Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92579 Test to assess hearing sensitivity using visual aids 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 1,631 services ▲ 121.0% YoY · 1,519 beneficiaries (CY2024, Medicare FFS)

Medicare paid $57K · $35.02 avg / service, national

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

Billing groups

Named-group FFS services

1,378

FFS of Medicare

49%

Services YoY

+121.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~2,797 services

1,378 observed fee-for-service (49%) · ~1,419 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 — 92579 (CY2024)

CA 1,194 NY 184 TN 88 LA 62 PA 30

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

Named-group submitted charges

$141K

Named-group allowed amount

$65K

Named-group Medicare payments

$49K

Avg charge / svc

$102

Avg allowed / svc

$47

Avg payment / svc

$36

Average charge per group

$50–70

$70–90

$90–110

$110–130

$130–150

$150–170

$170–190

$190+

$50 11 groups · avg submitted charge / service $235

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 92579 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	92579 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	HEARING DYNAMIC ENTERPRIS INC.	POMONA	CA	QUALIFIED AUDIOLOGIST	3	1,120	$112,000	$100	premium	93.8%	(909) 397-9247
2	DHAR FAMILY MEDICINE, PLLC	SMYRNA	TN	FAMILY PRACTICE	2	88	$4,400	$50	premium	100.0%	(615) 625-7777
3	UNITED CEREBRAL PALSY OF NEW YORK CITY, INC.	BROOKLYN	NY	NURSE PRACTITIONER	10	39	$7,206	$185	premium	21.2%	(718) 436-7600
4	CRYSTAL RUN HEALTHCARE PHYSICIANS LLP	MIDDLETOWN	NY	NURSE PRACTITIONER	372	25	$3,750	$150	premium	13.6%	(845) 703-6999
5	WIHD INC	VALHALLA	NY	QUALIFIED SPEECH LANGUAGE PATHOLOGIST	37	20	$4,700	$235	premium	10.9%	—
6	CENTRAL IOWA HOSPITAL CORPORATION	DES MOINES	IA	NURSE PRACTITIONER	221	20	$2,433	$122	premium	100.0%	(515) 241-5700
7	RIVERSIDE HEALTH SYSTEM	KANKAKEE	IL	NURSE PRACTITIONER	211	15	$1,290	$86	premium	100.0%	(815) 936-3240
8	TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC	LONE TREE	CO	UROLOGY	27	15	$1,500	$100	premium	100.0%	(720) 225-1000
9	RL HEALTH INC	LANGHORNE	PA	NURSE PRACTITIONER	13	14	$980	$70	premium	46.7%	(215) 750-4080
10	NASSAU HEALTH CARE CORPORATION	EAST MEADOW	NY	INTERNAL MEDICINE	180	11	$1,693	$154	premium	6.0%	(516) 486-6862
11	ALBUQUERQUE SPEECH LANGUAGE AND HEARING CENTER	ALBUQUERQUE	NM	QUALIFIED AUDIOLOGIST	4	11	$627	$57	premium	100.0%	5054407002224

*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 →