Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

00794 Anesthesia for removal of pancreas including use of an endoscope CPT · Anesthesia

Classification Anesthesia › Anesthesia (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 226 services ▲ 30.6% YoY · 226 beneficiaries (CY2024, Medicare FFS)

Medicare paid $83K · $366.82 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

175

FFS of Medicare

49%

Services YoY

+30.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~324 services

175 observed fee-for-service (54%) · ~149 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 — 00794 (CY2024)

NY 106 MD 30 PA 29 MA 24 VA 13

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

Named-group submitted charges

$682K

Named-group allowed amount

$87K

Named-group Medicare payments

$70K

Avg charge / svc

$3,898

Avg allowed / svc

$499

Avg payment / svc

$398

Average charge per group

$465–1,310

$1,310–2,155

$2,155–3,000

$3,000–3,845

$3,845–4,690

$4,690–5,535

$5,535–6,380

$6,380+

$465 8 groups · avg submitted charge / service $7,949

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 00794 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	00794 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	MEMORIAL ANESTHESIOLOGY GROUP	NEW YORK	NY	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	306	55	$136,844	$2,488	premium	51.9%	(212) 639-2000
2	JOHNS HOPKINS UNIVERSITY	BALTIMORE	MD	NURSE PRACTITIONER	2900	30	$167,250	$5,575	premium	100.0%	(410) 502-4340
3	JEFFERSON UNIVERSITY PHYSICIANS	PHILADELPHIA	PA	DIAGNOSTIC RADIOLOGY	1570	18	$66,150	$3,675	premium	62.1%	—
4	UNIVERSITY OF VIRGINIA PHYSICIANS GROUP	CHARLOTTESVILLE	VA	NURSE PRACTITIONER	1704	13	$50,640	$3,895	premium	100.0%	(434) 924-5959
5	BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC	BOSTON	MA	PHYSICIAN ASSISTANT	2942	13	$76,446	$5,880	premium	54.2%	(617) 732-5500
6	THE MEDICAL COLLEGE OF WISCONSIN INC	MILWAUKEE	WI	DIAGNOSTIC RADIOLOGY	2137	13	$103,334	$7,949	premium	100.0%	(414) 955-4263
7	MEMORIAL ANESTHESIOLOGY GROUP	NEW YORK	PA	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	306	11	$27,463	$2,497	premium	37.9%	(212) 639-2000
8	MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC	BOSTON	MA	DIAGNOSTIC RADIOLOGY	3532	11	$48,856	$4,441	premium	45.8%	(617) 724-0287
9	ENDEAVOR HEALTH MEDICAL GROUP	EVANSTON	IL	NURSE PRACTITIONER	3380	11	$5,112	$465	premium	100.0%	—

*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 →