NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml HCPCS · Standard X-ray imaging
Classification Imaging › Standard X-ray › Contrast Agent (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3.74M services ▼ 7.5% YoY · 143,439 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $0.29 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
472
Named-group FFS services
2,190,268
FFS of Medicare
49%
Services YoY
-7.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,491,081 services

2,190,268 observed fee-for-service (49%) · ~2,300,813 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 — Q9966 (CY2024)
NY 1,071,863 TX 305,840 CA 296,823 NC 215,972 IL 213,012

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

Named-group submitted charges
$10.5M
Named-group allowed amount
$795K
Named-group Medicare payments
$629K
Avg charge / svc
$5
Avg allowed / svc
$0
Avg payment / svc
$0
Average charge per group
$0 472 groups · avg submitted charge / service $650
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q9966 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ACTIVE LIFE HEALTH OF NY PC SMITHTOWN NY DIAGNOSTIC RADIOLOGY 3 414,150 $412,247 $1 38.6% (631) 656-5544
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 172,235 $349,958 $2 16.1% (212) 263-9700
3 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 137,776 $688,882 $5 80.0% (952) 541-1840
4 EMERGEORTHO PA DURHAM NC PHYSICIAN ASSISTANT 725 131,329 $88,009 $1 60.8% (919) 544-7270
5 TEXAS SPINE AND PAIN MD PLLC PARIS TX NURSE PRACTITIONER 2 57,606 $43,204 $1 18.8% (903) 401-5145
6 SOUTHEAST PAIN AND SPINE CARE SPECIALISTS, LLC NORFOLK VA INTERVENTIONAL PAIN MANAGEMENT 2 55,832 $189,270 $3 43.5% (757) 455-8887
7 MEDICAL OFFICES OF NEW JERSEY SHORE LLC WALL TOWNSHIP NJ NURSE PRACTITIONER 10 51,800 $51,800 $1 49.9% (732) 655-6111
8 MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA COLUMBIA SC PHYSICIAN ASSISTANT 42 41,586 $140,007 $3 58.9% (803) 256-4107
9 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK WA DIAGNOSTIC RADIOLOGY 81 34,791 $173,955 $5 39.8% (952) 541-1840
10 NORTHWEST SPINE AND PAIN MEDICINE PLLC SPOKANE WA PHYSICAL MEDICINE AND REHABILITATION 15 31,301 $15,650 $0 35.8% (509) 464-6208
11 PHYSICIANS HEALTH GROUP OF KENTUCKY PLLC LEXINGTON KY NURSE PRACTITIONER 9 30,100 $30,100 $1 32.2% (859) 687-9456
12 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 24,902 $49,804 $2 21.7% (404) 367-3210
13 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 24,891 $49,782 $2 11.7% —
14 SAVANNAH VASCULAR INSTITUTE, LLC SAVANNAH GA VASCULAR SURGERY 21 24,684 $49,368 $2 21.5% (912) 352-8346
15 SARAH BUSH LINCOLN HEALTH CENTER MATTOON IL NURSE PRACTITIONER 405 24,425 $26,921 $1 11.5% —
16 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARA CA PHYSICIAN ASSISTANT 22 23,803 $119,015 $5 8.0% (805) 963-9377
17 PAIN RELIEF SOLUTIONS FORT LAUDERDALE FL PAIN MANAGEMENT 13 23,590 $117,950 $5 12.1% (954) 458-1199
