NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57210 Suture of injury of vagina and/or skin 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 393 services ▲ 74.7% YoY · 392 beneficiaries (CY2024, Medicare FFS)
Medicare paid $59K · $150.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

4

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

606

Scaled from 291 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+88.3%

All-Medicare est. · observed FFS +74.7%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~606 services

291 observed fee-for-service (48%) · ~315 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 — 57210 (CY2024)
AZ 175 MO 142 KS 43 TX 20 FL 13

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
$277K
Named-group allowed amount
$55K
Named-group Medicare payments
$44K
Avg charge / svc
$951
Avg allowed / svc
$190
Avg payment / svc
$151
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
$545 4 groups · avg submitted charge / service $1,697
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 57210 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 136 $118,564 $872 77.7% (480) 834-5111
2 GYNECOLOGIC AND RECONSTRUCTIVE SURGERY, LTD SAINT LOUIS MO OBSTETRICS/GYNECOLOGY 2 87 $47,415 $545 61.3% (314) 251-6000
3 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 55 $93,335 $1,697 38.7% (314) 747-3000
4 INSTITUTE FOR WOMEN'S HEALTH AND BODY LLC WEST PALM BEACH FL OBSTETRICS/GYNECOLOGY 49 13 $17,551 $1,350 100.0% (561) 616-9988

*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 →