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

84305 Somatomedin (growth factor) 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 53,990 services ▲ 1.4% YoY · 43,573 beneficiaries (CY2024, Medicare FFS)

Medicare paid $1.1M · $20.79 avg / service, national

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

Billing groups

Named-group FFS services

2,224

FFS of Medicare

49%

Services YoY

+1.4%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~4,768 services

2,224 observed fee-for-service (47%) · ~2,544 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 — 84305 (CY2024)

NJ 7,610 FL 6,781 CA 6,542 TX 5,127 NC 5,072

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

Named-group submitted charges

$112K

Named-group allowed amount

$46K

Named-group Medicare payments

$46K

Avg charge / svc

$50

Avg allowed / svc

$21

Avg payment / svc

$21

Average charge per group

$27–38

$38–50

$50–62

$62–73

$73–85

$85–96

$96–108

$108+

$27 15 groups · avg submitted charge / service $144

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 84305 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	84305 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	1,022	$35,626	$35	premium	15.1%	(561) 391-1085
2	EDWARD CONDON MEDICAL PC	COMMACK	NY	ENDOCRINOLOGY	2	323	$30,039	$93	premium	11.2%	(631) 462-2200
3	ENDOCRINE AND DIABETES PA	LIVINGSTON	NJ	ENDOCRINOLOGY	2	171	$4,583	$27	premium	2.2%	(973) 322-7200
4	CROSSPOINTE MEDICAL CLINIC	CYPRESS	TX	FAMILY PRACTICE	5	170	$7,198	$42	premium	3.3%	(281) 463-1400
5	ENDOCRINOLOGY ASSOCIATES P A DTD	SCOTTSDALE	AZ	ENDOCRINOLOGY	10	121	$7,018	$58	premium	5.3%	(602) 266-8463
6	FORT WAYNE ENDOCRINOLOGY PC	FORT WAYNE	IN	NURSE PRACTITIONER	3	105	$5,775	$55	premium	60.3%	(260) 436-1248
7	NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE	GREENLAWN	NY	DIAGNOSTIC RADIOLOGY	315	75	$3,986	$53	premium	2.6%	(631) 628-5000
8	ENDOCRINE ASSOCIATES OF ROCKLAND LLP	POMONA	NY	ENDOCRINOLOGY	4	68	$4,760	$70	premium	2.4%	(845) 362-3111
9	PALM BEACH DIABETES AND ENDOCRINE SPECIALISTS PA	WEST PALM BCH	FL	ENDOCRINOLOGY	18	49	$2,768	$56	premium	0.7%	(561) 659-6336
10	PRINE HEALTH MEDICAL GROUP, PLLC	MANHASSET	NY	NEPHROLOGY	75	29	$1,541	$53	premium	1.0%	(516) 407-2727
11	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	22	$2,376	$108	premium	1.0%	—
12	NEW YORK UNIVERSITY	NEW YORK	FL	DIAGNOSTIC RADIOLOGY	5704	22	$770	$35	premium	0.3%	(212) 263-9700
13	SUTTER BAY MEDICAL FOUNDATION	PALO ALTO	CA	INTERNAL MEDICINE	3716	17	$2,448	$144	premium	0.3%	(415) 600-1020
14	DUPAGE MEDICAL GROUP LTD	GLEN ELLYN	IL	PHYSICIAN ASSISTANT	1323	16	$1,744	$109	premium	1.3%	(630) 469-9200
15	ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA	IDAHO FALLS	ID	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL	16	14	$938	$67	premium	21.5%	(208) 523-1122

*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 →