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

82805 Blood gases measurement, with o2 saturation 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 2,623 services ▼ 25.1% YoY · 2,335 beneficiaries (CY2024, Medicare FFS)

Medicare paid $191K · $72.75 avg / service, national

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

Billing groups

Named-group FFS services

1,739

FFS of Medicare

49%

Services YoY

-25.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~3,790 services

1,739 observed fee-for-service (46%) · ~2,051 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 — 82805 (CY2024)

MO 489 NV 461 FL 418 MN 320 CA 276

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

Named-group submitted charges

$262K

Named-group allowed amount

$130K

Named-group Medicare payments

$130K

Avg charge / svc

$151

Avg allowed / svc

$75

Avg payment / svc

$75

Average charge per group

$60–83

$83–106

$106–128

$128–151

$151–174

$174–197

$197–220

$220+

$60 14 groups · avg submitted charge / service $254

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 82805 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	82805 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	438	$86,724	$198	premium	89.6%	(314) 747-3000
2	ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC	LAS VEGAS	NV	NURSE PRACTITIONER	71	202	$25,856	$128	premium	43.8%	(702) 952-2140
3	MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC	MILLEDGEVILLE	GA	INTERNAL MEDICINE	4	167	$10,020	$60	premium	100.0%	(478) 452-3200
4	OCALA LUNG AND CRITICAL CARE ASSOCATES INC	OCALA	FL	NURSE PRACTITIONER	19	143	$12,870	$90	premium	34.2%	(352) 732-5552
5	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	138	$18,630	$135	premium	43.1%	(507) 284-2511
6	PINEHURST MEDICAL CLINIC INC	PINEHURST	NC	PHYSICIAN ASSISTANT	156	136	$18,224	$134	premium	68.3%	(910) 295-5511
7	LEHIGH PULMONARY ASSOCIATES INC	LEHIGH ACRES	FL	NURSE PRACTITIONER	3	109	$13,734	$126	premium	26.1%	(239) 369-3333
8	PASEO MEDICAL SPECIALISTS LLC	GLENDALE	AZ	CRITICAL CARE (INTENSIVISTS)	3	107	$25,285	$236	premium	100.0%	(602) 978-6100
9	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	94	$23,876	$254	premium	22.5%	(904) 953-2000
10	ANTELOPE VALLEY LUNG AND SLEEP INSTITUTE INC	PALMDALE	CA	PULMONARY DISEASE	2	89	$7,565	$85	premium	32.2%	(661) 945-8717
11	SAINT LUKES PHYSICIAN GROUP INC	KANSAS CITY	MO	NURSE PRACTITIONER	1228	51	$9,996	$196	premium	10.4%	—
12	HEART AND LUNG ASSOCIATES, PC	BAYSIDE	NY	INTERNAL MEDICINE	2	24	$2,640	$110	premium	100.0%	(718) 225-5106
13	BSA AMARILLO DIAGNOSTIC CLINIC INC	AMARILLO	TX	NURSE PRACTITIONER	31	23	$4,002	$174	premium	39.7%	(806) 358-0200
14	TEAMWORK HEALTH PLLC	FAYETTEVILLE	NC	NURSE PRACTITIONER	7	18	$2,412	$134	premium	9.0%	(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 →