NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
76816 Follow-up ultrasound scan of pregnant uterus CPT · Ultrasound imaging
Classification Imaging › Ultrasound › Ultrasound - Abdomen and Pelvis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 424 services · est. ▲ 1.1% YoY · 123 FFS beneficiaries (CY2024, all-Medicare estimate) — 213 observed fee-for-service services
Medicare paid $20K · est. · $46.10 avg / service, national — $10K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

2

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

86

Scaled from 43 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+1.2%

All-Medicare est. · observed FFS +2.9%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~86 services

43 observed fee-for-service (50%) · ~43 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 — 76816 (CY2024)
CA 136 FL 91 NY 65 MA 48 MO 32

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
$5K
Named-group allowed amount
$2K
Named-group Medicare payments
$3K · est.
— $1K observed FFS
Avg charge / svc
$115
Avg allowed / svc
$38
Avg payment / svc
$29
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
$106 2 groups · avg submitted charge / service $137
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 76816 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 31 $3,300 $106 100.0% —
2 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 12 $1,644 $137 100.0% (612) 672-7422

*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 →