NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33464 Repair of tricuspid valve with ring insertion CPT · Cardiovascular procedure
Classification Procedure Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 554 services ▼ 5.9% YoY · 554 beneficiaries (CY2024, Medicare FFS)
Medicare paid $596K · $1075.75 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
18
Named-group FFS services
508
FFS of Medicare
49%
Services YoY
-5.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,078 services

508 observed fee-for-service (47%) · ~570 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 — 33464 (CY2024)

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

Named-group submitted charges
$6.7M
Named-group allowed amount
$676K
Named-group Medicare payments
$539K
Avg charge / svc
$13,258
Avg allowed / svc
$1,330
Avg payment / svc
$1,061
Average charge per group
$3,626 18 groups · avg submitted charge / service $17,000
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 33464 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 33464 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 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 161 $2,737,000 $17,000 premium 87.0% (212) 241-4812
2 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 121 $1,754,742 $14,502 premium 100.0%
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 23 $259,141 $11,267 premium 67.6% (650) 723-4000
4 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 22 $322,670 $14,667 premium 64.7%
5 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 16 $150,954 $9,435 premium 100.0% (617) 724-0287
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 15 $176,001 $11,733 premium 100.0% (800) 603-0558
7 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC MECHANICSBURG PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 15 $87,750 $5,850 premium 100.0% (717) 731-0101
8 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 14 $162,316 $11,594 premium 100.0% (734) 763-5459
9 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 14 $101,276 $7,234 premium 100.0%
10 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 14 $80,752 $5,768 premium 100.0% (615) 269-4545
11 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 13 $197,080 $15,160 premium 7.0% (212) 305-8559
12 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 12 $63,499 $5,292 premium 35.3% (321) 434-8878
13 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 12 $97,077 $8,090 premium 100.0% (317) 338-2345
14 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 12 $130,824 $10,902 premium 100.0% (205) 934-3460
15 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 11 $134,882 $12,262 premium 32.4% (916) 983-7476
16 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 11 $149,952 $13,632 premium 100.0%
17 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 11 $39,880 $3,626 premium 5.9%
18 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 11 $89,034 $8,094 premium 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. 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 →