NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
21930 Removal of growth under skin of back or lower sides, less than 3.0 cm CPT · Musculoskeletal procedure
Classification Procedure › Musculoskeletal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 315 services ▲ 29.1% YoY · 282 beneficiaries (CY2024, Medicare FFS)
Medicare paid $118K · $373.13 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group FFS services

134

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+29.1%

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

~282 services

134 observed fee-for-service (48%) · ~148 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 — 21930 (CY2024)
CA 114 NY 57 FL 49 OH 38 MD 30

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
$140K
Named-group allowed amount
$62K
Named-group Medicare payments
$48K
Avg charge / svc
$1,044
Avg allowed / svc
$465
Avg payment / svc
$358
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
$799 6 groups · avg submitted charge / service $1,606
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 21930 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAIMONIDES FACULTY PRACTICE PLAN BROOKLYN NY PHYSICIAN ASSISTANT 243 57 $57,000 $1,000 100.0% (718) 283-6000
2 BRUECK, GOLOSOW, KIM AND ASSOCIATES FORT MYERS FL PLASTIC AND RECONSTRUCTIVE SURGERY 3 22 $21,848 $993 44.9% (239) 939-5233
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 17 $27,302 $1,606 44.7% —
4 ALPHA DERMATOLOGY OF PENNSYLVANIA LLC SELLERSVILLE PA PHYSICIAN ASSISTANT 4 16 $12,792 $799 100.0% (215) 257-0196
5 CALIFORNIA DERMATOLOGY GROUP PC SOLVANG CA DERMATOLOGY 2 11 $12,012 $1,092 9.6% (805) 892-8222
6 ADVANCED DERMATOLOGY MOHS AND LASER SURGERY CENTER, P.A. WESTFIELD NJ PHYSICIAN ASSISTANT 8 11 $8,918 $811 100.0% (908) 232-6446

*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 →