Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92565 Test to assess hearing loss CPT · Other

Classification Other › Vision, Hearing, and Speech Services (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 918 services ▲ 3.0% YoY · 872 beneficiaries (CY2024, Medicare FFS)

Medicare paid $14K · $15.33 avg / service, national

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

Billing groups

Named-group FFS services

430

FFS of Medicare

49%

Services YoY

+3.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~978 services

430 observed fee-for-service (44%) · ~548 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 — 92565 (CY2024)

FL 163 NY 159 MN 93 CA 79 AZ 60

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

Named-group submitted charges

$26K

Named-group allowed amount

$9K

Named-group Medicare payments

$6K

Avg charge / svc

$61

Avg allowed / svc

$20

Avg payment / svc

$15

Average charge per group

$20–32

$32–44

$44–55

$55–67

$67–79

$79–91

$91–103

$103+

$20 13 groups · avg submitted charge / service $121

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.

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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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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 92565 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	92565 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	SPACE COAST HEARING AND BALANCE, INC.	MELBOURNE	FL	QUALIFIED AUDIOLOGIST	2	147	$7,078	$48	premium	90.2%	(321) 309-2806
2	UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC	MINNEAPOLIS	MN	DIAGNOSTIC RADIOLOGY	620	76	$9,196	$121	premium	81.7%	(612) 672-7422
3	NEUROLOGICAL ASSOCIATES OF TUCSON	TUCSON	AZ	OTOLARYNGOLOGY	60	44	$1,760	$40	premium	73.3%	(520) 795-7750
4	ISLAND AUDIOLOGY LLC	KAILUA KONA	HI	QUALIFIED AUDIOLOGIST	3	26	$520	$20	premium	100.0%	(808) 329-0943
5	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	21	$1,050	$50	premium	13.2%	—
6	GREAT LAKES EAR NOSE AND THROAT SPECIALISTS PC	PETOSKEY	MI	QUALIFIED AUDIOLOGIST	7	18	$720	$40	premium	31.6%	(231) 489-8151
7	HEALTHEAST MEDICAL RESEARCH INSTITUTE	SAINT PAUL	MN	PHYSICIAN ASSISTANT	691	17	$1,320	$78	premium	18.3%	—
8	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	NC	PHYSICIAN ASSISTANT	3051	16	$608	$38	premium	100.0%	(919) 684-8111
9	NORTH FLORIDA SURGEONS PA	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	331	16	$736	$46	premium	9.8%	(904) 396-1725
10	BERNARD J DURANTE MD PC	PLYMOUTH	MA	PHYSICIAN ASSISTANT	16	13	$975	$75	premium	44.8%	(508) 746-8977
11	MICHIGAN OTOLARYNGOLOGY SURGERY	YPSILANTI	MI	OTOLARYNGOLOGY	20	13	$390	$30	premium	22.8%	(734) 434-3200
12	UPPER PENINSULA AUDIOLOGY INC	HOUGHTON	MI	QUALIFIED AUDIOLOGIST	4	12	$1,320	$110	premium	21.1%	(906) 523-7120
13	ST JOSEPHS EAR NOSE AND THROAT CLINIC PLLC	POST FALLS	ID	OTOLARYNGOLOGY	9	11	$403	$37	premium	100.0%	(208) 777-1320

*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 →