NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
94642 Inhalation treatment for pneumonia CPT · Treatment - Miscellaneous
Classification Treatment Treatment - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,143 services ▲ 7.7% YoY · 909 beneficiaries (CY2024, Medicare FFS)
Medicare paid $23K · $20.04 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
655
FFS of Medicare
49%
Services YoY
+7.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,422 services

655 observed fee-for-service (46%) · ~767 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 — 94642 (CY2024)

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

Named-group submitted charges
$153K
Named-group allowed amount
$20K
Named-group Medicare payments
$15K
Avg charge / svc
$233
Avg allowed / svc
$30
Avg payment / svc
$23
Average charge per group
$25 8 groups · avg submitted charge / service $274
Market analyticsPlatform
a taste of the twelve-year trend layer

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.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 94642 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 94642 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 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 369 $101,211 $274 premium 90.9% (904) 953-2000
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 192 $44,544 $232 premium 100.0% (800) 603-0558
3 SYNERGIC HEALTHCARE SOLUTIONS LLC TAMPA FL PHYSICIAN ASSISTANT 103 23 $769 $33 premium 5.7%
4 MAX-WELL URGENT CARE LLC BASEHOR KS NURSE PRACTITIONER 7 18 $2,196 $122 premium 100.0% (913) 662-0043
5 HANY S AZIZ MD INC BAKERSFIELD CA NURSE PRACTITIONER 9 14 $1,280 $91 premium 4.5% (661) 326-9999
6 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 14 $666 $48 premium 3.4% (352) 351-4634
7 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 13 $1,768 $136 premium 100.0% (614) 293-8000
8 DAVENSHIRE MEDICAL CENTER PARTNERSHIP DOVER PA FAMILY PRACTICE 4 12 $300 $25 premium 100.0% (717) 292-3168

*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 →