Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

15740 Creation of skin and tissue graft CPT · Skin procedure

Classification Procedure › Skin (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 809 services ▲ 0.0% YoY · 664 beneficiaries (CY2024, Medicare FFS)

Medicare paid $485K · $599.79 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

277

FFS of Medicare

49%

Services YoY

+0.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~595 services

277 observed fee-for-service (47%) · ~318 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 — 15740 (CY2024)

DE 158 CA 155 WA 150 OH 72 TX 59

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

Named-group submitted charges

$567K

Named-group allowed amount

$205K

Named-group Medicare payments

$163K

Avg charge / svc

$2,046

Avg allowed / svc

$741

Avg payment / svc

$590

Average charge per group

$1,150–1,408

$1,408–1,666

$1,666–1,924

$1,924–2,182

$2,182–2,441

$2,441–2,699

$2,699–2,957

$2,957+

$1,150 11 groups · avg submitted charge / service $3,345

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 15740 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	15740 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	THE QUEENS MEDICAL CENTER	HONOLULU	OH	NURSE PRACTITIONER	190	72	$154,440	$2,145	premium	100.0%	—
2	NEWPORT BEACH SURGICAL AND MEDICAL GROUP INC	NEWPORT BEACH	CA	DERMATOLOGY	7	46	$95,174	$2,069	premium	29.7%	(949) 719-1800
3	WEST HILLS DERMATOLOGY GROUP A MEDICAL CORPORATION	WEST HILLS	CA	PHYSICIAN ASSISTANT	3	24	$39,600	$1,650	premium	15.5%	(818) 592-6005
4	MICHIGAN SURGERY SPECIALISTS PC	WARREN	MI	ORTHOPEDIC SURGERY	27	23	$33,029	$1,436	premium	46.9%	(586) 573-6880
5	LEHIGH VALLEY PHYSICIAN GROUP	ALLENTOWN	PA	PHYSICIAN ASSISTANT	2389	20	$61,700	$3,085	premium	100.0%	—
6	SHARP REES-STEALY MEDICAL GROUP INC	SAN DIEGO	CA	PHYSICIAN ASSISTANT	872	19	$63,548	$3,345	premium	12.3%	(858) 499-2600
7	THE AESTHETIC SURGERY CENTRE PLLC	TACOMA	WA	OPHTHALMOLOGY	5	19	$34,200	$1,800	premium	12.7%	—
8	CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION	STOCKTON	CA	OPHTHALMOLOGY	4	17	$25,500	$1,500	premium	11.0%	(209) 623-4700
9	TEXAS HEALTH CARE PLLC	FORT WORTH	TX	NURSE PRACTITIONER	364	14	$27,432	$1,959	premium	23.7%	(817) 920-0484
10	SKIN CANCER SPECIALISTS LTD	MESA	AZ	PLASTIC AND RECONSTRUCTIVE SURGERY	4	12	$19,605	$1,634	premium	50.0%	(480) 835-5532
11	DERM SURGERY ASSOCIATES P.A.	BELLAIRE	TX	DERMATOLOGY	22	11	$12,650	$1,150	premium	18.6%	7137919966130

*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 →