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

61070 Aspiration of cerebrospinal fluid and injection in shunt tubing or reservoir 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 670 services ▼ 10.7% YoY · 614 beneficiaries (CY2024, Medicare FFS)

Medicare paid $75K · $112.41 avg / service, national

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

Billing groups

Named-group FFS services

239

FFS of Medicare

49%

Services YoY

-10.7%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~509 services

239 observed fee-for-service (47%) · ~270 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 — 61070 (CY2024)

CA 233 MN 137 NY 76 IN 39 MO 22

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

Named-group submitted charges

$119K

Named-group allowed amount

$12K

Named-group Medicare payments

$9K

Avg charge / svc

$499

Avg allowed / svc

$50

Avg payment / svc

$38

Average charge per group

$114–225

$225–336

$336–446

$446–557

$557–668

$668–779

$779–890

$890+

$114 10 groups · avg submitted charge / service $1,044

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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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 61070 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	61070 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	NURA PLLC	EDINA	MN	PHYSICIAN ASSISTANT	36	53	$11,130	$210	premium	38.7%	(763) 537-6000
2	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	47	$49,068	$1,044	premium	61.8%	(212) 263-9700
3	DEPARTMENT OF NEUROSURGERY, PLLC	CARMEL	NY	NEUROSURGERY	2	29	$17,246	$595	premium	38.2%	(845) 278-5687
4	NEUROSURGICAL ASSOCIATES LTD	PHOENIX	AZ	NEUROSURGERY	74	21	$5,250	$250	premium	100.0%	(602) 406-3181
5	UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC	MADISON	WI	PHYSICIAN ASSISTANT	2523	18	$17,046	$947	premium	100.0%	(608) 287-2050
6	SPECTRUMCARE REHABILITATION MEDICAL	NAPA	CA	NURSE PRACTITIONER	2	16	$4,800	$300	premium	6.9%	(707) 252-9660
7	ACCESS PAIN SOLUTIONS	TULSA	OK	NURSE PRACTITIONER	13	16	$2,320	$145	premium	100.0%	(918) 710-4112
8	SPANISH HILLS INTERVENTIONAL PAIN SPECIALISTS INC A MEDICAL CORP	CAMARILLO	CA	ANESTHESIOLOGY	6	14	$7,000	$500	premium	6.0%	(805) 484-8558
9	CENTER FOR INTERVENTIONAL PAIN SPINE LLC	WILMINGTON	PA	PAIN MANAGEMENT	24	14	$4,200	$300	premium	100.0%	(844) 365-7246
10	INVICTUS HEALTH LLC	NEWPORT NEWS	VA	PAIN MANAGEMENT	2	11	$1,254	$114	premium	100.0%	(757) 310-6413

*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 →