NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J3490 Unclassified drugs HCPCS · Treatment - Miscellaneous
Classification Treatment Treatment - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 485,201 services ▲ 1.7% YoY · 82,417 beneficiaries (CY2024, Medicare FFS)
Medicare paid $67.1M · $138.35 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
528
Named-group FFS services
258,632
FFS of Medicare
49%
Services YoY
+1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~520,096 services

258,632 observed fee-for-service (50%) · ~261,464 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 — J3490 (CY2024)

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

Named-group submitted charges
$166.9M
Named-group allowed amount
$65.4M
Named-group Medicare payments
$51.8M
Avg charge / svc
$645
Avg allowed / svc
$253
Avg payment / svc
$200
Average charge per group
$0 528 groups · avg submitted charge / service $29,492
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by J3490 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 J3490 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 MOUNTAIN VIEW HEADACHE AND SPINE INSTITUTE PLLC PHOENIX AZ NURSE PRACTITIONER 8 17,796 $298,081 $17 premium 68.1% (602) 767-0007
2 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 11,654 $3,952,328 $339 premium 42.9%
3 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 11,640 $8,910 $1 premium 53.6% (215) 662-2777
4 NAZANIN FIROOZ MD INC WOODLAND HILLS CA RHEUMATOLOGY 2 11,026 $193,885 $18 premium 14.4% (818) 598-0000
5 RETINA VITREOUS CONSULTANTS FT LAUDERDALE FL OPHTHALMOLOGY 44 7,619 $14,752,736 $1,936 premium 10.8% (954) 776-6880
6 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 5,964 $669,794 $112 premium 45.2% (201) 996-2210
7 LENOX HILL RADIOLOGY AND MEDICAL IMAGING ASSOCIATES PC NEW YORK NY DIAGNOSTIC RADIOLOGY 244 5,818 $20,433 $4 premium 12.5% (212) 772-3111
8 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 4,474 $972,961 $217 premium 54.3%
9 RITA R ELLITHORPE MD INC TUSTIN CA PHYSICIAN ASSISTANT 6 4,088 $1,360,065 $333 premium 5.3% (714) 544-1521
10 KLEYNBERG MEDICAL CLINIC INC LOS ANGELES CA HEMATOLOGY/ONCOLOGY 2 4,024 $56,336 $14 premium 5.2% (323) 965-9995
11 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 3,484 $11,291 $3 premium 85.0% (256) 705-4224
12 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 3,483 $8,708 $2 premium 4.5% (559) 326-1222
13 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 3,272 $353,880 $108 premium 30.4% (301) 982-9800
14 SPINECARE ASSOCIATES, LLC CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 12 3,172 $157,675 $50 premium 4.5% (727) 797-7463
15 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 3,067 $56,000 $18 premium 14.1% (610) 527-3800
16 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 2,960 $27,697 $9 premium 26.6% (847) 259-4482
17 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 2,935 $137,203 $47 premium 3.8% (858) 455-9100
18 APEX CARDIOLOGY CONSULTANTS INGLEWOOD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 2,520 $153,340 $61 premium 3.3% (310) 672-3900
19 ERIK LUNDQUIST MD INC TEMECULA CA FAMILY PRACTICE 3 2,401 $714,120 $297 premium 3.1% 9513834333826
20 ALLIANCE CANCER SPECIALISTS P.C. LANGHORNE PA HEMATOLOGY/ONCOLOGY 44 2,349 $74,929 $32 premium 10.8% (215) 750-5050
21 OPHTHALMIC PARTNERS OF FLORIDA PA ORLANDO FL OPHTHALMOLOGY 5 2,187 $528,015 $241 premium 3.1% (407) 425-7188
22 MID FLORIDA EYE CENTER PA MOUNT DORA FL OPHTHALMOLOGY 11 2,119 $347,900 $164 premium 3.0% (352) 744-7002
23 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 2,092 $18,828 $9 premium 82.3% (316) 262-4467
24 MURRAY OCULAR ONCOLOGY AND RETINA INC SOUTH MIAMI FL OPHTHALMOLOGY 2 1,964 $578,300 $294 premium 2.8% (305) 487-7470
25 RETINA HEALTH CENTER PL FORT MYERS FL OPHTHALMOLOGY 3 1,886 $14,138,150 $7,496 premium 2.7% 2393373337260
26 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 1,817 $2,366,820 $1,303 premium 2.6% (305) 689-5437
27 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 1,740 $395,450 $227 premium 2.3% (408) 871-3400
28 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 1,723 $10,600 $6 premium 20.9% (479) 361-2585
29 UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC FRESNO CA UROLOGY 11 1,722 $275,285 $160 premium 2.2% (559) 321-2800
30 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,694 $92,835 $55 premium 53.3% (507) 284-2511
31 SOUTHWEST CANCER CARE LLC SIERRA VISTA AZ NURSE PRACTITIONER 6 1,687 $157,055 $93 premium 6.5% (520) 220-5020
32 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 1,680 $544,320 $324 premium 2.2%
33 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 1,570 $37,136 $24 premium 2.0% (626) 256-4673
34 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 1,569 $15,753 $10 premium 30.0% (901) 683-0055
35 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 1,556 $53,338 $34 premium 3.3% (845) 703-6999
36 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 1,520 $135,667 $89 premium 56.3% (719) 577-2555
37 JACKSON ONCOLOGY ASSOCIATES JACKSON MS HEMATOLOGY/ONCOLOGY 11 1,400 $243,921 $174 premium 48.4% (601) 974-5600
38 NEUROVERSION ANCHORAGE AK PHYSICIAN ASSISTANT 10 1,396 $19,544 $14 premium 58.7% (907) 339-4650
39 HEALTHBEAT, PLLC CHESTNUT HILL MA PHYSICIAN ASSISTANT 4 1,348 $374,400 $278 premium 46.9% (617) 277-5000
40 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 1,340 $2,680 $2 premium 2.9% (315) 472-7504
41 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,308 $201,336 $154 premium 11.7%
42 CONSULTANTS IN MEDICAL ONCOLOGY AND HEMATOLOGY PC BROOMALL PA HEMATOLOGY/ONCOLOGY 10 1,292 $11,655 $9 premium 5.9% (610) 492-5900
43 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 1,261 $11,457 $9 premium 22.3% (540) 982-0237
44 NAIM T. NAZHA MD PC NORTHFIELD NJ MEDICAL ONCOLOGY 2 1,255 $15,060 $12 premium 9.5% (609) 383-6033
45 EAST TEXAS FUNCTIONAL MEDICINE CENTER, LLC TYLER TX NURSE PRACTITIONER 3 1,241 $172,875 $139 premium 4.6% (903) 595-8077
46 PANHANDLE EYE GROUP, LLP AMARILLO TX OPHTHALMOLOGY 11 1,213 $9,097,500 $7,500 premium 4.5% (806) 351-1870
47 POTOMAC ONCOLOGY AND HEMATOLOGY, LLC ROCKVILLE MD NURSE PRACTITIONER 3 1,187 $13,010 $11 premium 11.0% (240) 618-0275
48 BEACON CANCER CARE PLLC COEUR D ALENE ID NURSE PRACTITIONER 14 1,148 $6,888 $6 premium 75.8% (208) 755-2804
49 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 1,098 $31,871 $29 premium 21.0% (803) 461-3000
50 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 1,068 $2,138 $2 premium 15.1% (402) 393-3110
51 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 1,032 $35,945 $35 premium 15.2% (702) 952-2140
52 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 1,005 $13,990 $14 premium 24.2% (260) 484-8830
53 ONCOLOGY HEMATOLOGY CARE INC CINCINNATI OH NURSE PRACTITIONER 66 997 $4,521 $5 premium 18.0% (513) 751-2273
54 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 993 $68,963 $69 premium 8.9% (309) 243-3000
55 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 988 $37,836 $38 premium 3.8% (800) 603-0558
56 PRINCETON MEDICAL GROUP,P.A. PRINCETON NJ INTERNAL MEDICINE 36 971 $3,888 $4 premium 7.4% (609) 924-9300
57 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 923 $101,641 $110 premium 29.0% (952) 928-2900
58 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 875 $7,920 $9 premium 15.5% (703) 280-5390
59 WILLIAM A. TISDALL, M.D., P.A. SAN ANTONIO NM PHYSICIAN ASSISTANT 9 867 $9,196 $11 premium 36.9%
60 AUSTIN RETINA ASSOCIATES PLLC AUSTIN TX OPHTHALMOLOGY 19 859 $4,751,275 $5,531 premium 3.2% (512) 451-0103
61 SOLANO HEMATOLOGY - ONCOLOGY VALLEJO CA HEMATOLOGY/ONCOLOGY 3 850 $8,524 $10 premium 1.1% (707) 551-3300
62 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPO CA PHYSICIAN ASSISTANT 13 819 $162,630 $199 premium 1.1%
63 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 809 $69,183 $86 premium 14.6%
64 BREATHE FREE SINUS AND ALLERGY CENTERS OF FLORIDA LLC PENSACOLA FL OTOLARYNGOLOGY 3 805 $316,000 $393 premium 1.1% (850) 990-9407
65 MICHEL S. BADIN, MD PA JERSEY CITY NJ HEMATOLOGY/ONCOLOGY 3 795 $70,755 $89 premium 6.0% (201) 433-4848
66 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK VT HEMATOLOGY/ONCOLOGY 153 792 $14,126 $18 premium 78.0% (201) 996-2210
67 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 792 $28,134 $36 premium 27.4% (601) 264-6000
68 PIEDMONT CANCER INSTITUTE PC ATLANTA GA PHYSICIAN ASSISTANT 42 788 $2,370 $3 premium 18.9% (404) 350-9853
69 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 788 $489,575 $621 premium 6.0% (908) 273-4300
70 ATLANTIC RETINA CONSULTANTS MELBOURNE FL OPHTHALMOLOGY 2 783 $219,240 $280 premium 1.1% (321) 999-7456
71 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 777 $1,560 $2 premium 7.0% (217) 544-6464
72 CANCER AND BLOOD SPECIALTY CLINIC LOS ALAMITOS CA HEMATOLOGY/ONCOLOGY 17 762 $17,492 $23 premium 1.0% (562) 598-9745
73 ROBERT G SALAZAR MD INC FRESNO CA PHYSICIAN ASSISTANT 4 761 $584,082 $768 premium 1.0% (559) 432-6807
74 RETINA CENTER PA GAINESVILLE FL OPHTHALMOLOGY 2 753 $131,772 $175 premium 1.1% (352) 333-5050
75 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 719 $22,090 $31 premium 30.0% (314) 747-3000
76 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 718 $2,440 $3 premium 30.2% (319) 678-8201
77 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITY CA OPHTHALMOLOGY 21 689 $5,140,500 $7,461 premium 0.9% (530) 273-8358
78 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 681 $165,032 $242 premium 1.0% (260) 484-8830
79 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 674 $386,117 $573 premium 2.6% (520) 324-4230
80 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE MD HEMATOLOGY/ONCOLOGY 333 669 $318,960 $477 premium 6.2% (260) 484-8830
81 COASTAL CANCER CENTER LLC MYRTLE BEACH SC RADIATION ONCOLOGY 22 656 $6,590 $10 premium 12.5% (843) 449-9415
82 IYENGAR HEMATOLOGY ONCOLOGY MEDICAL CENTER PA BAYONNE NJ HEMATOLOGY/ONCOLOGY 2 644 $2,029 $3 premium 4.9% (201) 858-1211
83 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 641 $644 $1 premium 2.4% (210) 593-5700
84 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 637 $3,484 $5 premium 26.8% (248) 477-0552
85 LONG ISLAND VITREO RETINAL CONSULTANTS PC GREAT NECK NY OPHTHALMOLOGY 19 635 $3,584,800 $5,645 premium 1.4% (516) 466-0390
86 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE CA HEMATOLOGY/ONCOLOGY 10 621 $12,400 $20 premium 0.8% (760) 568-3613
87 JOHN A SHIELDS MD AND STEVEN A SCHIFF MD A PROFESSIONAL CORPORATION RENO NV HEMATOLOGY/ONCOLOGY 19 607 $3,035 $5 premium 9.0% (775) 329-0873
88 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 601 $1,803 $3 premium 2.3% (480) 981-1326
89 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 601 $58,774 $98 premium 10.6%
90 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 599 $10,422 $17 premium 43.4% (918) 505-3200
91 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 595 $5,347 $9 premium 10.5% (540) 662-1108
92 BOCACARE INC BOCA RATON FL PHYSICIAN ASSISTANT 199 595 $1,746 $3 premium 0.8% (561) 955-7100
93 PALMETTO RETINA CENTER LLC WEST COLUMBIA SC OPHTHALMOLOGY 13 587 $4,569,075 $7,784 premium 11.2% (803) 744-0156
94 TRI-COUNTY HEMATOLOGY AND ONCOLOGY ASSOCIATES INC MASSILLON OH HEMATOLOGY/ONCOLOGY 6 580 $384 $1 premium 10.5% (330) 478-0001
95 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 580 $42,653 $74 premium 7.0% (260) 484-8830
96 MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD NORMAL IL HEMATOLOGY/ONCOLOGY 4 557 $2,785 $5 premium 5.0% (309) 452-9701
97 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 67 556 $56,563 $102 premium 23.6% (505) 842-8171
98 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 553 $8,295 $15 premium 23.0% (573) 556-5771
99 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY CA HEMATOLOGY/ONCOLOGY 10 550 $2,750 $5 premium 0.7% (831) 375-4105
100 TEXAS RETINA ASSOCIATES DALLAS TX OPHTHALMOLOGY 18 548 $3,306,400 $6,034 premium 2.0% (214) 692-6941

Showing the top 100 of 528 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 →