NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93464 Drug infusion or exercise for heart stimulation during diagnostic study 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 905 services · est. ▲ 4.1% YoY · 431 FFS beneficiaries (CY2024, all-Medicare estimate) — 434 observed fee-for-service services
Medicare paid $61K · est. · $67.22 avg / service, national — $29K observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

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

769

Scaled from 362 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+4.0%

All-Medicare est. · observed FFS +2.1%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~769 services

362 observed fee-for-service (47%) · ~407 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 — 93464 (CY2024)
MN 305 CA 108 NC 94 TX 90 NE 89

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
$173K
Named-group allowed amount
$31K
Named-group Medicare payments
$51K · est.
— $24K observed FFS
Avg charge / svc
$477
Avg allowed / svc
$85
Avg payment / svc
$67
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
$179 11 groups · avg submitted charge / service $700
Market analyticsPlatform Methods →

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

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 93464 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 124 $76,632 $618 100.0% (507) 284-2511
2 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 42 $14,952 $356 100.0% (919) 684-8111
3 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 40 $8,948 $224 67.8% (402) 559-4000
4 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 31 $12,493 $403 73.8% (214) 633-5555
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 29 $17,922 $618 100.0% —
That's the top 5 of 11 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 →