NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G3003 Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) HCPCS · E&M
Classification E&M › Care Management/Coordination (CMS RBCS)
First observed 2023
National scale 31,523 services ▲ 65.1% YoY · 8,248 beneficiaries (CY2024, Medicare FFS)
Medicare paid $703K · $22.30 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

32

Named groups billing this code
Named-group FFS services

21,717

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+65.1%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~45,469 services

21,717 observed fee-for-service (48%) · ~23,752 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 — G3003 (CY2024)
FL 15,290 NH 2,750 KY 2,276 CA 1,717 TN 1,649

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
$1.9M
Named-group allowed amount
$605K
Named-group Medicare payments
$480K
Avg charge / svc
$89
Avg allowed / svc
$28
Avg payment / svc
$22
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 32 groups · avg submitted charge / service $374
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G3003 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 10,060 $895,316 $89 65.8% (904) 449-7246
2 NABIL BARSOUM MD PA DEERFIELD BEACH FL NURSE PRACTITIONER 4 3,990 $202,500 $51 26.1% (954) 426-9600
3 SPECIALTY INSTITUTE PLLC NEWINGTON NH PHYSICIAN ASSISTANT 5 2,551 $382,650 $150 92.8% (603) 778-9921
4 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL MD ORTHOPEDIC SURGERY 675 1,055 $52,700 $50 68.9% —
5 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 761 $67,729 $89 100.0% (252) 847-4100
6 ICARE MEDICAL GROUP MONTEREY PARK CA REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 2 386 $35,603 $92 22.5% (626) 292-5896
7 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE MD NURSE PRACTITIONER 26 359 $31,951 $89 23.4% (904) 449-7246
8 THE SPINE AND PAIN CENTER LLC TULSA OK ANESTHESIOLOGY 4 260 $15,966 $61 100.0% (918) 255-7246
9 3 G MEDICAL CONSULTANTS, LLC COLORADO SPRINGS CO FAMILY PRACTICE 2 254 $8,890 $35 16.1% (719) 368-6628
10 BRAIN AND SPINE MEDICAL SERVICES PLLC WILLIAMSVILLE NY PHYSICIAN ASSISTANT 56 230 $34,500 $150 16.2% (716) 631-3555
11 JAMES PETROS MD INC SAN JOSE CA PHYSICAL MEDICINE AND REHABILITATION 20 212 $51,830 $244 12.3% (408) 528-8833
12 ORLES PAIN MANAGEMENT AND REGENERATIVE MEDICINE GRP JACKSONVILLE FL INTERVENTIONAL PAIN MANAGEMENT 3 192 $8,579 $45 1.3% (904) 274-8813
13 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 188 $11,280 $60 13.2% —
14 THE MEDICAL GROUP OF NEW JERSEY HACKETTSTOWN NJ PHYSICIAN ASSISTANT 274 150 $14,028 $94 60.5% (908) 979-1621
15 CYPRESS HEALTHCARE, LLC VESTAVIA AL NURSE PRACTITIONER 13 144 $4,032 $28 78.3% (205) 332-3160
16 REDDING PAIN MEDICINE REDDING CA NURSE PRACTITIONER 2 118 $44,119 $374 6.9% (530) 247-3733
17 ELITE PROFESSIONAL PROVIDERS, LLC SPRINGFIELD MO NURSE PRACTITIONER 6 118 $5,930 $50 100.0% (417) 220-4480
18 EXCELLE ANESTHESIA SERVICES INC BAKERSFIELD CA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 41 88 $5,456 $62 5.1% (661) 632-5504
19 CENTERWELL SENIOR PRIMARY CARE FL JV PLLC JACKSONVILLE FL NURSE PRACTITIONER 23 85 $7,565 $89 0.6% (904) 839-1037
20 COMPASS PALLIATIVE CARE INC BURBANK CA INTERNAL MEDICINE 5 78 $7,715 $99 4.5% (818) 856-9535
21 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 67 $8,707 $130 3.9% (650) 723-4000
22 NAZANIN FIROOZ MD INC WOODLAND HILLS CA RHEUMATOLOGY 2 60 $3,600 $60 3.5% (818) 598-0000
23 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. JACKSONVILLE FL NURSE PRACTITIONER 884 49 $4,361 $89 0.3% (904) 244-1680
24 ONSITE MEDICAL HOUSE CALLS WOODBINE MD NURSE PRACTITIONER 3 48 $1,440 $30 3.1% —
25 NURSE PRACTITIONER PROFESSIONAL RESOURCES LAKEWOOD NJ NURSE PRACTITIONER 13 44 $4,400 $100 17.7% (856) 885-4579
26 CANYON PAIN AND SPINE MESA AZ PHYSICIAN ASSISTANT 19 27 $3,915 $145 14.3% (480) 561-5000
27 PREMIER ORTHOPAEDICS AND SPORTS MEDICINE PLC NASHVILLE TN ORTHOPEDIC SURGERY 40 24 $2,040 $85 1.5% —
28 PALMDALE MEDICAL CLINIC INC PALMDALE CA INTERNAL MEDICINE 2 24 $1,800 $75 1.4% (661) 947-5600
29 HOMER C TUAZON LLC LAS VEGAS NV NURSE PRACTITIONER 3 22 $940 $43 52.4% (702) 444-7744
30 EMINENCE MEDICAL CLINIC PLLC MESA AZ NURSE PRACTITIONER 3 21 $1,260 $60 11.1% (480) 221-2227
31 MIDLANDS NEUROLOGY AND PAIN ASSOC, P.A COLUMBIA SC MENTAL HEALTH COUNSELOR 3 19 $760 $40 100.0% (803) 788-0038
32 POST ACUTE REHABILITATION PHYSICIANS LLC SAN RAMON NM NURSE PRACTITIONER 39 17 $1,012 $60 100.0% (801) 215-9309
33 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 16 $1,264 $79 17.6% —

*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 →