NEVVI Medicare utilization intelligence
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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

13

Named groups billing this code
Named-group FFS services

704

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-2.5%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~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.

Billed → allowed → paid
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
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
$40 13 groups · avg submitted charge / service $350
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 94644 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CHIPOLA MEDICAL ASSOCIATES LLC MARIANNA FL NURSE PRACTITIONER 8 14 $1,568 $112 1.6% (850) 526-3434
2 DR. MAX E. MERCADO PRACTICE, LLC PHILADELPHIA PA INTERNAL MEDICINE 3 14 $1,162 $83 100.0% (215) 289-4434
3 OCEAN LIFE MEDICAL GROUP INC Santa Clarita CA EMERGENCY MEDICINE 2 17 $2,450 $144 2.1% —
4 DESOTO FAMILY MEDICAL CENTER SOUTHAVEN MS FAMILY PRACTICE 6 22 $1,254 $57 100.0% (662) 393-7722
5 KINGS DIAGNOSTICS MEDICAL PC BROOKLYN NY PULMONARY DISEASE 3 22 $1,650 $75 3.4% (786) 614-0685
6 SUNTREE INTERNAL MEDICINE, INC. MELBOURNE FL FAMILY PRACTICE 21 25 $1,625 $65 2.8% (321) 259-9500
7 FIRST MEDICAL CENTER INC CERRITOS CA DIAGNOSTIC RADIOLOGY 3 40 $1,600 $40 5.0% (562) 809-8082
8 PERVAIZ IQBAL PHYSICIAN PC BROOKLYN NY INTERNAL MEDICINE 2 52 $6,168 $119 8.2% (718) 756-1309
9 AMERICAN MEDICAL DIAGNOSTICS, PLLC BROOKLYN NY NEPHROLOGY 2 76 $26,600 $350 11.9% (718) 377-2834
10 MED SOLUTIONS, LLC WOODLAND PARK NJ INTERNAL MEDICINE 2 84 $11,112 $132 45.7% (973) 785-3455
11 CISCA PULMONARY CRITICAL CARE INC JACKSONVILLE FL PHYSICIAN ASSISTANT 3 87 $14,445 $166 9.7% (904) 396-0300
12 MIDWEST ALLERGY SINUS ASTHMA SC NORMAL IL NURSE PRACTITIONER 9 89 $31,150 $350 100.0% (309) 452-0995
13 HOSPITALIST SERVICES PLLC VERO BEACH FL INTERNAL MEDICINE 2 162 $10,530 $65 18.1% (772) 925-8230

*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 →