NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
M0010 Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services HCPCS · E&M
Classification E&M › Care Management/Coordination (CMS RBCS)
First observed 2023
National scale 179,762 services ▲ 165.6% YoY · 30,147 beneficiaries (CY2024, Medicare FFS)
Medicare paid $12.8M · $71.22 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
60
Named-group FFS services
158,684
FFS of Medicare
49%
Services YoY
+165.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~324,797 services

158,684 observed fee-for-service (49%) · ~166,113 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; 1 state without payer-mix data excluded. How we scale

Top states — M0010 (CY2024)
TX 41,198 TN 23,264 VA 20,574 AZ 11,749 CO 8,760

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

Named-group submitted charges
$15.1M
Named-group allowed amount
$11.3M
Named-group Medicare payments
$11.3M
Avg charge / svc
$95
Avg allowed / svc
$71
Avg payment / svc
$71
Average charge per group
$70 60 groups · avg submitted charge / service $300
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers M0010 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 37,774 $2,644,180 $70 91.7% —
2 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 14,622 $1,030,740 $70 62.9% (615) 385-3751
3 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 7,971 $558,490 $70 91.0% (719) 577-2555
4 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 6,290 $440,300 $70 30.6% —
5 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 5,539 $387,730 $70 26.9% (703) 280-5390
6 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE VA NURSE PRACTITIONER 52 4,838 $338,860 $70 23.5% (540) 982-0237
7 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NC HEMATOLOGY/ONCOLOGY 333 4,374 $918,540 $210 61.4% (260) 484-8830
8 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 4,319 $325,490 $75 92.9% (847) 259-4482
9 CANCER SPECIALISTS LLC JACKSONVILLE FL HEMATOLOGY/ONCOLOGY 46 4,285 $300,910 $70 80.1% (904) 516-3737
10 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 4,199 $375,170 $89 35.7% —
11 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 3,951 $276,570 $70 93.2% —
12 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 3,760 $265,320 $71 91.0% (952) 928-2900
13 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 3,254 $232,260 $71 14.0% (901) 683-0055
14 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AR HEMATOLOGY/ONCOLOGY 333 3,145 $660,450 $210 71.5% (260) 484-8830
15 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 2,884 $326,650 $113 70.2% (616) 954-9800
16 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 2,796 $195,720 $70 23.8% (520) 324-4230
17 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE GA HEMATOLOGY/ONCOLOGY 333 2,793 $586,530 $210 53.4% (260) 484-8830
18 PMK MEDICAL GROUP, INC. OXNARD CA HEMATOLOGY/ONCOLOGY 7 2,602 $260,200 $100 38.4% (805) 485-8709
19 NORTHWEST CANCER SPECIALISTS PC PORTLAND OR PHYSICIAN ASSISTANT 68 2,457 $171,990 $70 57.6% (503) 280-1223
20 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 2,348 $164,360 $70 91.4% (205) 934-3460
21 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 2,121 $149,710 $71 10.3% (540) 662-1108
22 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 2,032 $142,240 $70 35.1% (253) 428-8700
23 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 1,726 $120,820 $70 25.5% (310) 257-7260
24 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 1,692 $118,600 $70 39.6% (541) 683-5001
25 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE MD HEMATOLOGY/ONCOLOGY 333 1,610 $338,100 $210 85.6% (260) 484-8830
26 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 1,570 $168,060 $107 100.0% (610) 527-3800
27 THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION LAKEWOOD CA HEMATOLOGY/ONCOLOGY 110 1,532 $214,480 $140 22.6% (562) 232-0550
28 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE OH HEMATOLOGY/ONCOLOGY 333 1,413 $296,730 $210 44.6% (260) 484-8830
29 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 1,106 $193,550 $175 15.5% (910) 296-0941
30 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE TX HEMATOLOGY/ONCOLOGY 333 1,054 $221,340 $210 2.6% (260) 484-8830
31 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE VA HEMATOLOGY/ONCOLOGY 333 1,020 $214,200 $210 5.0% (260) 484-8830
32 TRI-COUNTY HEMATOLOGY AND ONCOLOGY ASSOCIATES INC MASSILLON OH HEMATOLOGY/ONCOLOGY 6 1,007 $100,700 $100 31.8% (330) 478-0001
33 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE WA HEMATOLOGY/ONCOLOGY 333 1,006 $211,260 $210 17.4% (260) 484-8830
34 MEDICAL ONCOLOGY ASSOCIATES PS SPOKANE VALLEY WA PHYSICIAN ASSISTANT 10 966 $202,860 $210 16.7% (509) 462-2273
35 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE AZ HEMATOLOGY/ONCOLOGY 333 928 $194,880 $210 7.9% (260) 484-8830
36 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE MO HEMATOLOGY/ONCOLOGY 333 879 $184,590 $210 43.7% (260) 484-8830
37 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 819 $57,330 $70 14.2% (503) 280-1223
38 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE NV HEMATOLOGY/ONCOLOGY 333 716 $150,360 $210 60.7% (260) 484-8830
39 CABELL HUNTINGTON HOSPITAL INC HUNTINGTON WV FAMILY PRACTICE 83 635 $44,913 $71 100.0% (304) 691-8500
40 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE LA HEMATOLOGY/ONCOLOGY 333 635 $133,350 $210 50.6% (260) 484-8830
41 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 625 $131,250 $210 11.7% (260) 484-8830
42 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 622 $65,310 $105 15.1% —
43 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 620 $126,910 $205 49.4% (225) 765-1765
44 MERCY CLINIC JOPLIN LLC JOPLIN MO NURSE PRACTITIONER 289 582 $40,740 $70 28.9% (417) 556-6056
45 ARIZONA ONCOLOGY ASSOCIATES PC TUCSON AZ DIAGNOSTIC RADIOLOGY 48 561 $77,350 $138 4.8% —
46 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE IA HEMATOLOGY/ONCOLOGY 333 438 $91,980 $210 100.0% (260) 484-8830
47 TENNESSEE ONCOLOGY PLLC NASHVILLE GA HEMATOLOGY/ONCOLOGY 360 433 $30,430 $70 8.3% (615) 385-3751
48 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON TN NURSE PRACTITIONER 292 428 $30,280 $71 1.8% (410) 337-4877
49 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 355 $24,850 $70 3.0% (520) 694-0111
50 THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION LAKEWOOD AZ HEMATOLOGY/ONCOLOGY 110 350 $49,000 $140 3.0% (562) 232-0550
51 THE WEST CLINIC P.C. GERMANTOWN MS NURSE PRACTITIONER 113 348 $24,800 $71 100.0% (901) 683-0055
52 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK NC PHYSICIAN ASSISTANT 123 344 $24,080 $70 4.8% —
53 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 266 $18,620 $70 22.6% (253) 428-8700
54 STARLING PHYSICIANS, PLLC WETHERSFIELD CT NURSE PRACTITIONER 273 265 $18,550 $70 100.0% (860) 832-4666
55 CANCER SPECIALISTS LLC JACKSONVILLE XX HEMATOLOGY/ONCOLOGY 46 259 $18,130 $70 100.0% (904) 516-3737
56 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 222 $15,540 $70 8.6% —
57 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 199 $13,930 $70 0.5% (940) 766-3320
58 SIERRA HEMATOLOGY AND ONCOLOGY MEDICAL CENTERS CARMICHAEL CA HEMATOLOGY/ONCOLOGY 16 185 $12,950 $70 2.7% (916) 962-1544
59 ST VINCENT HOSPITAL SANTA FE NM PHYSICIAN ASSISTANT 313 180 $12,780 $71 100.0% —
60 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 178 $17,800 $100 2.6% (213) 977-1214
61 GUAM HEALTHCARE DEVELOPMENT INCORPORATED DEDEDO TN DIAGNOSTIC RADIOLOGY 210 172 $12,360 $72 0.7% (671) 645-5500
62 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 154 $10,780 $70 3.3% (847) 459-1160
63 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 146 $10,220 $70 3.4% —
64 THE LONGSTREET CLINIC, PC GAINESVILLE GA NURSE PRACTITIONER 144 142 $16,330 $115 2.7% (770) 533-6511
65 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS MA NURSE PRACTITIONER 129 131 $9,170 $70 100.0% (719) 577-2555
66 CENTRA MEDICAL GROUP LLC LYNCHBURG AZ NURSE PRACTITIONER 714 124 $8,680 $70 1.1% (434) 947-3033
67 THE ONCOLOGY INSTITUTE FL, LLC ST PETERSBURG FL HEMATOLOGY/ONCOLOGY 22 117 $16,380 $140 2.2% (727) 381-3761
68 ST VINCENT HOSPITAL SANTA FE NY PHYSICIAN ASSISTANT 313 115 $8,050 $70 100.0% —
69 THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION LAKEWOOD NV HEMATOLOGY/ONCOLOGY 110 114 $15,960 $140 9.7% (562) 232-0550
70 TEXAS ONCOLOGY PA DALLAS CA PHYSICIAN ASSISTANT 995 109 $7,630 $70 1.6% —
71 REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC VICTORIA TX NURSE PRACTITIONER 109 108 $7,560 $70 0.3% (361) 575-7441
72 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 106 $22,260 $210 1.8% (253) 428-2200
73 BEACON CANCER CARE PLLC COEUR D ALENE ID NURSE PRACTITIONER 14 105 $22,050 $210 37.5% (208) 755-2804
74 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA IL HEMATOLOGY/ONCOLOGY 39 94 $6,580 $70 2.0% (253) 428-8700
75 ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA INC ROANOKE NC NURSE PRACTITIONER 52 90 $6,300 $70 1.3% (540) 982-0237
76 CANCER CARE NORTHWEST CENTERS P S SPOKANE WA RADIATION ONCOLOGY 41 90 $18,900 $210 1.6% (509) 228-1000
77 VIDANT MEDICAL GROUP LLC KENANSVILLE WI PHYSICIAN ASSISTANT 956 86 $15,050 $175 100.0% (910) 296-0941
78 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 83 $11,620 $140 7.0% (702) 952-2140
79 STARLING PHYSICIANS, PLLC WETHERSFIELD NJ NURSE PRACTITIONER 273 77 $5,390 $70 100.0% (860) 832-4666
80 JOHNSTON SPECIALTY PHYSICIAN SERVICES,INC SMITHFIELD NC HEMATOLOGY/ONCOLOGY 9 77 $13,475 $175 1.1% (919) 989-2192
81 ONCOLOGY HEMATOLOGY CONSULTANTS, PA FORT WORTH TX HEMATOLOGY/ONCOLOGY 69 74 $10,360 $140 0.2% (817) 759-7000
82 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 60 $12,600 $210 1.1% (727) 725-5060
83 ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP GRAND RAPIDS MI PHYSICIAN ASSISTANT 495 58 $4,060 $70 1.4% (616) 685-5050
84 PROVIDENCE FACEY MEDICAL FOUNDATION MISSION HILLS CA FAMILY PRACTICE 320 39 $5,460 $140 0.6% (818) 365-9531
85 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 29 $4,060 $140 0.4% (562) 698-0811
86 HENDRICK PROVIDER NETWORK ABILENE TX PHYSICIAN ASSISTANT 249 23 $4,410 $192 0.1% (325) 672-4372
87 CANCER AND BLOOD SPECIALTY CLINIC LOS ALAMITOS CA HEMATOLOGY/ONCOLOGY 17 20 $2,800 $140 0.3% (562) 598-9745
88 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 13 $3,900 $300 0.3% (803) 395-3400

*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 →