NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
21011 Removal of growth under skin of face or scalp, less than 2.0 cm CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 365 services · est. ▲ 175.9% YoY · 181 FFS beneficiaries (CY2024, all-Medicare estimate) — 195 observed fee-for-service services
Medicare paid $72K · est. · $197.00 avg / service, national — $38K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

9

Named groups billing this code
Named-group all-Medicare svcs · est.

261

Scaled from 140 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+176.5%

All-Medicare est. · observed FFS +174.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~261 services

140 observed fee-for-service (54%) · ~121 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 — 21011 (CY2024)
FL 91 VA 55 DE 54 NJ 47 PA 36

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
$104K
Named-group allowed amount
$42K
Named-group Medicare payments
$62K · est.
— $33K observed FFS
Avg charge / svc
$743
Avg allowed / svc
$303
Avg payment / svc
$235
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
$500 9 groups · avg submitted charge / service $1,193
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 21011 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 PANZER DERMATOLOGY ASSOCIATES NEWARK DE PHYSICIAN ASSISTANT 25 20 $10,200 $510 54.1% 3026337550229
2 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 19 $14,478 $762 55.9% (703) 437-0001
3 ALPHA DERMATOLOGY OF PENNSYLVANIA LLC SELLERSVILLE PA PHYSICIAN ASSISTANT 4 17 $10,634 $626 100.0% (215) 257-0196
4 BRUECK, GOLOSOW, KIM AND ASSOCIATES FORT MYERS FL PLASTIC AND RECONSTRUCTIVE SURGERY 3 16 $10,578 $661 40.0% (239) 939-5233
5 EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC SANTA FE NM DERMATOLOGY 29 16 $17,014 $1,063 100.0% (505) 557-6300
That's the top 5 of 9 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 — 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 →