NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
00752 Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening CPT · Anesthesia
Classification Anesthesia › Anesthesia (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 341 services ▲ 89.4% YoY · 340 beneficiaries (CY2024, Medicare FFS)
Medicare paid $51K · $148.43 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

16

Named groups billing this code
Named-group all-Medicare svcs · est.

510

Scaled from 260 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+95.1%

All-Medicare est. · observed FFS +89.4%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~510 services

260 observed fee-for-service (51%) · ~250 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 — 00752 (CY2024)
NY 50 CA 47 SC 44 FL 37 MD 27

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

Billed → allowed → paid
Named-group submitted charges
$462K
Named-group allowed amount
$44K
Named-group Medicare payments
$34K
Avg charge / svc
$1,777
Avg allowed / svc
$171
Avg payment / svc
$131
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$826 16 groups · avg submitted charge / service $3,280
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 00752 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 GBMC HOSPITAL BASED SERVICES LLC BALTIMORE MD ANESTHESIOLOGY 49 27 $25,137 $931 100.0% (443) 849-2121
2 ANESTHESIA DYNAMICS LLC LECANTO FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 845 26 $57,232 $2,201 70.3% (352) 527-1825
3 ANESTHESIA ASSOCIATES OF KANSAS CITY PA OVERLAND PARK KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 222 22 $23,098 $1,050 100.0% (913) 901-9000
4 MEDSTREAM ANESTHESIA PLLC HENDERSONVILLE SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 614 19 $30,192 $1,589 43.2% (828) 696-1000
5 MIDWEST PHYSICIAN ANESTHESIA SERVICES, INC. COLUMBUS OH CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 156 17 $22,256 $1,309 100.0% (614) 566-4919
That's the top 5 of 16 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 →