NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

G0423 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0423 — Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session

Billing groups
24
Named-group FFS services
20,862
FFS of Medicare
49%
Services YoY
+15.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~43,055 services

20,862 observed fee-for-service (48%) · ~22,193 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 — G0423 (CY2024)

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

Named-group submitted charges
$7.9M
Named-group allowed amount
$2.7M
Named-group Medicare payments
$2.2M
Avg charge / svc
$377
Avg allowed / svc
$131
Avg payment / svc
$104
Average charge per group
$150 24 groups · avg submitted charge / service $610
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0423 services, CY2024
#Physician group City St Specialty Providers G0423 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 5,545 $2,343,603 $423 premium 45.0% (760) 340-3911
2 BAPTIST CARDIOLOGY, INC. JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 3,291 $893,506 $272 premium 58.8% (904) 399-1171
3 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 2,481 $874,585 $353 premium 70.3% (303) 778-5797
4 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 1,882 $726,720 $386 premium 59.3% (631) 444-1560
5 NEVADA HEART AND VASCULAR CENTER RESH LLP LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 42 1,272 $408,340 $321 premium 27.0% (702) 240-6482
6 PREMIER FAMILY CARE I INC MIDLAND TX NURSE PRACTITIONER 70 1,169 $454,741 $389 premium 38.1% (432) 686-6605
7 HEART AND VASCULAR CENTER OF NEW BRUNSWICK LLC SOMERSET NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 1,110 $539,923 $486 premium 45.7% (732) 846-7000
8 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 774 $472,140 $610 premium 6.3% (415) 476-1000
9 SALINE HEART GROUP PA BENTON AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 619 $247,600 $400 premium 10.3% (501) 315-4008
10 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 465 $168,795 $363 premium 10.1% 3372699777139
11 RAJIV AGARWAL MD PA HUMBLE TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 315 $120,383 $382 premium 10.3% (832) 644-8930
12 HEART AND VASCULAR CARE, LLC CUMMING GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 45 244 $146,668 $601 premium 9.2% (678) 513-2273
13 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 229 $49,235 $215 premium 5.0% (225) 765-1765
14 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 225 $57,600 $256 premium 9.3%
15 SWARUP LLC PHOENIX AR CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 186 $62,998 $339 premium 3.1% (602) 456-2342
16 TRI-CITY CARDIOLOGY CONSULTANTS PC MESA AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 168 $42,336 $252 premium 30.7% (480) 835-6100
17 ZAREK DONOHUE LLC WILMINGTON DE PHYSICIAN ASSISTANT 22 160 $31,992 $200 premium 100.0% (302) 543-5454
18 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 149 $57,555 $386 premium 4.7% (212) 263-9700
19 BMC AFFILIATED PHYSICIANS, INC. BROCKTON MA PHYSICIAN ASSISTANT 525 124 $45,136 $364 premium 100.0% (508) 427-3000
20 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 100 $31,700 $317 premium 1.8% (813) 844-7585
21 CARDIOVASCULAR ASSOCIATES OF MESA PC MESA AZ INTERVENTIONAL CARDIOLOGY 12 88 $22,176 $252 premium 16.1% (480) 641-5400
22 SOUTH PALM CARDIOVASCULAR ASSOCIATES LLC DELRAY BEACH FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 13 86 $12,900 $150 premium 1.5% (561) 515-0080
23 KUMAR RAVI MD FACC PC SUN CITY AZ INTERVENTIONAL CARDIOLOGY 7 69 $19,872 $288 premium 12.6% (623) 974-3649
24 PIMA HEART PHYSICIANS PC GREEN VALLEY AZ NURSE PRACTITIONER 65 41 $12,956 $316 premium 7.5% (520) 838-3540
25 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER TX PHYSICIAN ASSISTANT 748 38 $13,452 $354 premium 1.2% (303) 778-5797
26 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER IL PHYSICIAN ASSISTANT 748 32 $11,018 $344 premium 100.0% (303) 778-5797

*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 →