NEVVI Medicare utilization intelligence
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Market snapshot

G0402 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0402 — Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

Billing groups
2,479
Named-group FFS services
146,481
FFS of Medicare
49%
Services YoY
+9.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~287,490 services

146,481 observed fee-for-service (51%) · ~141,009 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 — G0402 (CY2024)

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

Named-group submitted charges
$52.3M
Named-group allowed amount
$23.0M
Named-group Medicare payments
$23.0M
Avg charge / svc
$357
Avg allowed / svc
$157
Avg payment / svc
$157
Average charge per group
$94 2,479 groups · avg submitted charge / service $2,192
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0402 services, CY2024
#Physician group City St Specialty Providers G0402 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,237 $903,748 $404 premium 16.4%
2 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,584 $366,379 $231 premium 9.4%
3 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,567 $578,793 $369 premium 11.5% (847) 459-1160
4 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 1,421 $480,320 $338 premium 7.8% (941) 255-3535
5 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 1,316 $382,377 $291 premium 9.7% (630) 933-4800
6 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 1,230 $512,108 $416 premium 11.6%
7 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 1,215 $407,025 $335 premium 10.3% (908) 273-4300
8 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 1,077 $512,652 $476 premium 17.1% (865) 938-3627
9 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 1,051 $281,762 $268 premium 9.9%
10 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 976 $304,710 $312 premium 8.0%
11 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 946 $361,644 $382 premium 24.3%
12 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 940 $516,232 $549 premium 8.7% (914) 241-1050
13 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 932 $316,571 $340 premium 6.9% (630) 469-9200
14 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 890 $244,068 $274 premium 7.3% (484) 526-2400
15 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 887 $376,975 $425 premium 22.9% (414) 421-8400
16 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 769 $230,748 $300 premium 10.4%
17 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 767 $667,480 $870 premium 7.1%
18 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 762 $263,652 $346 premium 11.9% (843) 720-8448
19 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 747 $552,542 $740 premium 6.9% (212) 263-9700
20 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 729 $298,130 $409 premium 4.0%
21 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 711 $254,538 $358 premium 11.0% (704) 384-8200
22 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 688 $304,184 $442 premium 5.1%
23 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 634 $190,200 $300 premium 11.7%
24 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 611 $173,524 $284 premium 8.2% (614) 451-9612
25 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 605 $323,930 $535 premium 5.2% (732) 477-5600
26 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 600 $233,914 $390 premium 3.5% (254) 724-2663
27 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 588 $180,516 $307 premium 22.2% (405) 254-9690
28 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 550 $219,658 $399 premium 3.0% (727) 725-5060
29 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 550 $220,281 $401 premium 20.6% (402) 354-8163
30 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 550 $227,504 $414 premium 8.6% (864) 587-3000
31 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 540 $230,340 $427 premium 6.8% (770) 422-2004
32 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 537 $98,693 $184 premium 13.8% (515) 239-4400
33 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 525 $286,327 $545 premium 4.5% (973) 971-5596
34 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 514 $220,676 $429 premium 4.3% (415) 600-1020
35 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 514 $201,488 $392 premium 17.0% (859) 578-5880
36 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 497 $158,961 $320 premium 7.7%
37 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 495 $152,460 $308 premium 4.7%
38 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 491 $123,757 $252 premium 2.9% (713) 266-9955
39 TRIHEALTH G LLC CINCINNATI OH FAMILY PRACTICE 298 490 $147,000 $300 premium 6.6% (513) 246-7000
40 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 466 $165,947 $356 premium 3.8%
41 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 434 $215,264 $496 premium 2.4% (407) 831-4040
42 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 415 $212,629 $512 premium 13.7% (502) 937-2209
43 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 408 $170,322 $417 premium 3.3% (610) 431-5000
44 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 404 $144,228 $357 premium 3.0% (847) 755-8208
45 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 396 $130,944 $331 premium 9.2% (520) 547-5725
46 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 393 $155,235 $395 premium 7.3%
47 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 386 $110,696 $287 premium 9.9% (515) 343-1000
