Medicare procedure market data by CPT code & state

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Market snapshot

92507 in AL CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92507 — Treatment of speech, language, voice, communication, and/or hearing processing disorder

Billing groups

Named-group FFS services

2,983

FFS of Medicare

40%

Services YoY

-11.9%

FFS enrollment -5.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~7,349 services

2,983 observed fee-for-service (41%) · ~4,366 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

Named-group submitted charges

$407K

Named-group allowed amount

$200K

Named-group Medicare payments

$157K

Avg charge / svc

$136

Avg allowed / svc

$67

Avg payment / svc

$53

Average charge per group

$101–110

$110–119

$119–128

$128–137

$137–146

$146–155

$155–164

$164+

$101 9 groups · avg submitted charge / service $178

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 exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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.

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Specialty market — Qualified Speech Language Pathologist: 1,677 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Qualified Speech Language Pathologist across all states →

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒

Physician groups ranked by 92507 services, CY2024
#	Physician group	City	Specialty	Providers	92507 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share of specialty*	Share of state*	Phone
1	FOX REHAB SLP AL LLC	HUNTSVILLE	QUALIFIED SPEECH LANGUAGE PATHOLOGIST	14	1,352	$186,576	$138	premium	—	31.2%	(877) 407-3422
2	PATHWAYS SPEECH THERAPY INC.	ATHENS	QUALIFIED SPEECH LANGUAGE PATHOLOGIST	2	325	$41,600	$128	premium	—	7.5%	(256) 431-4223

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →