NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth HCPCS · E&M
Classification E&M › Emergency Department Services › Emergency Department E&M (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 26,148 services ▼ 3.7% YoY · 24,253 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.8M · $68.14 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
70
Named-group FFS services
5,099
FFS of Medicare
49%
Services YoY
-3.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,545 services

5,099 observed fee-for-service (48%) · ~5,446 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 — G0425 (CY2024)
NY 6,021 FL 5,982 NJ 1,345 TX 1,323 CA 1,147

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$447K
Named-group Medicare payments
$345K
Avg charge / svc
$335
Avg allowed / svc
$88
Avg payment / svc
$68
Average charge per group
$109 70 groups · avg submitted charge / service $816
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0425 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN NY NURSE PRACTITIONER 35 441 $110,250 $250 7.3% (718) 534-0689
2 HOUSECALLS MEDICINE NY PC NEW YORK NY NURSE PRACTITIONER 22 380 $95,000 $250 6.3% (718) 360-9370
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 354 $288,864 $816 57.7% —
4 TIGALAT SHALITA, D O INC. WEST HILLS CA FAMILY PRACTICE 2 275 $33,000 $120 24.0% (818) 676-0080
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 208 $112,112 $539 33.3% —
6 MERCY ACO CLINICAL SERVICES INC CHESTERFIELD MO NURSE PRACTITIONER 134 205 $58,015 $283 31.2% (636) 237-4200
7 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 192 $52,416 $273 26.1% (770) 422-2004
8 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 189 $37,800 $200 28.9% —
9 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 168 $43,008 $256 77.4% (405) 751-5555
10 MERCY ACO CLINICAL SERVICES INC CHESTERFIELD AR NURSE PRACTITIONER 134 130 $36,790 $283 70.3% (636) 237-4200
11 BLUE SKY TELEHEALTH LLC GREENWOOD VILLAGE CA NEUROLOGY 65 110 $51,150 $465 9.6% (303) 343-6272
12 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD FL PHYSICIAN ASSISTANT 1326 108 $34,948 $324 1.8% —
13 BRADLEY PHYSICIAN SERVICES, LLC CLEVELAND TN NURSE PRACTITIONER 74 94 $25,004 $266 22.2% (423) 476-5002
14 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 93 $24,366 $262 22.3% (734) 763-5459
15 CCMMA SC LLC MC LEAN IN CRITICAL CARE (INTENSIVISTS) 18 80 $63,120 $789 28.5% (845) 702-2711
16 ALEGENT CREIGHTON CLINIC OMAHA FL PHYSICIAN ASSISTANT 942 80 $22,130 $277 1.3% —
17 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 78 $21,564 $276 44.1% (504) 842-3000
18 GEISINGER CLINIC DANVILLE FL PHYSICIAN ASSISTANT 3426 66 $20,201 $306 1.1% (570) 271-6144
19 PARKWEST MEDICAL CENTER KNOXVILLE TN NURSE PRACTITIONER 61 65 $14,625 $225 15.3% (865) 694-5700
20 MERCY ACO CLINICAL SERVICES INC CHESTERFIELD VA NURSE PRACTITIONER 134 63 $17,829 $283 12.5% (636) 237-4200
21 APPALACHIAN REGIONAL HEALTHCARE INC HAZARD KY NURSE PRACTITIONER 277 61 $15,006 $246 54.0% (606) 439-1316
22 COOKEVILLE REGIONAL MEDICAL CENTER COOKEVILLE FL PSYCHIATRY 58 59 $19,601 $332 1.0% (931) 783-2497
23 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 57 $27,873 $489 1.0% (904) 953-2000
24 PANDC HEALTHCARE LLC INDEPENDENCE MO NURSE PRACTITIONER 37 57 $19,950 $350 8.7% (913) 222-9779
25 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 54 $10,746 $199 5.6% (717) 782-2100
26 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 53 $19,578 $369 4.6% (415) 600-1020
27 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 53 $14,946 $282 42.4% (304) 598-4865
28 PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL NURSE PRACTITIONER 450 53 $10,547 $199 0.9% (305) 585-1111
29 ROCHESTER GENERAL HOSPITAL ROCHESTER NY PHYSICIAN ASSISTANT 1218 52 $8,766 $169 0.9% (585) 922-4000
30 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 49 $9,900 $202 3.7% (254) 724-2663
31 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 49 $17,933 $366 5.1% (215) 456-8242
32 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 46 $20,930 $455 100.0% (508) 334-1000
33 NORTHWEST SUBURBAN PAIN ASSOCIATES LLC ARLINGTON HEIGHTS IL PAIN MANAGEMENT 4 43 $9,245 $215 6.9% (847) 255-0900
34 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH FL DIAGNOSTIC RADIOLOGY 4291 41 $13,329 $325 0.7% —
35 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 36 $13,500 $375 18.5% (800) 603-0558
36 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM FL PHYSICIAN ASSISTANT 3051 35 $12,516 $358 0.6% (919) 684-8111
37 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN PA NURSE PRACTITIONER 35 35 $8,750 $250 3.6% (718) 534-0689
38 OSF MULTI-SPECIALTY GROUP PEORIA FL NURSE PRACTITIONER 2091 34 $11,082 $326 0.6% (309) 683-5050
39 GNI NEUROSERVICES, LLC LANGHORNE LA NEUROLOGY 26 33 $10,205 $309 18.6% (844) 464-6387
40 UNIVERSITY OF MARYLAND NEUROLOGY ASSOCIATES PA BALTIMORE MD NEUROLOGY 55 32 $6,879 $215 9.3% (410) 448-6383
41 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 32 $12,768 $399 9.2% (720) 777-1234
42 PSYCHOLOGICAL AND BEHAVIORAL CONSULTANTS LLC BEACHWOOD MO CLINICAL SOCIAL WORKER 541 32 $6,792 $212 4.9% (216) 468-5000
43 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 30 $12,780 $426 4.6% (843) 792-1414
44 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NC PHYSICIAN ASSISTANT 1692 30 $12,618 $421 4.7% (843) 792-1414
45 GEORGIA MSO LLC MARIETTA GA NURSE PRACTITIONER 21 30 $7,500 $250 4.1% (212) 734-6621
46 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 29 $11,571 $399 3.0% —
47 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 29 $9,889 $341 4.5% (910) 296-0941
48 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 27 $5,400 $200 4.1% (803) 749-5101
49 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 27 $9,936 $368 38.6% (715) 838-5222
50 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 26 $6,552 $252 34.2% (601) 815-4775
51 MCPC-11 LLC PINEHURST LA PSYCHIATRY 30 26 $15,911 $612 14.7% (910) 715-3376
52 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 25 $8,975 $359 2.2% (916) 983-7476
53 MCALLEN HOSPITALIST GROUP PLLC MCALLEN TX INTERNAL MEDICINE 101 23 $4,577 $199 1.7% (956) 632-4000
54 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 23 $8,717 $379 16.0% (507) 284-2511
55 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 22 $6,204 $282 3.5% (847) 459-1160
56 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON CA NURSE PRACTITIONER 951 21 $5,292 $252 1.8% (601) 815-4775
57 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 20 $7,400 $370 0.3% (239) 343-9888
58 SUTTER BAY MEDICAL FOUNDATION PALO ALTO AZ INTERNAL MEDICINE 3716 19 $7,182 $378 9.7% (415) 600-1020
59 CHICKASAW NATION DIVISION OF HEALTH ADA OK DIAGNOSTIC RADIOLOGY 245 18 $5,400 $300 8.3% (580) 436-3980
60 NUVIEW TELEHEALTH LLC FT LAUDERDALE FL NEUROLOGY 97 18 $5,278 $293 0.3% (954) 776-8500
61 ST. JOHN PHYSICIANS, INC. TULSA OK NURSE PRACTITIONER 263 18 $4,737 $263 8.3% —
62 BRONSON METHODIST HOSPITAL KALAMAZOO KY PHYSICIAN ASSISTANT 728 17 $3,349 $197 15.0% —
63 SUTTER BAY MEDICAL FOUNDATION PALO ALTO NJ INTERNAL MEDICINE 3716 16 $6,048 $378 1.2% (415) 600-1020
64 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 16 $5,280 $330 1.4% (800) 872-2273
65 NCHMD INC NAPLES FL NEUROLOGY 515 15 $4,722 $315 0.3% (239) 436-5100
66 CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC SLEEPY HOLLOW NY CRITICAL CARE (INTENSIVISTS) 24 15 $11,391 $759 0.2% (917) 608-5303
67 APPLEDORE MEDICAL GROUP INC PORTSMOUTH NH PHYSICIAN ASSISTANT 202 14 $4,512 $322 14.7% (603) 334-2065
68 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO TN NURSE PRACTITIONER 4339 14 $7,546 $539 3.3% —
69 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 13 $3,692 $284 100.0% (605) 332-2883
70 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 13 $3,159 $243 3.1% (616) 885-5000
71 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 13 $5,750 $442 4.1% —
72 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 12 $3,876 $323 1.9% (312) 563-2875
73 GEISINGER CLINIC DANVILLE SC PHYSICIAN ASSISTANT 3426 12 $2,520 $210 1.8% (570) 271-6144
74 HENRICO DOCTORS NEUROLOGY ASSOCIATES LLC NORTH CHESTERFIELD VA NEUROLOGY 16 12 $4,033 $336 2.4% (804) 288-2742
75 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 12 $9,792 $816 1.8% (314) 273-0195
76 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 12 $2,976 $248 2.0% —
77 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 12 $2,520 $210 6.8% (801) 261-8346
78 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NV PHYSICIAN ASSISTANT 2389 12 $3,284 $274 13.6% (704) 384-8200
79 M.Z.UDDIN MD PC SACRAMENTO IL PSYCHIATRY 2 11 $1,200 $109 1.8% (601) 622-6180
80 METHODIST HEALTH, INC. HENDERSON MO EMERGENCY MEDICINE 76 11 $2,640 $240 1.7% (270) 827-7100
81 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON AL NURSE PRACTITIONER 951 11 $2,772 $252 3.6% (601) 815-4775

*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 →