NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15733 Creation of flap graft to head and/or neck CPT · Skin procedure
Classification Procedure Skin (CMS RBCS)
First observed 2018
National scale 1,434 services ▼ 13.9% YoY · 1,263 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.1M · $763.39 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
33
Named-group FFS services
822
FFS of Medicare
49%
Services YoY
-13.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,591 services

822 observed fee-for-service (52%) · ~769 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 — 15733 (CY2024)

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

Named-group submitted charges
$3.1M
Named-group allowed amount
$668K
Named-group Medicare payments
$529K
Avg charge / svc
$3,814
Avg allowed / svc
$813
Avg payment / svc
$643
Average charge per group
$1,035 33 groups · avg submitted charge / service $17,922
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 15733 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 15733 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 RAMOS MD PC OMAHA NE PLASTIC AND RECONSTRUCTIVE SURGERY 2 78 $277,836 $3,562 premium 100.0% (402) 390-6060
2 UVPC SPECIALISTS, INC. TROY OH PHYSICIAN ASSISTANT 83 52 $135,720 $2,610 premium 68.4%
3 NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC NEWPORT BEACH CA DERMATOLOGY 7 43 $90,343 $2,101 premium 11.6% (949) 719-1800
4 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 40 $104,665 $2,617 premium 54.1%
5 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 38 $99,750 $2,625 premium 100.0% (520) 795-7750
6 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 34 $204,000 $6,000 premium 45.9% (215) 662-2777
7 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA OTOLARYNGOLOGY 34 31 $181,350 $5,850 premium 8.4% (310) 794-1110
8 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 31 $153,574 $4,954 premium 8.4% (415) 600-1020
9 PANZER DERMATOLOGY ASSOCIATES NEWARK DE PHYSICIAN ASSISTANT 25 30 $67,320 $2,244 premium 47.6% 3026337550229
10 THE GEORGIA INSTITUTE FOR PLASTIC SURGERY INC SAVANNAH GA PLASTIC AND RECONSTRUCTIVE SURGERY 8 29 $189,602 $6,538 premium 100.0% (912) 355-8000
11 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 28 $108,582 $3,878 premium 38.4% (410) 502-4340
12 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 25 $61,320 $2,453 premium 100.0% (913) 588-1227
13 UTAH VALLEY EYE CENTER INC PROVO UT OPTOMETRY 11 25 $62,500 $2,500 premium 100.0% (801) 357-7373
14 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO CA OTOLARYNGOLOGY 34 25 $82,850 $3,314 premium 6.8% (916) 736-3399
15 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 22 $91,090 $4,140 premium 5.9% (858) 455-9100
16 AFFILIATES IN PLASTIC SURGERY LLC ALEXANDRIA MD PLASTIC AND RECONSTRUCTIVE SURGERY 11 21 $155,400 $7,400 premium 28.8% (703) 888-2034
17 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 21 $46,866 $2,232 premium 26.9% (405) 751-5555
18 ADVANCED DERMATOLOGY MOHS AND LASER SURGERY CENTER, P.A. WESTFIELD NJ PHYSICIAN ASSISTANT 8 20 $32,000 $1,600 premium 26.3% (908) 232-6446
19 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 19 $43,700 $2,300 premium 8.4% (561) 391-3333
20 VENTURA EYE INSTITUTE, INC CAMARILLO CA OPHTHALMOLOGY 2 18 $26,802 $1,489 premium 4.9% (805) 388-1211
21 SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC SAN DIEGO CA INTERNAL MEDICINE 205 15 $53,109 $3,541 premium 4.1% (619) 294-8111
22 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 15 $63,735 $4,249 premium 6.6% (305) 689-5437
23 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 15 $268,830 $17,922 premium 42.9% (212) 241-4812
24 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. JACKSONVILLE FL NURSE PRACTITIONER 884 14 $52,430 $3,745 premium 6.2% (904) 244-1680
25 DAVID B. HAMMER TEMPLETON CA FAMILY PRACTICE 112 14 $14,490 $1,035 premium 3.8%
26 RIVERSIDE HEALTH SYSTEM KANKAKEE IL NURSE PRACTITIONER 211 14 $28,532 $2,038 premium 28.6% (815) 936-3240
27 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 14 $49,434 $3,531 premium 28.6%
28 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 14 $29,793 $2,128 premium 6.2% (727) 791-1368
29 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 14 $84,012 $6,001 premium 6.2% (352) 265-8990
30 SCOTT LEARY MD INC SAN DIEGO CA NEUROSURGERY 2 13 $78,000 $6,000 premium 3.5% (858) 223-2100
31 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA PLASTIC AND RECONSTRUCTIVE SURGERY 19 13 $77,512 $5,962 premium 3.5%
32 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 13 $43,147 $3,319 premium 3.5%
33 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY NC OTOLARYNGOLOGY 19 12 $34,338 $2,862 premium 100.0% 8283222183266
34 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON WI NURSE PRACTITIONER 3380 12 $42,372 $3,531 premium 100.0%

*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 →