NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
32653 Removal of foreign body in lining of chest cavity using an endoscope 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 693 services · est. ▲ 23.6% YoY · 334 FFS beneficiaries (CY2024, all-Medicare estimate) — 343 observed fee-for-service services
Medicare paid $337K · est. · $488.68 avg / service, national — $168K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

12

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

518

Scaled from 253 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+23.5%

All-Medicare est. · observed FFS +21.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~518 services

253 observed fee-for-service (49%) · ~265 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 — 32653 (CY2024)
CA 203 PA 108 AL 106 NY 86 IN 67

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
$831K
Named-group allowed amount
$155K
Named-group Medicare payments
$252K · est.
— $123K observed FFS
Avg charge / svc
$3,284
Avg allowed / svc
$611
Avg payment / svc
$488
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
$1,961 12 groups · avg submitted charge / service $5,564
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 32653 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 49 $146,461 $2,989 49.0% —
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 29 $115,897 $3,996 70.7% —
3 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 29 $70,905 $2,445 67.4% (256) 265-2372
4 HEALTHTEXAS PROVIDER NETWORK DALLAS PA PHYSICIAN ASSISTANT 2482 27 $108,459 $4,017 52.9% —
5 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 24 $47,064 $1,961 47.1% —
That's the top 5 of 12 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 →