Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

82024 Adrenocorticotropic hormone (acth) level 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 91,227 services ▲ 9.3% YoY · 61,705 beneficiaries (CY2024, Medicare FFS)

Medicare paid $3.4M · $37.74 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

4,257

FFS of Medicare

49%

Services YoY

+9.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~9,098 services

4,257 observed fee-for-service (47%) · ~4,841 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 — 82024 (CY2024)

NJ 14,473 CA 12,050 TX 11,000 FL 10,823 NC 8,449

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges

$444K

Named-group allowed amount

$161K

Named-group Medicare payments

$161K

Avg charge / svc

$104

Avg allowed / svc

$38

Avg payment / svc

$38

Average charge per group

$45–61

$61–76

$76–92

$92–108

$108–124

$124–139

$139–155

$155+

$45 17 groups · avg submitted charge / service $190

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 82024 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	82024 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	EAST COAST MEDICAL ASSOCIATES, INC.	BOCA RATON	FL	ENDOCRINOLOGY	6	1,177	$70,392	$60	premium	10.9%	(561) 391-1085
2	EDWARD CONDON MEDICAL PC	COMMACK	NY	ENDOCRINOLOGY	2	561	$106,590	$190	premium	22.1%	(631) 462-2200
3	ENDOCRINOLOGY ASSOCIATES P A DTD	SCOTTSDALE	AZ	ENDOCRINOLOGY	10	376	$39,480	$105	premium	7.8%	(602) 266-8463
4	CAROLINA ONCOLOGY SPECIALIST PA	CHARLOTTE	NC	HEMATOLOGY/ONCOLOGY	16	319	$29,029	$91	premium	3.8%	(704) 342-9577
5	OCALA ONCOLOGY CENTER PL	OCALA	FL	NURSE PRACTITIONER	23	288	$47,808	$166	premium	2.7%	(352) 732-4032
6	ENDOCRINE AND DIABETES PA	LIVINGSTON	NJ	ENDOCRINOLOGY	2	256	$13,914	$54	premium	1.8%	(973) 322-7200
7	DIABETES AND GLANDULAR DISEASE CLINIC PA	SAN ANTONIO	TX	ENDOCRINOLOGY	9	233	$24,689	$106	premium	2.1%	(210) 614-8612
8	PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA	WEST PALM BCH	FL	ENDOCRINOLOGY	18	215	$23,788	$111	premium	2.0%	(561) 659-6336
9	FACULTY PHYSICIANS AND SURGEONS OF LLUSM	LOMA LINDA	CA	DIAGNOSTIC RADIOLOGY	1317	189	$27,027	$143	premium	1.6%	—
10	FORT WAYNE ENDOCRINOLOGY PC	FORT WAYNE	IN	NURSE PRACTITIONER	3	162	$17,820	$110	premium	53.6%	(260) 436-1248
11	NEW YORK UNIVERSITY	NEW YORK	FL	DIAGNOSTIC RADIOLOGY	5704	162	$9,720	$60	premium	1.5%	(212) 263-9700
12	LEXINGTON HEALTH INC	WEST COLUMBIA	SC	NURSE PRACTITIONER	909	137	$18,632	$136	premium	77.4%	(803) 744-4900
13	ENDOCRINE ASSOCIATES OF ROCKLAND LLP	POMONA	NY	ENDOCRINOLOGY	4	91	$4,095	$45	premium	3.6%	(845) 362-3111
14	ATRIUS HEALTH INC	BOSTON	MA	NURSE PRACTITIONER	1196	36	$5,580	$155	premium	2.0%	(617) 421-1000
15	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	28	$2,156	$77	premium	1.3%	—
16	CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C.	GRAND RAPIDS	MI	HEMATOLOGY/ONCOLOGY	112	14	$1,614	$115	premium	9.2%	(616) 954-9800
17	MANHATTAN INTERNAL MEDICINE ASSOCIATES PC	NEW YORK	NY	INTERNAL MEDICINE	6	13	$1,560	$120	premium	0.5%	(212) 725-5300

*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 →