NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm 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 167,595 services ▲ 45.3% YoY · 35,921 beneficiaries (CY2024, Medicare FFS)
Medicare paid $17.0M · $101.65 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

514

Named groups billing this code
Named-group FFS services

61,380

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+45.3%

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

~120,617 services

61,380 observed fee-for-service (51%) · ~59,237 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 15271 (CY2024)
CA 44,482 FL 26,197 TX 17,216 NV 7,080 IL 6,673

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
$23.2M
Named-group allowed amount
$7.4M
Named-group Medicare payments
$5.8M
Avg charge / svc
$377
Avg allowed / svc
$120
Avg payment / svc
$95
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
$84 514 groups · avg submitted charge / service $2,690
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 15271 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 WEST COAST WOUND AND SKIN CARE INC LYNWOOD CA FAMILY PRACTICE 31 2,718 $1,213,158 $446 9.7% (818) 856-9535
2 MING-WEI WU INC BREA NV NURSE PRACTITIONER 38 1,064 $400,064 $376 18.0% 88843488806
3 MICHAEL A BAIN MD INC NEWPORT BEACH CA PHYSICIAN ASSISTANT 2 910 $174,339 $192 3.2% (949) 720-0270
4 WOUND CENTER INC BEVERLY HILLS CA PHYSICIAN ASSISTANT 6 782 $2,103,619 $2,690 2.8% (310) 919-4179
5 WOUND MANAGEMENT SPECIALISTS LLC JACKSON MS NURSE PRACTITIONER 157 710 $284,001 $400 25.4% (769) 243-6141
That's the top 5 of 514 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 →