48 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 386 $177,684 $460 premium 4.6% (240) 215-1138
49 COOPER CARE ALLIANCE, PC TURNERSVILLE NJ FAMILY PRACTICE 117 381 $137,050 $360 premium 3.2% (856) 536-1515
50 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 374 $87,980 $235 premium 5.9% (629) 255-2115
51 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 371 $204,315 $551 premium 3.4%
52 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 369 $267,062 $724 premium 3.1%
53 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 368 $173,444 $471 premium 3.1% (858) 455-9100
54 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 361 $79,998 $222 premium 9.8% (314) 645-6450
55 CATALYST PHYSICIAN GROUP - NTX, PLLC PLANO TX FAMILY PRACTICE 89 361 $179,054 $496 premium 2.1% (972) 596-9511
56 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 358 $211,622 $591 premium 3.0% (201) 464-8888
57 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 355 $202,198 $570 premium 28.8% (952) 993-3123
58 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 353 $124,256 $352 premium 13.3% (405) 751-5555
59 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 352 $111,456 $317 premium 11.7% (502) 928-1050
60 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 348 $762,816 $2,192 premium 9.0% (608) 260-2900
61 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 346 $88,611 $256 premium 9.8% (785) 354-9591
62 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON MA INTERNAL MEDICINE 294 344 $188,470 $548 premium 5.2% (781) 784-9212
63 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 343 $123,137 $359 premium 14.0% (302) 645-3525
64 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 343 $129,311 $377 premium 2.0% (903) 606-5560
65 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 341 $169,136 $496 premium 4.3%
66 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 331 $343,700 $1,038 premium 4.5%
67 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 330 $56,100 $170 premium 6.1% (317) 338-2345
68 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 327 $89,850 $275 premium 3.1% (757) 595-9880
69 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 324 $115,992 $358 premium 5.0% (910) 662-6000
70 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 321 $151,704 $473 premium 1.9% (713) 512-7500
71 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 320 $105,600 $330 premium 3.8% (410) 757-7600
72 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 318 $113,844 $358 premium 4.0% (770) 219-7777
73 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 312 $140,088 $449 premium 2.6% (805) 681-7500
74 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 312 $57,890 $186 premium 11.8% (225) 246-9790
75 VIRGINIA PHYSICIANS INC MIDLOTHIAN VA FAMILY PRACTICE 93 310 $60,360 $195 premium 2.9% (804) 744-0200
76 SOUTHEAST MEDICAL GROUP, P.C. BRASELTON GA FAMILY PRACTICE 143 307 $68,357 $223 premium 3.9% (770) 442-1911
77 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 303 $123,321 $407 premium 3.6% (410) 522-9800
78 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 301 $154,112 $512 premium 2.8% (914) 682-0700
79 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 297 $90,908 $306 premium 2.8% (845) 469-4211
80 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 288 $80,352 $279 premium 2.7% (703) 562-2110
81 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 288 $50,112 $174 premium 4.6% (901) 226-3882
82 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 286 $51,878 $181 premium 1.6% (850) 416-2400
83 JAYHAWK PRIMARY CARE INC OLATHE KS NURSE PRACTITIONER 156 283 $109,991 $389 premium 8.1% (913) 588-1227
84 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 277 $96,869 $350 premium 8.7%
85 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 276 $88,249 $320 premium 4.3% (803) 749-5101
86 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 276 $83,185 $301 premium 2.4% (800) 825-5391
87 DEACONESS CLINIC INC EVANSVILLE IN NURSE PRACTITIONER 403 276 $76,524 $277 premium 5.1% (812) 450-6700
88 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 270 $75,886 $281 premium 10.2%
89 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 269 $85,811 $319 premium 10.2% (918) 502-4720
90 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 268 $119,528 $446 premium 3.2%
91 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 268 $66,995 $250 premium 2.2% (310) 257-7260
92 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 267 $96,345 $361 premium 2.2%
93 TRYON MEDICAL PARTNERS, PLLC CHARLOTTE NC INTERNAL MEDICINE 145 261 $105,411 $404 premium 4.0% (704) 495-6334
94 BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC SOUTH HAMILTON MA NURSE PRACTITIONER 350 260 $146,437 $563 premium 4.0% (978) 468-7381
95 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 257 $181,768 $707 premium 3.9% (978) 741-4133
96 EINSTEIN COMMUNITY HEALTH ASSOCIATES INC PHILADELPHIA PA FAMILY PRACTICE 195 256 $98,560 $385 premium 2.1% (215) 927-1937
97 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 255 $108,310 $425 premium 6.6% (414) 352-3100
98 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 248 $63,078 $254 premium 1.5%
99 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 248 $106,888 $431 premium 3.9% (803) 744-4900
100 SHAWNEE MISSION MEDICAL CENTER INC MERRIAM KS NURSE PRACTITIONER 262 247 $122,512 $496 premium 7.0% (913) 676-2000

Showing the top 100 of 2,479 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →