NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
78071 Nuclear medicine study of parathyroid with spect CPT · Nuclear imaging
Classification Imaging › Nuclear (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2,039 services ▼ 12.1% YoY · 1,993 beneficiaries (CY2024, Medicare FFS)
Medicare paid $241K · $118.11 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.

1,647

Scaled from 811 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-9.8%

All-Medicare est. · observed FFS -12.1%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,647 services

811 observed fee-for-service (49%) · ~836 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 — 78071 (CY2024)
TX 275 MD 265 CA 220 FL 207 PA 143

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
$475K
Named-group allowed amount
$125K
Named-group Medicare payments
$95K
Avg charge / svc
$586
Avg allowed / svc
$154
Avg payment / svc
$117
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
$123 35 groups · avg submitted charge / service $1,917
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 78071 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 ADVANCED RADIOLOGY P A BALTIMORE MD DIAGNOSTIC RADIOLOGY 161 83 $88,893 $1,071 31.3% (888) 972-9700
2 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 72 $15,696 $218 81.8% (616) 363-7272
3 LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC LEESBURG FL DIAGNOSTIC RADIOLOGY 22 60 $56,880 $948 29.0% (352) 787-5858
4 ZWANGER AND PESIRI RADIOLOGY GROUP LLP LINDENHURST NY DIAGNOSTIC RADIOLOGY 91 40 $31,924 $798 44.0% (631) 225-7200
5 RADIOLOGY REGIONAL CENTER P A FORT MYERS FL DIAGNOSTIC RADIOLOGY 52 37 $30,984 $837 17.9% (239) 936-2316
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 →