NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33207 Insertion of pacemaker and lower heart chamber electrode CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular › Pacemaker Insertion or Repair (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,156 services ▼ 9.5% YoY · 1,155 beneficiaries (CY2024, Medicare FFS)
Medicare paid $543K · $469.29 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
41
Named-group FFS services
674
FFS of Medicare
49%
Services YoY
-9.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,234 services

674 observed fee-for-service (55%) · ~560 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 — 33207 (CY2024)
VA 116 PA 102 IL 89 MD 71 SD 62

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$273K
Named-group Medicare payments
$215K
Avg charge / svc
$1,509
Avg allowed / svc
$404
Avg payment / svc
$319
Average charge per group
$432 41 groups · avg submitted charge / service $2,586
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 33207 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 49 $126,714 $2,586 79.0% (605) 332-2883
2 INTEGRATED CARDIOLOGY GROUP LLC LINCOLN NE PHYSICIAN ASSISTANT 78 43 $44,376 $1,032 100.0% (402) 483-3333
3 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 31 $49,724 $1,604 34.8% —
4 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 28 $28,924 $1,033 70.0% (502) 928-1050
5 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 22 $32,010 $1,455 47.8% (406) 327-1900
6 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 20 $18,320 $916 17.2% —
7 ST VINCENT INFIRMARY MEDICAL CENTER LITTLE ROCK AR NURSE PRACTITIONER 47 19 $25,745 $1,355 100.0% (501) 255-6000
8 RICHMOND HEART AND VASCULAR ASSOCIATES MECHANICSVILLE VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 18 $25,240 $1,402 15.5% (804) 800-6600
9 NORTHEASTERN PENNSYLVANIA CARDIOLOGY ASSOCIATES LLP PLAINS PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 18 $27,000 $1,500 17.6% (570) 823-1111
10 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 17 $20,791 $1,223 23.9% (410) 522-9800
11 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 17 $25,313 $1,489 41.5% —
12 GRAND STRAND SURGICAL SPECIALISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 51 17 $26,014 $1,530 56.7% (843) 848-1440
13 LIFEBRIDGE COMMUNITY PHYSICIANS INC BALTIMORE MD NURSE PRACTITIONER 185 17 $39,355 $2,315 23.9% (410) 601-9000
14 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 17 $15,725 $925 58.6% (248) 477-0552
15 THE HEART GROUP OF LANCASTER GENERAL HEALTH LANCASTER PA NURSE PRACTITIONER 61 16 $24,204 $1,513 15.7% (717) 544-8300
16 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 15 $21,825 $1,455 24.2% (360) 493-4083
17 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 14 $22,050 $1,575 35.9% (856) 247-7260
18 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 13 $13,026 $1,002 100.0% 3372699777139
19 HEART HOSPITAL OF SOUTH DAKOTA LLC SIOUX FALLS SD NURSE PRACTITIONER 67 13 $5,617 $432 21.0% (605) 977-7000
20 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 13 $22,191 $1,707 43.3% (843) 720-8448
21 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 13 $17,381 $1,337 54.2% (405) 951-4345
22 JOHNS HOPKINS REGIONAL PHYSICIANS LLC LUTHERVILLE MD OTOLARYNGOLOGY 80 13 $15,600 $1,200 18.3% (443) 275-1337
23 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 13 $14,866 $1,144 31.7% (404) 605-5000
24 DLP FRYE MEDICAL GROUP LLC HICKORY NJ PHYSICIAN ASSISTANT 121 12 $28,368 $2,364 30.8% —
25 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 12 $17,028 $1,419 19.4% (206) 386-6000
26 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 12 $13,776 $1,148 22.2% —
27 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 12 $18,984 $1,582 19.4% (509) 665-6087
28 FAIRFIELD HEALTHCARE PROFESSIONALS INC LANCASTER OH NURSE PRACTITIONER 152 12 $8,760 $730 50.0% —
29 MCPC-5 LLC PINEHURST NC CARDIOVASCULAR DISEASE (CARDIOLOGY) 30 12 $19,584 $1,632 52.2% (910) 715-7650
30 LAHEY CLINIC INC BURLINGTON OH NURSE PRACTITIONER 1400 12 $23,134 $1,928 50.0% —
31 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 333 12 $22,119 $1,843 50.0% (417) 269-6000
32 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC POUGHKEEPSIE NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 72 12 $22,764 $1,897 100.0% (845) 473-1188
33 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 11 $16,005 $1,455 17.7% (509) 455-8820
34 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 11 $12,707 $1,155 33.3% (207) 885-9905
35 TIDALHEALTH SPECIALTY CARE LLC SALISBURY MD NURSE PRACTITIONER 329 11 $10,328 $939 15.5% —
36 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 11 $24,408 $2,219 10.8% (570) 888-5858
37 CARDIOLOGY CONSULTANTS OF PHILADELPHIA PC PHILADELPHIA PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 143 11 $22,825 $2,075 10.8% (215) 463-5333
38 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 11 $12,559 $1,142 100.0% (208) 381-4210
39 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 11 $23,691 $2,154 9.5% (434) 924-5959
40 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 11 $21,244 $1,931 20.4% —
41 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 11 $14,806 $1,346 45.8% (405) 608-3800
42 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 11 $22,022 $2,002 44.0% (763) 581-5400

*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 →