18 WINCHESTER MEDICAL CENTER WINCHESTER VA PHYSICIAN ASSISTANT 306 22,578 $22,578 $1 17.6% (540) 536-6721
19 MEDHAT F MIKHAEL MD INC LONG BEACH CA PAIN MANAGEMENT 14 22,565 $11,641 $1 7.6% (562) 595-0060
20 JAMES H. RICE, M.D.,PC ALBUQUERQUE NM PHYSICIAN ASSISTANT 2 22,300 $44,600 $2 45.7% (505) 881-5080
21 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 21,410 $49,243 $2 55.3% (515) 343-1000
22 ACTIVE LIFE HEALTH OF ALPHARETTA LLC ALPHARETTA GA INTERVENTIONAL RADIOLOGY 4 21,000 $21,000 $1 18.3% (678) 921-7007
23 TRI-STATE PAIN INSTITUTE LLC ERIE PA INTERVENTIONAL PAIN MANAGEMENT 2 20,095 $160,799 $8 34.5% (814) 833-7246
24 TODT HILL ENDOSCOPY, P.C. STATEN ISLAND NY ANESTHESIOLOGY 2 18,803 $94,015 $5 1.8% (718) 986-5394
25 RAJIV AGARWAL MD PA HUMBLE TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 18,400 $36,800 $2 6.0% (832) 644-8930
26 TRI-COUNTY ORTHOPAEDIC AND SPORTS MEDICINE PA CEDAR KNOLLS NJ ORTHOPEDIC SURGERY 42 18,352 $16,333 $1 17.7% (973) 538-2334
27 NEUROLOGICAL AND SPINAL SURGERY LLC LINCOLN NE PHYSICIAN ASSISTANT 13 18,056 $10,834 $1 86.4% (402) 488-3002
28 ORTHOCINCY ORTHOPAEDICS AND SPORTS MEDICINE PSC CINCINNATI KY PHYSICIAN ASSISTANT 163 17,253 $17,253 $1 18.5% (513) 232-2663
29 ADVANCED SURGICAL TECHNOLOGY, LLC CENTRALIA IL NURSE PRACTITIONER 7 17,085 $842,105 $49 8.0% (618) 899-9200
30 LONG ISLAND SPINE REHABILITATION MEDICINE, PC EAST MEADOW NY PHYSICAL MEDICINE AND REHABILITATION 6 15,740 $40,000 $3 1.5% (516) 393-8941
31 MICHAEL E TSCHICKARDT MD PA CORPUS CHRISTI TX INTERVENTIONAL PAIN MANAGEMENT 2 14,482 $14,482 $1 4.7% (361) 854-1910
32 VASCULAR SPECIALISTS LLC TINLEY PARK IL VASCULAR SURGERY 6 13,953 $34,882 $2 6.6% 8158244406128
33 FPA HOSPITAL BASED NEW YORK NY DIAGNOSTIC RADIOLOGY 427 13,879 $13,879 $1 1.3% (212) 252-6004
34 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 13,550 $13,550 $1 10.5% —
35 PRECISION PAIN CARE AND REHABILITATION P.C. NEW HYDE PARK NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 12,935 $30,243 $2 1.2% (718) 581-5599
36 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 11,916 $35,748 $3 30.8% (515) 343-1000
37 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 11,000 $5,500 $0 42.1% (801) 261-8346
38 NEW YORK UNIVERSITY NEW YORK NM DIAGNOSTIC RADIOLOGY 5704 10,890 $21,780 $2 22.3% (212) 263-9700
39 JEFFREY ZOLLINGER D O PC SPARKS NV NURSE PRACTITIONER 12 10,700 $53,500 $5 39.6% (775) 870-1480
40 FOX VALLEY ORTHOPAEDIC ASSOCIATES PLLC GENEVA IL PHYSICIAN ASSISTANT 72 10,528 $52,640 $5 4.9% (847) 468-1400
41 INTERVENTIONAL PAIN ASSOCIATES ALBUQUERQUE NM NURSE PRACTITIONER 4 9,763 $19,090 $2 20.0% (505) 588-7246
42 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK IN DIAGNOSTIC RADIOLOGY 81 9,715 $48,575 $5 30.3% (952) 541-1840
43 INNOVATIVE PAIN SPECIALISTS LLC ARLINGTON HEIGHTS IL ANESTHESIOLOGY 4 9,241 $69,308 $8 4.3% (847) 593-6800
44 DOMINION HEART AND VASCULAR CLINIC COLONIAL HEIGHTS VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 8,955 $24,866 $3 7.0% (804) 621-7262
