NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87220 Tissue fungi or parasites CPT · General Laboratory test
Classification Test › General Laboratory (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 12,413 services ▼ 7.8% YoY · 11,373 beneficiaries (CY2024, Medicare FFS)
Medicare paid $52K · $4.17 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

100

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

6,079

Scaled from 3,124 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-4.5%

All-Medicare est. · observed FFS -7.8%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~6,079 services

3,124 observed fee-for-service (51%) · ~2,955 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 — 87220 (CY2024)
CA 1,829 FL 1,681 NJ 1,462 MA 771 GA 613

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
$70K
Named-group allowed amount
$13K
Named-group Medicare payments
$13K
Avg charge / svc
$22
Avg allowed / svc
$4
Avg payment / svc
$4
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
$4 100 groups · avg submitted charge / service $77
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 87220 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 PHYSICIANS FOOTCARE, LLC SUMTER NC PODIATRY 31 313 $2,504 $8 63.1% (803) 773-7000
2 PARISER DERMATOLOGY SPECIALISTS LTD NEWPORT NEWS VA DERMATOLOGY 34 116 $1,015 $9 56.3% (757) 595-8816
3 THE DERMATOLOGY CLINIC PA WICHITA KS DERMATOLOGY 6 105 $2,310 $22 32.3% —
4 ROBERT S PURVIS, MD, LLC MYRTLE BEACH SC DERMATOLOGY 2 100 $1,210 $12 47.8% (843) 887-7546
5 AQUA DERMATOLOGY OF GEORGIA PC MARIETTA GA PHYSICIAN ASSISTANT 54 73 $1,095 $15 11.9% (770) 422-5557
That's the top 5 of 100 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 →