NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
58260 Removal of uterus through vagina, 250.0 g or less 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 572 services · est. ▼ 20.2% YoY · 289 FFS beneficiaries (CY2024, all-Medicare estimate) — 289 observed fee-for-service services
Medicare paid $274K · est. · $483.94 avg / service, national — $140K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

12

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

457

Scaled from 224 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-20.2%

All-Medicare est. · observed FFS -23.1%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~457 services

224 observed fee-for-service (49%) · ~233 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 — 58260 (CY2024)
CA 81 KY 65 MO 62 AZ 56 FL 46

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
$515K
Named-group allowed amount
$132K
Named-group Medicare payments
$210K · est.
— $104K observed FFS
Avg charge / svc
$2,300
Avg allowed / svc
$590
Avg payment / svc
$465
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
$657 12 groups · avg submitted charge / service $5,000
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 58260 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 UROGYNECOLOGY CONSULTANTS MEDICAL CORPORATION ROSEVILLE CA UNDEFINED PHYSICIAN TYPE (SPECIFY) 4 40 $65,801 $1,645 100.0% (916) 772-5533
2 GYNECOLOGIC AND RECONSTRUCTIVE SURGERY, LTD SAINT LOUIS MO OBSTETRICS/GYNECOLOGY 2 29 $67,860 $2,340 100.0% (314) 251-6000
3 WOMAN'S CENTER FOR ADVANCED PELVIC SURGERY PLLP MESA AZ NURSE PRACTITIONER 9 28 $52,298 $1,868 100.0% (480) 834-5111
4 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 20 $52,300 $2,615 100.0% (407) 896-1100
5 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 16 $22,224 $1,389 100.0% (513) 751-4222
That's the top 5 of 12 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 →