NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15277 Skin substitute graft to wound 100.0 sq cm or more of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 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 340 services · est. ▲ 1.7% YoY · 125 FFS beneficiaries (CY2024, all-Medicare estimate) — 158 observed fee-for-service services
Medicare paid $53K · est. · $157.41 avg / service, national — $25K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

3

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

251

Scaled from 125 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+1.8%

All-Medicare est. · observed FFS -1.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~251 services

125 observed fee-for-service (50%) · ~126 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 15277 (CY2024)
GA 159 FL 109 MS 38 CA 32

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$156K
Named-group allowed amount
$25K
Named-group Medicare payments
$41K · est.
— $20K observed FFS
Avg charge / svc
$1,245
Avg allowed / svc
$202
Avg payment / svc
$162
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
$771 3 groups · avg submitted charge / service $1,448
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 15277 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 JOSEPH M STILL BURN CENTERS, INC AUGUSTA GA PHYSICIAN ASSISTANT 46 72 $104,255 $1,448 100.0% (706) 863-9595
2 WEST FLORIDA PHYSICIAN NETWORK, LLC BRADENTON FL NURSE PRACTITIONER 46 31 $23,900 $771 64.6% (941) 465-4800
3 MISSISSIPPI BURN HAND AND RECONSTRUCTION CENTERS PC JACKSON MS NURSE PRACTITIONER 13 22 $27,500 $1,250 100.0% (833) 672-8767

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →