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

82375 Carboxyhemoglobin (protein) 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 4,053 services ▼ 14.0% YoY · 3,786 beneficiaries (CY2024, Medicare FFS)

Medicare paid $49K · $12.02 avg / service, national

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

Billing groups

Named-group FFS services

1,849

FFS of Medicare

49%

Services YoY

-14.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~3,946 services

1,849 observed fee-for-service (47%) · ~2,097 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 — 82375 (CY2024)

MO 824 CA 511 NC 442 NJ 405 FL 391

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

Named-group submitted charges

$144K

Named-group allowed amount

$22K

Named-group Medicare payments

$22K

Avg charge / svc

$78

Avg allowed / svc

$12

Avg payment / svc

$12

Average charge per group

$20–34

$34–48

$48–62

$62–76

$76–90

$90–104

$104–118

$118+

$20 11 groups · avg submitted charge / service $140

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.

View the live example →

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 82375 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	82375 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	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	754	$65,708	$87	premium	91.5%	(314) 747-3000
2	ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC	LAS VEGAS	NV	NURSE PRACTITIONER	71	202	$10,706	$53	premium	58.2%	(702) 952-2140
3	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	166	$16,600	$100	premium	62.9%	(800) 603-0558
4	OCALA LUNG AND CRITICAL CARE ASSOCATES INC	OCALA	FL	NURSE PRACTITIONER	19	142	$3,550	$25	premium	36.3%	(352) 732-5552
5	PINEHURST MEDICAL CLINIC INC	PINEHURST	NC	PHYSICIAN ASSISTANT	156	123	$10,455	$85	premium	27.8%	(910) 295-5511
6	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	115	$14,260	$124	premium	56.1%	(507) 284-2511
7	LEHIGH PULMONARY ASSOCIATES INC	LEHIGH ACRES	FL	NURSE PRACTITIONER	3	109	$2,180	$20	premium	27.9%	(239) 369-3333
8	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	90	$12,600	$140	premium	23.0%	(904) 953-2000
9	BOZEMAN HEALTH DEACONESS HOSPITAL	BOZEMAN	MT	PHYSICIAN ASSISTANT	305	79	$4,661	$59	premium	100.0%	(406) 414-4800
10	SAINT LUKES PHYSICIAN GROUP INC	KANSAS CITY	MO	NURSE PRACTITIONER	1228	51	$2,193	$43	premium	6.2%	—
11	TEAMWORK HEALTH PLLC	FAYETTEVILLE	NC	NURSE PRACTITIONER	7	18	$1,530	$85	premium	4.1%	(910) 491-6793

*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 →