NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0561T 3-d printed anatomic guide; first guide HCPCS · CT Scan imaging
Classification Imaging › CT Scan (CMS RBCS)
First observed 2020
National scale 75 services ▲ 21.0% YoY · 73 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2K · $31.57 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

2

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

140

Scaled from 75 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+22.8%

All-Medicare est. · observed FFS +21.0%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~140 services

75 observed fee-for-service (54%) · ~65 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 — 0561T (CY2024)
IL 63 MN 12

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
$41K
Named-group allowed amount
$3K
Named-group Medicare payments
$2K
Avg charge / svc
$549
Avg allowed / svc
$40
Avg payment / svc
$32
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
$147 2 groups · avg submitted charge / service $626
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 0561T svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 63 $39,438 $626 100.0% —
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 12 $1,764 $147 100.0% (507) 284-2511

*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 →