NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92229 Imaging of retina for disease detection, with automated review and report at point of care CPT · Imaging - Miscellaneous
Classification Imaging › Imaging - Miscellaneous › Computerized Ophthalmic Imaging (CMS RBCS)
First observed 2021
National scale 2,633 services ▲ 84.5% YoY · 2,598 beneficiaries (CY2024, Medicare FFS)
Medicare paid $72K · $27.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

32

Named groups billing this code
Named-group FFS services

1,564

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+84.5%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~3,259 services

1,564 observed fee-for-service (48%) · ~1,695 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 — 92229 (CY2024)
TX 574 IL 398 PA 333 LA 304 MN 279

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
$195K
Named-group allowed amount
$63K
Named-group Medicare payments
$42K
Avg charge / svc
$125
Avg allowed / svc
$40
Avg payment / svc
$27
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
$52 32 groups · avg submitted charge / service $217
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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 →
Unlock the Platform — the full read, every number below, code baskets, and export. Looking is free; the depth is paid. Notify me at launch →
Refine: group size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 92229 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON CA INTERNAL MEDICINE 332 11 $2,387 $217 7.9% (925) 462-7060
2 SSM MEDICAL GROUP INC SAINT LOUIS MO NURSE PRACTITIONER 547 11 $990 $90 100.0% (314) 645-6450
3 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 11 $1,925 $175 7.9% (916) 734-7777
4 NORTH COUNTY ENDOCRINE MEDICAL GROUP ESCONDIDO CA ENDOCRINOLOGY 7 11 $2,200 $200 7.9% 76074314311554
5 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 11 $1,925 $175 12.6% (410) 522-9800
6 CAREMED CLINIC LLC MARIANNA FL INTERNAL MEDICINE 3 13 $1,123 $86 17.8% (850) 526-3314
7 ALLIANCE PHYSICIANS INC WEST CARROLLTON OH FAMILY PRACTICE 314 13 $1,014 $78 31.7% (937) 865-0534
8 INNOVA PRIMARY CARE, PC HUNTSVILLE AL FAMILY PRACTICE 13 13 $715 $55 44.8% (256) 882-1510
9 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 15 $2,100 $140 10.7% (562) 698-0811
10 UNITED DOCTORS FAMILY MEDICAL CENTER LLC BOAZ AL NURSE PRACTITIONER 13 16 $832 $52 55.2% (256) 744-7292
11 SAINT ANTHONY MEDICAL CENTER LOVES PARK IL FAMILY PRACTICE 43 16 $1,376 $86 4.0% (815) 639-8500
12 RYSE HEALTH MARYLAND PHYSICIANS PC VIENNA MD REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 7 16 $1,146 $72 18.4% (571) 999-7973
13 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 16 $1,376 $86 39.0% —
14 PROCARE MEDICAL GROUP SC MILWAUKEE WI NURSE PRACTITIONER 16 17 $1,105 $65 100.0% (414) 291-2626
15 KINGS DIAGNOSTICS MEDICAL PC BROOKLYN NY PULMONARY DISEASE 3 17 $1,010 $59 25.4% (786) 614-0685
16 ROBERT WOZNIAK MD PA ROCK HILL SC ENDOCRINOLOGY 4 17 $1,700 $100 19.1% (803) 329-3899
17 MIDLAND MEDICAL BROWARD LLC OAKLAND PARK FL NURSE PRACTITIONER 11 18 $1,260 $70 24.7% (954) 565-0875
18 SOCKOLOV AND SOCKOLOV A PROFESSIONAL CORPORATION SACRAMENTO CA FAMILY PRACTICE 4 19 $1,140 $60 13.6% (916) 927-1114
19 WINTERS FAMILY PRACTICE PC ELGIN IL NURSE PRACTITIONER 6 29 $3,625 $125 7.3% (847) 742-3120
20 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 29 $2,494 $86 7.3% (888) 712-2753
21 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO MN ENDOCRINOLOGY 5 31 $3,565 $115 11.1% (210) 650-3360
22 UC SAN DIEGO HEALTH COMMUNITY GROUP SAN DIEGO CA PHYSICIAN ASSISTANT 110 34 $2,924 $86 24.3% (800) 926-8273
23 VALLEY DIABETES AND ENDOCRINOLOGY COMPREHENSIVE CENTER P.L.L.C. EDINBURG TX ENDOCRINOLOGY 5 34 $4,250 $125 5.9% (956) 603-1555
24 PROVIDA HEALTH CENTER SC GURNEE IL PHYSICIAN ASSISTANT 2 45 $4,500 $100 11.3% —
25 MATT T ROSENBERG PC JACKSON MI FAMILY PRACTICE 3 56 $5,600 $100 100.0% (517) 784-9189
26 FAIRFIELD MEDICAL ASSOCIATES, PA. WINNSBORO SC FAMILY PRACTICE 3 59 $4,425 $75 66.3% 8036356461122
27 MAMDOUH RIAD MD PC HYANNIS MA INTERNAL MEDICINE 3 61 $6,100 $100 82.4% (508) 790-4568
28 GLORIA ORTIZ, MD, P.A. MCALLEN TX ENDOCRINOLOGY 3 62 $6,200 $100 10.8% (956) 340-4222
29 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO TX ENDOCRINOLOGY 5 80 $9,200 $115 13.9% (210) 650-3360
30 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 114 $21,318 $187 40.9% (507) 284-2511
31 SHOPTIKAL LLC MONONA MN OPTOMETRY 191 134 $25,058 $187 48.0% (608) 222-9420
32 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 202 $17,458 $86 50.8% (309) 683-5050
33 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 333 $53,280 $160 100.0% —

*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 →