Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93788 Ambulatory blood pressure monitoring, 1 day or longer, with scanning analysis and report 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 459 services · est. ▲ 248.9% YoY · 212 FFS beneficiaries (CY2024, all-Medicare estimate) — 229 observed fee-for-service services

Medicare paid $2K · est. · $3.68 avg / service, national — $842 observed FFS

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

Billing groups

Named groups billing this code

Named-group all-Medicare svcs · est.

357

Scaled from 178 observed FFS services.

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+247.7%

All-Medicare est. · observed FFS +236.8%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~357 services

178 observed fee-for-service (50%) · ~179 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 93788 (CY2024)

MA 232 CO 107 TX 36 NY 23

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

$6K

Named-group allowed amount

$865

Named-group Medicare payments

$1K · est.

— $658 observed FFS

Avg charge / svc

$32

Avg allowed / svc

Avg payment / svc

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

$24–32

$32–40

$40–48

$48–56

$56–64

$64–72

$72–80

$80+

$24 3 groups · avg submitted charge / service $95

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 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.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 93788 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	93788 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share of state* locked column	Phone
1	MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC	NEWTON	MA	INTERNAL MEDICINE	535	150	$3,816	$25	premium	100.0%	(617) 243-6000
2	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS	DALLAS	TX	PHYSICIAN ASSISTANT	3200	17	$1,615	$95	premium	100.0%	(214) 633-5555
3	WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC	NYACK	NY	INTERNAL MEDICINE	94	11	$267	$24	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 — 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 →