NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
73201 Ct scan of arm with contrast CPT · CT Scan imaging
Classification Imaging › CT Scan (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,201 services ▼ 1.6% YoY · 2,090 beneficiaries (CY2024, Medicare FFS)
Medicare paid $136K · $61.82 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

35

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

1,692

Scaled from 817 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+2.6%

All-Medicare est. · observed FFS -1.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,692 services

817 observed fee-for-service (48%) · ~875 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 — 73201 (CY2024)
TX 323 FL 281 CA 168 PA 165 MI 128

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
$275K
Named-group allowed amount
$62K
Named-group Medicare payments
$47K
Avg charge / svc
$336
Avg allowed / svc
$75
Avg payment / svc
$57
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
$155 35 groups · avg submitted charge / service $1,090
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 73201 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 73 $13,943 $191 57.0% (616) 363-7272
2 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 70 $14,152 $202 24.9% (813) 745-4673
3 COMMONWEALTH RADIOLOGY PC RICHMOND VA DIAGNOSTIC RADIOLOGY 49 54 $8,370 $155 52.9% (804) 288-8327
4 ZWANGER AND PESIRI RADIOLOGY GROUP LLP LINDENHURST NY DIAGNOSTIC RADIOLOGY 91 51 $38,990 $764 48.6% (631) 225-7200
5 PROGRESSIVE PHYSICIAN ASSOC INC PHILLIPSBURG PA DIAGNOSTIC RADIOLOGY 160 44 $9,724 $221 26.7% (908) 859-6700
That's the top 5 of 35 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. 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 →