NEVVI Medicare utilization intelligence

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SIGNATURE MEDICAL GROUP INC

PAC 4880598291 Provider group
NURSE PRACTITIONER · SAINT LOUIS, MO · hospital-affiliated
Specialty NURSE PRACTITIONER — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in SAINT LOUIS, MO · bills Medicare in 6 states (CA, GA, IL, KY, MO, OH)
Scale 41 providers on the CMS registry roster · 120 codes billed (five-year data window) · 83,446 services (all billed codes, CY2024)
Medicare paid $1.3M · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact 31484903112384 — 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 17Advanced-practice 14Other clinicians 5= 36 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 36 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 91 of the group's 120 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)
1356615538 Laramore, Shayna NP Nurse Practitioner Saint LouisMO
1477876415 Flynn, Meghan PA-C Physician Assistant Saint LouisMO
1386697985 Zippay, Amy M.D. Physical Medicine and Rehabilitation Saint LouisMO
1154370203 Subramanian, Hamsa M.D. Allergy/ Immunology Saint LouisMO
1053087528 Barber, Shelby DPT Physical Therapist in Private Practice Saint LouisMO
1649584145 O'donnell, Andrew P.T. Physical Therapist in Private Practice Saint LouisMO
1548867583 Terstriep, Ryan PT, D.P.T. Physical Therapist in Private Practice Saint LouisMO
1619318441 Ward, Phillip DPT Physical Therapist in Private Practice Saint LouisMO
1467024646 Ryerson, Gabrielle DPT Physical Therapist in Private Practice Saint LouisMO
1215642780 Vorkink, Brandon PA-C Physician Assistant ManchesterMO
1063566768 Boxdorfer, Theresa FNP Nurse Practitioner Saint LouisMO
1003231853 Fisher, Nathan D.O. Orthopedic Surgery Saint LouisMO
1033564760 Olson, Nathanael Orthopedic Surgery Saint LouisMO
1851327373 Chappell, Lisa PA-C Physician Assistant Saint LouisMO
1225652514 Reeg, Erica FNP Nurse Practitioner Saint LouisMO
1083163505 Main, Kristen FNP-C Nurse Practitioner Saint LouisMO
1285308320 Todt, Dana FNP Nurse Practitioner Saint LouisMO
1053515726 Fissel, Brian M.D. Orthopedic Surgery Saint LouisMO
1700524618 Haslett, Maddisson NP Nurse Practitioner Saint LouisMO
1710719059 Richardson, Hannah FNP-BC Nurse Practitioner Saint LouisMO
1518539170 Ferbet, Aleksander Podiatry St. LouisMO
1043290620 Williams, James MD Physical Medicine and Rehabilitation ChesterfieldMO
1508580309 Holman, Patrick Physician Assistant AtlantaGA
1194351668 Northcutt, Justin PA-C Physician Assistant Mount VernonIL
1356393011 Mirkin, Rhoderic M.D. Orthopedic Surgery Saint LouisMO
1750342580 Alvarez, Lizette · member of 2 groups M.D. Physical Medicine and Rehabilitation Saint LouisMO
1770012767 Behrens, William · member of 3 groups MD Orthopedic Surgery Saint LouisMO
1245735638 Heck, Alexander · member of 2 groups MD Physical Medicine and Rehabilitation Saint LouisMO
1790301232 Knetzer, Megan · member of 3 groups FNP Nurse Practitioner O FallonIL
1487603320 L'hommedieu, Coles · member of 3 groups M.D. Orthopedic Surgery Saint LouisMO
1306254867 Monroe, Brande · member of 2 groups A-GNP-C Nurse Practitioner Saint LouisMO
1922362565 Palmer, Christopher · member of 3 groups D.O. Orthopedic Surgery Saint LouisMO
1275996183 Reardon, Patrick · member of 2 groups M.D. Orthopedic Surgery Saint LouisMO
1447201991 Sigmund, Robert · member of 3 groups M.D. Orthopedic Surgery Saint LouisMO
1952746521 Smith, Kenneth · member of 2 groups M.D. Orthopedic Surgery Saint LouisMO
1487099313 Zaidi, Qasim · member of 2 groups MD Orthopedic Surgery Saint LouisMO

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.