NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0546T Radiofrequency spectroscopy evaluation of surgical margins during partial mastectomy, with report HCPCS · Anatomic Pathology test
Classification Test Anatomic Pathology Surgical Pathology Examination (CMS RBCS)
First observed 2019
National scale 303 services · est. ▲ 0.4% YoY · 165 FFS beneficiaries (CY2024, all-Medicare estimate) — 165 observed fee-for-service services
Medicare paid $25K · est. · $87.28 avg / service, national — $14K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Estimated all-Medicare volume estimate
FFS + estimated MA

~303 services

165 observed fee-for-service (54%) · ~138 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
Payments · FFS observed

$14K

all-Medicare ≈$25K — estimate; price parity assumed as well
Rate per 1,000 FFS

0.0

claims denominator · a rate — never scaled
Named groups

5

5 at the ≥11-service disclosure floor
Top states — 0546T (CY2024)

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

The 6-year rate

Growing on the honest basis across 6 years

2019202020212022202320240.0
Per 1,000 FFS beneficiaries, claims denominator · the dated per-year table is a Platform view
What they charge

Half the field lists between $342 and $1,784

Submitted charges are provider-set list amounts, not payments · median $444 (named groups)
National benchmarkspremium

Computed for this market — a Platform view

Market positionpremium

Computed for this market — a Platform view

The whole field, one canvaspremium

Computed for this market — a Platform view

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column

sorts locked on the free tier · services rank pinned · refine and export are Platform features

1
BOCA RATON · FL · PHYSICIAN ASSISTANT · 199 providers · hospital-affiliated · (561) 955-7100
59services 100.0%Share of state* $342avg list premiumMedicare $
2
CEDAR RAPIDS · IA · ANESTHESIOLOGY · 306 providers · hospital-affiliated · (319) 398-6011
45services 100.0%Share of state* $444avg list premiumMedicare $
3
FAIRFAX · VA · HEMATOLOGY/ONCOLOGY · 76 providers · hospital-affiliated · (703) 280-5390
24services 51.1%Share of state* $1,995avg list premiumMedicare $
4
ARLINGTON · VA · NURSE PRACTITIONER · 345 providers · hospital-affiliated ·
23services 48.9%Share of state* $1,784avg list premiumMedicare $
5
WASHINGTON · DC · PHYSICIAN ASSISTANT · 685 providers · hospital-affiliated · (202) 715-4000
14services 100.0%Share of state* $0avg list premiumMedicare $

Medicare $ counts 0546T payments in the market each row names, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments.

*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 →