NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4275 Esano aca, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME Medical/Surgical Supplies Skin Allograft (CMS RBCS)
First observed 2024
National scale 218,147 services · 1,125 beneficiaries (CY2024, Medicare FFS)
Medicare paid $455.7M · $2089.03 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
18
Named-group FFS services
103,542
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~222,867 services

103,542 observed fee-for-service (46%) · ~119,325 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 — Q4275 (CY2024)

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

Named-group submitted charges
$291.9M
Named-group allowed amount
$270.3M
Named-group Medicare payments
$215.3M
Avg charge / svc
$2,819
Avg allowed / svc
$2,610
Avg payment / svc
$2,080
Average charge per group
$2,575 18 groups · avg submitted charge / service $3,257
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q4275 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 Q4275 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 KIDNEY ASSOCIATES, PLLC HOUSTON TX NEPHROLOGY 8 33,098 $89,459,100 $2,703 premium 64.2% (713) 691-0107
2 MAXCURE MEDICAL CENTER, LLC PEMBROKE PINES FL NURSE PRACTITIONER 3 12,386 $37,097,475 $2,995 premium 14.5% (954) 417-0003
3 HERITAGE WOUND CARE LLC MORRISTOWN NJ INTERNAL MEDICINE 11 11,928 $35,614,920 $2,986 premium 57.1% (908) 400-8405
4 CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE FL INTERNAL MEDICINE 614 5,809 $15,850,315 $2,729 premium 6.8% (910) 615-8000
5 365 HEALTH CARE GROUP PLC TROY MI FAMILY PRACTICE 3 5,660 $15,904,600 $2,810 premium 41.2% (888) 402-0202
6 HEISU RESEARCH GROUP LLC NORTH MIAMI BEACH FL FAMILY PRACTICE 5 4,989 $14,950,398 $2,997 premium 5.9%
7 RPM CARE COORDINATION, PA WARREN NJ NURSE PRACTITIONER 3 4,020 $11,320,200 $2,816 premium 19.2% (800) 985-5596
8 MENDWELL WOUNDCARE LLC CHICAGO IL NURSE PRACTITIONER 3 3,749 $10,534,690 $2,810 premium 24.1% (847) 420-6853
9 LIVING WATER WELLNESS CENTER, LLC FORT LAUDERDALE FL NURSE PRACTITIONER 3 3,731 $10,049,975 $2,694 premium 4.4% (305) 334-6163
10 LUCKY MEDICAL AND REHABILITATION CENTER CORP MIAMI FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 3,116 $8,936,825 $2,868 premium 3.7% (786) 953-4685
11 MATTHEW D ANDREWS DPM PC ORTONVILLE MI PODIATRY 14 2,657 $7,291,900 $2,744 premium 19.4% (248) 627-5700
12 MOBILE PRACTITIONER SERVICES TO YOU INC DAVIE FL NURSE PRACTITIONER 2 2,551 $6,929,840 $2,717 premium 3.0% (954) 669-8713
13 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 2,256 $6,339,360 $2,810 premium 100.0%
14 NORTH BROWARD HOSPITAL DISTRICT FORT LAUDERDALE FL NURSE PRACTITIONER 181 2,030 $6,612,270 $3,257 premium 2.4% (954) 763-6655
15 ADVANCED WOUND CARE OF CARO PC CARO MI NURSE PRACTITIONER 6 1,885 $5,278,000 $2,800 premium 13.7% (488) 947-0242
16 LA CANADA MEDICAL GROUP INC LA CANADA FLINTRIDGE CA FAMILY PRACTICE 2 1,879 $4,983,108 $2,652 premium 72.0% (818) 369-7848
17 PLASENCIA FAMILY MEDICINE PLLC SAGINAW MI FAMILY PRACTICE 2 1,629 $4,324,199 $2,655 premium 11.9% (989) 791-3401
18 MING-WEI WU INC BREA CA NURSE PRACTITIONER 38 169 $435,175 $2,575 premium 6.5% 88843488806

*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 →