NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
36909 Permanent blockage of hemodialysis circuit with review by radiologist CPT · Vascular procedure
Classification Procedure › Vascular › A-V Fistula PCI (CMS RBCS)
First observed 2017
National scale 867 services ▼ 7.4% YoY · 728 beneficiaries (CY2024, Medicare FFS)
Medicare paid $827K · $954.01 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

14

Named groups billing this code
Named-group FFS services

491

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-7.4%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,005 services

491 observed fee-for-service (49%) · ~514 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 — 36909 (CY2024)
NY 146 TX 108 FL 103 CA 88 NC 58

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

Billed → allowed → paid
Named-group submitted charges
$1.9M
Named-group allowed amount
$694K
Named-group Medicare payments
$555K
Avg charge / svc
$3,838
Avg allowed / svc
$1,414
Avg payment / svc
$1,130
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
$500 14 groups · avg submitted charge / service $8,386
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 36909 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 AMERICAN ACCESS CARE PHYSICIAN PLLC BROOKLYN NY INTERVENTIONAL RADIOLOGY 17 65 $352,410 $5,422 44.5% (718) 369-1444
2 AMERICAN ACCESS CARE OF MIAMI, LLC MIAMI FL VASCULAR SURGERY 6 51 $28,764 $564 49.5% (305) 670-1044
3 ARCHBOLD MEDICAL GROUP, INC. THOMASVILLE GA NURSE PRACTITIONER 79 43 $97,367 $2,264 100.0% (229) 228-5500
4 A AND V DOCTORS PLLC EL PASO TX INTERNAL MEDICINE 7 38 $210,900 $5,550 35.2% (915) 307-7800
5 MAKRISMD LLC WESTMONT IL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 6 32 $16,512 $516 100.0% (630) 323-8690
6 PACIFIC VASCUCARE, INC. LOS ANGELES CA VASCULAR SURGERY 4 32 $172,928 $5,404 36.4% (213) 201-0850
7 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE FL INTERVENTIONAL RADIOLOGY 3 31 $15,500 $500 30.1% (904) 353-3664
8 MONTEREY BAY VASCULAR INC APTOS CA GENERAL SURGERY 3 29 $151,373 $5,220 33.0% (831) 318-0010
9 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE NC NEPHROLOGY 77 27 $113,967 $4,221 46.6% (252) 752-8880
10 KIDNEY MEDICAL ASSOCIATES PLLC BRONX NY INTERNAL MEDICINE 11 25 $163,475 $6,539 17.1% (718) 655-4956
11 NEPHROLOGY CONSULTANTS PA DAYTONA BEACH FL NEPHROLOGY 2 21 $145,236 $6,916 20.4% (386) 258-6522
12 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE VA NEPHROLOGY 77 18 $75,978 $4,221 46.2% (252) 752-8880
13 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLE SC NEPHROLOGY 77 18 $75,978 $4,221 40.0% (252) 752-8880
14 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 17 $142,562 $8,386 60.7% (601) 264-6000
15 UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES PA BALTIMORE MD GENERAL SURGERY 101 17 $102,412 $6,024 100.0% (410) 328-5191
16 AMERICAN ACCESS CARE OF JACKSONVILLE LLC JACKSONVILLE IN INTERVENTIONAL RADIOLOGY 3 14 $7,000 $500 100.0% (904) 353-3664
17 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 13 $12,215 $940 28.9% (864) 587-3000

*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 →