NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
32701 Delineation of thoracic targets for radiation therapy 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 212 services · est. ▼ 29.3% YoY · 108 FFS beneficiaries (CY2024, all-Medicare estimate) — 109 observed fee-for-service services
Medicare paid $31K · est. · $147.64 avg / service, national — $16K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

5

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

212

Scaled from 109 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-29.1%

All-Medicare est. · observed FFS -27.3%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~212 services

109 observed fee-for-service (51%) · ~103 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 — 32701 (CY2024)
AL 67 GA 66 MA 33 KS 28 DE 18

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
$86K
Named-group allowed amount
$22K
Named-group Medicare payments
$31K · est.
— $16K observed FFS
Avg charge / svc
$786
Avg allowed / svc
$198
Avg payment / svc
$148
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
$448 5 groups · avg submitted charge / service $1,117
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 32701 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SJC THORACIC SERVICES, LLC SAVANNAH GA PHYSICIAN ASSISTANT 3 30 $18,750 $625 100.0% (912) 819-5757
2 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 27 $26,163 $969 100.0% (205) 934-3460
3 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 21 $23,457 $1,117 100.0% (617) 732-5500
4 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC WICHITA KS FAMILY PRACTICE 118 19 $8,514 $448 100.0% (316) 858-3460
5 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 12 $8,831 $736 100.0% —

*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 →