NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
11646 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 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 1,150 services ▲ 26.1% YoY · 898 beneficiaries (CY2024, Medicare FFS)
Medicare paid $389K · $338.20 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
595
FFS of Medicare
49%
Services YoY
+26.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,258 services

595 observed fee-for-service (47%) · ~663 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 — 11646 (CY2024)
FL 503 GA 125 AL 77 PA 76 CA 72

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

Named-group submitted charges
$662K
Named-group allowed amount
$242K
Named-group Medicare payments
$191K
Avg charge / svc
$1,113
Avg allowed / svc
$408
Avg payment / svc
$321
Average charge per group
$496 25 groups · avg submitted charge / service $2,609
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 11646 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUNCOAST SKIN SOLUTIONS LUTZ FL DERMATOLOGY 90 152 $146,071 $961 30.2% (813) 321-1786
2 DERMATOLOGY ASSOCIATES PA HUNTSVILLE AL DERMATOLOGY 5 48 $28,800 $600 62.3% (256) 539-2741
3 READING DERMATOLOGY ASSOCIATES PC WEST LAWN PA PHYSICIAN ASSISTANT 8 45 $42,801 $951 59.2% (610) 644-8225
4 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 26 $30,862 $1,187 36.1% (805) 681-7500
5 SJC ONCOLOGY SERVICES - GEORGIA, LLC SAVANNAH GA NURSE PRACTITIONER 25 23 $25,909 $1,126 18.4% —
6 MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. ORLANDO FL PHYSICIAN ASSISTANT 48 23 $11,419 $496 4.6% (407) 299-7333
7 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 22 $28,996 $1,318 4.4% (863) 680-7780
8 ESTERO DERMATOLOGY AND SKIN SURGERY CENTER, LLC ESTERO FL NURSE PRACTITIONER 8 21 $23,982 $1,142 4.2% (239) 390-3376
9 MEDFORD EAR NOSE AND THROAT CLINIC PC MEDFORD OR OTOLARYNGOLOGY 10 20 $33,308 $1,665 100.0% (541) 779-7331
10 SURGICAL SERVICES OF ILLINOIS, SC ROCKFORD IL NURSE PRACTITIONER 7 19 $23,380 $1,231 61.3% (815) 484-9900
11 RAMOS MD PC OMAHA NE PLASTIC AND RECONSTRUCTIVE SURGERY 2 19 $24,928 $1,312 100.0% (402) 390-6060
12 ST AGNES HEALTHCARE INC BALTIMORE MD PHYSICIAN ASSISTANT 277 15 $16,315 $1,088 26.8% (667) 234-6000
13 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 14 $20,076 $1,434 100.0% —
14 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 14 $25,228 $1,802 100.0% (617) 523-7900
15 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 14 $14,140 $1,010 100.0% (734) 763-5459
16 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 13 $13,266 $1,020 2.6% —
17 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 13 $19,019 $1,463 100.0% (973) 971-5596
18 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 13 $16,035 $1,233 17.1% —
19 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 12 $16,476 $1,373 100.0% (314) 747-3000
20 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 12 $23,426 $1,952 16.7% (858) 455-9100
21 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 12 $31,308 $2,609 16.7% (415) 600-1020
22 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 12 $15,264 $1,272 38.7% (708) 216-8372
23 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 11 $16,247 $1,477 100.0% —
24 DAVID B. HAMMER TEMPLETON CA FAMILY PRACTICE 112 11 $5,715 $520 15.3% —
25 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET SC FAMILY PRACTICE 230 11 $9,416 $856 100.0% (843) 652-8450

*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 →