NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15101 Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less CPT · Skin procedure
Classification Procedure › Skin › Skin Grafting (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,890 services ▼ 29.7% YoY · 253 beneficiaries (CY2024, Medicare FFS)
Medicare paid $159K · $84.38 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

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

3,568

Scaled from 1,672 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-23.3%

All-Medicare est. · observed FFS -29.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~3,568 services

1,672 observed fee-for-service (47%) · ~1,896 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 — 15101 (CY2024)
GA 659 AL 231 NC 202 MA 157 MS 131

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
$1.1M
Named-group allowed amount
$178K
Named-group Medicare payments
$142K
Avg charge / svc
$635
Avg allowed / svc
$106
Avg payment / svc
$85
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
$238 11 groups · avg submitted charge / service $5,033
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 15101 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 JOSEPH M STILL BURN CENTERS, INC AUGUSTA GA PHYSICIAN ASSISTANT 46 659 $420,442 $638 100.0% (706) 863-9595
2 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 231 $192,423 $833 100.0% (205) 934-3460
3 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 202 $107,666 $533 100.0% (984) 215-5556
4 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 157 $73,375 $467 100.0% (617) 724-0287
5 MISSISSIPPI BURN HAND AND RECONSTRUCTION CENTERS PC JACKSON MS NURSE PRACTITIONER 13 131 $91,700 $700 100.0% (833) 672-8767
That's the top 5 of 11 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →