NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

G0426 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0426 — Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth

Billing groups
96
Named-group FFS services
8,430
FFS of Medicare
49%
Services YoY
+11.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,100 services

8,430 observed fee-for-service (47%) · ~9,670 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 — G0426 (CY2024)
NY 7,271 FL 6,365 TX 2,879 CA 1,296 GA 1,199

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

Named-group submitted charges
$3.5M
Named-group allowed amount
$1.0M
Named-group Medicare payments
$802K
Avg charge / svc
$416
Avg allowed / svc
$122
Avg payment / svc
$95
Average charge per group
$192 96 groups · avg submitted charge / service $1,254
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 group City St Specialty Providers G0426 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN NY NURSE PRACTITIONER 35 753 $225,900 $300 10.4% (718) 534-0689
2 ACCESS TELECARE PLLC SPRING FL NEUROLOGY 399 581 $202,438 $348 9.1% (972) 449-0540
3 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 396 $222,172 $561 43.5% (843) 792-1414
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 380 $421,420 $1,109 36.1% —
5 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 294 $82,015 $279 10.2% (254) 724-2663
6 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 248 $92,542 $373 54.3% (504) 842-3000
7 MERCY ACO CLINICAL SERVICES INC CHESTERFIELD MO NURSE PRACTITIONER 134 235 $90,475 $385 20.2% (636) 237-4200
8 PATIENT FIRST MEDICAL PRACTICE PC BROOKLYN GA NURSE PRACTITIONER 35 226 $67,800 $300 18.8% (718) 534-0689
9 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 210 $105,228 $501 3.3% (239) 343-9888
10 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NV PHYSICIAN ASSISTANT 2389 188 $57,528 $306 26.1% (704) 384-8200
11 PARKWEST MEDICAL CENTER KNOXVILLE TN NURSE PRACTITIONER 61 185 $46,250 $250 23.0% (865) 694-5700
12 VIJAY SHANMUGAM M D INC LANCASTER MI NEUROLOGY 2 185 $62,123 $336 26.1% (661) 726-9220
13 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 175 $61,600 $352 24.7% (734) 763-5459
14 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 164 $44,608 $272 18.0% —
15 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 156 $53,475 $343 36.4% (405) 751-5555
16 BLUE SKY TELEHEALTH LLC GREENWOOD VILLAGE AL NEUROLOGY 65 130 $45,296 $348 37.8% (303) 343-6272
17 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 124 $36,084 $291 17.5% (616) 885-5000
18 ACCESS TELECARE PLLC SPRING ID NEUROLOGY 399 123 $42,857 $348 100.0% (972) 449-0540
19 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 119 $93,772 $788 1.9% (904) 953-2000
20 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 118 $52,392 $444 17.9% (973) 971-5596
21 ACCESS TELECARE PLLC SPRING TX NEUROLOGY 399 113 $38,935 $345 3.9% (972) 449-0540
22 USMAN QURESHI, MD, PA ALICE TX NURSE PRACTITIONER 6 103 $20,156 $196 3.6% (361) 668-4278
23 MERCY ACO CLINICAL SERVICES INC CHESTERFIELD VA NURSE PRACTITIONER 134 102 $39,270 $385 19.6% (636) 237-4200
24 PRIMARY CARE CENTERS OF EASTERN KENTUCKY LLC HAZARD KY NURSE PRACTITIONER 45 102 $33,762 $331 54.3% (606) 439-1300
25 BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC PHOENIX TN PHYSICIAN ASSISTANT 349 98 $38,220 $390 12.2% (602) 839-3927
26 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 93 $116,622 $1,254 1.5% (772) 223-5665
27 NUVIEW TELEHEALTH LLC FT LAUDERDALE FL NEUROLOGY 97 91 $37,152 $408 1.4% (954) 776-8500
