Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93786 Ambulatory blood pressure monitoring, 1 day or longer, with recording 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 235 services ▲ 197.5% YoY · 231 beneficiaries (CY2024, Medicare FFS)

Medicare paid $4K · $18.93 avg / service, national

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

Billing groups

Named-group FFS services

207

FFS of Medicare

49%

Services YoY

+197.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~349 services

207 observed fee-for-service (59%) · ~142 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 — 93786 (CY2024)

MA 150 TX 49 IL 14 CA 11 NY 11

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

Named-group submitted charges

$22K

Named-group allowed amount

$5K

Named-group Medicare payments

$4K

Avg charge / svc

$107

Avg allowed / svc

$25

Avg payment / svc

$19

Average charge per group

$98–100

$100–103

$103–106

$106–109

$109–112

$112–115

$115–118

$118+

$98 5 groups · avg submitted charge / service $122

Disease-burden context

High blood pressure prevalence: 25.6–42.0% of adults across 54 reporting states (CDC BRFSS 2021–2023, age-adjusted state estimates). Highest: MS 42.0% · AL 40.4% · LA 39.9% · WV 39.1% · AR 38.7%
CDC-published US estimate: 34.0% (BRFSS 2023, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

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 93786 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	93786 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	MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC	NEWTON	MA	INTERNAL MEDICINE	535	150	$15,849	$106	premium	100.0%	(617) 243-6000
2	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS	DALLAS	TX	PHYSICIAN ASSISTANT	3200	17	$1,938	$114	premium	34.7%	(214) 633-5555
3	MEMORIAL MRI AND DIAGNOSTIC LLC	HOUSTON	TX	DIAGNOSTIC RADIOLOGY	71	15	$1,575	$105	premium	30.6%	(713) 461-3399
4	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	14	$1,708	$122	premium	100.0%	—
5	WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC	NYACK	NY	INTERNAL MEDICINE	94	11	$1,074	$98	premium	100.0%	(845) 897-8371

*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 →