NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
85014 Red blood cell concentration measurement CPT · General Laboratory test
Classification Test › General Laboratory › Blood Count (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 204,336 services ▲ 1.3% YoY · 129,901 beneficiaries (CY2024, Medicare FFS)
Medicare paid $473K · $2.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

218

Named groups billing this code
Named-group all-Medicare svcs · est.

63,537

Scaled from 30,947 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+4.6%

All-Medicare est. · observed FFS +1.3%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~63,537 services

30,947 observed fee-for-service (49%) · ~32,590 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 — 85014 (CY2024)
TX 20,086 FL 18,776 TN 16,801 CA 16,653 NJ 14,348

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
$466K
Named-group allowed amount
$71K
Named-group Medicare payments
$71K
Avg charge / svc
$15
Avg allowed / svc
$2
Avg payment / svc
$2
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
$2 218 groups · avg submitted charge / service $250
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 85014 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 KNOXVILLE KIDNEY CENTER, PLLC KNOXVILLE TN NEPHROLOGY 12 2,528 $12,640 $5 15.0% (865) 692-3462
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,247 $112,350 $50 39.8% (631) 751-3000
3 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 1,456 $11,648 $8 15.2% (770) 536-9864
4 AMARILLO UROLOGY ASSOCIATES LLP AMARILLO TX UROLOGY 15 777 $7,177 $9 3.9% (806) 355-9447
5 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 740 $5,180 $7 3.7% (512) 788-9688
That's the top 5 of 218 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →