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

64585 Revision of peripheral neurostimulator electrodes CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 389 services ▲ 57.5% YoY · 381 beneficiaries (CY2024, Medicare FFS)

Medicare paid $133K · $341.10 avg / service, national

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

Billing groups

Named-group FFS services

152

FFS of Medicare

49%

Services YoY

+57.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~285 services

152 observed fee-for-service (53%) · ~133 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 — 64585 (CY2024)

SC 63 AZ 59 AR 57 MS 57 FL 29

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

Named-group submitted charges

$124K

Named-group allowed amount

$19K

Named-group Medicare payments

$15K

Avg charge / svc

$814

Avg allowed / svc

$128

Avg payment / svc

$101

Average charge per group

$290–474

$474–658

$658–843

$843–1,027

$1,027–1,211

$1,211–1,396

$1,396–1,580

$1,580+

$290 11 groups · avg submitted charge / service $2,500

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.

View the live example →

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 64585 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	64585 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	SOUTHERN UROGYNECOLOGY LLC	WEST COLUMBIA	SC	CERTIFIED NURSE MIDWIFE (CNM)	5	27	$18,507	$685	premium	42.9%	(803) 457-7000
2	BBI DFW PROFEE PLLC	MCKINNEY	AR	UROLOGY	3	16	$40,000	$2,500	premium	28.1%	(855) 224-4351
3	REGENTS OF THE UNIV OF CA	SACRAMENTO	CA	DIAGNOSTIC RADIOLOGY	1608	14	$14,392	$1,028	premium	100.0%	(877) 827-7463
4	SUMMIT MEDICAL GROUP INC	EDGEWOOD	KY	NURSE PRACTITIONER	806	14	$7,966	$569	premium	100.0%	(859) 578-5880
5	UROLOGY OF VIRGINIA, PLLC	VIRGINIA BEACH	VA	PHYSICIAN ASSISTANT	75	13	$5,135	$395	premium	52.0%	(757) 452-3599
6	UNIVERSITY UROLOGY PC	KNOXVILLE	TN	UROLOGY	15	12	$7,043	$587	premium	100.0%	(865) 305-9254
7	AMERICAN ONCOLOGY PARTNERS PA	FORT WAYNE	AR	HEMATOLOGY/ONCOLOGY	333	12	$7,896	$658	premium	21.1%	(260) 484-8830
8	EAST VALLEY UROLOGY CENTER PLC	MESA	AZ	UROLOGY	9	11	$4,914	$447	premium	18.6%	(480) 219-1010
9	FIRST UROLOGY PSC	LOUISVILLE	IN	UROLOGY	55	11	$3,190	$290	premium	100.0%	(812) 282-3899
10	OXFORD UROLOGY ASSOCIATES PLLC	OXFORD	MS	UROLOGY	17	11	$7,654	$696	premium	19.3%	—
11	GREATER BOSTON UROLOGY LLC	FRAMINGHAM	MA	UROLOGY	42	11	$7,062	$642	premium	100.0%	—

*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 →