NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
13100 Complicated repair of wound of trunk, 1.1-2.5 cm CPT · Skin procedure
Classification Procedure › Skin › Wound Repair - All Levels (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,553 services ▲ 20.0% YoY · 1,413 beneficiaries (CY2024, Medicare FFS)
Medicare paid $386K · $248.46 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

39

Named groups billing this code
Named-group FFS services

953

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+20.0%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~2,003 services

953 observed fee-for-service (48%) · ~1,050 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 — 13100 (CY2024)
CA 622 FL 384 AZ 103 NY 87 NJ 74

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
$697K
Named-group allowed amount
$308K
Named-group Medicare payments
$239K
Avg charge / svc
$731
Avg allowed / svc
$323
Avg payment / svc
$251
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
$431 39 groups · avg submitted charge / service $1,366
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 13100 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 RONALD R BRANCACCIO MD AND PETER SAITTA DO PC BROOKLYN NY PHYSICIAN ASSISTANT 23 11 $8,843 $804 12.6% (718) 491-5800
2 EASTON DERMATOLOGY ASSOCIATES, LLC EASTON MD PHYSICIAN ASSISTANT 13 11 $8,737 $794 100.0% —
3 ELIAS DERMATOLOGY LLC FORT LAUDERDALE FL PHYSICIAN ASSISTANT 4 11 $5,755 $523 2.9% (954) 771-0582
4 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 11 $9,537 $867 35.5% (615) 322-5000
5 DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC DAYTON OH PHYSICIAN ASSISTANT 115 11 $6,499 $591 100.0% (937) 433-7536
6 HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP CARSON CA INTERNAL MEDICINE 771 11 $12,507 $1,137 1.8% (310) 830-9706
7 ELIZABETH V LENER MD INC LADERA RANCH CA DERMATOLOGY 4 11 $5,500 $500 1.8% (949) 364-8411
8 ALYSA R. HERMAN, MD, PA CORAL GABLES FL MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) 2 12 $8,064 $672 3.1% (305) 444-4979
9 LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC THE VILLAGES FL PHYSICIAN ASSISTANT 192 12 $15,060 $1,255 3.1% (352) 753-2812
10 J. SCOTT BOSWELL, MD A MEDICAL CORPORATION FRESNO CA NURSE PRACTITIONER 14 12 $7,200 $600 1.9% (559) 439-3000
11 CSI MEDICAL GROUP SARATOGA CA DERMATOLOGY 97 12 $7,935 $661 1.9% (408) 253-4407
12 BINGHAM DERMATOLOGY GROUP LLC MESA AZ PHYSICIAN ASSISTANT 3 12 $5,953 $496 11.7% (480) 625-4538
13 LAWRENCE D CHANG M.D., PA NEWARK DE PHYSICIAN ASSISTANT 5 14 $13,440 $960 100.0% (302) 623-4004
14 J ROBERT WEST MD INC LAS VEGAS CA DERMATOLOGY 140 14 $10,612 $758 2.3% (702) 258-1001
15 DERM SURGERY ASSOCIATES P.A. BELLAIRE TX DERMATOLOGY 22 14 $9,100 $650 100.0% 7137919966130
16 JACKSON CENTER, PA. NAPLES FL DERMATOLOGY 4 15 $8,688 $579 3.9% (239) 598-9009
17 DAWM, PLC GRAND RAPIDS AZ DERMATOLOGY 18 15 $9,946 $663 14.6% 61657568941194
18 FEINSTEIN MEDICAL, LLC DELRAY BEACH FL DERMATOLOGY 7 16 $7,525 $470 4.2% (561) 498-4407
19 EPIPHANY DERMATOLOGY OF COLORADO LLC GRAND JUNCTION CO DERMATOLOGY 20 16 $16,790 $1,049 100.0% (970) 245-1500
20 JEFFREY ROSS GUNTER MD INC GATESVILLE CA NURSE PRACTITIONER 15 17 $8,415 $495 2.7% (661) 949-0004
21 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 17 $23,214 $1,366 2.7% (858) 455-9100
22 GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. WALNUT CREEK CA DERMATOLOGY 118 18 $15,751 $875 2.9% (925) 932-7704
23 KEITH MARK GROSS MD INC VICTORVILLE CA DERMATOLOGY 4 18 $7,762 $431 2.9% (760) 951-9895
24 HUDSON DERMATOLOGY, PC FISHKILL NY PHYSICIAN ASSISTANT 40 18 $13,418 $745 20.7% (845) 896-7730
25 TOTAL VEIN AND SKIN LLC BOYNTON BEACH FL DERMATOLOGY 15 18 $9,053 $503 4.7% (561) 739-5252
26 VICTORIA WANG MD INC LAGUNA NIGUEL CA PHYSICIAN ASSISTANT 3 19 $14,606 $769 3.1% (949) 364-9264
27 MARKOWITZ MEDICAL PLLC NEW YORK NY DERMATOLOGY 3 20 $23,513 $1,176 23.0% (347) 881-3392
28 COMPREHENSIVE DERMATOLOGY GROUP ENCINITAS CA DERMATOLOGY 6 21 $17,954 $855 3.4% (760) 634-3376
29 ALPHA DERMATOLOGY OF PENNSYLVANIA LLC SELLERSVILLE PA PHYSICIAN ASSISTANT 4 21 $11,210 $534 39.6% (215) 257-0196
30 DANIEL TAHERI MD PC LAS VEGAS NV PHYSICIAN ASSISTANT 16 22 $21,614 $982 100.0% (725) 465-2040
31 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 23 $18,446 $802 100.0% (918) 502-4720
32 AQUA DERMATOLOGY OF FLORIDA, PA NAPLES FL PHYSICIAN ASSISTANT 184 24 $17,280 $720 6.2% (239) 596-9075
33 PATRICIA C MCCORMACK MD PC STATEN ISLAND NY PHYSICIAN ASSISTANT 8 25 $25,000 $1,000 28.7% —
34 DERMATOLOGY AND SKIN SURGERY SPECIALISTS OF ARIZONA LLC SCOTTSDALE AZ DERMATOLOGY 5 26 $17,217 $662 25.2% (480) 434-6600
35 JOHNNY GURGEN DO PA LEESBURG FL PHYSICIAN ASSISTANT 4 26 $17,293 $665 6.8% (352) 435-7695
36 PENNSYLVANIA DERMATOLOGY PARTNERS INC READING PA DERMATOLOGY 75 32 $14,336 $448 60.4% (610) 288-2908
37 MORGAN DERMATOLOGY NEPTUNE NJ DERMATOLOGY 10 47 $35,485 $755 63.5% (732) 508-9390
38 RICHARD LEE AVERITTE JR PLLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 30 50 $33,092 $662 48.5% (480) 556-0446
39 SEAN ARVINDH SUKAL MD PHD PA BOCA RATON FL DERMATOLOGY 3 250 $174,316 $697 65.1% (561) 245-8877

*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 →