NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
61512 Removal of skull bone for removal of growth of upper brain membrane 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 151 services · est. ▼ 39.0% YoY · 76 FFS beneficiaries (CY2024, all-Medicare estimate) — 76 observed fee-for-service services
Medicare paid $356K · est. · $2336.20 avg / service, national — $178K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Estimated all-Medicare volume estimate
FFS + estimated MA

~151 services

76 observed fee-for-service (50%) · ~75 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
Payments · FFS observed

$178K

all-Medicare ≈$356K — estimate; price parity assumed as well
Rate per 1,000 FFS

0.0

claims denominator · a rate — never scaled
Named groups

4

4 at the ≥11-service disclosure floor
Top states — 61512 (CY2024)

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

The 12-year rate

Declining on the honest basis across 12 years

2013201420152016201720182019202020212022202320240.0
Per 1,000 FFS beneficiaries, claims denominator · the dated per-year table is a Platform view
What they charge

Half the field lists between $13,347 and $28,280

Submitted charges are provider-set list amounts, not payments · median $18,044 (named groups)
National benchmarkspremium

Computed for this market — a Platform view

Market positionpremium

Computed for this market — a Platform view

The whole field, one canvaspremium

Computed for this market — a Platform view

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column

sorts locked on the free tier · services rank pinned · refine and export are Platform features

1
NEW YORK · NY · NURSE PRACTITIONER · 2273 providers · hospital-affiliated · (212) 305-8559
19services 100.0%Share of state* $45,804avg list premiumMedicare $
2
MIAMI · FL · NURSE PRACTITIONER · 2331 providers · hospital-affiliated · (305) 689-5437
15services 55.6%Share of state* $12,440avg list premiumMedicare $
3
JACKSONVILLE · FL · NURSE PRACTITIONER · 1587 providers · hospital-affiliated · (904) 953-2000
12services 44.4%Share of state* $22,438avg list premiumMedicare $
4
NEW HAVEN · CT · PHYSICIAN ASSISTANT · 2649 providers · hospital-affiliated · (203) 688-4242
11services 100.0%Share of state* $13,649avg list premiumMedicare $

Medicare $ counts 61512 payments in the market each row names, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments.

*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 →