NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49596 Initial repair of entrapped hernia of abdomen, more than 10 cm in length CPT · Procedure
Classification Procedure Digestive/Gastrointestinal (CMS RBCS)
First observed 2023
National scale 388 services ▲ 65.1% YoY · 388 beneficiaries (CY2024, Medicare FFS)
Medicare paid $230K · $593.93 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
302
FFS of Medicare
49%
Services YoY
+65.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~613 services

302 observed fee-for-service (49%) · ~311 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 — 49596 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$230K
Named-group Medicare payments
$183K
Avg charge / svc
$4,841
Avg allowed / svc
$761
Avg payment / svc
$607
Average charge per group
$1,514 19 groups · avg submitted charge / service $15,333
Market analyticsPlatform
a taste of the twelve-year trend layer

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.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 49596 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 49596 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 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 36 $150,490 $4,180 premium 100.0% (314) 747-3000
2 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 36 $73,788 $2,050 premium 51.4% (443) 481-1000
3 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 19 $134,400 $7,074 premium 100.0% (507) 284-2511
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 17 $134,895 $7,935 premium 100.0%
5 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 16 $66,400 $4,150 premium 22.9% (212) 305-8559
6 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 16 $58,848 $3,678 premium 22.9%
7 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 15 $149,600 $9,973 premium 100.0% (414) 421-8400
8 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 15 $38,340 $2,556 premium 100.0%
9 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 14 $85,417 $6,101 premium 51.9% (800) 603-0558
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $214,662 $15,333 premium 20.0%
11 ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY NY PHYSICIAN ASSISTANT 480 13 $31,383 $2,414 premium 18.6% (518) 525-1852
12 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 12 $49,527 $4,127 premium 100.0% (843) 792-1414
13 THE SURGICAL CLINIC ASSOCIATES, P.A. JACKSON MS GENERAL SURGERY 8 12 $18,168 $1,514 premium 100.0% 6019481411147
14 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 12 $46,140 $3,845 premium 100.0% (205) 934-3460
15 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NY NURSE PRACTITIONER 1404 11 $39,740 $3,613 premium 15.7% (973) 971-5596
16 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 11 $51,529 $4,684 premium 100.0% (704) 355-2000
17 GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION RENO NV GENERAL SURGERY 26 11 $45,100 $4,100 premium 100.0% (775) 323-7500
18 NEW YORK UNIVERSITY NEW YORK OR DIAGNOSTIC RADIOLOGY 5704 11 $38,709 $3,519 premium 100.0% (212) 263-9700
19 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 11 $34,969 $3,179 premium 100.0% (407) 200-2700

*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 →