Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93640 Evaluation of single or dual chamber pacing cardioverter-defibrillator at time of implantation or replacement CPT · Cardiography test

Classification Test › Cardiography › External Electrocardiographic Monitoring (CMS RBCS)

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

National scale 806 services ▼ 5.5% YoY · 801 beneficiaries (CY2024, Medicare FFS)

Medicare paid $61K · $75.10 avg / service, national

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

Billing groups

Named-group FFS services

410

FFS of Medicare

49%

Services YoY

-5.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~830 services

410 observed fee-for-service (49%) · ~420 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 — 93640 (CY2024)

SC 116 MI 114 MD 106 PA 87 IN 82

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

Named-group submitted charges

$272K

Named-group allowed amount

$39K

Named-group Medicare payments

$31K

Avg charge / svc

$663

Avg allowed / svc

$95

Avg payment / svc

$76

Average charge per group

$290–383

$383–476

$476–569

$569–662

$662–755

$755–848

$848–941

$941+

$290 12 groups · avg submitted charge / service $1,052

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 93640 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	93640 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	HEART RHYTHM CLINICS PC	DEARBORN	MI	CARDIAC ELECTROPHYSIOLOGY	2	68	$33,862	$498	premium	59.6%	(313) 551-3745
2	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC	FLORENCE	SC	NURSE PRACTITIONER	409	62	$63,166	$1,019	premium	53.4%	(843) 777-2000
3	PARKVIEW HEALTH SYSTEM INC	FORT WAYNE	IN	NURSE PRACTITIONER	1310	58	$31,436	$542	premium	70.7%	(260) 425-5900
4	LIFEBRIDGE COMMUNITY PHYSICIANS INC	BALTIMORE	MD	NURSE PRACTITIONER	185	47	$24,722	$526	premium	44.3%	(410) 601-9000
5	EMERGENCY AND ACUTE CARE MEDICAL CORPORATION	SAN DIEGO	CA	INTERNAL MEDICINE	450	44	$22,939	$521	premium	73.3%	(858) 939-3400
6	VIRTUA MEDICAL GROUP, PA	VOORHEES	NJ	PHYSICIAN ASSISTANT	1662	29	$30,508	$1,052	premium	100.0%	(856) 247-7260
7	FLORIDA ELECTROPHYSIOLOGY ASSOCIATES PA	ATLANTIS	FL	CARDIAC ELECTROPHYSIOLOGY	14	22	$20,152	$916	premium	28.6%	(561) 434-0353
8	CARDIOVASCULAR INSTITUTE OF MICHIGAN, P.C.	ROSEVILLE	MI	CARDIOVASCULAR DISEASE (CARDIOLOGY)	11	21	$6,090	$290	premium	18.4%	(586) 776-8877
9	UNIVERSITY OF MIAMI	MIAMI	FL	NURSE PRACTITIONER	2331	17	$16,150	$950	premium	22.1%	(305) 689-5437
10	BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION	BRYN MAWR	PA	NURSE PRACTITIONER	134	16	$8,000	$500	premium	18.4%	(610) 527-3800
11	TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP	LANGHORNE	PA	NURSE PRACTITIONER	383	15	$7,395	$493	premium	17.2%	—
12	INNOVIS HEALTH LLC	FARGO	ND	NURSE PRACTITIONER	565	11	$7,476	$680	premium	100.0%	(701) 364-6600

*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 →