NEVVI Medicare utilization intelligence

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SPOKANE UROLOGY PLLC

PAC 5991603367 Physician group
PHYSICIAN ASSISTANT · SPOKANE, WA · hospital-affiliated
Specialty PHYSICIAN ASSISTANT — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in SPOKANE, WA · bills Medicare in 2 states (ID, WA)
Scale 25 providers on the CMS registry roster · 118 codes billed (five-year data window) · 38,028 services (all billed codes, CY2024)
Medicare paid $1.6M · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (509) 747-3147 — 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 14Advanced-practice 9Other 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 65 of the group's 118 codes this year, across 1 state (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)
1033227863 Cain, Susan ARNP Nurse Practitioner SpokaneWA
1710930607 Lance, Raymond M.D. Urology SpokaneWA
1861767121 Maccini, Michael M.D. Urology SpokaneWA
1962466045 Nelson, Bradford MD Urology SpokaneWA
1386256790 Stiles, Michelle PA-C Physician Assistant SpokaneWA
1730531021 Galazka, Rachel FNP Nurse Practitioner SpokaneWA
1942427471 Deters, Levi MD Urology SpokaneWA
1982217089 Lucero, Jessica PA Physician Assistant SpokaneWA
1992352785 Vavrica, Bianca PA-C Physician Assistant SpokaneWA
1063807477 Carlos, Evan MD Urology SpokaneWA
1518253988 Pearce, Shane M.D. Urology SpokaneWA
1508331836 Overhoff, Justin PA-C Physician Assistant SpokaneWA
1124482385 Sloan, Duncan MD Urology SpokaneWA
1245355163 Voelzke, Bryan MD Urology SpokaneWA
1346298361 Brower, Jayson · member of 5 groups MD Diagnostic Radiology SpokaneWA
1891080156 Castle, Jordan · member of 5 groups Interventional Radiology Grand RapidsMI
1508251158 Gump, Brian · member of 5 groups DO, MS Diagnostic Radiology SpokaneWA
1417027640 Kelly, Karie-Lynn · member of 2 groups M.D.. F.R.C.P.C. Radiation Oncology Spokane ValleyWA
1629798095 Kovach, Jeremy · member of 2 groups PA-C Physician Assistant SpokaneWA
1790403822 Naccarato, Matthew · member of 2 groups PA Physician Assistant Coeur D AleneID
1750749362 Quinn, Erin · member of 2 groups PA-C Physician Assistant SpokaneWA
1053604090 Vergnani, Jason · member of 6 groups MD Diagnostic Radiology SpokaneWA
1053301440 Walker, Carl · member of 3 groups MD Urology SpokaneWA

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.