NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57110 Removal of vaginal wall 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 547 services · est. ▲ 48.4% YoY · 279 FFS beneficiaries (CY2024, all-Medicare estimate) — 279 observed fee-for-service services
Medicare paid $266K · est. · $494.90 avg / service, national — $138K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

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

410

Scaled from 209 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+48.2%

All-Medicare est. · observed FFS +41.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~410 services

209 observed fee-for-service (51%) · ~201 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 — 57110 (CY2024)
CA 195 IN 73 NC 67 MD 39 HI 30

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

Billed → allowed → paid
Named-group submitted charges
$525K
Named-group allowed amount
$137K
Named-group Medicare payments
$211K · est.
— $109K observed FFS
Avg charge / svc
$2,513
Avg allowed / svc
$657
Avg payment / svc
$523
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
$1,268 11 groups · avg submitted charge / service $3,853
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 57110 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 46 $96,320 $2,094 47.9% (858) 455-9100
2 UROGYNECOLOGY CONSULTANTS MEDICAL CORPORATION ROSEVILLE CA UNDEFINED PHYSICIAN TYPE (SPECIFY) 4 39 $49,450 $1,268 40.6% (916) 772-5533
3 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 23 $80,707 $3,509 62.2% (888) 484-3258
4 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 15 $47,378 $3,159 50.0% (410) 663-8100
5 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE PA NURSE PRACTITIONER 1878 14 $41,090 $2,935 100.0% (732) 362-3663
That's the top 5 of 11 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 — 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 →