NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
01250 Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg CPT · Anesthesia
Classification Anesthesia Anesthesia (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 293 services ▲ 13.1% YoY · 273 beneficiaries (CY2024, Medicare FFS)
Medicare paid $21K · $72.09 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
206
FFS of Medicare
49%
Services YoY
+13.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~458 services

206 observed fee-for-service (45%) · ~252 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 — 01250 (CY2024)

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

Named-group submitted charges
$131K
Named-group allowed amount
$19K
Named-group Medicare payments
$15K
Avg charge / svc
$634
Avg allowed / svc
$91
Avg payment / svc
$72
Average charge per group
$361 5 groups · avg submitted charge / service $679
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 01250 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 01250 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 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 83 $57,500 $693 premium 68.6% (623) 777-4747
2 NOVASPINE PAIN INSTITUTE PLC SUN CITY MI PHYSICIAN ASSISTANT 20 64 $42,300 $661 premium 100.0% (623) 777-4747
3 MSKCC REGIONAL NETWORK COMMACK NY ANESTHESIOLOGY 123 20 $11,941 $597 premium 57.1% (631) 623-4034
4 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 17 $6,144 $361 premium 60.7% 9417059555110
5 AMS OF GULF BREEZE LLC GULF BREEZE FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 39 11 $6,131 $557 premium 39.3% (850) 934-2000
6 MSK MONMOUTH MIDDLETOWN NJ DIAGNOSTIC RADIOLOGY 306 11 $6,648 $604 premium 100.0% (908) 542-3007

*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 →