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

15770 Creation of skin, fat and muscle graft CPT · Skin procedure

Classification Procedure › Skin (CMS RBCS)

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

National scale 795 services ▲ 1.0% YoY · 656 beneficiaries (CY2024, Medicare FFS)

Medicare paid $245K · $307.66 avg / service, national

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

Billing groups

Named-group FFS services

620

FFS of Medicare

49%

Services YoY

+1.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,257 services

620 observed fee-for-service (49%) · ~637 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 — 15770 (CY2024)

CA 322 OK 132 TX 107 AL 102 IA 37

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

Named-group submitted charges

$1.0M

Named-group allowed amount

$249K

Named-group Medicare payments

$196K

Avg charge / svc

$1,648

Avg allowed / svc

$401

Avg payment / svc

$315

Average charge per group

$1,200–1,454

$1,454–1,709

$1,709–1,963

$1,963–2,217

$2,217–2,471

$2,471–2,726

$2,726–2,980

$2,980+

$1,200 12 groups · avg submitted charge / service $3,503

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.

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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 15770 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	15770 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	BOBBY POURZIAEE D P M INC	PAHRUMP	CA	NURSE PRACTITIONER	5	155	$186,000	$1,200	premium	48.1%	(775) 751-5200
2	INTEGRIS AMBULATORY CARE CORPORATION	OKLAHOMA CITY	OK	PHYSICIAN ASSISTANT	698	105	$146,754	$1,398	premium	79.5%	(405) 751-5555
3	ALABAMA EAR PC	BIRMINGHAM	AL	OTOLARYNGOLOGY	4	102	$164,628	$1,614	premium	100.0%	(205) 598-4799
4	DALLAS OTOLARYNGOLOGY ASSOCIATES	DALLAS	TX	QUALIFIED AUDIOLOGIST	19	82	$102,816	$1,254	premium	76.6%	(972) 566-7600
5	IOWA EAR CENTER	CLIVE	IA	QUALIFIED AUDIOLOGIST	10	37	$91,353	$2,469	premium	100.0%	(515) 418-9960
6	UNIVERSITY HEAD AND NECK SURGEONS	ORANGE	CA	OTOLARYNGOLOGY	27	36	$108,504	$3,014	premium	11.2%	(714) 456-5731
7	SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC	SACRAMENTO	CA	OTOLARYNGOLOGY	34	36	$74,337	$2,065	premium	11.2%	(916) 736-3399
8	JACKSON EAR CLINIC PA	FLOWOOD	MS	OTOLARYNGOLOGY	3	19	$28,500	$1,500	premium	100.0%	(601) 981-2825
9	SJHMC PHYSICIAN SERVICES	PHOENIX	AZ	NURSE PRACTITIONER	690	13	$23,571	$1,813	premium	100.0%	(602) 406-6017
10	LESTER E COX MEDICAL CENTERS	SPRINGFIELD	MO	PHYSICIAN ASSISTANT	251	12	$23,803	$1,984	premium	100.0%	(417) 875-3000
11	UNIVERSITY OF MIAMI	MIAMI	FL	NURSE PRACTITIONER	2331	12	$32,820	$2,735	premium	33.3%	(305) 689-5437
12	COAST NEUROSURGICAL ASSOCIATES A MEDICAL GROUP	LONG BEACH	CA	NEUROSURGERY	5	11	$38,537	$3,503	premium	3.4%	(562) 595-7696

*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 →