NEVVI Medicare utilization intelligence

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METRO GERIATRIC SERVICES

PAC 4587887088 Physician group
NURSE PRACTITIONER · WEST DES MOINES, IA · hospital-affiliated
Specialty NURSE PRACTITIONER — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in WEST DES MOINES, IA · bills Medicare in 3 states (IA, KS, NE)
Scale 33 providers on the CMS registry roster · 47 codes billed (five-year data window) · 8,127 services (all billed codes, CY2024)
Medicare paid $530K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (515) 225-7132 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 4Advanced-practice 19Other clinicians 0= 23 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 23 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 33 of the group's 47 codes this year, across 3 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1184211591 Carson-Hem, Julianne ARNP Nurse Practitioner West Des MoinesIA
1619309713 Dyer, Nicole APRN Nurse Practitioner OmahaNE
1699755785 Jeffords, Heather PA-C Physician Assistant CentervilleIA
1518445766 Sula, Taylor DNP Nurse Practitioner West Des MoinesIA
1750323838 Goff, Laurie ARNP Nurse Practitioner MelcherIA
1598402323 Forkah-Musoro, Sue NP-C Nurse Practitioner Des MoinesIA
1285469783 Mcdonald, Emily Nurse Practitioner West Des MoinesIA
1629706635 Pichetti, Amy PMHNP-BC Nurse Practitioner HutchinsonKS
1518792340 Brecht, Molly Nurse Practitioner West Des MoinesIA
1194784348 Kroner, Christina CRNA Nurse Practitioner West Des MoinesIA
1184200776 Bozarth, Amanda · member of 3 groups Nurse Practitioner West Des MoinesIA
1467431445 Casady, Susan · member of 2 groups DO Family Practice UrbandaleIA
1376106302 Clark, Nadia · member of 2 groups ARNP Nurse Practitioner Des MoinesIA
1447363700 Conner, Robert · member of 2 groups DO Family Practice West Des MoinesIA
1487195194 Dennis, Mary · member of 3 groups ARNP Nurse Practitioner UrbandaleIA
1457695595 Groth, Nicole · member of 2 groups A.R.N.P. Nurse Practitioner West Des MoinesIA
1013427640 Kohn, Alexandria · member of 3 groups FNP-C Nurse Practitioner Dakota DunesSD
1063437812 Miller, Daniel · member of 5 groups D.O. Family Practice CliveIA
1245786649 Miller Mullins, Arisa · member of 2 groups ARNP Nurse Practitioner Des MoinesIA
1124580329 Neal, Sarah · member of 2 groups ARNP Nurse Practitioner NewtonIA
1396724167 O'conner, Michael · member of 6 groups DO Internal Medicine Des MoinesIA
1548510373 Reetz, Ashlee · member of 2 groups PA Physician Assistant West Des MoinesIA
1811145691 Turpin, Katharine · member of 3 groups NP-C Nurse Practitioner Des MoinesIA

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.