NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31253 Complete exam of nose and sinuses using an endoscope CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems Nasal/Sinus Endoscopy (CMS RBCS)
First observed 2018
National scale 479 services ▼ 10.6% YoY · 381 beneficiaries (CY2024, Medicare FFS)
Medicare paid $369K · $770.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
134
FFS of Medicare
49%
Services YoY
-10.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~281 services

134 observed fee-for-service (48%) · ~147 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 — 31253 (CY2024)

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

Named-group submitted charges
$307K
Named-group allowed amount
$89K
Named-group Medicare payments
$71K
Avg charge / svc
$2,289
Avg allowed / svc
$662
Avg payment / svc
$529
Average charge per group
$1,680 7 groups · avg submitted charge / service $4,283
Market analyticsPlatform
a taste of the twelve-year trend layer

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 →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 31253 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 31253 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 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 43 $91,166 $2,120 premium 51.8% (817) 920-0484
2 EAR NOSE AND THROAT ASSOCIATES MD PA FORT MYERS FL OTOLARYNGOLOGY 6 25 $46,004 $1,840 premium 39.7% (239) 939-2621
3 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT KS OTOLARYNGOLOGY 104 15 $64,247 $4,283 premium 57.7% (816) 478-4200
4 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 15 $25,200 $1,680 premium 23.8% (561) 391-3333
5 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 13 $22,629 $1,741 premium 44.8%
6 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 12 $36,414 $3,034 premium 14.5% (903) 606-5560
7 CENTRAL TEXAS SINUS AND ALLERGY, PLLC COLLEGE STATION TX OTOLARYNGOLOGY 7 11 $21,000 $1,909 premium 13.3% (979) 764-3090

*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 →