Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

36833 Revision of hemodialysis graft with removal of blood clot 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 310 services ▼ 17.6% YoY · 249 beneficiaries (CY2024, Medicare FFS)

Medicare paid $179K · $577.79 avg / service, national

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

Billing groups

Named-group FFS services

235

FFS of Medicare

49%

Services YoY

-17.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~476 services

235 observed fee-for-service (49%) · ~241 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 — 36833 (CY2024)

TX 81 IL 32 DC 30 AL 22 MS 22

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

Named-group submitted charges

$560K

Named-group allowed amount

$164K

Named-group Medicare payments

$130K

Avg charge / svc

$2,384

Avg allowed / svc

$698

Avg payment / svc

$555

Average charge per group

$1,220–1,551

$1,551–1,882

$1,882–2,213

$2,213–2,544

$2,544–2,875

$2,875–3,206

$3,206–3,537

$3,537+

$1,220 11 groups · avg submitted charge / service $4,270

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.

View the live example →

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 36833 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	36833 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	SURGERY ASSOCIATES OF NTX PLLC	PLANO	TX	GENERAL SURGERY	48	35	$77,675	$2,219	premium	43.2%	(972) 596-6800
2	HEALTHTEXAS PROVIDER NETWORK	DALLAS	TX	PHYSICIAN ASSISTANT	2482	33	$100,532	$3,046	premium	40.7%	—
3	FAIRVIEW HEIGHTS MEDICAL GROUP SC	SHILOH	IL	NURSE PRACTITIONER	445	32	$70,848	$2,214	premium	100.0%	(618) 236-8000
4	GREENWOOD LEFLORE HOSPITAL	GREENWOOD	MS	GENERAL SURGERY	2	22	$54,802	$2,491	premium	100.0%	(662) 453-4641
5	SURGICAL CLINIC PC	OPELIKA	AL	GENERAL SURGERY	9	22	$26,840	$1,220	premium	100.0%	(334) 745-6271
6	ST LUKES MEDICAL GROUP	CHESTERFIELD	MO	ORTHOPEDIC SURGERY	15	20	$33,607	$1,680	premium	100.0%	(314) 576-2306
7	BOCACARE INC	BOCA RATON	FL	PHYSICIAN ASSISTANT	199	17	$58,940	$3,467	premium	100.0%	(561) 955-7100
8	GALEN MEDICAL GROUP, PC	CHATTANOOGA	TN	NURSE PRACTITIONER	123	15	$29,070	$1,938	premium	100.0%	(423) 643-2500
9	COMMONWEALTH HEALTHCARE CORPORATION	SAIPAN	MP	PHYSICIAN ASSISTANT	80	14	$26,786	$1,913	premium	100.0%	—
10	M REZA MIZANI MD PA	SAN ANTONIO	TX	NEPHROLOGY	29	13	$29,835	$2,295	premium	16.0%	(210) 265-8155
11	THE EMORY CLINIC INC	ATLANTA	GA	NURSE PRACTITIONER	3484	12	$51,240	$4,270	premium	100.0%	(404) 778-7525

*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 →