NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS
61885 Insertion of brain neurostimulator pulse device with connection to single electrode array 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 1,405 services ▼ 9.4% YoY · 1,361 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.2M · $834.38 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

51

Named groups billing this code
Named-group FFS services

1,152

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-9.4%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~2,302 services

1,152 observed fee-for-service (50%) · ~1,150 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 61885 (CY2024)
FL 156 CO 132 AL 121 NY 88 CA 84

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
$3.2M
Named-group allowed amount
$615K
Named-group Medicare payments
$484K
Avg charge / svc
$2,780
Avg allowed / svc
$534
Avg payment / svc
$420
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
$311 51 groups · avg submitted charge / service $10,576
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 61885 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 115 $265,995 $2,313 100.0% (205) 934-3460
2 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 55 $129,808 $2,360 77.5% (843) 792-1414
3 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 54 $186,296 $3,450 46.6% (720) 777-1234
4 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 54 $571,123 $10,576 36.2% (212) 241-4812
5 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 52 $209,150 $4,022 44.4% (314) 747-3000
6 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 38 $115,852 $3,049 50.0% —
7 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 32 $33,660 $1,052 27.4% —
8 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY MD NURSE PRACTITIONER 1815 29 $41,162 $1,419 100.0% (913) 588-1227
9 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 27 $52,553 $1,946 35.5% (312) 563-2875
10 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 26 $42,224 $1,624 44.8% (317) 338-2345
11 SOUTHERN COUNTIES NEUROSURGICAL ASSOCIATES MEDICAL GROUP, INC PASADENA CA NEUROSURGERY 2 26 $44,070 $1,695 32.5% (626) 535-9552
12 RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK GA PHYSICIAN ASSISTANT 192 25 $90,216 $3,609 40.3% (732) 828-3000
13 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 25 $47,091 $1,884 43.1% (336) 713-9800
14 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 24 $37,344 $1,556 16.1% (518) 262-3277
15 NEUROSURGICAL ASSOCIATES OF CENTRAL NEW YORK, LLP SYRACUSE NY NEUROSURGERY 15 24 $28,800 $1,200 16.1% (315) 464-4470
16 CARILION MEDICAL CENTER ROANOKE NC PHYSICIAN ASSISTANT 964 22 $27,704 $1,259 37.9% (540) 981-7925
17 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 22 $14,584 $663 61.1% (612) 863-4000
18 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 20 $32,980 $1,649 32.3% (770) 422-2004
19 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 19 $18,292 $963 12.8% (212) 746-5454
20 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 18 $109,317 $6,073 40.0% (608) 287-2050
21 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 18 $33,112 $1,840 15.5% (303) 778-5797
22 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 17 $62,958 $3,703 27.4% (404) 778-7525
23 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 17 $22,916 $1,348 100.0% (520) 694-0111
24 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 17 $31,705 $1,865 38.6% (513) 584-1000
25 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 16 $50,596 $3,162 29.1% —
26 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 16 $22,224 $1,389 22.5% —
27 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 16 $32,642 $2,040 100.0% (405) 271-4311
28 CAREPOINT NEUROSURGERY PLLC ENGLEWOOD CO NEUROSURGERY 6 16 $37,904 $2,369 13.8% (303) 515-2023
29 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 16 $26,335 $1,646 51.6% —
30 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROSURGERY 46 16 $55,819 $3,489 20.0% (310) 825-5111
31 SSM HEALTH CARE GROUP SAINT LOUIS MO NURSE PRACTITIONER 921 16 $19,224 $1,202 13.7% (314) 977-7455
32 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 15 $25,874 $1,725 55.6% (504) 842-3000
33 UNIVERSITY AT BUFFALO NEUROSURGERY INC AMHERST NY PHYSICIAN ASSISTANT 71 15 $52,212 $3,481 10.1% (716) 218-1000
34 NEW JERSEY BRAIN AND SPINE PC MONTVALE NJ NEUROSURGERY 36 14 $64,762 $4,626 51.9% (201) 342-2550
35 SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC GREENFIELD WI NEUROSURGERY 2 14 $99,414 $7,101 31.1% (414) 488-1818
36 OSUP COMMUNITY OUTREACH LLC WESTERVILLE OH NURSE PRACTITIONER 136 14 $33,810 $2,415 31.8% (614) 293-4969
37 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 13 $23,465 $1,805 48.1% (732) 362-3663
38 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 13 $35,711 $2,747 21.7% —
39 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 13 $16,260 $1,251 100.0% (207) 885-9905
40 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 13 $31,395 $2,415 29.5% (614) 293-8000
41 UNIVERSITY OF ROCHESTER NEUROSURGERY GROUP ROCHESTER NY NEUROSURGERY 48 13 $30,100 $2,315 8.7% —
42 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 13 $99,684 $7,668 28.9% (414) 955-4263
43 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 12 $34,020 $2,835 9.9% (239) 343-9888
44 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 12 $17,448 $1,454 44.4% (318) 675-8700
45 ALBANY MEDICAL COLLEGE ALBANY PA PHYSICIAN ASSISTANT 1070 12 $18,672 $1,556 21.8% (518) 262-3277
46 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 12 $20,046 $1,670 9.9% (407) 200-2700
47 ST. DAVID'S ORTHO NEURO AND REHAB PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 11 $18,161 $1,651 18.3% (512) 816-8611
48 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 11 $24,277 $2,207 100.0% (804) 828-9000
49 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 11 $31,900 $2,900 14.5% (309) 683-5050
50 SCL HEALTH MONTANA BILLINGS MT PHYSICIAN ASSISTANT 39 11 $3,419 $311 50.0% (303) 237-5577
51 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 11 $11,421 $1,038 19.0% —
52 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 11 $16,609 $1,510 18.3% (210) 450-7044

*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 →