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

94644 Inhalation treatment for acute airway obstruction, first hour CPT · Treatment - Miscellaneous

Classification Treatment › Treatment - Miscellaneous (CMS RBCS)

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

National scale 3,051 services ▼ 2.5% YoY · 1,730 beneficiaries (CY2024, Medicare FFS)

Medicare paid $146K · $47.97 avg / service, national

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

Billing groups

Named-group FFS services

704

FFS of Medicare

49%

Services YoY

-2.5%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,450 services

704 observed fee-for-service (49%) · ~746 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 — 94644 (CY2024)

FL 897 CA 803 NY 638 NJ 184 OH 108

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

Named-group submitted charges

$111K

Named-group allowed amount

$42K

Named-group Medicare payments

$33K

Avg charge / svc

$158

Avg allowed / svc

$60

Avg payment / svc

$47

Average charge per group

$40–79

$79–118

$118–156

$156–195

$195–234

$234–272

$272–311

$311–350

$40 13 groups · avg submitted charge / service $350

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 94644 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	94644 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	HOSPITALIST SERVICES PLLC	VERO BEACH	FL	INTERNAL MEDICINE	2	162	$10,530	$65	premium	18.1%	(772) 925-8230
2	MIDWEST ALLERGY SINUS ASTHMA SC	NORMAL	IL	NURSE PRACTITIONER	9	89	$31,150	$350	premium	100.0%	(309) 452-0995
3	CISCA PULMONARY CRITICAL CARE INC	JACKSONVILLE	FL	PHYSICIAN ASSISTANT	3	87	$14,445	$166	premium	9.7%	(904) 396-0300
4	MED SOLUTIONS, LLC	WOODLAND PARK	NJ	INTERNAL MEDICINE	2	84	$11,112	$132	premium	45.7%	(973) 785-3455
5	AMERICAN MEDICAL DIAGNOSTICS, PLLC	BROOKLYN	NY	NEPHROLOGY	2	76	$26,600	$350	premium	11.9%	(718) 377-2834
6	PERVAIZ IQBAL PHYSICIAN PC	BROOKLYN	NY	INTERNAL MEDICINE	2	52	$6,168	$119	premium	8.2%	(718) 756-1309
7	FIRST MEDICAL CENTER INC	CERRITOS	CA	DIAGNOSTIC RADIOLOGY	3	40	$1,600	$40	premium	5.0%	(562) 809-8082
8	SUNTREE INTERNAL MEDICINE, INC.	MELBOURNE	FL	FAMILY PRACTICE	21	25	$1,625	$65	premium	2.8%	(321) 259-9500
9	KINGS DIAGNOSTICS MEDICAL PC	BROOKLYN	NY	PULMONARY DISEASE	3	22	$1,650	$75	premium	3.4%	(786) 614-0685
10	DESOTO FAMILY MEDICAL CENTER	SOUTHAVEN	MS	FAMILY PRACTICE	6	22	$1,254	$57	premium	100.0%	(662) 393-7722
11	OCEAN LIFE MEDICAL GROUP INC	Santa Clarita	CA	EMERGENCY MEDICINE	2	17	$2,450	$144	premium	2.1%	—
12	DR. MAX E. MERCADO PRACTICE, LLC	PHILADELPHIA	PA	INTERNAL MEDICINE	3	14	$1,162	$83	premium	100.0%	(215) 289-4434
13	CHIPOLA MEDICAL ASSOCIATES LLC	MARIANNA	FL	NURSE PRACTITIONER	8	14	$1,568	$112	premium	1.6%	(850) 526-3434

*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 →