NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
01320 Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee CPT · Anesthesia
Classification Anesthesia › Anesthesia (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 523 services · est. · 205 FFS beneficiaries (CY2024, all-Medicare estimate) — 261 observed fee-for-service services
Medicare paid $47K · est. · $89.43 avg / service, national — $23K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

4

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

343

Scaled from 171 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+27.9%

All-Medicare est. · observed FFS +33.8%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~343 services

171 observed fee-for-service (50%) · ~172 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 01320 (CY2024)
FL 344 GA 188 TX 54

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$148K
Named-group allowed amount
$19K
Named-group Medicare payments
$29K · est.
— $15K observed FFS
Avg charge / svc
$866
Avg allowed / svc
$113
Avg payment / svc
$86
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
$361 4 groups · avg submitted charge / service $2,654
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 01320 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ANESTHESIA AND PAIN PHYSICIANS OF FLORIDA, PA BRADENTON FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 25 81 $29,280 $361 53.6% 9417059555110
2 NEREUS ANESTHESIA PENSACOLA FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 10 56 $30,996 $554 37.1% (850) 291-7641
3 GASTROINTESTINAL SPECIALIST OF GEORGIA MARIETTA GA GASTROENTEROLOGY 35 17 $45,120 $2,654 20.0% (678) 741-5000
4 MULKEY ANESTHESIOLOGY ASSOCIATES, PC AUSTELL GA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 20 17 $42,720 $2,513 20.0% (770) 948-6824

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →