NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15736 Creation of muscle graft to arm CPT · Skin procedure
Classification Procedure › Skin (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 251 services ▼ 43.2% YoY · 192 beneficiaries (CY2024, Medicare FFS)
Medicare paid $206K · $821.06 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

4

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

121

Scaled from 58 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-39.2%

All-Medicare est. · observed FFS -43.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~121 services

58 observed fee-for-service (48%) · ~63 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 — 15736 (CY2024)
CA 88 FL 49 TN 38 NJ 32 LA 31

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
$408K
Named-group allowed amount
$71K
Named-group Medicare payments
$56K
Avg charge / svc
$7,042
Avg allowed / svc
$1,223
Avg payment / svc
$970
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
$3,250 4 groups · avg submitted charge / service $15,251
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 15736 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 HAND SURGICAL ASSOCIATES LTD METAIRIE LA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 7 19 $61,750 $3,250 61.3% (504) 454-2191
2 AVORS MEDICAL GROUP LANCASTER CA ORTHOPEDIC SURGERY 19 14 $68,572 $4,898 15.9% (661) 726-5005
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET IL PHYSICIAN ASSISTANT 6294 13 $198,263 $15,251 100.0% —
4 LOUISIANA ORTHOPAEDIC SPECIALISTS LLC LAFAYETTE LA PHYSICIAN ASSISTANT 68 12 $79,830 $6,653 38.7% (337) 235-8007

*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 →