NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
80400 Hormonal panel for adrenal gland assessment (adrenal gland insufficiency) CPT · General Laboratory test
Classification Test › General Laboratory › Clinical Chemistry (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,400 services ▲ 100.0% YoY · 925 beneficiaries (CY2024, Medicare FFS)
Medicare paid $45K · $31.84 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group FFS services

1,046

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+100.0%

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

~1,975 services

1,046 observed fee-for-service (53%) · ~929 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 — 80400 (CY2024)
AR 750 UT 268 TX 72 MN 53 OK 49

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
$117K
Named-group allowed amount
$33K
Named-group Medicare payments
$33K
Avg charge / svc
$112
Avg allowed / svc
$32
Avg payment / svc
$32
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
$89 6 groups · avg submitted charge / service $120
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 80400 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 694 $83,280 $120 92.5% (479) 361-2585
2 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 268 $24,120 $90 100.0% (801) 475-3800
3 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 41 $4,920 $120 5.5% (501) 227-7596
4 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY AR PHYSICIAN ASSISTANT 559 15 $1,800 $120 2.0% (605) 755-7200
5 DIABETES AND GLANDULAR DISEASE CLINIC PA SAN ANTONIO TX ENDOCRINOLOGY 9 15 $1,342 $89 20.8% (210) 614-8612
6 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 13 $1,456 $112 26.5% (918) 710-4112

*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 →