Medicare procedure market data by CPT code & state

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Market snapshot

93797 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93797 — Outpatient heart rehabilitation, qualified health care professional services

Billing groups

Named-group FFS services

9,191

FFS of Medicare

49%

Services YoY

-9.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~19,833 services

9,191 observed fee-for-service (46%) · ~10,642 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 — 93797 (CY2024)

NC 4,296 AZ 2,412 NY 2,037 NJ 965 WA 750

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

Named-group submitted charges

$978K

Named-group allowed amount

$125K

Named-group Medicare payments

$93K

Avg charge / svc

$106

Avg allowed / svc

$14

Avg payment / svc

$10

Average charge per group

$39–80

$80–122

$122–164

$164–206

$206–248

$248–289

$289–331

$331+

$39 8 groups · avg submitted charge / service $488

Disease-burden context

Coronary heart disease prevalence: 1.0–5.8% of adults across 54 reporting states (CDC BRFSS 2023–2024, age-adjusted state estimates). Highest: KY 5.8% · WV 5.8% · AR 5.2% · AL 4.9% · LA 4.9%
CDC-published US estimate: 4.4% (BRFSS 2024, 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 exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒

Physician groups ranked by 93797 services, CY2024
#	Physician group	City	St	Specialty	Providers	93797 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share*	Phone
1	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	NC	PHYSICIAN ASSISTANT	3051	3,657	$296,217	$81	premium	85.1%	(919) 684-8111
2	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	2,113	$335,967	$159	premium	87.6%	(800) 603-0558
3	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	1,935	$193,500	$100	premium	95.0%	—
4	FHPG LLC	PINEHURST	NC	PHYSICIAN ASSISTANT	198	618	$23,870	$39	premium	14.4%	(910) 715-2164
5	MAYO CLINIC ARIZONA	PHOENIX	MN	PHYSICIAN ASSISTANT	1635	393	$62,487	$159	premium	100.0%	(800) 603-0558
6	UC REGENTS	ORANGE	CA	INTERNAL MEDICINE	296	177	$14,514	$82	premium	100.0%	(714) 456-7002
7	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	NEW YORK	NY	PHYSICIAN ASSISTANT	2818	102	$7,140	$70	premium	5.0%	(212) 241-4812
8	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	TN	PHYSICIAN ASSISTANT	3051	101	$8,181	$81	premium	100.0%	(919) 684-8111
9	GUNDERSEN CLINIC LTD	LA CROSSE	WI	PHYSICIAN ASSISTANT	443	71	$34,653	$488	premium	49.3%	—
10	MULTICARE HEALTH SYSTEM	GIG HARBOR	CO	NURSE PRACTITIONER	2289	24	$1,080	$45	premium	100.0%	—

*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 →