Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

85347 Coagulation time measurement, activated 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 1,373 services ▲ 8.7% YoY · 822 beneficiaries (CY2024, Medicare FFS)

Medicare paid $6K · $4.18 avg / service, national

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

Billing groups

Named-group FFS services

936

FFS of Medicare

49%

Services YoY

+8.7%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,914 services

936 observed fee-for-service (49%) · ~978 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 — 85347 (CY2024)

IL 251 FL 230 TX 180 CA 169 NC 129

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

Named-group submitted charges

$78K

Named-group allowed amount

$4K

Named-group Medicare payments

$4K

Avg charge / svc

$83

Avg allowed / svc

Avg payment / svc

Average charge per group

$5–32

$32–58

$58–85

$85–111

$111–138

$138–165

$165–191

$191+

$5 13 groups · avg submitted charge / service $500

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 85347 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	85347 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	TEXAS CARDIAC AND VASCULAR SPECIALISTS PA	SAN ANTONIO	TX	PHYSICIAN ASSISTANT	7	160	$2,057	$13	premium	88.9%	—
2	ORLANDO HEALTH MEDICAL GROUP INC	ORLANDO	FL	PHYSICIAN ASSISTANT	2145	146	$1,898	$13	premium	63.5%	(407) 896-1100
3	ADVANCED SURGICAL TECHNOLOGY, LLC	CENTRALIA	IL	NURSE PRACTITIONER	7	134	$67,000	$500	premium	53.4%	(618) 899-9200
4	CONSULTANTS IN CARDIOLOGY AND ELECTROPHYSIOLOLGY LLC	EVERGREEN PARK	IL	NURSE PRACTITIONER	21	117	$2,340	$20	premium	46.6%	(708) 346-5562
5	ATHAR M. ANSARI M D INC.	EL CENTRO	CA	CARDIOVASCULAR DISEASE (CARDIOLOGY)	2	107	$1,284	$12	premium	63.3%	(760) 353-3222
6	YOSEMITE PATHOLOGY MEDICAL GROUP INC	MODESTO	CA	PATHOLOGY	43	62	$663	$11	premium	36.7%	(209) 577-1200
7	BIRMINGHAM HEART CLINIC, PLLC	BIRMINGHAM	AL	INTERVENTIONAL CARDIOLOGY	25	59	$590	$10	premium	46.5%	(205) 856-2284
8	VASCULAR INSTITUTE OF THE MIDWEST PC	DAVENPORT	IA	INTERVENTIONAL CARDIOLOGY	2	52	$572	$11	premium	100.0%	(563) 324-3818
9	INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA	GAINESVILLE	FL	INTERVENTIONAL CARDIOLOGY	36	25	$300	$12	premium	10.9%	(352) 375-1212
10	HEART SOUTH CARDIOVASCULAR GROUP, P.C.	BIRMINGHAM	AL	NURSE PRACTITIONER	23	22	$110	$5	premium	17.3%	(205) 877-2838
11	ETMC PHYSICIAN GROUP, INC.	TYLER	TX	NURSE PRACTITIONER	373	20	$260	$13	premium	11.1%	(903) 590-5611
12	CARDIOLOGY CONSULTANTS PC	TUSCALOOSA	AL	INTERVENTIONAL CARDIOLOGY	9	19	$114	$6	premium	15.0%	(205) 752-0694
13	ACV NEVADA BERNSTEIN PLLC	LAS VEGAS	NV	NURSE PRACTITIONER	4	13	$390	$30	premium	100.0%	(702) 878-8346

*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 →