NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
20982 Destruction of growths and adjacent soft tissue CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2014
National scale 323 services · est. ▲ 17.7% YoY · 138 FFS beneficiaries (CY2024, all-Medicare estimate) — 149 observed fee-for-service services
Medicare paid $65K · est. · $197.83 avg / service, national — $29K observed FFS
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.

222

Scaled from 96 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+17.9%

All-Medicare est. · observed FFS +18.3%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~222 services

96 observed fee-for-service (43%) · ~126 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 — 20982 (CY2024)
MN 89 GA 64 NY 56 CT 41 TX 28

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$610K
Named-group allowed amount
$25K
Named-group Medicare payments
$46K · est.
— $20K observed FFS
Avg charge / svc
$6,352
Avg allowed / svc
$258
Avg payment / svc
$206
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
$1,773 4 groups · avg submitted charge / service $15,517
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 20982 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 36 $228,802 $6,356 100.0% (507) 284-2511
2 CITY OF HOPE MEDICAL GROUP OF GEORGIA LLC NEWNAN GA NURSE PRACTITIONER 134 29 $51,417 $1,773 100.0% (770) 400-6080
3 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 18 $279,300 $15,517 100.0% (203) 688-4242
4 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 13 $50,230 $3,864 100.0% (713) 592-5433

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →