NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0483T Insertion of artificial valve between left heart chambers, accessed through the skin HCPCS · Cardiovascular procedure
Classification Procedure › Cardiovascular › Percutaneous Transcatheterization (CMS RBCS)
First observed 2018
National scale 222 services ▲ 23.3% YoY · 220 beneficiaries (CY2024, Medicare FFS)
Medicare paid $160K · $720.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

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

258

Scaled from 129 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+28.1%

All-Medicare est. · observed FFS +23.3%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~258 services

129 observed fee-for-service (50%) · ~129 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 — 0483T (CY2024)
CA 130 WA 52 TN 17 MA 12 NY 11

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
$914K
Named-group allowed amount
$113K
Named-group Medicare payments
$90K
Avg charge / svc
$7,089
Avg allowed / svc
$875
Avg payment / svc
$700
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
$2,580 6 groups · avg submitted charge / service $11,095
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 0483T svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 35 $227,316 $6,495 26.9% (310) 423-3277
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 28 $143,797 $5,136 21.5% (415) 600-1020
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 26 $278,861 $10,725 20.0% (650) 723-4000
4 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 17 $43,860 $2,580 100.0% (615) 269-4545
5 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 12 $133,138 $11,095 100.0% (617) 724-0287
That's the top 5 of 6 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 →