NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
51990 Suture suspension of urethra to control leakage using an endoscope 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 1,411 services ▲ 24.6% YoY · 1,411 beneficiaries (CY2024, Medicare FFS)
Medicare paid $329K · $232.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

19

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

1,675

Scaled from 801 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+30.4%

All-Medicare est. · observed FFS +24.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,675 services

801 observed fee-for-service (48%) · ~874 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 — 51990 (CY2024)
NY 313 CA 254 OH 247 TX 146 GA 58

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

Billed → allowed → paid
Named-group submitted charges
$2.3M
Named-group allowed amount
$212K
Named-group Medicare payments
$168K
Avg charge / svc
$2,863
Avg allowed / svc
$264
Avg payment / svc
$210
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
$697 19 groups · avg submitted charge / service $8,593
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 51990 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 238 $730,660 $3,070 76.0% (212) 241-4812
2 CENTRAL OHIO UROLOGY GROUP, LLC. GAHANNA OH UROLOGY 45 108 $232,505 $2,153 43.7% (614) 396-2684
3 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 82 $214,200 $2,612 32.3% 3108549898159
4 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 61 $133,409 $2,187 24.0% (916) 681-8852
5 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 40 $180,600 $4,515 12.8% (212) 746-5454
That's the top 5 of 19 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. 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 →