Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

58120 Dilation and scraping of uterus 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 324 services ▲ 65.3% YoY · 313 beneficiaries (CY2024, Medicare FFS)

Medicare paid $73K · $224.64 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

174

FFS of Medicare

49%

Services YoY

+65.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~342 services

174 observed fee-for-service (51%) · ~168 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 — 58120 (CY2024)

NY 113 VA 58 TN 41 CA 34 FL 23

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

Named-group submitted charges

$255K

Named-group allowed amount

$52K

Named-group Medicare payments

$40K

Avg charge / svc

$1,468

Avg allowed / svc

$298

Avg payment / svc

$231

Average charge per group

$249–571

$571–892

$892–1,214

$1,214–1,536

$1,536–1,857

$1,857–2,179

$2,179–2,500

$2,500+

$249 10 groups · avg submitted charge / service $3,085

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 58120 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	58120 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	HERA SAMBAZIOTIS MD MPH AND MARTINA FRANDINA MD, OBSTETRICS AND GYNECO	NEW HYDE PARK	NY	OBSTETRICS/GYNECOLOGY	4	38	$95,000	$2,500	premium	33.6%	(516) 437-2020
2	RIVERSIDE PHYSICIAN SERVICES INC	NEWPORT NEWS	VA	PHYSICIAN ASSISTANT	793	28	$14,524	$519	premium	48.3%	—
3	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	24	$74,040	$3,085	premium	21.2%	(212) 263-9700
4	MID-ATLANTIC WOMENS CARE PLC	NORFOLK	VA	OBSTETRICS/GYNECOLOGY	153	14	$12,726	$909	premium	24.1%	(757) 466-6350
5	ARIZONA MATERNITY AND WOMENS CLINIC INC	SURPRISE	AZ	OBSTETRICS/GYNECOLOGY	2	13	$5,837	$449	premium	100.0%	(623) 242-9830
6	UNIVERSITY ASSOCIATES IN OBSTETRICS AND GYNECOLOGY UNIVERSITY FACULTY	STONY BROOK	NY	OBSTETRICS/GYNECOLOGY	113	12	$22,380	$1,865	premium	10.6%	(631) 444-7650
7	EISENHOWER MEDICAL CENTER	RANCHO MIRAGE	CA	NURSE PRACTITIONER	457	12	$2,992	$249	premium	35.3%	(760) 340-3911
8	CHINESE HOSPITAL ASSOCIATION	SAN FRANCISCO	CA	INTERNAL MEDICINE	34	11	$14,050	$1,277	premium	32.4%	(415) 677-2370
9	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	BOISE	ID	PHYSICIAN ASSISTANT	647	11	$8,481	$771	premium	100.0%	—
10	HALIFAX HEALTHCARE SYSTEMS INC	DAYTONA BCH	FL	NURSE PRACTITIONER	337	11	$5,379	$489	premium	47.8%	(386) 254-4000

*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 →