NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
37186 Secondary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance CPT · Vascular procedure
Classification Procedure › Vascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 941 services · est. ▼ 21.2% YoY · 309 FFS beneficiaries (CY2024, all-Medicare estimate) — 457 observed fee-for-service services
Medicare paid $723K · est. · $775.62 avg / service, national — $354K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

Named groups billing this code
Named-group all-Medicare svcs · est.

742

Scaled from 359 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-21.2%

All-Medicare est. · observed FFS -23.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~742 services

359 observed fee-for-service (48%) · ~383 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 — 37186 (CY2024)
FL 180 CA 136 TX 127 NJ 107 PA 104

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
$1.1M
Named-group allowed amount
$329K
Named-group Medicare payments
$534K · est.
— $261K observed FFS
Avg charge / svc
$3,185
Avg allowed / svc
$916
Avg payment / svc
$728
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
$504 11 groups · avg submitted charge / service $10,777
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 37186 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 LASER SURGICAL SOLUTIONS RGV LLC RIO GRANDE CITY TX FAMILY PRACTICE 3 59 $137,848 $2,336 100.0% (956) 992-9161
2 ADVANCED HEART AND VASCULAR OF CENTRAL JERSEY COLTS NECK NJ INTERVENTIONAL CARDIOLOGY 3 52 $179,140 $3,445 81.2% (732) 487-3636
3 PRIMARY HEALTH, LLC BALA CYNWYD PA GENERAL PRACTICE 2 49 $111,769 $2,281 100.0% (215) 709-3800
4 NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NEW HYDE PARK NY VASCULAR SURGERY 46 43 $463,411 $10,777 100.0% (516) 328-9800
5 PRIME HEALTHCARE KANSAS CITY - PHYSICIAN SERVICES LLC KANSAS CITY MO NURSE PRACTITIONER 78 41 $28,290 $690 100.0% (816) 943-4758
That's the top 5 of 11 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →