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

25066 Biopsy of deep tissue of forearm and/or wrist CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 762 services ▲ 74.0% YoY · 713 beneficiaries (CY2024, Medicare FFS)

Medicare paid $217K · $285.31 avg / service, national

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

Billing groups

Named-group FFS services

340

FFS of Medicare

49%

Services YoY

+74.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~617 services

340 observed fee-for-service (55%) · ~277 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 — 25066 (CY2024)

PA 215 MA 116 FL 101 IL 91 IA 69

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

Named-group submitted charges

$601K

Named-group allowed amount

$63K

Named-group Medicare payments

$50K

Avg charge / svc

$1,768

Avg allowed / svc

$186

Avg payment / svc

$148

Average charge per group

$352–782

$782–1,212

$1,212–1,642

$1,642–2,072

$2,072–2,503

$2,503–2,933

$2,933–3,363

$3,363+

$352 11 groups · avg submitted charge / service $4,131

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.

View the live example →

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 25066 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	25066 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	LAHEY CLINIC INC	BURLINGTON	MA	NURSE PRACTITIONER	1400	80	$121,902	$1,524	premium	69.0%	—
2	DES MOINES ORTHOPAEDIC SURGEONS PC	WEST DES MOINES	IA	PHYSICIAN ASSISTANT	104	69	$80,730	$1,170	premium	100.0%	(515) 343-1000
3	ORTHOMIDWEST, PLLC	CHICAGO	IL	PHYSICIAN ASSISTANT	542	45	$117,941	$2,621	premium	49.5%	(877) 632-6637
4	GEISINGER CLINIC	DANVILLE	PA	PHYSICIAN ASSISTANT	3426	29	$100,195	$3,455	premium	13.5%	(570) 271-6144
5	SUMMIT MEDICAL GROUP PA	BERKELEY HEIGHTS	NJ	PHYSICIAN ASSISTANT	1183	25	$37,500	$1,500	premium	69.4%	(908) 273-4300
6	COVENANT MEDICAL CENTER INC	SAGINAW	MI	PHYSICIAN ASSISTANT	493	25	$17,600	$704	premium	100.0%	(989) 583-4220
7	MIKI AND ALFONSO HAND AND UPPER	MIAMI	FL	HAND SURGERY	2	16	$42,336	$2,646	premium	15.8%	(305) 308-0210
8	HAND SURGERY ASSOCIATES LLP	ROCHESTER	NY	HAND SURGERY	2	16	$5,629	$352	premium	100.0%	(585) 641-0141
9	THE HAND INSTITUTE PL	MIAMI	FL	HAND SURGERY	13	13	$16,472	$1,267	premium	12.9%	(305) 667-8686
10	VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC	VIRGINIA BEACH	VA	PHYSICIAN ASSISTANT	67	11	$15,488	$1,408	premium	100.0%	(757) 321-3300
11	ORTHONJ LLC	MANASQUAN	NJ	PHYSICIAN ASSISTANT	300	11	$45,441	$4,131	premium	30.6%	(732) 974-0404

*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 →