NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
76125 Imaging of organ, complimenting routine exam CPT · Standard X-ray imaging
Classification Imaging › Standard X-ray (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 966 services · est. · 456 FFS beneficiaries (CY2024, all-Medicare estimate) — 482 observed fee-for-service services
Medicare paid $27K · est. · $27.51 avg / service, national — $13K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

5

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

630

Scaled from 314 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+281.8%

All-Medicare est. · observed FFS +273.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~630 services

314 observed fee-for-service (50%) · ~316 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 76125 (CY2024)
MI 866 GA 153 NE 54 TN 44 MO 26

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
$40K
Named-group allowed amount
$10K
Named-group Medicare payments
$15K · est.
— $8K observed FFS
Avg charge / svc
$127
Avg allowed / svc
$31
Avg payment / svc
$24
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
$40 5 groups · avg submitted charge / service $162
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.

View the live example →
See the Platform — the full read, every number below, code baskets, and export. Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 76125 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 BRIAN T GIETZEN MD PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 5 134 $21,750 $162 40.2% (248) 650-1800
2 ORTHOPAEDIC ASSOCIATES OF MUSKEGON PC MUSKEGON MI PHYSICIAN ASSISTANT 84 100 $14,600 $146 30.0% (231) 733-1326
3 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS NE PHYSICIAN ASSISTANT 75 36 $1,440 $40 100.0% (901) 680-9205
4 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 21 $840 $40 100.0% (901) 680-9205
5 WEST COUNTY RADIOLOGICAL GROUP INC SAINT LOUIS MO DIAGNOSTIC RADIOLOGY 104 12 $504 $42 100.0% (314) 941-5600
That's the top 5 of 5 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 →