NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
32552 Removal of indwelling tube in lining of lung CPT · Other Organ Systems procedure
Classification Procedure › Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 465 services · est. ▲ 3.3% YoY · 231 FFS beneficiaries (CY2024, all-Medicare estimate) — 238 observed fee-for-service services
Medicare paid $57K · est. · $122.05 avg / service, national — $29K 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.

418

Scaled from 212 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+3.3%

All-Medicare est. · observed FFS +2.1%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~418 services

212 observed fee-for-service (51%) · ~206 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 — 32552 (CY2024)
CA 227 NY 65 DC 43 MA 40 TX 39

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
$152K
Named-group allowed amount
$33K
Named-group Medicare payments
$52K · est.
— $26K observed FFS
Avg charge / svc
$716
Avg allowed / svc
$155
Avg payment / svc
$123
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
$497 7 groups · avg submitted charge / service $1,288
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 32552 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 98 $72,278 $738 87.5% (650) 723-4000
2 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 31 $16,802 $542 100.0% —
3 JOHNS HOPKINS UNIVERSITY BALTIMORE DC INTERNAL MEDICINE 720 29 $21,402 $738 100.0% (410) 550-0100
4 REGIONAL CLINICS OF LONGVIEW LONGVIEW TX NURSE PRACTITIONER 36 18 $8,946 $497 100.0% (903) 757-6042
5 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 14 $11,494 $821 53.8% (617) 732-5500
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 →