NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination HCPCS · Cardiography test
Classification Test › Cardiography › External Electrocardiographic Monitoring (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,462 services ▼ 2.9% YoY · 4,462 beneficiaries (CY2024, Medicare FFS)
Medicare paid $16K · $3.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
88
Named-group FFS services
2,986
FFS of Medicare
49%
Services YoY
-2.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,825 services

2,986 observed fee-for-service (51%) · ~2,839 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 — G0405 (CY2024)
MI 407 IA 390 FL 364 CA 298 IL 231

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

Named-group submitted charges
$106K
Named-group allowed amount
$24K
Named-group Medicare payments
$10K
Avg charge / svc
$36
Avg allowed / svc
$8
Avg payment / svc
$4
Average charge per group
$8 88 groups · avg submitted charge / service $300
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0405 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 271 $7,317 $27 66.6% (616) 885-5000
2 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 179 $8,771 $49 85.6% (919) 684-8111
3 THE HEART GROUP OF LANCASTER GENERAL HEALTH LANCASTER PA NURSE PRACTITIONER 61 146 $2,702 $19 69.2% (717) 544-8300
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 110 $6,293 $57 47.6% —
5 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 109 $1,744 $16 74.7% —
6 ST LUKES METHODIST HOSPITAL CEDAR RAPIDS IA NURSE PRACTITIONER 82 107 $3,171 $30 27.4% (319) 368-5757
7 BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN MT PHYSICIAN ASSISTANT 305 93 $2,955 $32 64.6% (406) 414-4800
8 TRINITY HEALTH MINOT ND NURSE PRACTITIONER 296 76 $5,549 $73 65.0% (701) 418-8000
9 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 74 $1,938 $26 32.0% —
10 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 71 $1,349 $19 70.3% —
11 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 61 $2,074 $34 15.6% —
12 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 60 $1,302 $22 16.5% (850) 416-2400
13 THEDACARE, INCORPORATED APPLETON WI PHYSICIAN ASSISTANT 653 55 $2,739 $50 36.7% (920) 720-2300
14 GRAND CANYON FAMILY MEDICINE PC CHANDLER AZ FAMILY PRACTICE 4 52 $1,976 $38 65.8% 4807864441407
15 MALEK MEDICAL PC WEST LONG BRANCH NJ INTERNAL MEDICINE 2 51 $581 $11 22.2% (732) 222-6637
16 KALISPELL REGIONAL MEDICAL CENTER INC KALISPELL MT PHYSICIAN ASSISTANT 414 51 $1,020 $20 35.4% (406) 751-6725
17 VALLEY MEDICAL GROUP-RENTON RENTON WA FAMILY PRACTICE 440 51 $1,122 $22 46.8% (425) 656-4224
18 MARSHALL MEDICAL CENTER PLACERVILLE CA PHYSICIAN ASSISTANT 154 49 $2,646 $54 16.4% —
19 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 45 $1,215 $27 15.1% (805) 681-7500
20 WOODBRIDGE MEDICAL ASSOCIATES,P.A. WOODBRIDGE NJ INTERNAL MEDICINE 5 44 $1,320 $30 19.1% 7326340036240
21 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON IA NURSE PRACTITIONER 293 44 $1,144 $26 11.3% (319) 768-1000
22 SJR MEDICAL, PC YONKERS NY GASTROENTEROLOGY 40 37 $3,700 $100 22.0% (914) 964-4631
23 ALOMERE HEALTH ALEXANDRIA MN PHYSICIAN ASSISTANT 114 36 $828 $23 100.0% (320) 762-1511
24 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 33 $891 $27 8.1% (248) 898-5058
25 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 33 $512 $16 47.8% (785) 354-9591
26 HALO PRIMARY CARE LLC OKATIE SC NURSE PRACTITIONER 2 32 $372 $12 43.2% (843) 603-4800
27 PRIME MEDICINE LLC GLENN DALE MD INTERNAL MEDICINE 2 32 $512 $16 55.2% (301) 805-0006
28 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 29 $812 $28 9.7% (408) 871-3400
29 MERCY MEDICAL CENTER CEDAR RAPIDS IA ANESTHESIOLOGY 306 29 $536 $18 7.4% (319) 398-6011
30 RISE UP REHAB, LLC SAN ANTONIO TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 116 29 $706 $24 15.3% (210) 572-4954
31 ALTRU HEALTH SYSTEM GRAND FORKS ND NURSE PRACTITIONER 653 29 $1,131 $39 24.8% (701) 780-5000
32 AVERA ST MARYS PIERRE SD NURSE PRACTITIONER 96 29 $225 $8 50.9% (605) 224-5901
33 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 28 $2,044 $73 49.1% (605) 882-4743
34 BRIAN T DOYLE MD PLC SAINT JOSEPH MI FAMILY PRACTICE 2 27 $2,430 $90 6.6% (269) 982-1947
35 PRIMARY HEALTH GROUP INC RICHMOND VA FAMILY PRACTICE 17 26 $768 $30 17.8% (804) 560-0490
36 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 25 $662 $26 45.5% —
37 MATTHEW CAMPBELL, MD, PLC SAINT JOSEPH MI FAMILY PRACTICE 2 23 $2,070 $90 5.7% (269) 982-1947
38 DEAN BA NGO MD INC FOUNTAIN VALLEY CA EMERGENCY MEDICINE 2 21 $1,050 $50 7.0% —
39 HENRY FORD HEALTH ROCHESTER HOSPITAL ROCHESTER MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 99 20 $300 $15 4.9% (248) 652-5000
40 VIA AFFILIATES DOYLESTOWN PA PHYSICIAN ASSISTANT 206 20 $560 $28 9.5% (215) 230-0600
41 MEDICAL OFFICE FORCE ATHENS NJ INTERNAL MEDICINE 55 19 $380 $20 8.3% (706) 208-9700
42 WEST PARK HOSPITAL DISTRICT CODY WY PHYSICIAN ASSISTANT 79 19 $437 $23 100.0% (307) 527-7501
43 ELLIOT PHYSICIANS NETWORK MANCHESTER NH NURSE PRACTITIONER 79 19 $882 $46 35.2% —
44 ALIMENTI FAMILY MEDICINE SAINT JOSEPH MI FAMILY PRACTICE 2 18 $1,620 $90 4.4% (269) 982-1947
45 SUMNER COMMUNITY CLUB SUMNER IA FAMILY PRACTICE 10 16 $493 $31 4.1% (563) 578-3275
46 PHYSICIANS MEDICAL CARE, P.C. NEW HYDE PARK NY INTERNAL MEDICINE 2 16 $1,600 $100 9.5% (516) 352-0430
47 SPRUCE MULTISPECIATLY GROUP FRESNO CA INTERNAL MEDICINE 2 16 $1,040 $65 5.4% (559) 439-5757
48 SMITHSON VALLEY FAMILY MEDICINE, LLP SPRING BRANCH TX PHYSICIAN ASSISTANT 7 16 $320 $20 8.4% (830) 885-5541
49 CHIPOLA MEDICAL ASSOCIATES LLC MARIANNA FL NURSE PRACTITIONER 8 16 $256 $16 4.4% (850) 526-3434
50 PUBLIC HOSPITAL DIST NO 1 SKAGIT MOUNT VERNON WA PHYSICIAN ASSISTANT 314 15 $270 $18 13.8% (360) 428-2500
51 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 15 $432 $29 21.4% (314) 645-6450
52 LEGACY HEALTHCARE SERVICES INC DURHAM FL INTERNAL MEDICINE 3859 15 $450 $30 4.1% (919) 419-9600
53 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 15 $268 $18 36.6% (901) 261-0700
54 TENET FLORIDA PHYSICIAN SERVICES LLC DELRAY BEACH FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 224 15 $360 $24 4.1% (561) 498-4440
55 PHYSICIAN PARTNERS MEDICAL GROUP INC WESTMINSTER CA FAMILY PRACTICE 2 15 $4,500 $300 5.0% (714) 902-9523
56 AMERICAN HEALTH NETWORK OF INDIANA LLC FISHERS IN FAMILY PRACTICE 204 14 $140 $10 50.0% (317) 842-7928
57 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 14 $855 $61 3.8% (305) 273-4641
58 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 14 $560 $40 50.0% (317) 338-2345
59 PHYSICIANS CLINIC INC OMAHA IA PHYSICIAN ASSISTANT 561 14 $350 $25 3.6% (402) 354-8163
60 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 14 $350 $25 24.1% (410) 761-1222
61 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 14 $602 $43 13.9% (720) 777-1234
62 CRESCENT INTERNAL MEDICINE GROUP, LLC MONTCLAIR NJ INTERNAL MEDICINE 2 13 $169 $13 5.7% (973) 783-0800
63 HEALTH HOLDINGS COMPANY LLC TAMPA FL NURSE PRACTITIONER 61 13 $247 $19 3.6% (813) 988-4400
64 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 13 $390 $30 11.9% (206) 386-6000
65 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 13 $247 $19 11.9% (770) 422-2004
66 BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PEORIA AZ FAMILY PRACTICE 238 13 $286 $22 16.5% (623) 876-3800
67 FAMILY HEALTH MEDICAL GROUP OF OVERLAND PARK, LLC OVERLAND PARK KS FAMILY PRACTICE 8 13 $354 $27 18.8% (913) 491-1616
68 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 12 $156 $13 3.3% (941) 255-3535
69 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 12 $248 $21 10.3% (701) 323-8300
70 COLUMBUS FAMILY PRACTICE ASSOCIATES, P.C. COLUMBUS NE FAMILY PRACTICE 17 12 $780 $65 50.0% (402) 564-1338
71 TRINITY FAMILY MEDICINE NORTH EASTON MA FAMILY PRACTICE 5 12 $1,089 $91 31.6% (508) 230-0155
72 ST JOSEPHS MEDICAL CENTER BRAINERD TX PHYSICIAN ASSISTANT 235 12 $264 $22 6.3% (218) 828-7394
73 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 12 $461 $38 16.2% (843) 777-2000
74 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 12 $820 $68 22.2% —
75 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 12 $360 $30 50.0% (402) 559-4000
76 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 12 $360 $30 5.2% (708) 216-8372
77 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 12 $864 $72 100.0% —
78 FAMILY MEDICINE GROUP, PLLC BARTLETT TN FAMILY PRACTICE 2 12 $516 $43 29.3% (501) 796-5703
79 CENTERWELL SENIOR PRIMARY CARE FL INC. ORLANDO FL FAMILY PRACTICE 103 11 $548 $50 3.0% (407) 438-5858
80 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 11 $121 $11 7.5% (804) 288-7901
81 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 11 $451 $41 5.8% (254) 724-2663
82 HILLCREST CLINIC, LLC BLAIRSVILLE GA PHYSICIAN ASSISTANT 6 11 $93 $8 10.1% (706) 745-8790
83 THE FAMILY CARE CENTER OF HARRAH INC HARRAH OK PHYSICIAN ASSISTANT 2 11 $210 $19 100.0% —
84 FAMILY MEDICAL CLINIC OF NORTH MS INC SOUTHAVEN MS NURSE PRACTITIONER 13 11 $660 $60 100.0% (662) 890-5555
85 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 11 $330 $30 4.8% (800) 825-5391
86 CRESTWOOD PHYSICIAN SERVICES, LLC HUNTSVILLE AL FAMILY PRACTICE 37 11 $264 $24 47.8% (256) 882-3100
87 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 11 $343 $31 20.4% (603) 929-1195
88 CENTRAL COMMUNITY HOSPITAL ELKADER IA NURSE PRACTITIONER 19 11 $309 $28 2.8% (563) 245-7000

*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 →