NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36252 Insertion of tube into first order main and accessory arteries of both kidneys for imaging with review by radiologist 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 777 services ▼ 27.0% YoY · 745 beneficiaries (CY2024, Medicare FFS)
Medicare paid $303K · $389.85 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
18
Named-group FFS services
376
FFS of Medicare
49%
Services YoY
-27.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~814 services

376 observed fee-for-service (46%) · ~438 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 — 36252 (CY2024)

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

Named-group submitted charges
$723K
Named-group allowed amount
$136K
Named-group Medicare payments
$108K
Avg charge / svc
$1,924
Avg allowed / svc
$361
Avg payment / svc
$287
Average charge per group
$536 18 groups · avg submitted charge / service $7,039
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 36252 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 36252 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 PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC KANSAS CITY MO NURSE PRACTITIONER 78 90 $91,169 $1,013 premium 86.5% (816) 943-4758
2 TREASURE COAST CARDIOLOGY PA OKEECHOBEE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 26 $30,420 $1,170 premium 10.6% (863) 467-9400
3 THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON ANNISTON AL NURSE PRACTITIONER 38 25 $19,500 $780 premium 100.0% (256) 235-8922
4 MINIMALLY INVASIVE SURGICAL SOLUTIONS MEDICAL CORPORATION SAN JOSE CA INTERVENTIONAL RADIOLOGY 5 24 $168,943 $7,039 premium 22.2% (408) 918-0405
5 LOUISIANA HEART AND VASCULAR INSTITUTE, LLC COVINGTON LA NURSE PRACTITIONER 15 21 $80,640 $3,840 premium 61.8% (985) 777-7000
6 CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA CLEARWATER FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 20 $15,600 $780 premium 8.1% 72744519923222
7 MAGNOLIA REGIONAL HEALTH CENTER CORINTH MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 19 $15,960 $840 premium 100.0% (662) 293-1000
8 TRISTAR TENNESSEE HEART AND VASCULAR LLC HENDERSONVILLE TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 19 $20,291 $1,068 premium 45.2% (615) 824-0043
9 HARRISON MEMORIAL HOSPITAL CYNTHIANA KY NURSE PRACTITIONER 58 17 $9,112 $536 premium 58.6% (859) 234-2300
10 CENTER FOR HEALTH OF CHARLOTTE PA PUNTA GORDA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 17 $47,600 $2,800 premium 6.9% 9416377000126
11 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 15 $44,850 $2,990 premium 100.0% (518) 782-3700
12 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 13 $53,352 $4,104 premium 5.3% (407) 896-1100
13 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 13 $10,491 $807 premium 38.2% (318) 966-6500
14 LAKE CUMBERLAND CARDIOLOGY ASSOCIATES LLC SOMERSET KY NURSE PRACTITIONER 7 12 $9,648 $804 premium 41.4% (606) 678-0599
15 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 12 $45,372 $3,781 premium 28.6% (615) 269-4545
16 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 11 $9,702 $882 premium 26.2% (423) 495-2620
17 CITRUS CARDIOLOGY CONSULTANTS, PLLC INVERNESS FL NURSE PRACTITIONER 47 11 $7,920 $720 premium 4.5% (352) 726-8353
18 DEACONESS SPECIALTY PHYSICIANS, INC NEWBURGH IN NURSE PRACTITIONER 207 11 $42,713 $3,883 premium 100.0% (812) 842-2737

*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 →