NEVVI Medicare utilization intelligence
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Market snapshot

36216 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

36216 — Insertion of tube into chest or arm artery, initial second order branch

Billing groups
9
Named-group FFS services
159
FFS of Medicare
49%
Services YoY
-31.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~355 services

159 observed fee-for-service (45%) · ~196 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 — 36216 (CY2024)

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

Named-group submitted charges
$272K
Named-group allowed amount
$49K
Named-group Medicare payments
$39K
Avg charge / svc
$1,714
Avg allowed / svc
$309
Avg payment / svc
$247
Average charge per group
$437 9 groups · avg submitted charge / service $3,800
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 36216 services, CY2024
#Physician group City St Specialty Providers 36216 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 VHS PHYSICIANS OF MICHIGAN DETROIT MI PHYSICIAN ASSISTANT 232 29 $77,838 $2,684 premium 70.7%
2 CARDIOVASCULAR SOLUTIONS INSTITUTE LLC BRADENTON FL INTERVENTIONAL CARDIOLOGY 3 29 $45,794 $1,579 premium 48.3% (941) 747-8789
3 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 19 $12,604 $663 premium 100.0%
4 OPEN ACCESS MIAMI, LLC MIAMI FL INTERVENTIONAL RADIOLOGY 2 19 $8,296 $437 premium 31.7% (305) 948-5333
5 A AND V DOCTORS PLLC EL PASO TX INTERNAL MEDICINE 7 15 $41,567 $2,771 premium 35.7% (915) 307-7800
6 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 13 $49,400 $3,800 premium 13.3% (559) 228-9660
7 CHARLES H. CROFT M.D.,P.A. MELBOURNE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 12 $8,868 $739 premium 20.0% (321) 434-7000
8 FRESENIUS ACCESS CARE PHYSICIANS OF MADISON LLC MADISON MI GENERAL SURGERY 3 12 $7,056 $588 premium 29.3% (608) 621-2001
9 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 11 $21,053 $1,914 premium 44.0% (314) 747-3000

*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 →