NEVVI Medicare utilization intelligence
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32666 Initial removal of wedge of lung tissue 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 3,947 services ▲ 14.5% YoY · 3,906 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.2M · $558.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the IL market is below
Market analyticsPlatform Methods →

The full market analysis for this code & state — the shapes are yours; the numbers unlock with Platform.

The read
What am I looking at, in one breath?
The read Platform

In Illinois, 7 groups bill 32666 — 350 fee-for-service services, and volume is up 39.6% year over year.

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The snapshot
The honest, real numbers — free, always.
Billing groups

7

Named groups billing this code in IL
Named-group FFS services

350

Attributable volume · fee-for-service
FFS of Medicare

57%

Payer-mix frame
Named-group coverage

57%

Of Illinois’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →
Services · year over year
Services YoY

+39.6%

FFS enrollment -2.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~612 services

350 observed fee-for-service (57%) · ~262 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
The market
How big, moving which way, worth how much.
Billed → allowed → paid
Named-group submitted charges
$1.3M
Named-group allowed amount
$254K
Named-group Medicare payments
$202K
Avg charge / svc
$3,584
Avg allowed / svc
$725
Avg payment / svc
$579
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Per-service vs national + the payments trend unlock with Platformpremium
12-year trendpremium

The full twelve-year services and payments series, per-year values.

The structure
Who's in this market and how it's shaped.
Average charge per group
$2,693 7 groups · avg submitted charge / service $6,996
Market structurewithheld

Concentration is not shown for markets under 11 billing groups.

Market positionpremium

Where this market sits on volume and growth among all state markets, and its rank.

National benchmarkspremium

Where each group's volume sits nationally and within its specialty.

The opportunity
So where do I act?
Worth a lookpremium

Every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume. The cross-market compare view sits alongside.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 32666 services, highest first, CY2024
# Physician group activate to sort City activate to sort Specialty activate to sort Providers activate to sort 32666 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 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO NURSE PRACTITIONER 4339 102 $501,694 $4,919 premium 27.3%
2 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON NURSE PRACTITIONER 3380 95 $268,044 $2,822 premium 25.4%
3 RUSH UNIVERSITY MEDICAL GROUP CHICAGO PHYSICIAN ASSISTANT 1496 68 $183,140 $2,693 premium 18.2% (312) 563-2875
4 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD NURSE PRACTITIONER 933 31 $91,357 $2,947 premium 8.3% (708) 216-8372
5 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD NURSE PRACTITIONER 321 30 $86,671 $2,889 premium 8.0% (217) 545-8000
6 PHYSICIANS REFERRAL SERVICE HOUSTON NURSE PRACTITIONER 2696 13 $90,948 $6,996 premium 3.5% (713) 592-5433
7 EASTERN MAINE MEDICAL CENTER BANGOR PHYSICIAN ASSISTANT 697 11 $32,593 $2,963 premium 2.9% (207) 973-7000

*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 →