Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

36820 Relocation of forearm vein with connection to arm artery for hemodialysis CPT · Vascular procedure

Classification Procedure › Vascular › A-V Fistula Creation (CMS RBCS)

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

National scale 356 services · est. ▼ 35.1% YoY · 173 FFS beneficiaries (CY2024, all-Medicare estimate) — 176 observed fee-for-service services

Medicare paid $224K · est. · $657.67 avg / service, national — $116K observed FFS

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

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

267

Scaled from 133 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-35.0%

All-Medicare est. · observed FFS -37.4%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~267 services

133 observed fee-for-service (50%) · ~134 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 36820 (CY2024)

CA 195 VA 45 TX 32 AL 30 NY 29

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$318K

Named-group allowed amount

$87K

Named-group Medicare payments

$137K · est.

— $68K observed FFS

Avg charge / svc

$2,395

Avg allowed / svc

$655

Avg payment / svc

$515

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$1,518–1,890

$1,890–2,263

$2,263–2,636

$2,636–3,009

$3,009–3,381

$3,381–3,754

$3,754–4,127

$4,127+

$1,518 5 groups · avg submitted charge / service $4,564

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 36820 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	36820 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	VALLEY DIALYSIS ACCESS SURGERY ASSOCIATES, INC.	FRESNO	CA	NURSE PRACTITIONER	2	83	$161,463	$1,945	premium	86.5%	(559) 840-1890
2	NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC	NEW HYDE PARK	NY	VASCULAR SURGERY	46	14	$59,402	$4,243	premium	100.0%	(516) 328-9800
3	PHYSICIANS CARE OF VIRGINIA PC	ROANOKE	VA	NEPHROLOGY	20	13	$29,211	$2,247	premium	46.4%	(540) 527-2737
4	NORTH ALABAMA VASCULAR AND DIALYSIS ACCESS CARE LLC	HUNTSVILLE	AL	NEPHROLOGY	4	12	$18,210	$1,518	premium	100.0%	(256) 535-5008
5	CAROLINAEAST PHYSICIANS	NEW BERN	NC	NURSE PRACTITIONER	203	11	$50,204	$4,564	premium	100.0%	(252) 635-6777

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →