NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
15771 Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems (CMS RBCS)
First observed 2020
National scale 347 services ▲ 1.2% YoY · 325 beneficiaries (CY2024, Medicare FFS)
Medicare paid $101K · $291.34 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

16

Named groups billing this code
Named-group FFS services

247

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+1.2%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~508 services

247 observed fee-for-service (49%) · ~261 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 — 15771 (CY2024)
FL 80 AZ 68 LA 39 TX 29 VA 28

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
$633K
Named-group allowed amount
$69K
Named-group Medicare payments
$55K
Avg charge / svc
$2,564
Avg allowed / svc
$278
Avg payment / svc
$221
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
$953 16 groups · avg submitted charge / service $14,786
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 15771 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CITY OF HOPE MEDICAL GROUP OF ARIZONA LLC GOODYEAR AZ NURSE PRACTITIONER 157 22 $53,658 $2,439 32.4% (623) 207-3000
2 GARDNER PLASTIC SURGERY INC NAPLES FL PLASTIC AND RECONSTRUCTIVE SURGERY 4 21 $31,500 $1,500 26.2% (239) 566-2611
3 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 17 $16,203 $953 21.2% —
4 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 15 $27,690 $1,846 18.8% (407) 896-1100
5 PLASTIC SURGEONS OF NORTHERN ARIZONA P L L C FLAGSTAFF AZ PLASTIC AND RECONSTRUCTIVE SURGERY 6 15 $21,690 $1,446 22.1% (928) 774-2300
That's the top 5 of 16 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →