NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth HCPCS · E&M
Classification E&M › Hospital Inpatient Services › Hospital E&M - Subsequent (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 22,185 services ▲ 0.6% YoY · 10,370 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $50.11 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
47
Named-group FFS services
5,450
FFS of Medicare
49%
Services YoY
+0.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,455 services

5,450 observed fee-for-service (48%) · ~6,005 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 — G0407 (CY2024)
TX 3,339 OK 3,053 FL 2,543 TN 2,380 LA 1,225

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

Named-group submitted charges
$962K
Named-group allowed amount
$352K
Named-group Medicare payments
$277K
Avg charge / svc
$176
Avg allowed / svc
$65
Avg payment / svc
$51
Average charge per group
$68 47 groups · avg submitted charge / service $591
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0407 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FOREFRONT-RUSH MEDICAL SERVICES PC LITTLE ROCK AR NURSE PRACTITIONER 12 778 $143,269 $184 76.1% (972) 449-0540
2 TIGALAT SHALITA, D O INC. WEST HILLS CA FAMILY PRACTICE 2 435 $43,500 $100 44.0% (818) 676-0080
3 PERSONAL DEVELOPMENT CENTER, INC. COOKEVILLE TN CLINICAL SOCIAL WORKER 10 411 $75,686 $184 17.3% (931) 520-8435
4 FOREFRONT TELECARE INC WISNER LA NURSE PRACTITIONER 31 295 $54,324 $184 24.1% (972) 449-0540
5 ACCESS TELECARE PLLC SPRING FL NEUROLOGY 399 239 $44,012 $184 9.4% (972) 449-0540
6 SUBURBAN ENDOCRINOLOGY AND DIABETES ARLINGTON HEIGHTS IL ENDOCRINOLOGY 9 234 $27,200 $116 42.8% (847) 228-3200
7 OHIOGUIDESTONE BEREA MI NURSE PRACTITIONER 51 233 $42,907 $184 45.5% (440) 234-2006
8 ACCESS TELECARE PLLC SPRING TX NEUROLOGY 399 204 $37,567 $184 6.1% (972) 449-0540
9 KNOXVILLE KIDNEY CENTER, PLLC KNOXVILLE TN NEPHROLOGY 12 193 $35,250 $183 8.1% (865) 692-3462
10 ACCESS TELECARE PLLC SPRING GA NEUROLOGY 399 142 $26,020 $183 40.1% (972) 449-0540
11 SEEGOTT HEALTH LLC PALM CITY FL NURSE PRACTITIONER 4 133 $11,055 $83 5.2% (772) 255-6565
12 ACCESS TELECARE PLLC SPRING TN NEUROLOGY 399 123 $22,650 $184 5.2% (972) 449-0540
13 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 122 $32,330 $265 4.8% (239) 343-9888
14 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 115 $16,814 $146 3.4% (254) 724-2663
15 APPALACHIAN REGIONAL HEALTHCARE INC HAZARD KY NURSE PRACTITIONER 277 109 $17,876 $164 100.0% (606) 439-1316
16 MID-SOUTH INFECTIOUS DISEASE ASSOCIATES, PLLC MEMPHIS TN INFECTIOUS DISEASE 12 104 $13,312 $128 4.4% (901) 681-0778
17 VIJAY SHANMUGAM M D INC LANCASTER MI NEUROLOGY 2 98 $17,065 $174 19.1% (661) 726-9220
18 TOP OF TEXAS PSYCHIATRY, PLLC AMARILLO TX NURSE PRACTITIONER 12 94 $13,370 $142 2.8% (806) 354-9540
19 WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN VA NURSE PRACTITIONER 64 82 $22,252 $271 66.7% (920) 262-4825
20 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 80 $47,280 $591 20.8% —
21 BLUE SKY TELEHEALTH LLC GREENWOOD VILLAGE AL NEUROLOGY 65 78 $14,364 $184 100.0% (303) 343-6272
22 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX TN PHYSICIAN ASSISTANT 349 74 $15,540 $210 3.1% (602) 839-3927
23 GNI NEUROSERVICES, LLC LANGHORNE LA NEUROLOGY 26 69 $15,937 $231 5.6% (844) 464-6387
24 MAHEEP SINGH BIRDI MD VISALIA OR NEUROLOGY 3 65 $11,970 $184 29.3% (661) 432-7851
25 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 61 $4,157 $68 9.7% (605) 322-5180
26 ASSOCIATED CLINIC OF PSYCHOLOGY INC ST LOUIS PARK MN CLINICAL SOCIAL WORKER 134 58 $10,150 $175 80.6% (612) 925-6033
27 ROBERT MARRIOTT MEDICAL CORP IRVINE TX NURSE PRACTITIONER 61 54 $8,183 $152 1.6% (949) 854-9500
28 FRONTIER PSYCHIATRY PLLC BILLINGS WA NURSE PRACTITIONER 33 53 $9,760 $184 24.9% (406) 200-8471
29 JERSEY SHORE GERIATRICS INC MARLBORO NJ NURSE PRACTITIONER 12 53 $3,975 $75 35.6% (732) 866-9922
30 CHICKASAW NATION DIVISION OF HEALTH ADA OK DIAGNOSTIC RADIOLOGY 245 43 $7,918 $184 1.4% (580) 436-3980
31 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND TN NURSE PRACTITIONER 352 40 $7,290 $182 1.7% (804) 764-6000
32 CAMC GREENBRIER VALLEY MEDICAL CENTER INC RONCEVERTE WV PHYSICIAN ASSISTANT 78 39 $8,400 $215 44.3% —
33 CCMMA SC LLC MC LEAN IN CRITICAL CARE (INTENSIVISTS) 18 38 $9,711 $256 13.6% (845) 702-2711
34 TELEMEDICINE GROUP PC ROSEVILLE CA REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 37 $8,140 $220 3.7% (916) 740-3721
35 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 37 $5,263 $142 1.1% (325) 747-1511
36 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 35 $9,100 $260 3.5% (800) 872-2273
37 ACCESS TELECARE PLLC SPRING MI NEUROLOGY 399 32 $5,893 $184 6.2% (972) 449-0540
38 INTERNATIONAL MEDICAL CLINIC PLLC GARDEN CITY MI NEUROLOGY 8 27 $4,401 $163 5.3% (248) 955-9949
39 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 26 $4,108 $158 6.8% (513) 246-7000
40 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 24 $2,640 $110 4.7% (313) 916-2600
41 ACCESS TELECARE PLLC SPRING OH NEUROLOGY 399 23 $4,235 $184 6.0% (972) 449-0540
42 FOREFRONT - MURDOCK MEDICAL SERVICES PC SACRAMENTO CA NURSE PRACTITIONER 5 23 $4,235 $184 2.3% (972) 449-0540
43 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 22 $6,846 $311 2.2% (916) 983-7476
44 SHARMA AND SHARMA MEDICAL PLLC MOUNT VERNON NY INTERNAL MEDICINE 2 21 $2,667 $127 8.1% (914) 699-7645
45 ACCESS TELECARE PLLC SPRING AZ NEUROLOGY 399 20 $3,683 $184 3.6% (972) 449-0540
46 TELEMEDICINE GROUP PC ROSEVILLE OR REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 19 $4,180 $220 8.6% (916) 740-3721
47 SAN JUAN REGIONAL MEDICAL CENTER, INC. FARMINGTON NM INTERNAL MEDICINE 221 17 $3,131 $184 100.0% —
48 APPALACHIAN REGIONAL HEALTHCARE INC HAZARD TX NURSE PRACTITIONER 277 16 $2,664 $167 0.5% (606) 439-1316
49 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 16 $2,977 $186 7.5% —
50 PHYSICIAN PROVIDERS GROUP PA Inverness FL PAIN MANAGEMENT 2 15 $2,655 $177 0.6% —
51 COUNTY OF SAN MATEO SAN MATEO CA NURSE PRACTITIONER 314 14 $2,578 $184 1.4% (650) 573-2222
52 RAJESH C PATEL MD INC DAYTON OH NURSE PRACTITIONER 24 14 $1,540 $110 3.6% (937) 832-0990
53 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN NY NURSE PRACTITIONER 35 14 $2,618 $187 5.4% (718) 534-0689
54 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO IN NURSE PRACTITIONER 250 13 $1,872 $144 4.6% (419) 291-1111
55 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO CA NURSE PRACTITIONER 250 13 $1,872 $144 1.3% (419) 291-1111
56 ACCESS TELECARE PLLC SPRING ID NEUROLOGY 399 12 $2,210 $184 100.0% (972) 449-0540
57 USMAN QURESHI, MD, PA ALICE TX NURSE PRACTITIONER 6 11 $1,138 $103 0.3% (361) 668-4278

*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 →