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

17999 Other procedure on skin, mucous membrane, and tissue CPT · Skin procedure

Classification Procedure › Skin (CMS RBCS)

First observed 2014

National scale 391 services ▲ 28.6% YoY · 342 beneficiaries (CY2024, Medicare FFS)

Medicare paid $38K · $97.38 avg / service, national

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

Billing groups

Named-group FFS services

313

FFS of Medicare

49%

Services YoY

+28.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~651 services

313 observed fee-for-service (48%) · ~338 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 — 17999 (CY2024)

TX 169 AZ 45 CA 42 IL 31 WI 22

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

Named-group submitted charges

$248K

Named-group allowed amount

$38K

Named-group Medicare payments

$30K

Avg charge / svc

$792

Avg allowed / svc

$120

Avg payment / svc

$96

Average charge per group

$192–314

$314–437

$437–559

$559–682

$682–804

$804–926

$926–1,049

$1,049+

$192 11 groups · avg submitted charge / service $1,273

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 17999 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	17999 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	HEALTHTEXAS PROVIDER NETWORK	DALLAS	TX	PHYSICIAN ASSISTANT	2482	104	$132,369	$1,273	premium	61.5%	—
2	UNIVERSITY OF CHICAGO	CHICAGO	IL	NURSE PRACTITIONER	1662	31	$24,702	$797	premium	100.0%	(888) 824-0200
3	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	27	$17,820	$660	premium	60.0%	(800) 603-0558
4	SCRIPPS HEALTH	LA JOLLA	CA	PHYSICIAN ASSISTANT	1431	24	$8,717	$363	premium	57.1%	(858) 455-9100
5	MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC	EAU CLAIRE	WI	NURSE PRACTITIONER	799	22	$8,100	$368	premium	100.0%	(715) 838-5222
6	MEDHEALTH	DALLAS	TX	PHYSICIAN ASSISTANT	430	20	$21,393	$1,070	premium	11.8%	(214) 599-8624
7	STANFORD HEALTH CARE	STANFORD	CA	DIAGNOSTIC RADIOLOGY	3039	18	$4,104	$228	premium	42.9%	(650) 723-4000
8	BANNER PHYSICIAN SPECIALISTS ARIZONA LLC	SUN CITY	AZ	PHYSICIAN ASSISTANT	354	18	$9,936	$552	premium	40.0%	(623) 832-4000
9	SLOCUM DICKSON MEDICAL GROUP PLLC	NEW HARTFORD	NY	PHYSICIAN ASSISTANT	93	18	$3,456	$192	premium	100.0%	(315) 798-1500
10	ROPER SAINT FRANCIS PHYSICIANS NETWORK	CHARLESTON	SC	PHYSICIAN ASSISTANT	539	16	$9,808	$613	premium	100.0%	(843) 720-8448
11	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	15	$7,588	$506	premium	100.0%	(507) 284-2511

*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 →