28 ACCESS TELECARE PLLC SPRING OH NEUROLOGY 399 79 $27,526 $348 7.5% (972) 449-0540
29 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 78 $21,138 $271 7.0% (717) 782-2100
30 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 75 $47,400 $632 32.8% (508) 334-1000
31 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 73 $25,080 $344 6.1% (770) 422-2004
32 COUNTY OF MONTEREY SALINAS CA DIAGNOSTIC RADIOLOGY 183 71 $24,739 $348 5.5% (831) 755-4235
33 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 60 $15,165 $253 11.5% —
34 BRADLEY PHYSICIAN SERVICES, LLC CLEVELAND TN NURSE PRACTITIONER 74 59 $21,358 $362 7.3% (423) 476-5002
35 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 58 $22,156 $382 42.3% (304) 598-4865
36 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND TN NURSE PRACTITIONER 352 57 $18,757 $329 7.1% (804) 764-6000
37 TELEMEDICINE GROUP PC ROSEVILLE OR REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 56 $23,520 $420 12.7% (916) 740-3721
38 FOREFRONT-RUSH MEDICAL SERVICES PC LITTLE ROCK AR NURSE PRACTITIONER 12 55 $19,164 $348 45.8% (972) 449-0540
39 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 55 $32,725 $595 17.3% (800) 603-0558
40 ACCESS TELECARE PLLC SPRING UT NEUROLOGY 399 53 $18,467 $348 32.1% (972) 449-0540
41 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 51 $15,300 $300 11.9% —
42 MCCD FL PSYCHIATRY SERVICES PA MCKINNEY FL PSYCHIATRY 653 51 $25,551 $501 0.8% (917) 634-5311
43 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 47 $18,522 $394 4.2% (570) 271-6144
44 GEISINGER CLINIC DANVILLE FL PHYSICIAN ASSISTANT 3426 47 $14,176 $302 0.7% (570) 271-6144
45 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 46 $33,534 $729 9.1% —
46 FAMILY CARE 323 PLLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 2 45 $9,150 $203 10.5% (405) 272-4978
47 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 43 $23,349 $543 3.9% —
48 MERCY ACO CLINICAL SERVICES INC CHESTERFIELD AR NURSE PRACTITIONER 134 43 $16,555 $385 35.8% (636) 237-4200
49 ACCESS TELECARE PLLC SPRING NC NEUROLOGY 399 42 $14,634 $348 3.9% (972) 449-0540
50 CHICKASAW NATION DIVISION OF HEALTH ADA OK DIAGNOSTIC RADIOLOGY 245 40 $13,937 $348 9.3% (580) 436-3980
51 ACCESS TELECARE PLLC SPRING MI NEUROLOGY 399 40 $13,937 $348 5.6% (972) 449-0540
52 PSYCHIATRIC AND PSYCHOLOGICAL ASSOCIATES OF DURHAM, PLLC DURHAM NC CLINICAL PSYCHOLOGIST 13 38 $10,516 $277 3.5% (919) 479-1600
53 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM TX PHYSICIAN ASSISTANT 2389 38 $11,628 $306 1.3% (704) 384-8200
54 FOREFRONT TELECARE INC WISNER LA NURSE PRACTITIONER 31 36 $12,543 $348 7.9% (972) 449-0540
55 ACCESS TELECARE PLLC SPRING KY NEUROLOGY 399 36 $12,543 $348 19.1% (972) 449-0540
56 COUNTY OF SAN MATEO SAN MATEO CA NURSE PRACTITIONER 314 35 $12,195 $348 2.7% (650) 573-2222
57 PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL NURSE PRACTITIONER 450 35 $9,765 $279 0.5% (305) 585-1111
58 APPALACHIAN REGIONAL HEALTHCARE INC HAZARD KY NURSE PRACTITIONER 277 34 $11,254 $331 18.1% (606) 439-1316
59 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 33 $18,876 $572 10.7% (507) 284-2511
60 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 32 $15,021 $469 2.5% (415) 600-1020
61 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH FL DIAGNOSTIC RADIOLOGY 4291 31 $16,104 $519 0.5% —
62 FHPG LLC PINEHURST NC PHYSICIAN ASSISTANT 198 30 $9,938 $331 2.8% (910) 715-2164
63 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 30 $9,970 $332 2.7% (484) 526-2400
64 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 29 $15,428 $532 2.8% —
65 HOSPITAL MENONITA CAGUAS INC CAGUAS PR INTERNAL MEDICINE 40 28 $7,168 $256 100.0% (787) 434-1700
66 MCPC-11 LLC PINEHURST LA PSYCHIATRY 30 28 $33,840 $1,209 6.1% (910) 715-3376
67 MID-SOUTH INFECTIOUS DISEASE ASSOCIATES, PLLC MEMPHIS TN INFECTIOUS DISEASE 12 28 $7,280 $260 3.5% (901) 681-0778
68 ACCESS TELECARE PLLC SPRING IL NEUROLOGY 399 27 $9,408 $348 5.4% (972) 449-0540
69 ALEGENT CREIGHTON CLINIC OMAHA FL PHYSICIAN ASSISTANT 942 27 $12,381 $459 0.4% —
70 ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC MOUNT PLEASANT TX PHYSICIAN ASSISTANT 559 25 $10,284 $411 0.9% (262) 687-7606
71 ACCESS TELECARE PLLC SPRING GA NEUROLOGY 399 25 $8,711 $348 2.1% (972) 449-0540
72 CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC ENGLEWOOD LA NEUROLOGY 39 24 $15,672 $653 5.3% (303) 788-6911
73 KAUAI MEDICAL CLINIC LIHUE HI ANESTHESIOLOGY 152 24 $7,800 $325 63.2% (808) 245-1500
74 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 24 $9,076 $378 2.2% (215) 456-8242
75 SHEPPARD PRATT PHYSICIANS PA BALTIMORE TN NURSE PRACTITIONER 75 23 $7,730 $336 2.9% (410) 938-5000
76 DISTRICT MEDICAL GROUP INC PHOENIX AZ PSYCHIATRY 466 23 $5,980 $260 7.2% (602) 914-1520
77 SKYLINE NEUROSCIENCE ASSOCIATES LLC NASHVILLE TN NEUROLOGY 15 23 $9,380 $408 2.9% (615) 860-1040
78 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO MI NURSE PRACTITIONER 250 22 $5,918 $269 3.1% (419) 291-1111
79 MAHEEP SINGH BIRDI MD VISALIA OR NEUROLOGY 3 22 $7,665 $348 5.0% (661) 432-7851
80 INTEGRATIVE WELLNESS SOLUTIONS PLLC GREENSBORO NC MENTAL HEALTH COUNSELOR 135 20 $5,560 $278 1.8% (704) 360-3637
81 ACCESS TELECARE PLLC SPRING PA NEUROLOGY 399 20 $6,969 $348 1.8% (972) 449-0540
82 ACCESS TELECARE PLLC SPRING IN NEUROLOGY 399 19 $6,620 $348 13.8% (972) 449-0540
83 TELEMEDICINE GROUP PC ROSEVILLE CA REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 18 $7,560 $420 1.4% (916) 740-3721
84 ACCESS TELECARE PLLC SPRING AZ NEUROLOGY 399 18 $6,272 $348 5.7% (972) 449-0540
85 ACCESS TELECARE PLLC SPRING MS NEUROLOGY 399 17 $5,923 $348 8.3% (972) 449-0540
86 ACCESS TELECARE PLLC SPRING CT NEUROLOGY 399 17 $5,923 $348 11.1% (972) 449-0540
87 GUAM MEMORIAL HOSPITAL TAMUNING GA INTERNAL MEDICINE 130 17 $4,441 $261 1.4% —
88 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 17 $6,358 $374 1.9% (803) 744-4900
89 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 17 $4,759 $280 5.5% (218) 576-0680
90 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO CA NURSE PRACTITIONER 250 16 $4,304 $269 1.2% (419) 291-1111
91 PORTLAND PRIMARY CARE, LLC GALLATIN TN FAMILY PRACTICE 6 16 $6,438 $402 2.0% (615) 230-8601
92 LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH MO NURSE PRACTITIONER 129 15 $5,192 $346 1.3% (573) 348-2225
93 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NC PHYSICIAN ASSISTANT 1692 15 $8,639 $576 1.4% (843) 792-1414
94 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 15 $7,380 $492 1.4% (717) 531-5638
95 CAMC GREENBRIER VALLEY MEDICAL CENTER INC RONCEVERTE WV PHYSICIAN ASSISTANT 78 15 $5,846 $390 10.9% —
96 INTERNATIONAL MEDICAL CLINIC PLLC GARDEN CITY MI NEUROLOGY 8 15 $9,525 $635 2.1% (248) 955-9949
97 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 15 $5,445 $363 55.6% (202) 429-2401
98 GASPER NEUROLOGY, LTD CRANSTON RI NEUROLOGY 2 14 $4,878 $348 6.4% (401) 714-0222
99 APPALACHIAN REGIONAL BEHAVIORAL HEALTHCARE INC LINVILLE OR PSYCHIATRY 9 14 $4,878 $348 3.2% (828) 262-9168
100 KNOXVILLE KIDNEY CENTER, PLLC KNOXVILLE TN NEPHROLOGY 12 14 $5,450 $389 1.7% (865) 692-3462

Showing the top 100 of 96 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 →