NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93315 Ultrasound of heart with probe in esophagus for congenital defect, with report CPT · Ultrasound imaging
Classification Imaging › Ultrasound › Echocardiography (TTE/TEE) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 517 services · est. ▼ 6.6% YoY · 248 FFS beneficiaries (CY2024, all-Medicare estimate) — 255 observed fee-for-service services
Medicare paid $50K · est. · $95.96 avg / service, national — $24K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

7

Named groups billing this code
Named-group all-Medicare svcs · est.

417

Scaled from 209 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-6.7%

All-Medicare est. · observed FFS -10.5%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~417 services

209 observed fee-for-service (50%) · ~208 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 — 93315 (CY2024)
CA 116 KY 93 NY 88 OK 82 TN 82

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$92K
Named-group allowed amount
$25K
Named-group Medicare payments
$40K · est.
— $20K observed FFS
Avg charge / svc
$439
Avg allowed / svc
$121
Avg payment / svc
$95
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$300 7 groups · avg submitted charge / service $600
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — each panel renders gated on the free tier.

See it in full: nuclear heart imaging (78452) in Arizona is open as a live example — every paid panel, on real data.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 93315 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 43 $15,222 $354 100.0% (502) 629-2398
2 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 42 $24,360 $580 100.0% (212) 241-4812
3 MEMORIAL HEALTH CARE SYSTEM INC. CHATTANOOGA TN CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 39 $17,667 $453 100.0% (423) 697-2000
4 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 31 $10,912 $352 63.3% (405) 951-4345
5 RAMIN ASHTIANI, MD A PROFESSIONAL CORPORATION VICTORVILLE CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 22 $6,600 $300 38.6% (760) 241-3547
That's the top 5 of 7 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →