NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
70481 Ct scan of cranial cavity with contrast CPT · CT Scan imaging
Classification Imaging › CT Scan › CT/CTA - Head and Neck (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 487 services · est. ▼ 3.7% YoY · 252 FFS beneficiaries (CY2024, all-Medicare estimate) — 256 observed fee-for-service services
Medicare paid $28K · est. · $56.16 avg / service, national — $14K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group all-Medicare svcs · est.

297

Scaled from 158 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-3.8%

All-Medicare est. · observed FFS -7.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~297 services

158 observed fee-for-service (53%) · ~139 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 — 70481 (CY2024)
MA 163 CA 124 FL 107 MI 39 NY 29

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

Billed → allowed → paid
Named-group submitted charges
$63K
Named-group allowed amount
$12K
Named-group Medicare payments
$18K · est.
— $9K observed FFS
Avg charge / svc
$400
Avg allowed / svc
$79
Avg payment / svc
$58
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
$283 6 groups · avg submitted charge / service $1,059
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

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  CY2021  CY2020 
# Physician group City St Specialty Providers 70481 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 75 $21,261 $283 71.4% (617) 523-7900
2 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 35 $10,765 $308 74.5% (352) 265-8990
3 ZWANGER AND PESIRI RADIOLOGY GROUP LLP LINDENHURST NY DIAGNOSTIC RADIOLOGY 91 14 $9,625 $688 100.0% (631) 225-7200
4 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 12 $4,454 $371 25.5% (941) 255-3535
5 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 11 $11,649 $1,059 18.0% (650) 723-4000
That's the top 5 of 6 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →