Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

36015 Insertion of tube into artery of lobe of lung CPT · Vascular procedure

Classification Procedure › Vascular (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 842 services ▲ 39.2% YoY · 336 beneficiaries (CY2024, Medicare FFS)

Medicare paid $63K · $74.97 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

463

FFS of Medicare

49%

Services YoY

+39.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~919 services

463 observed fee-for-service (50%) · ~456 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 — 36015 (CY2024)

SC 132 CA 109 OH 99 IL 95 TX 90

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

Named-group submitted charges

$769K

Named-group allowed amount

$43K

Named-group Medicare payments

$35K

Avg charge / svc

$1,661

Avg allowed / svc

$94

Avg payment / svc

$75

Average charge per group

$385–942

$942–1,499

$1,499–2,056

$2,056–2,613

$2,613–3,169

$3,169–3,726

$3,726–4,283

$4,283+

$385 10 groups · avg submitted charge / service $5,376

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 36015 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	36015 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	REGENTS OF THE UNIVERSITY OF CALIFORNIA	SAN DIEGO	CA	DIAGNOSTIC RADIOLOGY	2057	109	$456,165	$4,185	premium	100.0%	(800) 926-8273
2	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	83	$78,540	$946	premium	87.4%	—
3	RADIOLOGY OF HUNSTVILLE PC	HUNTSVILLE	AL	DIAGNOSTIC RADIOLOGY	63	78	$53,237	$683	premium	100.0%	2565390457145
4	AHS OKLAHOMA HEART LLC	TULSA	OK	PHYSICIAN ASSISTANT	136	56	$21,560	$385	premium	100.0%	(918) 592-0999
5	PRISMA HEALTH UNIVERSITY MEDICAL GROUP	GREENVILLE	SC	NURSE PRACTITIONER	2447	43	$35,786	$832	premium	32.6%	—
6	LEXINGTON HEALTH INC	WEST COLUMBIA	SC	NURSE PRACTITIONER	909	32	$25,776	$806	premium	24.2%	(803) 744-4900
7	MUSC COMMUNITY PHYSICIANS	ORANGEBURG	SC	NURSE PRACTITIONER	1307	27	$20,978	$777	premium	20.5%	(803) 395-3400
8	SACRED HEART HEALTH SYSTEM INC	PENSACOLA	FL	NURSE PRACTITIONER	371	12	$10,122	$844	premium	24.5%	(850) 416-2400
9	UNIVERSITY PRIMARY CARE PRACTICES INC	CONNEAUT	OH	FAMILY PRACTICE	1067	12	$7,900	$658	premium	12.1%	—
10	PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC	TOLEDO	FL	CARDIOVASCULAR DISEASE (CARDIOLOGY)	79	11	$59,136	$5,376	premium	22.4%	(419) 842-3000

*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 →