45 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 8,662 $116,970 $14 2.9% (949) 791-3370
46 MTV IR PLLC DALLAS TX DIAGNOSTIC RADIOLOGY 2 7,567 $133,738 $18 2.5% (469) 458-9800
47 IMAGE GUIDED PAIN MANAGEMENT, P.C. ROANOKE VA DIAGNOSTIC RADIOLOGY 4 7,190 $35,950 $5 5.6% (540) 581-0882
48 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAH NY NURSE PRACTITIONER 59 6,755 $2,229 $0 0.6% (920) 725-9373
49 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 6,679 $46,266 $7 8.1% (615) 612-2146
50 MICHIGAN PAIN SPECIALISTS, PLLC ANN ARBOR MI PHYSICIAN ASSISTANT 8 6,616 $6,616 $1 13.3% (734) 373-7246
51 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 6,506 $32,530 $5 3.8% (612) 873-6963
52 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 6,444 $161,100 $25 3.0% (919) 684-8111
53 NEW YORK UNIVERSITY NEW YORK CT DIAGNOSTIC RADIOLOGY 5704 6,325 $12,650 $2 23.2% (212) 263-9700
54 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 6,163 $15,408 $2 2.0% (806) 796-3000
55 EASTERN RADIOLOGISTS INC GREENVILLE NC DIAGNOSTIC RADIOLOGY 93 6,148 $799 $0 2.8% (252) 752-5000
56 MOBILE ANESTHESIA ASSOCIATES LLC WINTER HAVEN FL PHYSICIAN ASSISTANT 45 5,985 $32,505 $5 3.1% (863) 291-4000
57 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 5,767 $5,767 $1 2.7% (704) 384-8200
58 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 5,665 $11,330 $2 30.4% (617) 421-1000
59 BRIAN S KAHAN DO PA ANNAPOLIS MD PHYSICIAN ASSISTANT 3 5,552 $37,932 $7 10.8% 41057190000230
60 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAH WI NURSE PRACTITIONER 59 5,058 $1,814 $0 28.3% (920) 725-9373
61 PAIN TREATMENT CENTERS OF GEORGIA LLC HINESVILLE GA PHYSICIAN ASSISTANT 7 5,044 $95,564 $19 4.4% (912) 910-3777
62 OMNI SPINE PAIN MANAGEMENT, PLLC SUNNYVALE TX ANESTHESIOLOGY 4 4,943 $24,616 $5 1.6% (214) 705-1200
63 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MD DIAGNOSTIC RADIOLOGY 81 4,918 $24,590 $5 9.5% (952) 541-1840
64 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 4,641 $2,320 $0 17.0% (203) 739-7118
65 ASSOCIATED ORTHOPEDISTS OF DETROIT PC SAINT CLAIR SHORES MI PHYSICAL THERAPIST IN PRIVATE PRACTICE 17 4,301 $2,796 $1 8.6% (586) 779-7970
66 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK FL DIAGNOSTIC RADIOLOGY 81 4,298 $21,490 $5 2.2% (952) 541-1840
67 INTERVENTIONAL PAIN SPECIALISTS, LLC OPELOUSAS LA PHYSICIAN ASSISTANT 3 4,269 $4,269 $1 11.5% (337) 407-4512
68 UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC MINNEAPOLIS MN DIAGNOSTIC RADIOLOGY 620 4,100 $12,300 $3 2.4% (612) 672-7422
69 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 4,086 $14,383 $4 2.1% 9417059555110
70 CHICAGO PAIN INSTITUTE S C LOMBARD IL ANESTHESIOLOGY 2 3,800 $160,740 $42 1.8% (847) 308-6557
71 CHRONIC PAIN RELIEF PA DALLAS TX ANESTHESIOLOGY 2 3,761 $75,220 $20 1.2% (214) 983-1789
72 JAMES RIVER CARDIOLOGY, LLC COLONIAL HEIGHTS VA PHYSICIAN ASSISTANT 49 3,750 $3,750 $1 2.9% (804) 520-1764
