NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93452 Insertion of tube in left heart chambers for diagnosis with review by radiologist CPT · Cardiovascular procedure
Classification Procedure Cardiovascular Percutaneous Transcatheterization (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,255 services ▼ 9.6% YoY · 1,204 beneficiaries (CY2024, Medicare FFS)
Medicare paid $152K · $121.28 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
31
Named-group FFS services
875
FFS of Medicare
49%
Services YoY
-9.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,758 services

875 observed fee-for-service (50%) · ~883 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 — 93452 (CY2024)

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$136K
Named-group Medicare payments
$108K
Avg charge / svc
$1,284
Avg allowed / svc
$156
Avg payment / svc
$124
Average charge per group
$439 31 groups · avg submitted charge / service $4,000
Market analyticsPlatform
a taste of the twelve-year trend layer

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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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 93452 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 93452 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 NEVADA CARDIOLOGY PROFESSIONAL ASSN LAS VEGAS NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 103 $200,850 $1,950 premium 73.6% (702) 233-1000
2 IDICULA MEDICAL ASSOCIATES MD PA WEEKI WACHEE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 99 $218,691 $2,209 premium 57.6% (352) 596-4660
3 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 69 $33,396 $484 premium 100.0% (615) 269-4545
4 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 59 $46,876 $795 premium 30.7% (410) 337-4877
5 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 47 $40,561 $863 premium 100.0% (404) 605-5000
6 SONTERRA CARDIOVASCULAR INSTITUTE SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 43 $30,100 $700 premium 76.8% (210) 496-0300
7 KAMRAN TOLUIE, MD, INC BEVERLY HILLS CA CARDIAC ELECTROPHYSIOLOGY 2 36 $144,000 $4,000 premium 25.9% (310) 274-2743
8 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 29 $43,500 $1,500 premium 29.3% (317) 338-2345
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 28 $37,532 $1,340 premium 100.0%
10 ON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO INC SAN DIEGO CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 146 26 $13,040 $502 premium 18.7% (619) 359-6600
11 ST VINCENT INFIRMARY MEDICAL CENTER LITTLE ROCK AR NURSE PRACTITIONER 47 26 $12,480 $480 premium 100.0% (501) 255-6000
12 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 26 $22,528 $866 premium 66.7% (515) 343-1000
13 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 26 $18,746 $721 premium 100.0% (304) 388-5432
14 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 23 $14,191 $617 premium 12.0% (410) 522-9800
15 CENTER FOR ADVANCED CARDIAC AND VASCULAR INTERVENTIONS TARZANA MI CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 19 $20,900 $1,100 premium 54.3% (818) 905-5904
16 EASTLAKE CARDIOVASCULAR PC SAINT CLAIR SHORES MI CARDIOVASCULAR DISEASE (CARDIOLOGY) 19 16 $8,000 $500 premium 45.7% (810) 498-0440
17 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 14 $10,200 $729 premium 10.1% (805) 349-8514
18 BRAD S BURLEW CARDIOLOGY A PROFESSIONAL CORPORATION ELKO NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 14 $6,238 $446 premium 10.0% (775) 738-5100
19 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 14 $10,490 $749 premium 38.9% (732) 362-3663
20 CENTER FOR ADVANCED CARDIAC AND VASCULAR INTERVENTIONS TARZANA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 14 $15,400 $1,100 premium 10.1% (818) 905-5904
21 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 13 $38,116 $2,932 premium 9.4% (916) 681-8852
22 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 13 $16,614 $1,278 premium 23.2% (713) 566-5000
23 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 13 $10,920 $840 premium 33.3%
24 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 13 $7,100 $546 premium 9.4%
25 HEALTHONE HEART CARE LLC AURORA CO CARDIOVASCULAR DISEASE (CARDIOLOGY) 46 12 $9,160 $763 premium 100.0% (303) 750-0822
26 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 12 $5,682 $473 premium 7.0% (386) 231-6000
27 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 12 $37,752 $3,146 premium 100.0%
28 SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC SIERRA VISTA AZ PHYSICIAN ASSISTANT 45 12 $5,590 $466 premium 100.0% (520) 263-3500
29 METRO CARDIOVASCULAR CONSULTANTS, LTD OAK LAWN NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 11 $21,450 $1,950 premium 7.9% (708) 229-0300
30 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 11 $4,824 $439 premium 17.7%
31 RCHP BILLINGS - MISSOULA LLC MISSOULA MT NURSE PRACTITIONER 68 11 $5,629 $512 premium 100.0% (406) 327-4646
32 CARDIOLOGY ASSOCIATES OF MOBILE INC MOBILE AL PHYSICIAN ASSISTANT 52 11 $13,200 $1,200 premium 100.0% (251) 460-0078

*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 →