NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit HCPCS · E&M
Classification E&M › Office/Outpatient Services › Annual Wellness Visits (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 10.11M services ▲ 3.8% YoY · 10.11M beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2B · $117.95 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
10,069
Named-group FFS services
6,814,251
FFS of Medicare
49%
Services YoY
+3.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,661,753 services

6,814,251 observed fee-for-service (50%) · ~6,847,502 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; 4 states without payer-mix data excluded. How we scale

Top states — G0439 (CY2024)
FL 840,251 CA 745,526 TX 637,231 NY 546,336 PA 474,491

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

Named-group submitted charges
$2.0B
Named-group allowed amount
$793.3M
Named-group Medicare payments
$793.3M
Avg charge / svc
$287
Avg allowed / svc
$116
Avg payment / svc
$116
Average charge per group
$30 10,069 groups · avg submitted charge / service $1,550
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0439 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 52,092 $14,719,672 $283 12.1% —
2 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 50,073 $13,299,819 $266 6.0% (941) 255-3535
3 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 43,765 $7,037,297 $161 6.9% —
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 41,216 $9,314,897 $226 5.5% (415) 600-1020
5 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 35,054 $11,569,237 $330 8.2% (847) 459-1160
6 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 34,502 $8,712,802 $253 9.4% —
7 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 31,760 $10,109,301 $318 8.6% —
8 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 31,734 $11,739,323 $370 35.4% (801) 261-8346
9 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 31,613 $10,340,984 $327 11.7% (865) 938-3627
10 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 30,576 $7,002,762 $229 7.1% (630) 469-9200
11 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 29,546 $6,971,245 $236 7.4% —
12 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 29,535 $11,368,477 $385 5.4% (914) 241-1050
13 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 28,287 $6,209,282 $220 4.4% (254) 724-2663
14 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 27,698 $8,879,920 $321 3.3% —
15 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 27,276 $11,131,343 $408 19.9% (612) 863-4000
16 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 25,726 $16,127,314 $627 4.7% (212) 263-9700
17 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 25,546 $9,299,571 $364 7.6% (617) 421-1000
18 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 25,519 $10,141,275 $397 3.4% (916) 681-8852
19 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 25,284 $4,611,039 $182 6.3% (614) 451-9612
20 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 24,878 $6,056,189 $243 5.2% —
21 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 24,588 $6,672,996 $271 5.7% (630) 933-4800
22 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 24,560 $7,723,515 $314 2.9% (727) 725-5060
23 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 24,548 $14,545,118 $593 6.1% —
24 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 24,275 $7,389,909 $304 19.7% —
25 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 24,182 $8,772,513 $363 13.1% (414) 421-8400
26 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 23,978 $13,330,651 $556 4.4% —
27 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 23,723 $7,361,469 $310 18.2% (405) 254-9690
28 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 22,683 $5,562,254 $245 6.3% (704) 384-8200
29 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 22,200 $5,348,274 $241 9.1% —
30 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 21,799 $4,347,502 $199 4.6% (484) 526-2400
31 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 20,725 $5,122,295 $247 14.7% (502) 928-1050
32 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 20,661 $7,998,490 $387 5.9% (973) 971-5596
33 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 20,601 $5,649,228 $274 13.0% —
34 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 20,547 $7,970,389 $388 6.6% (770) 422-2004
35 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 20,042 $5,092,240 $254 8.2% (843) 720-8448
36 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 20,013 $4,651,277 $232 8.0% (520) 547-5725
37 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 19,793 $5,045,148 $255 3.1% (713) 266-9955
38 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 19,778 $5,796,568 $293 3.1% (903) 606-5560
39 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 19,744 $7,058,292 $357 2.6% (858) 455-9100
40 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 19,692 $8,810,436 $447 2.6% (916) 983-7476
41 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 19,335 $4,588,244 $237 5.5% (908) 273-4300
42 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 19,129 $10,923,137 $571 2.6% (310) 825-7922
43 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 18,912 $6,918,662 $366 4.4% —
44 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 18,571 $7,128,761 $384 2.2% (407) 831-4040
45 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 17,774 $4,165,989 $234 8.2% —
46 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 17,732 $10,015,939 $565 5.1% —
47 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 16,940 $6,926,713 $409 2.3% (714) 871-3006
48 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 16,928 $5,724,271 $338 2.7% (817) 281-2977
49 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON MA INTERNAL MEDICINE 294 16,650 $6,837,717 $411 4.9% (781) 784-9212
50 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 16,431 $6,924,573 $421 4.7% (732) 477-5600
51 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 16,045 $7,771,813 $484 6.5% (864) 587-3000
52 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 16,031 $6,232,037 $389 4.7% (508) 334-1000
53 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 16,003 $5,264,942 $329 4.4% (704) 667-1000
54 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 15,878 $24,113,270 $1,519 8.6% (608) 260-2900
55 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 15,805 $3,559,768 $225 12.2% (918) 502-4720
56 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 15,475 $4,997,726 $323 2.1% (925) 296-9720
57 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 15,318 $4,221,222 $276 7.1% —
58 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 14,705 $4,636,108 $315 3.7% —
59 ALLIANCE PHYSICIANS INC WEST CARROLLTON OH FAMILY PRACTICE 314 14,212 $2,772,765 $195 3.6% (937) 865-0534
60 MERCY CLINIC EAST COMMUNITIES SAINT LOUIS MO NURSE PRACTITIONER 580 13,988 $3,041,517 $217 8.0% (314) 872-9192
61 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 13,551 $2,708,200 $200 3.7% (757) 595-9880
62 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 13,427 $3,135,659 $234 12.1% (785) 354-9591
63 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 13,424 $4,760,894 $355 9.5% (502) 937-2209
64 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 13,242 $5,690,234 $430 2.4% —
65 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 13,232 $4,503,832 $340 4.3% —
66 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 13,190 $4,564,269 $346 7.5% —
67 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 13,149 $4,331,152 $329 4.5% (202) 429-2401
68 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 13,036 $6,004,619 $461 9.5% (952) 993-3123
69 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 13,032 $3,578,908 $275 10.0% (405) 751-5555
70 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 12,955 $3,290,451 $254 31.5% (207) 885-9905
71 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 12,244 $3,734,420 $305 8.7% (859) 578-5880
72 HONORHEALTH MEDICAL GROUP, LLC PHOENIX AZ FAMILY PRACTICE 326 12,147 $3,073,503 $253 4.9% (602) 371-3100
73 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 12,138 $4,557,844 $376 6.9% (253) 428-2200
74 TRIHEALTH G LLC CINCINNATI OH FAMILY PRACTICE 298 12,107 $2,503,816 $207 3.0% (513) 246-7000
75 PIEDMONT MEDICAL CARE CORPORATION ATLANTA GA FAMILY PRACTICE 363 11,952 $4,700,668 $393 3.9% (404) 367-3210
76 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 11,945 $2,169,139 $182 1.6% (925) 462-7060
77 FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC GERMANTOWN WI NURSE PRACTITIONER 1260 11,708 $4,768,272 $407 6.3% (262) 253-5060
78 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 11,694 $3,196,251 $273 9.0% —
79 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 11,690 $3,733,076 $319 15.4% —
80 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 11,495 $6,453,259 $561 3.4% (978) 741-4133
81 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 11,417 $1,575,708 $138 9.3% (515) 239-4400
82 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 11,254 $2,791,279 $248 4.1% (615) 322-5000
83 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 10,984 $2,850,185 $259 3.5% (770) 219-7777
84 PALMETTO PRIMARY CARE PHYSICIANS LLC SUMMERVILLE SC NURSE PRACTITIONER 145 10,820 $3,039,338 $281 4.4% (843) 695-6071
85 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 10,764 $4,999,313 $464 7.8% (651) 221-3456
86 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 10,657 $2,929,268 $275 1.7% (817) 514-4000
87 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 10,609 $3,834,779 $361 2.2% (610) 431-5000
88 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 10,567 $2,970,975 $281 12.4% (402) 354-8163
89 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 10,543 $2,897,185 $275 6.0% —
90 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 10,424 $2,707,238 $260 2.2% (717) 782-2100
91 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 10,400 $2,444,961 $235 2.2% —
92 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 10,254 $4,092,468 $399 9.0% —
93 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 10,233 $2,858,475 $279 3.0% —
94 INOVA PHYSICIAN PARTNERS LLC CHANTILLY VA FAMILY PRACTICE 334 10,207 $3,214,855 $315 2.8% (703) 435-1223
95 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 10,174 $1,680,835 $165 4.7% (317) 338-2345
96 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 10,163 $2,095,620 $206 2.8% —
97 UPMC COMMUNITY MEDICINE INC PITTSBURGH PA FAMILY PRACTICE 749 10,116 $2,581,946 $255 2.1% (412) 281-0322
98 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 10,076 $3,177,842 $315 1.4% (805) 681-7500
99 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 10,072 $3,576,724 $355 3.4% (240) 215-1138
100 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 9,988 $2,071,596 $207 4.1% (803) 744-4900

Showing the top 100 of 10,069 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 →