NEVVI Medicare utilization intelligence
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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 482 services ▲ 273.6% YoY · 456 beneficiaries (CY2024, Medicare FFS)
Medicare paid $13K · $27.51 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

5

Named groups billing this code
Named-group FFS services

314

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+273.6%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~758 services

314 observed fee-for-service (41%) · ~444 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 — 76125 (CY2024)

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
$40K
Named-group allowed amount
$10K
Named-group Medicare payments
$8K
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 →

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 76125 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 76125 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 BRIAN T GIETZEN MD PC ROCHESTER HILLS MI PHYSICIAN ASSISTANT 5 134 $21,750 $162 premium 40.2% (248) 650-1800
2 ORTHOPAEDIC ASSOCIATES OF MUSKEGON PC MUSKEGON MI PHYSICIAN ASSISTANT 84 100 $14,600 $146 premium 30.0% (231) 733-1326
3 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS NE PHYSICIAN ASSISTANT 75 36 $1,440 $40 premium 100.0% (901) 680-9205
4 SAINT FRANCIS PHYSICIAN NETWORK, LLC MEMPHIS TN PHYSICIAN ASSISTANT 75 21 $840 $40 premium 100.0% (901) 680-9205
5 WEST COUNTY RADIOLOGICAL GROUP INC SAINT LOUIS MO DIAGNOSTIC RADIOLOGY 104 12 $504 $42 premium 100.0% (314) 941-5600
6 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 11 $605 $55 premium 100.0% (920) 496-4700

*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 →