NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
57420 Exam of vagina and cervix 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 892 services ▼ 3.9% YoY · 733 beneficiaries (CY2024, Medicare FFS)
Medicare paid $75K · $84.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

15

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

1,160

Scaled from 547 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+5.1%

All-Medicare est. · observed FFS -3.9%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,160 services

547 observed fee-for-service (47%) · ~613 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 — 57420 (CY2024)
FL 294 TN 127 NY 113 LA 100 AZ 50

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
$225K
Named-group allowed amount
$60K
Named-group Medicare payments
$46K
Avg charge / svc
$412
Avg allowed / svc
$110
Avg payment / svc
$84
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
$280 15 groups · avg submitted charge / service $1,255
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 57420 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY P A BOCA RATON FL GYNECOLOGICAL ONCOLOGY 2 141 $53,818 $382 48.0% (561) 997-8991
2 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 100 $30,000 $300 100.0% (225) 246-9790
3 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 85 $24,310 $286 66.9% (901) 226-3882
4 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 30 $37,650 $1,255 26.5% (212) 263-9700
5 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 28 $7,840 $280 100.0% (601) 292-4261
That's the top 5 of 15 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 →