKA HEART INSTITUTE ANCHORAGE AK PHYSICIAN ASSISTANT 57 59 $4,338 $74 premium 48.8% (907) 561-3211
83 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 58 $1,841 $32 premium 0.8% (515) 343-1000
84 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 54 $1,512 $28 premium 4.5% (714) 871-3006
85 BAYCARE AURORA LLC GREEN BAY WI NURSE PRACTITIONER 198 54 $2,700 $50 premium 2.5% (920) 288-8000
86 MYMICHIGAN MEDICAL CENTER SAGINAW SAGINAW MI CARDIOVASCULAR DISEASE (CARDIOLOGY) 108 47 $940 $20 premium 2.0%
87 STERN CARDIOVASCULAR FOUNDATION, INC GERMANTOWN TN NURSE PRACTITIONER 116 45 $1,080 $24 premium 3.9% (901) 271-1000
88 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 43 $2,150 $50 premium 2.0% (414) 352-3100
89 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS PA INTERNAL MEDICINE 518 42 $840 $20 premium 2.1% (248) 477-0552
90 PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC DES PLAINES IL FAMILY PRACTICE 262 41 $1,025 $25 premium 1.2% (847) 297-1800
91 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO NM DIAGNOSTIC RADIOLOGY 236 40 $800 $20 premium 20.4% (505) 439-6100
92 NEW YORK UNIVERSITY NEW YORK FL DIAGNOSTIC RADIOLOGY 5704 39 $1,872 $48 premium 1.8% (212) 263-9700
93 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 38 $1,026 $27 premium 4.8%
94 PHOENIXVILLE CLINIC COMPANY LLC PHOENIXVILLE PA EMERGENCY MEDICINE 147 37 $666 $18 premium 1.9% (610) 983-1000
95 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN AL NURSE PRACTITIONER 309 30 $750 $25 premium 6.9% (402) 219-8000
96 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN IA NURSE PRACTITIONER 309 24 $600 $25 premium 0.3% (402) 219-8000
97 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 22 $594 $27 premium 11.2% (843) 848-1440
98 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN PA NURSE PRACTITIONER 309 20 $500 $25 premium 1.0% (402) 219-8000
99 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 17 $425 $25 premium 1.7% (304) 691-8500
100 BAPTIST PHYSICIAN NETWORK BEAUMONT TX DIAGNOSTIC RADIOLOGY 111 17 $442 $26 premium 1.5% (409) 212-5922

*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 →