NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
11626 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm CPT · Skin procedure
Classification Procedure › Skin › Skin Lesion Excision (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 787 services ▼ 0.5% YoY · 706 beneficiaries (CY2024, Medicare FFS)
Medicare paid $157K · $199.16 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
480
FFS of Medicare
49%
Services YoY
-0.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,035 services

480 observed fee-for-service (46%) · ~555 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 — 11626 (CY2024)
FL 294 TX 49 TN 45 NC 39 PA 37

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

Named-group submitted charges
$495K
Named-group allowed amount
$100K
Named-group Medicare payments
$79K
Avg charge / svc
$1,032
Avg allowed / svc
$209
Avg payment / svc
$165
Average charge per group
$409 26 groups · avg submitted charge / service $2,442
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 11626 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUNCOAST SKIN SOLUTIONS LUTZ FL DERMATOLOGY 90 90 $69,555 $773 30.6% (813) 321-1786
2 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 35 $23,103 $660 11.9% —
3 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 23 $23,161 $1,007 100.0% (734) 763-5459
4 READING DERMATOLOGY ASSOCIATES PC WEST LAWN PA PHYSICIAN ASSISTANT 8 21 $15,569 $741 56.8% (610) 644-8225
5 MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. ORLANDO FL PHYSICIAN ASSISTANT 48 21 $8,587 $409 7.1% (407) 299-7333
6 UT REGIONAL ONE PHYSICIANS INC MEMPHIS TN NURSE PRACTITIONER 328 20 $24,972 $1,249 44.4% (901) 545-8336
7 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 18 $37,008 $2,056 56.2% (415) 600-1020
8 UNLV MEDICINE LAS VEGAS NV GENERAL SURGERY 183 17 $21,199 $1,247 100.0% —
9 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 16 $18,176 $1,136 100.0% —
10 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 15 $19,164 $1,278 100.0% (843) 848-1440
11 ESTERO DERMATOLOGY AND SKIN SURGERY CENTER, LLC ESTERO FL NURSE PRACTITIONER 8 14 $12,698 $907 4.8% (239) 390-3376
12 LAWRENCE D CHANG M.D., PA NEWARK DE PHYSICIAN ASSISTANT 5 14 $16,170 $1,155 50.0% (302) 623-4004
13 ALAMITOS DERMATOLOGICAL MEDICAL CLINIC A PROFESSIONAL CORP LOS ALAMITOS CA DERMATOLOGY 5 14 $6,510 $465 43.8% (562) 598-8593
14 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 14 $14,588 $1,042 4.8% (863) 680-7780
15 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTON NC GENERAL SURGERY 9 14 $11,704 $836 35.9% (910) 763-7363
16 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 13 $16,209 $1,247 28.9% (615) 612-2146
17 DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC OVIEDO FL NURSE PRACTITIONER 10 13 $10,894 $838 4.4% (407) 706-1770
18 DR JERRY CHOW MD LTD PALOS HEIGHTS IL OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 4 13 $19,134 $1,472 100.0% (708) 361-7929
19 MEDFORD EAR NOSE AND THROAT CLINIC PC MEDFORD OR OTOLARYNGOLOGY 10 13 $17,097 $1,315 100.0% (541) 779-7331
20 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 12 $23,664 $1,972 100.0% (952) 928-2900
21 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 12 $8,160 $680 26.7% (865) 305-6333
22 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 12 $15,460 $1,288 100.0% (617) 523-7900
23 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 12 $10,548 $879 24.5% (806) 359-4673
24 HOAG CLINIC NEWPORT BEACH AL PHYSICIAN ASSISTANT 436 12 $12,366 $1,030 35.3% (949) 791-3370
25 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 11 $12,870 $1,170 100.0% (314) 747-3000
26 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 11 $26,862 $2,442 22.4% (713) 592-5433

*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 →