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

64716 Release and/or relocation of cranial nerve CPT · Musculoskeletal procedure

Classification Procedure › Musculoskeletal (CMS RBCS)

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

National scale 509 services ▼ 22.4% YoY · 463 beneficiaries (CY2024, Medicare FFS)

Medicare paid $108K · $212.02 avg / service, national

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

Billing groups

Named-group FFS services

354

FFS of Medicare

49%

Services YoY

-22.4%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~737 services

354 observed fee-for-service (48%) · ~383 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 — 64716 (CY2024)

CA 110 FL 98 AZ 58 KS 35 TN 34

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

Named-group submitted charges

$522K

Named-group allowed amount

$91K

Named-group Medicare payments

$73K

Avg charge / svc

$1,474

Avg allowed / svc

$258

Avg payment / svc

$205

Average charge per group

$281–621

$621–962

$962–1,302

$1,302–1,642

$1,642–1,982

$1,982–2,322

$2,322–2,663

$2,663+

$281 15 groups · avg submitted charge / service $3,640

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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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 64716 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	64716 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	SMH PHYSICIAN SERVICES INC	SARASOTA	FL	PHYSICIAN ASSISTANT	766	74	$56,392	$762	premium	75.5%	—
2	VALLEY ENT PC	SCOTTSDALE	AZ	OTOLARYNGOLOGY	71	34	$34,476	$1,014	premium	58.6%	(480) 847-1193
3	VANDERBILT UNIVERSITY MEDICAL CENTER	NASHVILLE	TN	NURSE PRACTITIONER	3394	34	$68,197	$2,006	premium	100.0%	(615) 322-5000
4	OUR LADY OF THE LAKE PHYSICIAN GROUP LLC	BATON ROUGE	LA	NURSE PRACTITIONER	628	25	$29,953	$1,198	premium	100.0%	(225) 765-1765
5	NORTH BROWARD HOSPITAL DISTRICT	FORT LAUDERDALE	FL	NURSE PRACTITIONER	181	24	$52,071	$2,170	premium	24.5%	(954) 763-6655
6	STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER	JACKSON	MS	NURSE PRACTITIONER	951	23	$33,626	$1,462	premium	100.0%	(601) 815-4775
7	SOUTHWESTERN COLORADO EAR NOSE AND THROAT	DURANGO	CO	PHYSICIAN ASSISTANT	7	22	$34,745	$1,579	premium	100.0%	(970) 385-7272
8	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	MO	NURSE PRACTITIONER	1815	20	$24,620	$1,231	premium	100.0%	(913) 588-1227
9	PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION	SANTA MONICA	CA	PHYSICIAN ASSISTANT	287	20	$49,620	$2,481	premium	18.2%	(310) 829-6789
10	RIVERSIDE HEALTH SYSTEM	KANKAKEE	IL	NURSE PRACTITIONER	211	16	$43,680	$2,730	premium	100.0%	(815) 936-3240
11	JOHNS HOPKINS UNIVERSITY	BALTIMORE	CA	NURSE PRACTITIONER	2900	15	$54,595	$3,640	premium	13.6%	(410) 502-4340
12	ARIZONA OTOLARYNGOLOGY CONSULTANTS, PC	GLENDALE	AZ	OTOLARYNGOLOGY	22	12	$12,984	$1,082	premium	20.7%	(602) 938-3205
13	NORTH VALLEY EAR NOSE AND THROAT ASSOCIATES PC	PHOENIX	AZ	OTOLARYNGOLOGY	5	12	$9,175	$765	premium	20.7%	(602) 688-6500
14	HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE	MISSION VIEJO	CA	OTOLARYNGOLOGY	16	12	$3,375	$281	premium	10.9%	(949) 364-4361
15	BAYSTATE MEDICAL PRACTICES INC	SPRINGFIELD	MA	PHYSICIAN ASSISTANT	1326	11	$14,462	$1,315	premium	39.3%	—

*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 →