73 VIRGINIA I-SPINE PHYSICIANS PC RICHMOND VA PHYSICAL MEDICINE AND REHABILITATION 3 3,735 $18,675 $5 2.9% (804) 330-0303
74 SPINE WEST A PROFESSIONAL LLC BOULDER CO PHYSICIAN ASSISTANT 9 3,725 $3,725 $1 18.7% (303) 494-7773
75 ROCKFORD PAIN CENTER LTD ROCKFORD IL PAIN MANAGEMENT 6 3,659 $36,590 $10 1.7% (815) 316-7300
76 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 3,633 $2,071 $1 18.3% (720) 777-1234
77 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 3,553 $53,295 $15 5.0% (864) 582-6396
78 CANYON RIDGE PAIN AND SPINE PC BOUNTIFUL UT ANESTHESIOLOGY 2 3,520 $17,741 $5 13.5% (801) 294-7246
79 SOUTHERN PAIN AND REGENERATIVE MEDICINE PC MEMPHIS TN DIAGNOSTIC RADIOLOGY 5 3,414 $4,882 $1 4.1% (901) 350-0678
80 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 3,302 $9,906 $3 1.9% (612) 672-7422
81 VITALITY PAIN MANAGEMENT LLC LEXINGTON KY NURSE PRACTITIONER 4 3,200 $16,000 $5 3.4% (859) 523-1776
82 JWS MEDICAL PLLC NORMAN OK FAMILY PRACTICE 2 3,161 $7,902 $2 15.9% (405) 759-8407
83 NEW YORK UNIVERSITY NEW YORK TX DIAGNOSTIC RADIOLOGY 5704 3,150 $6,300 $2 1.0% (212) 263-9700
84 METRO EMERGENCY PHYSICIAN LLC KANSAS CITY MO EMERGENCY MEDICINE 57 3,082 $3,086 $1 21.8% (816) 932-2000
85 SAVANNAH VASCULAR INSTITUTE, LLC SAVANNAH SC VASCULAR SURGERY 21 3,046 $6,162 $2 4.3% (912) 352-8346
86 CHICAGO SPINE AND JOINT, S.C. HINSDALE IL INTERVENTIONAL PAIN MANAGEMENT 7 3,010 $120,342 $40 1.4% (708) 482-4500
87 WK SPINE AND PAIN SPECIALISTS SHREVEPORT LA PHYSICIAN ASSISTANT 13 2,979 $2,979 $1 8.0% (318) 212-7960
88 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 2,886 $5,772 $2 11.0% —
89 FAMILY HEALTH ENTERPRISES INC LADY LAKE FL FAMILY PRACTICE 4 2,808 $8,424 $3 1.4% (352) 259-7994
90 INTEGRATED PAIN SPECIALISTS OF SOUTHERN CALIFORNIA INC SAN DIEGO CA ANESTHESIOLOGY 2 2,774 $7,835 $3 0.9% (619) 398-2988
91 CENTERS FOR ADVANCED ORTHOPAEDICS LLC OLNEY MD PHYSICAL THERAPIST IN PRIVATE PRACTICE 596 2,749 $2,749 $1 5.3% (301) 774-0500
92 PAIN CONSULTANTS OF WEST FLORIDA P A PENSACOLA FL PHYSICIAN ASSISTANT 6 2,635 $5,270 $2 1.4% (850) 494-0000
93 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 2,605 $2,605 $1 0.2% (718) 369-1444
94 NEUROSURGICAL CONSULTANTS OF SOUTH FLORIDA LLC DELRAY BEACH FL NEUROSURGERY 9 2,600 $82,212 $32 1.3% (561) 498-4440
95 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 2,593 $2,593 $1 1.5% (952) 993-3123
96 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 2,585 $5,170 $2 5.2% (616) 363-7272
97 SPINE COLORADO PC DURANGO CO PHYSICIAN ASSISTANT 8 2,573 $29,216 $11 12.9% (970) 382-9500
98 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 2,522 $2,522 $1 3.6% (843) 792-1414
99 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 2,512 $2,487 $1 3.6% (803) 744-4900
100 TRIAD RADIOLOGY ASSOCIATES PLLC WINSTON SALEM TN DIAGNOSTIC RADIOLOGY 78 2,509 $5,817 $2 3.0% (336) 718-7800

Showing the top 100 of 472 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 →