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

31640 Removal of growth of lung airways using an endoscope CPT · Other Organ Systems procedure

Classification Procedure › Other Organ Systems › Bronchoscopy (CMS RBCS)

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

National scale 641 services ▲ 91.9% YoY · 593 beneficiaries (CY2024, Medicare FFS)

Medicare paid $115K · $179.72 avg / service, national

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

Billing groups

Named-group FFS services

533

FFS of Medicare

49%

Services YoY

+91.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,028 services

533 observed fee-for-service (52%) · ~495 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 — 31640 (CY2024)

IL 180 NY 142 CA 79 WI 47 NV 42

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

Named-group submitted charges

$761K

Named-group allowed amount

$123K

Named-group Medicare payments

$98K

Avg charge / svc

$1,428

Avg allowed / svc

$231

Avg payment / svc

$183

Average charge per group

$692–979

$979–1,266

$1,266–1,553

$1,553–1,840

$1,840–2,127

$2,127–2,413

$2,413–2,700

$2,700+

$692 11 groups · avg submitted charge / service $3,230

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 31640 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	31640 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	MIDWEST PULMONARY CRITICAL CARE AND SLEEP CONSULTANTS LLC	PALOS HEIGHTS	IL	PULMONARY DISEASE	33	149	$104,293	$700	premium	82.8%	(708) 371-8006
2	MEMORIAL PULMONARY FUNCTION GROUP	NEW YORK	NY	PULMONARY DISEASE	22	142	$394,174	$2,776	premium	100.0%	(212) 639-2000
3	HEALTHTEXAS PROVIDER NETWORK	DALLAS	NV	PHYSICIAN ASSISTANT	2482	42	$40,576	$966	premium	100.0%	—
4	SCOTT A EISMAN MD INC	ENCINITAS	CA	PULMONARY DISEASE	12	34	$26,010	$765	premium	43.0%	(818) 462-0990
5	MEMPHIS LUNG PHYSICIANS FOUNDATION, INC.	MEMPHIS	IL	PULMONARY DISEASE	61	31	$21,700	$700	premium	17.2%	(901) 226-0732
6	ST ALEXIUS MEDICAL CENTER	BISMARCK	ND	NURSE PRACTITIONER	244	26	$18,460	$710	premium	100.0%	(701) 530-7000
7	UC REGENTS	ORANGE	CA	INTERNAL MEDICINE	296	24	$26,664	$1,111	premium	30.4%	(714) 456-7002
8	MEMORIAL PULMONARY FUNCTION GROUP	NEW YORK	CA	PULMONARY DISEASE	22	21	$53,130	$2,530	premium	26.6%	(212) 639-2000
9	UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC	CINCINNATI	OH	NURSE PRACTITIONER	1504	20	$14,420	$721	premium	100.0%	(513) 584-1000
10	CHRISTIANA CARE HEALTH SERVICES INC	NEWARK	DE	PHYSICIAN ASSISTANT	1537	18	$12,461	$692	premium	100.0%	—
11	FLORIDA HOSPITAL PHYSICIAN GROUP INC	TAMPA	FL	DIAGNOSTIC RADIOLOGY	891	15	$13,500	$900	premium	51.7%	(813) 615-7075
12	AURORA MEDICAL GROUP, INC.	MILWAUKEE	WI	DIAGNOSTIC RADIOLOGY	3696	11	$35,530	$3,230	premium	23.4%	(414) 421-8400

*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 →