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

41120 Removal of less than half of tongue CPT · Other Organ Systems procedure

Classification Procedure › Other Organ Systems (CMS RBCS)

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

National scale 240 services ▲ 4.3% YoY · 234 beneficiaries (CY2024, Medicare FFS)

Medicare paid $154K · $642.55 avg / service, national

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

Billing groups

Named-group FFS services

212

FFS of Medicare

49%

Services YoY

+4.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~418 services

212 observed fee-for-service (51%) · ~206 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 — 41120 (CY2024)

CA 34 WA 33 MD 30 TX 27 IL 26

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

Named-group submitted charges

$673K

Named-group allowed amount

$167K

Named-group Medicare payments

$133K

Avg charge / svc

$3,175

Avg allowed / svc

$789

Avg payment / svc

$626

Average charge per group

$1,107–1,589

$1,589–2,070

$2,070–2,551

$2,551–3,033

$3,033–3,514

$3,514–3,995

$3,995–4,477

$4,477+

$1,107 14 groups · avg submitted charge / service $6,333

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 41120 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	41120 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	EAR NOSE AND THROAT SPECIALTY CARE PLLC	DALLAS	TX	OTOLARYNGOLOGY	8	27	$29,892	$1,107	premium	100.0%	(214) 826-3681
2	SUTTER BAY MEDICAL FOUNDATION	PALO ALTO	CA	INTERNAL MEDICINE	3716	21	$132,993	$6,333	premium	61.8%	(415) 600-1020
3	SWEDISH HEALTH SERVICES	SEATTLE	WA	PHYSICIAN ASSISTANT	1033	18	$55,728	$3,096	premium	54.5%	—
4	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	16	$40,828	$2,552	premium	100.0%	(913) 588-1227
5	CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC	LITTLE ROCK	AR	HEMATOLOGY/ONCOLOGY	90	16	$52,872	$3,304	premium	100.0%	—
6	UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA	BALTIMORE	MD	MAXILLOFACIAL SURGERY	6	16	$49,984	$3,124	premium	53.3%	(410) 706-6195
7	VIRGINIA MASON MEDICAL CENTER	SEATTLE	WA	PHYSICIAN ASSISTANT	879	15	$39,283	$2,619	premium	45.5%	(206) 223-6600
8	UNIVERSITY OF PITTSBURGH PHYSICIANS	PITTSBURGH	PA	DIAGNOSTIC RADIOLOGY	4291	13	$35,061	$2,697	premium	100.0%	—
9	USC CARE MEDICAL GROUP INC	LOS ANGELES	CA	DIAGNOSTIC RADIOLOGY	1374	13	$45,630	$3,510	premium	38.2%	(800) 872-2273
10	CAROLINAS MEDICAL CENTER	CHARLOTTE	NC	PHYSICIAN ASSISTANT	1034	12	$50,544	$4,212	premium	100.0%	(704) 355-2000
11	LOYOLA UNIVERSITY MEDICAL CENTER	MAYWOOD	IL	NURSE PRACTITIONER	933	12	$27,168	$2,264	premium	46.2%	(708) 216-8372
12	UNIVERSITY OF MIAMI	MIAMI	FL	NURSE PRACTITIONER	2331	11	$46,398	$4,218	premium	50.0%	(305) 689-5437
13	UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC	BIRMINGHAM	AL	NURSE PRACTITIONER	2788	11	$42,625	$3,875	premium	100.0%	(205) 934-3460
14	SMH PHYSICIAN SERVICES INC	SARASOTA	FL	PHYSICIAN ASSISTANT	766	11	$24,002	$2,182	premium	50.0%	—

*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 →