NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve HCPCS · E&M
Classification E&M Office/Outpatient Services (CMS RBCS)
First observed 2018
National scale 21,748 services ▲ 71.4% YoY · 21,744 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.3M · $61.53 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
64
Named-group FFS services
12,143
FFS of Medicare
49%
Services YoY
+71.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~23,161 services

12,143 observed fee-for-service (52%) · ~11,018 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 — G0513 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$738K
Named-group Medicare payments
$738K
Avg charge / svc
$122
Avg allowed / svc
$61
Avg payment / svc
$61
Average charge per group
$67 64 groups · avg submitted charge / service $308
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by G0513 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort G0513 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,585 $372,240 $144 premium 83.5%
2 GLUTALITY PROVIDER GROUP PA LOUISVILLE MT FAMILY PRACTICE 10 567 $56,700 $100 premium 100.0% (561) 678-2026
3 ANNAPOLIS INTERNAL MEDICINE, LLC ANNAPOLIS MD NURSE PRACTITIONER 22 566 $67,920 $120 premium 57.1% (410) 897-9841
4 PINNACLE PHYSICIANS GROUP LLC TREVOSE PA PHYSICIAN ASSISTANT 31 539 $53,900 $100 premium 74.8% (215) 464-4111
5 INTERNAL MEDICINE SPECIALISTS MEDICAL GROUP, INC FRESNO CA INTERNAL MEDICINE 2 533 $63,960 $120 premium 11.0% (559) 435-0339
6 EUGENE P HESLIN MD PC SAUGERTIES NY FAMILY PRACTICE 5 497 $37,275 $75 premium 81.2% (845) 246-3000
7 CTD NETWORK LLC PLANT CITY TX FAMILY PRACTICE 28 414 $41,400 $100 premium 15.2% (813) 807-3338
8 E AND S FAMILY MEDICINE PHYSICIANS ST PETERSBURG FL FAMILY PRACTICE 3 396 $29,700 $75 premium 78.9% (727) 321-9614
9 COLLABORATIVE GERIATRICS INC KATY TX NURSE PRACTITIONER 46 382 $48,560 $127 premium 14.0% (346) 387-7171
10 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE NJ DIAGNOSTIC RADIOLOGY 238 340 $46,240 $136 premium 67.6% (856) 358-6161
11 CTD NETWORK LLC PLANT CITY CA FAMILY PRACTICE 28 329 $32,900 $100 premium 6.8% (813) 807-3338
12 CTD NETWORK LLC PLANT CITY GA FAMILY PRACTICE 28 311 $31,100 $100 premium 34.6% (813) 807-3338
13 CENTER FOR MEDICINE ENDOCRINOLOGY AND DIABETES LLC ATLANTA GA INTERNAL MEDICINE 4 308 $36,960 $120 premium 34.2% (404) 256-0775
14 EAST GRANBY FAMILY PRACTICE LLC EAST GRANBY CT FAMILY PRACTICE 12 252 $31,500 $125 premium 77.1% (860) 653-4526
15 CTD NETWORK LLC PLANT CITY VA FAMILY PRACTICE 28 207 $20,700 $100 premium 67.6% (813) 807-3338
16 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NH NURSE PRACTITIONER 1270 206 $63,046 $306 premium 45.4% (603) 650-5000
17 CADENA FAMILY PRACTICE DEL RIO TX FAMILY PRACTICE 2 183 $13,176 $72 premium 6.7% (830) 775-8700
18 PLAINS MEDICAL CLINIC, LLC FARGO ND PHYSICIAN ASSISTANT 3 157 $14,890 $95 premium 100.0% (701) 499-4800
19 FAMILY FIRST MEDICAL CARE A PROFESSIONAL CORPORATION MODESTO CA NURSE PRACTITIONER 17 147 $15,914 $108 premium 3.0% (209) 522-3362
20 KINGFISHER CLINIC PLLC KINGFISHER OK FAMILY PRACTICE 3 146 $26,280 $180 premium 100.0% (405) 375-2350
21 VAL KOGANSKI MD PC LANGHORNE PA INTERNAL MEDICINE 2 139 $13,900 $100 premium 19.3% (215) 750-7000
22 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 137 $23,842 $174 premium 2.8% (858) 455-9100
23 HERSELF HEALTH MN PC SAINT PAUL MN NURSE PRACTITIONER 31 136 $16,520 $121 premium 81.4% (612) 256-8225
24 CTD NETWORK LLC PLANT CITY KY FAMILY PRACTICE 28 136 $13,600 $100 premium 52.5% (813) 807-3338
25 LANDMARK FAMILY HEALTHCARE LONDONDERRY NH NURSE PRACTITIONER 4 129 $19,350 $150 premium 28.4% (603) 425-6494
26 DANIEL MICHAELS M D INC LA JOLLA CA FAMILY PRACTICE 4 125 $10,000 $80 premium 2.6% (858) 450-5900
27 WILLOW WELLNESS CENTER, P.A. TYLER TX INTERNAL MEDICINE 2 123 $9,225 $75 premium 4.5% (903) 596-0602
28 OUR FAMILY DOCTOR, P. A. GARLAND TX NURSE PRACTITIONER 4 121 $15,851 $131 premium 4.4% (972) 864-2050
29 OUTER BANKS PROFESSIONAL SERVICES, LLC NAGS HEAD NC PHYSICIAN ASSISTANT 155 119 $19,040 $160 premium 63.6%
30 MAURICIO WAINTRUB, M.D., P.C AURORA CO PHYSICIAN ASSISTANT 26 117 $10,764 $92 premium 14.7% (303) 337-5575
31 CTD NETWORK LLC PLANT CITY MD FAMILY PRACTICE 28 108 $10,800 $100 premium 10.9% (813) 807-3338
32 GERIATRIC SPECIALTY CARE OF NEVADA, PLLC, STEVEN L. PHILLIPS, M.D. RENO NV NURSE PRACTITIONER 14 105 $12,600 $120 premium 33.1% (775) 398-1981
33 DRS. ENGEL AND LINDGREN FAMILY MEDICINE, P.C. KINGSTON NY FAMILY PRACTICE 4 104 $7,800 $75 premium 17.0% (845) 340-9506
34 TRUMEN PHYSICIANS AND ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 140 95 $12,065 $127 premium 3.5% (713) 795-9955
35 SCKE INC LAGUNA HILLS CA ENDOCRINOLOGY 20 95 $12,757 $134 premium 2.0% (949) 916-9100
36 FAMILY MEDICINE ASSOCIATES WESTFIELD MA INTERNAL MEDICINE 3 92 $9,300 $101 premium 44.0% 4135625173106
37 VALLEY ENDOCRINE ASSOCIATES, P.C. MESA AZ INTERNAL MEDICINE 3 91 $9,100 $100 premium 24.1% (480) 981-8088
38 FAMILY HEALTHCARE OF FAIRFAX PC FAIRFAX VA FAMILY PRACTICE 3 87 $8,700 $100 premium 28.4% (703) 573-6400
39 FAMILY MEDICINE HUB PLLC IDAHO FALLS ID NURSE PRACTITIONER 6 80 $5,750 $72 premium 44.4% (208) 357-4633
40 ALPHARETTA INTERNAL MEDICINE ASSOCIATES, PC ROSWELL GA INTERNAL MEDICINE 6 76 $17,100 $225 premium 8.4% 77047523772280
41 RAJIV AGARWAL MD PA HUMBLE TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 72 $6,052 $84 premium 2.6% (832) 644-8930
42 ADVANCED MEDICAL CARE LLC GERMANTOWN MD NURSE PRACTITIONER 5 66 $6,600 $100 premium 6.7% (301) 540-9447
43 REVIVE MED PARTNERS, LLC HIGHLAND VILLAGE TX NURSE PRACTITIONER 12 64 $6,400 $100 premium 2.4% (972) 236-7060
44 LEGACY EMANUEL HOSPITAL AND HEALTH CENTER PORTLAND OR INTERNAL MEDICINE 233 62 $10,478 $169 premium 58.5% (503) 413-4340
45 URGENT CARE NEVADA LLC LAS VEGAS NV PHYSICIAN ASSISTANT 101 48 $13,200 $275 premium 15.1% (702) 901-8320
46 COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC COLUMBUS IN NURSE PRACTITIONER 216 44 $6,820 $155 premium 15.6% (812) 373-3025
47 NORTH SHORE-LIJ MEDICAL PC MANHASSET NH PHYSICIAN ASSISTANT 6294 40 $12,308 $308 premium 8.8%
48 CRADDOCK HEALTH CENTER P C SYLACAUGA AL INTERNAL MEDICINE 4 34 $2,380 $70 premium 16.5% (256) 245-5241
49 CARRICO CONGLETON FAMILY PRACTICE LLC OWENSBORO KY NURSE PRACTITIONER 3 34 $4,237 $125 premium 13.1% (270) 215-0234
50 FAMILY PRACTICE GROUP, P.A. POCATELLO ID FAMILY PRACTICE 14 31 $2,077 $67 premium 17.2% (208) 238-1000
51 MARIO R ANZALDUA MD PA MISSION TX NURSE PRACTITIONER 9 28 $2,800 $100 premium 1.0% (956) 519-7088
52 MECNB LLC TEQUESTA PA PHYSICIAN ASSISTANT 26 27 $2,700 $100 premium 3.7% (561) 747-4464
53 LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR INTERNAL MEDICINE 108 27 $4,563 $169 premium 25.5% (503) 413-4330
54 PHILLIPS FAMILY MEDICAL PLLC DESOTO TX INTERNAL MEDICINE 2 25 $5,246 $210 premium 0.9% (972) 709-3415
55 CLARK MEDICAL GROUP LLC STATESBORO GA FAMILY PRACTICE 2 24 $2,040 $85 premium 2.7% (912) 623-2155
56 POWERBACK REHABILITATION LLC CLINTON TWP TX FAMILY PRACTICE 591 24 $3,080 $128 premium 0.9% (342) 627-3267
57 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA CORNING IA FAMILY PRACTICE 26 22 $2,992 $136 premium 100.0% (641) 322-3121
58 VILLAGEMD OF SOUTHEAST TEXAS PA HOUSTON TX NURSE PRACTITIONER 227 19 $2,445 $129 premium 0.7% (346) 646-4218
59 PRECISION FAMILY MEDICINE AND AESTHETICS LLC IDAHO FALLS ID NURSE PRACTITIONER 2 18 $1,420 $79 premium 10.0% (208) 419-3271
60 HOMETOWN HEALTH MANAGEMENT COMPANY RENO NV PHYSICIAN ASSISTANT 183 18 $2,160 $120 premium 5.7% (775) 982-5000
61 LEGACY EMANUEL HOSPITAL AND HEALTH CENTER PORTLAND GA INTERNAL MEDICINE 233 17 $2,873 $169 premium 1.9% (503) 413-4340
62 LEGACY CLINICS LLC PORTLAND OR PHYSICIAN ASSISTANT 717 17 $2,873 $169 premium 16.0% (503) 413-8988
63 MINUTECLINIC DIAGNOSTIC OF MINNESOTA PA BLAINE MN NURSE PRACTITIONER 85 16 $1,945 $122 premium 9.6% (866) 389-2727
64 UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA LAS VEGAS NV NURSE PRACTITIONER 374 15 $4,125 $275 premium 4.7%
65 LUTHERAN MEDICAL GROUP LLC FORT WAYNE IN NURSE PRACTITIONER 241 13 $1,911 $147 premium 4.6% (260) 434-6339
66 LEGACY HEALTHCARE SERVICES INC DURHAM GA INTERNAL MEDICINE 3859 13 $2,925 $225 premium 1.4% (919) 419-9600
67 WAYPOINTE INTERNAL MEDICINE, P.C. SAINT CLAIR SHORES MI PHYSICIAN ASSISTANT 5 12 $1,200 $100 premium 19.7% (586) 778-1881
68 3 G MEDICAL CONSULTANTS, LLC COLORADO SPRINGS CO FAMILY PRACTICE 2 11 $785 $71 premium 1.4% (719) 368-6628
69 COFFMAN FAMILY CARE AND WELLNESS, PLLC BEAVER DAM KY NURSE PRACTITIONER 4 11 $1,590 $145 premium 4.2% (270) 256-5911
70 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 11 $1,760 $160 premium 5.9% (910) 296-0941

*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 →