NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's HCPCS · E&M
Classification E&M › Care Management/Coordination (CMS RBCS)
First observed 2024
National scale 24.63M services · 15.35M beneficiaries (CY2024, Medicare FFS)
Medicare paid $295.9M · $12.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

9,132

Named groups billing this code
Named-group FFS services

17,965,393

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services YoY

—

Estimated all-Medicare volume estimate
FFS + estimated MA

~36,043,217 services

17,965,393 observed fee-for-service (50%) · ~18,077,824 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 — G2211 (CY2024)
CA 2,107,098 FL 1,917,163 NY 1,581,165 TX 1,578,637 PA 1,291,385

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
$794.8M
Named-group allowed amount
$284.8M
Named-group Medicare payments
$215.7M
Avg charge / svc
$44
Avg allowed / svc
$16
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
$0 9,132 groups · avg submitted charge / service $500
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G2211 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 166,385 $14,107,789 $85 10.5% —
2 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 137,152 $8,123,754 $59 6.5% (858) 455-9100
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 133,026 $18,500,232 $139 17.6% —
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 117,395 $8,036,662 $68 5.6% (415) 600-1020
5 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 109,277 $3,851,897 $35 5.7% (941) 255-3535
That's the top 5 of 9,132 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 →