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

36680 Insertion of needle for infusion into bone CPT · Vascular procedure

Classification Procedure › Vascular (CMS RBCS)

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

National scale 792 services ▲ 86.8% YoY · 724 beneficiaries (CY2024, Medicare FFS)

Medicare paid $21K · $27.04 avg / service, national

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

Billing groups

Named-group FFS services

346

FFS of Medicare

49%

Services YoY

+86.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~751 services

346 observed fee-for-service (46%) · ~405 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 — 36680 (CY2024)

TX 366 IN 89 FL 77 NC 59 NY 45

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

Named-group submitted charges

$138K

Named-group allowed amount

$13K

Named-group Medicare payments

$10K

Avg charge / svc

$400

Avg allowed / svc

$36

Avg payment / svc

$29

Average charge per group

$150–247

$247–344

$344–442

$442–539

$539–636

$636–733

$733–830

$830+

$150 9 groups · avg submitted charge / service $1,314

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.

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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 36680 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	36680 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	TMH PHYSICIAN ASSOCIATES PLLC	HOUSTON	TX	NURSE PRACTITIONER	1930	80	$24,240	$303	premium	21.9%	(713) 266-9955
2	EMERGEORTHO PA	DURHAM	NC	PHYSICIAN ASSISTANT	725	59	$11,985	$203	premium	100.0%	(919) 544-7270
3	SACRED HEART HEALTH SYSTEM INC	PENSACOLA	FL	NURSE PRACTITIONER	371	57	$18,622	$327	premium	74.0%	(850) 416-2400
4	MONTEFIORE MEDICAL CENTER	BRONX	NY	PHYSICAL THERAPIST IN PRIVATE PRACTICE	2796	45	$59,110	$1,314	premium	100.0%	(866) 633-8255
5	SOUTHCOAST PHYSICIANS GROUP INC	FALL RIVER	RI	NURSE PRACTITIONER	868	38	$7,456	$196	premium	100.0%	(508) 973-5919
6	OSF MULTI-SPECIALTY GROUP	PEORIA	IL	NURSE PRACTITIONER	2091	24	$8,352	$348	premium	100.0%	(309) 683-5050
7	TEXAS JOINT INSTITUTE, PLLC	DALLAS	TX	PHYSICIAN ASSISTANT	39	17	$3,434	$202	premium	4.6%	(972) 566-5255
8	WILLIAM R. GALLIVAN, JR., M.D., INC.	SANTA BARBARA	CA	PHYSICIAN ASSISTANT	4	14	$2,100	$150	premium	50.0%	(805) 220-6020
9	NEW MEXICO ORTHOPAEDIC ASSOCIATES PC	ALBUQUERQUE	NM	PHYSICIAN ASSISTANT	77	12	$3,096	$258	premium	100.0%	50572443003208

*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 →