NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36140 Insertion of needle or tube into artery of arm or leg CPT · Standard X-ray imaging
Classification Imaging › Standard X-ray (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5,684 services ▼ 14.3% YoY · 4,327 beneficiaries (CY2024, Medicare FFS)
Medicare paid $726K · $127.76 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
62
Named-group FFS services
2,643
FFS of Medicare
49%
Services YoY
-14.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,437 services

2,643 observed fee-for-service (49%) · ~2,794 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 — 36140 (CY2024)
CA 2,251 TX 722 NY 403 NJ 384 FL 318

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

Named-group submitted charges
$2.2M
Named-group allowed amount
$388K
Named-group Medicare payments
$308K
Avg charge / svc
$829
Avg allowed / svc
$147
Avg payment / svc
$117
Average charge per group
$150 62 groups · avg submitted charge / service $3,112
Market analyticsPlatform
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 36140 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VASCULAR INSTITUTE OF CLEVELAND LLC GARFIELD HEIGHTS CA CARDIAC SURGERY 2 292 $189,800 $650 13.0% (216) 839-0692
2 EPIC HEART AND VASCULAR CARE PLLC DECATUR TX NURSE PRACTITIONER 4 225 $360,000 $1,600 31.2% (940) 230-2580
3 PINNACLE VEIN AND VASCULAR CENTER PLLC SUN CITY AZ VASCULAR SURGERY 2 136 $78,373 $576 74.7% (888) 553-8346
4 SPECIALISTS IN CARDIOVASCULAR MEDICINE PC MONROEVILLE PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 130 $19,500 $150 56.0% (412) 856-4666
5 VASCULAR HEALTH CLINICS PLLC MIDLAND MI VASCULAR SURGERY 4 123 $98,892 $804 43.5% (989) 254-6427
6 EMPIRE VEIN AND VASCULAR SPECIALISTS RANCHO MIRAGE CA VASCULAR SURGERY 6 121 $114,950 $950 5.4% 76056834613
7 MARYLAND CARDIAC CARE, LLC ROCKVILLE MD NURSE PRACTITIONER 3 105 $39,375 $375 41.5% (301) 337-9766
8 ST JOHN'S MEDICAL SERVICES PC FAR ROCKAWAY NY PSYCHIATRY 97 87 $131,470 $1,511 21.6% (718) 869-7919
9 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 85 $80,750 $950 3.8% (760) 340-3911
10 COASTAL HEART INC CHINO CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 75 $38,221 $510 3.3% (714) 754-1684
11 PETOSKEY SURGEONS, P.C. PETOSKEY MI GENERAL SURGERY 9 73 $57,188 $783 25.8% (231) 487-1900
12 HAWAII VASCULAR AND ENDOVASCULAR INC HONOLULU HI VASCULAR SURGERY 3 71 $19,700 $277 100.0% (808) 440-0544
13 BAYONET POINT/HUDSON CARDIOLOGY ASSOCIATES HUDSON FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 58 $56,550 $975 18.2% (727) 862-1080
14 HADDON EMERGENCY PHYSICIANS LLC CAMDEN NJ EMERGENCY MEDICINE 21 50 $65,950 $1,319 13.0% (954) 939-5000
15 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 48 $29,040 $605 75.0% (617) 732-5500
16 KINGS PHYSICIAN SERVICES PC BROOKLYN NY PHYSICIAN ASSISTANT 664 48 $27,109 $565 11.9% —
17 PACIFIC CARDIOVASCULAR AND VEIN INSTITUTE INC OXNARD CA PHYSICIAN ASSISTANT 5 47 $56,400 $1,200 2.1% (805) 643-3330
18 SID ACHARYA MD PA TEXAS CITY TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 42 $8,400 $200 5.8% (409) 945-5444
19 MAGNOLIA REGIONAL HEALTH CENTER CORINTH MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 35 $7,700 $220 43.8% (662) 293-1000
20 J PEDRO FROMMER MD PA HOUSTON TX NEPHROLOGY 4 31 $10,369 $334 4.3% (713) 791-1633
21 HORIZON SURGICAL GROUP PA FREDERICK MD VASCULAR SURGERY 8 30 $31,170 $1,039 11.9% (240) 529-1414
22 INTERVENTIONAL CARDIOLOGY OF TULSA, LLC TULSA OK INTERVENTIONAL CARDIOLOGY 2 29 $68,670 $2,368 100.0% (918) 943-5303
23 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 29 $36,395 $1,255 15.9% (520) 795-7750
24 GOLDEN STATE FAMILY CLINIC LOS ANGELES CA INTERNAL MEDICINE 2 29 $14,500 $500 1.3% (323) 264-2670
25 KEVIN M CASEY MD APMC SANTA BARBARA CA VASCULAR SURGERY 4 27 $29,619 $1,097 1.2% 8054568890127
26 SOUTHERN CONNECTICUT VASCULAR CENTER LLC STRATFORD CT VASCULAR SURGERY 36 26 $40,820 $1,570 100.0% (203) 210-6340
27 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 24 $35,746 $1,489 1.1% —
28 SURGICAL ALLIANCE OF MIDDLE TENNESSEE PLC SPRINGFIELD TN GENERAL SURGERY 7 24 $5,156 $215 61.5% (615) 384-8211
29 WALLACE G GOSNEY MD AND GILBERT R TURNER MD PTRS UPLAND CA GENERAL SURGERY 3 23 $31,900 $1,387 1.0% (909) 920-0525
30 COGENT HEALTHCARE OF DECATUR, LLC TUSCALOOSA FL INTERNAL MEDICINE 13 23 $14,559 $633 7.2% (205) 759-7111
31 ASSOCIATED SURGEONS OF SAN LUIS OBISPO PISMO BEACH CA GENERAL SURGERY 9 22 $27,175 $1,235 1.0% (805) 546-0411
32 RENAL ASSOCIATES, P.A. SAN ANTONIO TX NEPHROLOGY 39 20 $4,180 $209 2.8% (210) 403-7978
33 MONTEREY BAY VASCULAR INC APTOS CA GENERAL SURGERY 3 20 $21,260 $1,063 0.9% (831) 318-0010
34 CAPITOL VASCULAR AND ONCOLOGY INSTITUTE, LLC BRANDYWINE MD INTERVENTIONAL RADIOLOGY 3 20 $22,205 $1,110 7.9% (301) 358-6070
35 WESTERN VASCULAR INSTITUTE PLLC MESA AZ VASCULAR SURGERY 8 17 $11,169 $657 9.3% (480) 668-5000
36 VASCULAR CARE GROUP LLC HYANNIS RI VASCULAR SURGERY 27 17 $52,896 $3,112 100.0% (508) 775-1984
37 Q-HEALTH PARTNERS PLLC HOUSTON TX NEPHROLOGY 21 17 $7,180 $422 2.4% (713) 520-6875
38 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 15 $4,380 $292 3.9% (856) 247-7260
39 ECM HEALTH GROUP LLC FLORENCE MI DIAGNOSTIC RADIOLOGY 140 15 $12,060 $804 5.3% (256) 718-5900
40 EAST TEXAS SURGICAL ASSOCIATES, PA CORPUS CHRISTI TX NURSE PRACTITIONER 5 15 $19,650 $1,310 2.1% (361) 882-4000
41 VASCULAR INSTITUTE OF CHATTANOOGA, PLLC CHATTANOOGA TN NURSE PRACTITIONER 19 15 $20,484 $1,366 38.5% (423) 602-2750
42 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 15 $4,998 $333 4.7% (407) 200-2700
43 KEVIN M CASEY MD APMC SANTA BARBARA OR VASCULAR SURGERY 4 14 $14,761 $1,054 100.0% 8054568890127
44 COGENT HEALTHCARE OF TEXAS PA AUSTIN TX INTERNAL MEDICINE 115 14 $4,566 $326 1.9% (512) 901-1000
45 PRIMARY HEALTH, LLC BALA CYNWYD PA GENERAL PRACTICE 2 14 $10,360 $740 6.0% (215) 709-3800
46 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 14 $3,976 $284 4.4% —
47 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 14 $3,892 $278 4.4% (813) 615-7075
48 CHINATOWN CARDIOLOGY, P.C. NEW YORK NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 13 $9,750 $750 3.2% (212) 334-3507
49 CRITICAL CARE PHYSICIANS OF NEW JERSEY PC PERTH AMBOY PA INTERNAL MEDICINE 12 13 $8,229 $633 5.6% (732) 442-3700
50 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 13 $39,416 $3,032 3.2% (866) 633-8255
51 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIA PA PHYSICIAN ASSISTANT 489 13 $12,545 $965 5.6% (215) 890-3030
52 SOUTHERN CALIFORNIA NEUROSURGICAL ASSOCIATES INC SOUTH PASADENA CA NEUROSURGERY 2 13 $3,705 $285 0.6% (626) 793-8194
53 MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A HOUSTON TX NURSE PRACTITIONER 27 13 $6,962 $536 1.8% (832) 522-1000
54 ST JOSEPH HOSPITAL LLC LEWISTON ID PHYSICIAN ASSISTANT 86 12 $5,200 $433 100.0% (208) 298-1050
55 SAMARITAN MEDICAL SERVICES PC WEST ISLIP NY PHYSICIAN ASSISTANT 333 12 $3,156 $263 3.0% (516) 705-2689
56 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA NV NURSE PRACTITIONER 814 12 $3,408 $284 15.6% —
57 NORTH PLATTE NEBRASKA HOSPITAL CORPORATION NORTH PLATTE FL PHYSICIAN ASSISTANT 240 12 $3,276 $273 3.8% (308) 568-8000
58 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 12 $2,136 $178 3.0% (315) 475-8402
59 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 12 $13,176 $1,098 100.0% (260) 425-5900
60 HOSPITALIST MEDICINE PHYSICIANS OF DELAWARE, PA DOVER DE CRITICAL CARE (INTENSIVISTS) 35 12 $7,596 $633 100.0% (302) 674-4700
61 SOUND PHYSICIANS INTENSIVISTS OF VIRGINIA LLC RICHMOND LA NURSE PRACTITIONER 53 12 $7,596 $633 100.0% (804) 285-2011
62 SOUND PHYSICIANS INTENSIVISTS OF VIRGINIA LLC RICHMOND FL NURSE PRACTITIONER 53 12 $3,408 $284 3.8% (804) 285-2011
63 COGENT HEALTHCARE OF MISSOURI INC FENTON MO CRITICAL CARE (INTENSIVISTS) 28 11 $6,963 $633 45.8% (636) 496-2000
64 INPATIENT SPECIALISTS OF CALIFORNIA PC SAN BERNARDINO CA INTERNAL MEDICINE 370 11 $6,963 $633 0.5% (909) 883-8711
65 MCLAREN OAKLAND PONTIAC WV CARDIOVASCULAR DISEASE (CARDIOLOGY) 45 11 $4,400 $400 100.0% (248) 338-5000

*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 →