NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
42950 Plastic or reconstructive repair of throat 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 248 services · est. ▼ 33.8% YoY · 101 FFS beneficiaries (CY2024, all-Medicare estimate) — 120 observed fee-for-service services
Medicare paid $97K · est. · $393.81 avg / service, national — $47K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Estimated all-Medicare volume estimate
FFS + estimated MA

~248 services

120 observed fee-for-service (48%) · ~128 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
Payments · FFS observed

$47K

all-Medicare ≈$97K — estimate; price parity assumed as well
Rate per 1,000 FFS

0.0

claims denominator · a rate — never scaled
Named groups

7

7 at the ≥11-service disclosure floor
Top states — 42950 (CY2024)

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

The 12-year rate

Steady on the honest basis across 12 years

2013201420152016201720182019202020212022202320240.0
Per 1,000 FFS beneficiaries, claims denominator · the dated per-year table is a Platform view
What they charge

Half the field lists between $2,027 and $3,362

Submitted charges are provider-set list amounts, not payments · median $2,658 (named groups)
National benchmarkspremium

Computed for this market — a Platform view

Market positionpremium

Computed for this market — a Platform view

The whole field, one canvaspremium

Computed for this market — a Platform view

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column

sorts locked on the free tier · services rank pinned · refine and export are Platform features

1
LOS ANGELES · CA · OTOLARYNGOLOGY · 34 providers · hospital-affiliated · (310) 794-1110
30services 48.4%Share of state* $6,898avg list premiumMedicare $
2
SAINT LOUIS · MO · NURSE PRACTITIONER · 3070 providers · hospital-affiliated · (314) 747-3000
19services 100.0%Share of state* $2,658avg list premiumMedicare $
3
VALENCIA · CA · OTOLARYNGOLOGY · 8 providers · hospital-affiliated · (661) 259-2500
18services 29.0%Share of state* $1,418avg list premiumMedicare $
4
DALLAS · TX · OTOLARYNGOLOGY · 8 providers · hospital-affiliated · (214) 826-3681
14services 100.0%Share of state* $853avg list premiumMedicare $
5
LOS ANGELES · CA · DIAGNOSTIC RADIOLOGY · 1374 providers · hospital-affiliated · (800) 872-2273
14services 22.6%Share of state* $3,110avg list premiumMedicare $

You are at the seam — 5 of 7 groups named.

See the Platform — the full read, every number below, code baskets, and export. Notify me at launch →
That's the top 5 of 7 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 →

Medicare $ counts 42950 payments in the market each row names, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments.

*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 →