NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
34812 Exposure of thigh artery for insertion of prosthesis CPT · Vascular procedure
Classification Procedure › Vascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 627 services · est. ▲ 30.1% YoY · 296 FFS beneficiaries (CY2024, all-Medicare estimate) — 304 observed fee-for-service services
Medicare paid $114K · est. · $180.65 avg / service, national — $55K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

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

404

Scaled from 195 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+30.1%

All-Medicare est. · observed FFS +28.8%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~404 services

195 observed fee-for-service (48%) · ~209 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 — 34812 (CY2024)
FL 98 MO 89 OH 84 CA 75 AL 64

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
$239K
Named-group allowed amount
$48K
Named-group Medicare payments
$79K · est.
— $38K observed FFS
Avg charge / svc
$1,226
Avg allowed / svc
$244
Avg payment / svc
$195
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
$430 11 groups · avg submitted charge / service $2,400
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 34812 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 30 $22,848 $762 100.0% (315) 475-8402
2 VERO VASCULAR SURGERY, PA VERO BEACH FL PHYSICIAN ASSISTANT 2 30 $30,000 $1,000 69.8% (772) 567-6602
3 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 28 $67,200 $2,400 66.7% (314) 747-3000
4 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 17 $27,388 $1,611 58.6% (847) 459-1160
5 ECM HEALTH GROUP LLC FLORENCE AL DIAGNOSTIC RADIOLOGY 140 14 $13,244 $946 53.8% (256) 718-5900
That's the top 5 of 11 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →