NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
31591 Repair of side of voice box by moving vocal cord to middle CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems (CMS RBCS)
First observed 2017
National scale 375 services · est. ▲ 33.7% YoY · 171 FFS beneficiaries (CY2024, all-Medicare estimate) — 188 observed fee-for-service services
Medicare paid $403K · est. · $1067.50 avg / service, national — $201K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

7

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

195

Scaled from 100 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+33.5%

All-Medicare est. · observed FFS +23.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~195 services

100 observed fee-for-service (51%) · ~95 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 — 31591 (CY2024)
AZ 133 CO 58 SC 46 OK 32 PA 32

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
$404K
Named-group allowed amount
$117K
Named-group Medicare payments
$181K · est.
— $93K observed FFS
Avg charge / svc
$4,045
Avg allowed / svc
$1,170
Avg payment / svc
$927
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
$2,212 7 groups · avg submitted charge / service $8,857
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 31591 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 19 $42,020 $2,212 100.0% —
2 ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC GLENDALE AZ OTOLARYNGOLOGY 22 18 $79,629 $4,424 27.3% (602) 938-3205
3 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 15 $51,570 $3,438 100.0% (215) 662-2777
4 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 13 $55,795 $4,292 52.0% (843) 792-1414
5 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 12 $106,288 $8,857 100.0% (904) 953-2000
That's the top 5 of 7 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 →