NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33235 Removal of dual electrodes from right heart CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular › Pacemaker Removal (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 378 services ▼ 9.1% YoY · 374 beneficiaries (CY2024, Medicare FFS)
Medicare paid $169K · $446.08 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

17

Named groups billing this code
Named-group FFS services

286

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-9.1%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~571 services

286 observed fee-for-service (50%) · ~285 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 — 33235 (CY2024)
FL 75 NY 37 CA 21 TX 19 MD 18

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

Billed → allowed → paid
Named-group submitted charges
$789K
Named-group allowed amount
$163K
Named-group Medicare payments
$130K
Avg charge / svc
$2,759
Avg allowed / svc
$570
Avg payment / svc
$454
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
$1,193 17 groups · avg submitted charge / service $6,308
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 33235 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 11 $69,383 $6,308 29.7% (212) 263-9700
2 MIDWEST HEART AND VASCULAR SPECIALISTS LLC OVERLAND PARK KS CARDIOVASCULAR DISEASE (CARDIOLOGY) 81 11 $22,907 $2,082 100.0% (816) 523-7088
3 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 12 $21,156 $1,763 100.0% (405) 608-3800
4 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 12 $21,453 $1,788 100.0% —
5 ST MARYS MEDICAL CENTER DULUTH MN EMERGENCY MEDICINE 115 13 $58,682 $4,514 100.0% (218) 786-3443
6 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 13 $15,503 $1,193 100.0% —
7 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 15 $26,716 $1,781 20.0% (407) 200-2700
8 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRS CT PHYSICIAN ASSISTANT 1493 15 $48,910 $3,261 100.0% (860) 724-2579
9 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 16 $29,528 $1,846 100.0% (801) 581-2121
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET MA PHYSICIAN ASSISTANT 6294 17 $56,848 $3,344 100.0% —
11 JOHNS HOPKINS UNIVERSITY BALTIMORE MD INTERNAL MEDICINE 720 18 $34,352 $1,908 100.0% (410) 550-0100
12 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 18 $107,537 $5,974 100.0% (843) 792-1414
13 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 19 $47,116 $2,480 100.0% —
14 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 21 $47,346 $2,255 100.0% (310) 423-3277
15 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 21 $29,043 $1,383 28.0% —
16 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 26 $58,240 $2,240 70.3% —
17 FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA ATLANTIS FL CARDIAC ELECTROPHYSIOLOGY 14 28 $94,260 $3,366 37.3% (561) 434-0353

*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 →