NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen CPT · Molecular Testing
Classification Test Molecular Testing COVID Specific (CMS RBCS)
First observed 2020
National scale 1.61M services · est. ▼ 11.1% YoY · 488,654 FFS beneficiaries (CY2024, all-Medicare estimate) — 798,991 observed fee-for-service services
Medicare paid $80.4M · est. · $50.11 avg / service, national — $40.0M observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,605,432 services

798,991 observed fee-for-service (50%) · ~806,441 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; 1 state without payer-mix data excluded. How we scale
Payments · FFS observed

$40.0M

all-Medicare ≈$80.4M — estimate; price parity assumed as well
Rate per 1,000 FFS

28.6

claims denominator · a rate — never scaled
Named groups

1,182

1,182 at the ≥11-service disclosure floor
Top states — 87635 (CY2024)

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

The 5-year rate

Growing on the honest basis across 5 years

2020202120222023202428.6
Per 1,000 FFS beneficiaries, claims denominator · the dated per-year table is a Platform view
What they charge

Half the field lists between $80 and $150

Submitted charges are provider-set list amounts, not payments · median $103 (named groups)
National benchmarkspremium

Computed for this market — a Platform view

Market positionpremium

Computed for this market — a Platform view

The whole field, one canvaspremium

Computed for this market — a Platform view

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column

sorts locked on the free tier · services rank pinned · refine and export are Platform features

1
NEWPORT BEACH · CA · PHYSICIAN ASSISTANT · 7 providers · hospital-affiliated · (949) 760-8300
11,326services 4.4%Share of state* $144avg list premiumMedicare $
2
PLAINVIEW · NY · PHYSICIAN ASSISTANT · 396 providers · hospital-affiliated · (516) 537-9061
5,886services 11.1%Share of state* $151avg list premiumMedicare $
3
CHICAGO · IL · NURSE PRACTITIONER · 4339 providers · hospital-affiliated ·
5,249services 10.1%Share of state* $165avg list premiumMedicare $
4
BRONX · NY · INTERNAL MEDICINE · 5 providers · hospital-affiliated · (914) 639-2067
4,966services 9.4%Share of state* $167avg list premiumMedicare $
5
AIKEN · SC · PHYSICIAN ASSISTANT · 191 providers · hospital-affiliated · (803) 648-1464
4,858services 30.5%Share of state* $100avg list premiumMedicare $

You are at the seam — 5 of 1,182 groups named.

See the Platform — the full read, every number below, code baskets, and export. Notify me at launch →
That's the top 5 of 1,182 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 →

Medicare $ counts 87635 payments in the market each row names, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments.

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →