Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92937 Removal of plaque, insertion of stent and/or balloon dilation of single coronary vessel with distal protection CPT · Cardiovascular procedure

Classification Procedure › Cardiovascular › Percutaneous Coronary Artery Angioplasty and Stenting (CMS RBCS)

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

National scale 556 services ▼ 16.6% YoY · 489 beneficiaries (CY2024, Medicare FFS)

Medicare paid $233K · $418.36 avg / service, national

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

Billing groups

Named-group FFS services

317

FFS of Medicare

49%

Services YoY

-16.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~623 services

317 observed fee-for-service (51%) · ~306 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 — 92937 (CY2024)

NY 92 AR 77 OK 76 TX 44 MD 35

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

Named-group submitted charges

$805K

Named-group allowed amount

$179K

Named-group Medicare payments

$142K

Avg charge / svc

$2,541

Avg allowed / svc

$565

Avg payment / svc

$449

Average charge per group

$893–1,494

$1,494–2,096

$2,096–2,697

$2,697–3,298

$3,298–3,899

$3,899–4,501

$4,501–5,102

$5,102+

$893 17 groups · avg submitted charge / service $6,163

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 92937 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	92937 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	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	NEW YORK	NY	PHYSICIAN ASSISTANT	2818	42	$108,780	$2,590	premium	45.7%	(212) 241-4812
2	CHS PHYSICIAN PARTNERS PC	ROSLYN	NY	PHYSICIAN ASSISTANT	734	36	$74,016	$2,056	premium	39.1%	—
3	UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC	TOWSON	MD	NURSE PRACTITIONER	292	35	$63,525	$1,815	premium	100.0%	(410) 337-4877
4	ROPER SAINT FRANCIS PHYSICIANS NETWORK	CHARLESTON	SC	PHYSICIAN ASSISTANT	539	21	$36,939	$1,759	premium	65.6%	(843) 720-8448
5	BLESSING HOSPITAL	QUINCY	IL	NURSE PRACTITIONER	401	20	$102,420	$5,121	premium	100.0%	(217) 223-8400
6	HEALTHTEXAS PROVIDER NETWORK	DALLAS	TX	PHYSICIAN ASSISTANT	2482	19	$37,903	$1,995	premium	43.2%	—
7	LIMA MEMORIAL PROFESSIONAL CORPORATION	LIMA	OH	PHYSICIAN ASSISTANT	169	16	$14,288	$893	premium	57.1%	(419) 998-4575
8	DEAN HEALTH SYSTEMS INC	MADISON	WI	PHYSICIAN ASSISTANT	1200	15	$92,445	$6,163	premium	100.0%	(608) 260-2900
9	KANSAS HEART HOSPITAL, LLC	WICHITA	KS	NURSE PRACTITIONER	24	14	$14,000	$1,000	premium	100.0%	(316) 630-5000
10	BRYAN HOSPITAL KEARNEY	KEARNEY	NE	PHYSICIAN ASSISTANT	112	14	$49,000	$3,500	premium	100.0%	(308) 865-2263
11	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	14	$43,386	$3,099	premium	15.2%	—
12	DIGNITY HEALTH MEDICAL FOUNDATION	FOLSOM	CA	DIAGNOSTIC RADIOLOGY	1197	13	$39,650	$3,050	premium	100.0%	(916) 983-7476
13	CITRUS CARDIOLOGY CONSULTANTS, PLLC	INVERNESS	FL	NURSE PRACTITIONER	47	13	$15,431	$1,187	premium	48.1%	(352) 726-8353
14	HOUSTON COUNTY HEALTHCARE AUTHORITY	DOTHAN	AL	INTERNAL MEDICINE	258	12	$19,600	$1,633	premium	52.2%	(334) 793-8087
15	MUSC COMMUNITY PHYSICIANS	ORANGEBURG	SC	NURSE PRACTITIONER	1307	11	$61,470	$5,588	premium	34.4%	(803) 395-3400
16	ST FRANCIS MEDICAL GROUP LLC	MONROE	LA	NURSE PRACTITIONER	165	11	$14,850	$1,350	premium	100.0%	(318) 966-6500
17	CARDIOLOGY ASSOCIATES, PA	DOTHAN	AL	INTERVENTIONAL CARDIOLOGY	8	11	$17,743	$1,613	premium	47.8%	—

*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 →