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

44700 Suspension of small bowel using mesh or prosthesis or self tissue CPT · Procedure

Classification Procedure › Digestive/Gastrointestinal (CMS RBCS)

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

National scale 181 services ▼ 20.3% YoY · 180 beneficiaries (CY2024, Medicare FFS)

Medicare paid $47K · $261.19 avg / service, national

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

Billing groups

Named-group FFS services

181

FFS of Medicare

49%

Services YoY

-20.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~380 services

181 observed fee-for-service (48%) · ~199 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 — 44700 (CY2024)

NC 74 CA 43 AR 41 FL 23

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

Named-group submitted charges

$468K

Named-group allowed amount

$60K

Named-group Medicare payments

$47K

Avg charge / svc

$2,583

Avg allowed / svc

$330

Avg payment / svc

$261

Average charge per group

$1,289–1,540

$1,540–1,792

$1,792–2,044

$2,044–2,296

$2,296–2,547

$2,547–2,799

$2,799–3,051

$3,051+

$1,289 6 groups · avg submitted charge / service $3,320

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 44700 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	44700 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	CAROLINA COLORECTAL SURGERY, PC	RALEIGH	NC	PHYSICIAN ASSISTANT	2	58	$188,558	$3,251	premium	78.4%	(919) 784-6600
2	ST VINCENT MEDICAL GROUP	LITTLE ROCK	AR	FAMILY PRACTICE	247	41	$81,467	$1,987	premium	100.0%	(501) 562-4838
3	SCRIPPS HEALTH	LA JOLLA	CA	PHYSICIAN ASSISTANT	1431	30	$38,656	$1,289	premium	69.8%	(858) 455-9100
4	JUPITER MEDICAL CENTER PHYSICIANS GROUP INC	JUPITER	FL	PHYSICIAN ASSISTANT	147	23	$76,360	$3,320	premium	100.0%	(561) 747-2234
5	WAKEMED SPECIALISTS GROUP LLC	RALEIGH	NC	PHYSICIAN ASSISTANT	860	16	$52,016	$3,251	premium	21.6%	(919) 350-7270
6	SUTTER COAST HOSPITAL	CRESCENT CITY	CA	INTERNAL MEDICINE	26	13	$30,550	$2,350	premium	30.2%	(707) 464-6715

*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 →