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

27095 Injection of contrast for imaging of hip under anesthesia CPT · Standard X-ray imaging

Classification Imaging › Standard X-ray › Contrast Agent (CMS RBCS)

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

National scale 1,075 services ▲ 9.7% YoY · 880 beneficiaries (CY2024, Medicare FFS)

Medicare paid $135K · $125.99 avg / service, national

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

Billing groups

Named-group FFS services

371

FFS of Medicare

49%

Services YoY

+9.7%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~736 services

371 observed fee-for-service (50%) · ~365 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 — 27095 (CY2024)

CA 179 TX 157 FL 153 MI 146 PA 114

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

Named-group submitted charges

$393K

Named-group allowed amount

$39K

Named-group Medicare payments

$30K

Avg charge / svc

$1,058

Avg allowed / svc

$106

Avg payment / svc

$82

Average charge per group

$232–542

$542–852

$852–1,162

$1,162–1,472

$1,472–1,782

$1,782–2,092

$2,092–2,402

$2,402+

$232 16 groups · avg submitted charge / service $2,738

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 27095 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	27095 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	SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC	OKLAHOMA CITY	OK	PHYSICIAN ASSISTANT	20	56	$55,510	$991	premium	75.7%	—
2	SCOTT AND WHITE CLINIC	TEMPLE	TX	PHYSICIAN ASSISTANT	2435	41	$28,495	$695	premium	26.1%	(254) 724-2663
3	ORTHOLONESTAR PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	407	39	$40,548	$1,040	premium	24.8%	(214) 220-2468
4	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	35	$94,605	$2,703	premium	49.3%	—
5	FLORIDA PAIN TREATMENT CENTER INC	MIAMI	FL	INTERVENTIONAL PAIN MANAGEMENT	2	22	$15,400	$700	premium	14.4%	(305) 260-9803
6	MENORAH MEDICAL GROUP LLC	OVERLAND PARK	KS	GENERAL SURGERY	22	21	$5,286	$252	premium	100.0%	(913) 345-6901
7	MISSION PEAK ORTHOPAEDIC MEDICAL GROUP INC	FREMONT	CA	PHYSICIAN ASSISTANT	13	20	$8,305	$415	premium	11.2%	(510) 797-3933
8	PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC	LEESVILLE	LA	ORTHOPEDIC SURGERY	95	19	$10,278	$541	premium	100.0%	(337) 238-9931
9	THE PHYSICIANS GROUP, LLC	OKLAHOMA CITY	OK	NURSE PRACTITIONER	103	18	$11,700	$650	premium	24.3%	(405) 692-9300
10	PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC	VINELAND	NJ	ORTHOPEDIC SURGERY	38	17	$46,543	$2,738	premium	100.0%	(856) 690-1616
11	PREMIER ORTHOPEDICS OF FORT WORTH, PA	FORT WORTH	TX	ORTHOPEDIC SURGERY	2	15	$21,600	$1,440	premium	9.6%	81763200202008
12	AVERA ST LUKES	ABERDEEN	IA	NURSE PRACTITIONER	169	15	$15,351	$1,023	premium	100.0%	(605) 622-5100
13	MICHIGAN ORTHOPEDIC SPECIALISTS, PC	FARMINGTON HILLS	MI	ORTHOPEDIC SURGERY	6	15	$3,473	$232	premium	10.3%	(313) 277-6700
14	LAS COLINAS ORTHOPEDIC SURGERY AND SPORTS MEDICINE PA	IRVING	CA	ORTHOPEDIC SURGERY	16	14	$27,900	$1,993	premium	7.8%	(972) 556-2885
15	WHITE PLAINS PHYSICIAN SERVICES PC	WHITE PLAINS	NY	PHYSICIAN ASSISTANT	383	13	$4,318	$332	premium	18.3%	(914) 681-0600
16	GOLDEN STATE ORTHOPEDICS AND SPINE	WALNUT CREEK	CA	ORTHOPEDIC SURGERY	190	11	$3,312	$301	premium	6.1%	(925) 939-8585

*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 →