NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes HCPCS · E&M
Classification E&M › Behavioral Health Services (CMS RBCS)
First observed 2015
National scale 982 services ▼ 4.8% YoY · 328 beneficiaries (CY2024, Medicare FFS)
Medicare paid $11K · $11.47 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group all-Medicare svcs · est.

1,720

Scaled from 864 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+2.9%

All-Medicare est. · observed FFS -4.8%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,720 services

864 observed fee-for-service (50%) · ~856 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 — G0473 (CY2024)
IL 342 WI 324 WA 80 MS 77 TX 57

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

Billed → allowed → paid
Named-group submitted charges
$51K
Named-group allowed amount
$10K
Named-group Medicare payments
$10K
Avg charge / svc
$59
Avg allowed / svc
$12
Avg payment / svc
$12
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$28 6 groups · avg submitted charge / service $100
Disease-burden context

Obesity (BMI ≥ 30) prevalence: 25.1–42.1% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: WV 42.1% · MS 40.6% · AR 39.5% · LA 39.5% · AL 39.3%
CDC-published US estimate: 34.3% (BRFSS 2024, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0473 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SEEN MEDICAL GROUP OF IL PC SCHAUMBURG IL NURSE PRACTITIONER 13 342 $9,576 $28 100.0% (630) 986-2800
2 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 324 $32,400 $100 100.0% (414) 421-8400
3 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 77 $2,156 $28 100.0% (601) 815-4775
4 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 56 $1,736 $31 70.0% —
5 MEETING HOUSE LANE MEDICAL PRACTICE PC SOUTHAMPTON NY INTERNAL MEDICINE 119 43 $4,300 $100 100.0% —
That's the top 5 of 6 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 →