Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

0640T Noncontact near-infrared spectroscopy with image acquisition, interpretation and report, first anatomic site HCPCS · Imaging - Miscellaneous

Classification Imaging › Imaging - Miscellaneous (CMS RBCS)

First observed 2021

National scale 24,004 services ▲ 695.9% YoY · 2,137 beneficiaries (CY2024, Medicare FFS)

Medicare paid $460K · $19.15 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

18,474

FFS of Medicare

49%

Services YoY

+695.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~33,128 services

18,474 observed fee-for-service (56%) · ~14,654 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 — 0640T (CY2024)

NJ 17,522 MO 3,070 TX 1,137 NY 955 LA 480

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

Named-group submitted charges

$3.8M

Named-group allowed amount

$438K

Named-group Medicare payments

$348K

Avg charge / svc

$208

Avg allowed / svc

$24

Avg payment / svc

$19

Average charge per group

$33–74

$74–116

$116–157

$157–199

$199–240

$240–281

$281–323

$323+

$33 14 groups · avg submitted charge / service $375

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 0640T 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	0640T 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	KANE WOUND CARE LLC	PRINCETON	NJ	NURSE PRACTITIONER	55	11,580	$2,316,000	$200	premium	66.1%	(609) 945-3611
2	WOUND CARE PLUS LLC	POTOSI	MO	NURSE PRACTITIONER	50	2,225	$742,683	$334	premium	72.5%	(888) 256-3814
3	MIDWEST HOME PHYSICIANS INC	LINCOLNWOOD	NJ	NURSE PRACTITIONER	6	1,582	$316,400	$200	premium	9.0%	(833) 387-7440
4	PHYSICIANS UNITY	SAN ANTONIO	TX	NURSE PRACTITIONER	59	1,090	$50,276	$46	premium	95.9%	(210) 705-5030
5	KANE WOUND CARE LLC	PRINCETON	NY	NURSE PRACTITIONER	55	955	$191,000	$200	premium	100.0%	(609) 945-3611
6	HERITAGE WOUND CARE LLC	MORRISTOWN	NJ	INTERNAL MEDICINE	11	399	$79,800	$200	premium	2.3%	(908) 400-8405
7	GULF SOUTH FOOT AND ANKLE LLC	METAIRIE	LA	PODIATRY	6	130	$46,550	$358	premium	27.1%	(504) 454-3004
8	WOUND CARE PLUS LLC	POTOSI	IA	NURSE PRACTITIONER	50	119	$40,081	$337	premium	100.0%	(888) 256-3814
9	CARING WOUNDS LLC	FARMINGTON	MO	INTERNAL MEDICINE	2	113	$13,170	$117	premium	3.7%	(660) 707-3059
10	JM HOLDINGS OF BREVARD INC	MELBOURNE	FL	PHYSICIAN ASSISTANT	7	104	$4,160	$40	premium	32.8%	(321) 676-3200
11	VOHRA POST ACUTE CARE PHYSICIANS OF THE EAST PA	LOUISVILLE	FL	FAMILY PRACTICE	56	63	$9,955	$158	premium	19.9%	(954) 399-4673
12	TAYLOR G WRIGHT PC	FARMINGTON	UT	NURSE PRACTITIONER	29	28	$10,500	$375	premium	100.0%	(505) 324-6300
13	UNITED WOUND HEALING PS	PUYALLUP	WA	PHYSICIAN ASSISTANT	32	26	$5,255	$202	premium	100.0%	(855) 255-1750
14	DEL RIO FOOT CLINIC PA	SAN ANTONIO	TX	PODIATRY	2	25	$2,500	$100	premium	2.2%	(210) 872-3668
15	CHRISTUS TRINITY CLINIC	TYLER	TX	NURSE PRACTITIONER	1495	22	$728	$33	premium	1.9%	(903) 606-5560
16	SAINT FRANCIS MEDICAL CENTER	CAPE GIRARDEAU	MO	NURSE PRACTITIONER	435	13	$4,342	$334	premium	0.4%	(573) 331-3000

*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 →