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

92568 Test to assess middle ear muscle reflex 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 1,944 services ▲ 50.0% YoY · 1,879 beneficiaries (CY2024, Medicare FFS)

Medicare paid $23K · $11.84 avg / service, national

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

Billing groups

Named-group FFS services

951

FFS of Medicare

49%

Services YoY

+50.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~2,046 services

951 observed fee-for-service (46%) · ~1,095 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 — 92568 (CY2024)

NY 987 CA 362 NJ 137 MD 119 FL 87

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

Named-group submitted charges

$54K

Named-group allowed amount

$15K

Named-group Medicare payments

$11K

Avg charge / svc

$57

Avg allowed / svc

$16

Avg payment / svc

$12

Average charge per group

$15–25

$25–34

$34–43

$43–52

$52–61

$61–71

$71–80

$80+

$15 12 groups · avg submitted charge / service $110

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.

View the live example →

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 92568 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	92568 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	WEILL MEDICAL COLLEGE OF CORNELL	NEW YORK	NY	INTERNAL MEDICINE	2053	558	$33,480	$60	premium	56.5%	(212) 746-5454
2	MARTIN L. HOPP, MD PHD, A MEDICAL CORP	LOS ANGELES	CA	OTOLARYNGOLOGY	4	59	$2,655	$45	premium	16.3%	(310) 657-7704
3	VALLEY ENT PC	SCOTTSDALE	AZ	OTOLARYNGOLOGY	71	53	$1,643	$31	premium	100.0%	(480) 847-1193
4	NJ EYE AND EAR, LLC	CLIFTON	NJ	OPHTHALMOLOGY	32	53	$3,445	$65	premium	38.7%	(973) 546-5700
5	GOLDEN STATE OTOLARYNGOLOGY MEDICAL	PALMDALE	CA	OTOLARYNGOLOGY	2	52	$2,496	$48	premium	14.4%	(661) 726-6277
6	TREASURE STATE HEARING	BOZEMAN	MT	QUALIFIED AUDIOLOGIST	3	31	$3,410	$110	premium	100.0%	(406) 551-2244
7	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	30	$1,672	$56	premium	62.5%	(507) 284-2511
8	KEITH A GRAY MD PA	ORLANDO	FL	NURSE PRACTITIONER	3	27	$1,620	$60	premium	31.0%	(407) 423-9920
9	PRECISION HEARING CENTER INC	RIO GRANDE	PR	QUALIFIED AUDIOLOGIST	38	24	$370	$15	premium	100.0%	(787) 809-4233
10	ALPINE EAR NOSE AND THROAT PC	FORT COLLINS	CO	OTOLARYNGOLOGY	26	22	$792	$36	premium	100.0%	(970) 221-1177
11	PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION	SANTA MONICA	CA	PHYSICIAN ASSISTANT	287	16	$1,152	$72	premium	4.4%	(310) 829-6789
12	ALPINE EAR NOSE AND THROAT PC	FORT COLLINS	WY	OTOLARYNGOLOGY	26	14	$504	$36	premium	100.0%	(970) 221-1177
13	CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC	ADA	OK	NURSE PRACTITIONER	58	12	$768	$64	premium	100.0%	(580) 436-5111

*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 →