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

94667 Initial therapy service to facilitate lung function CPT · Pulmonary test

Classification Test › Pulmonary (CMS RBCS)

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

National scale 1,658 services ▼ 13.1% YoY · 1,046 beneficiaries (CY2024, Medicare FFS)

Medicare paid $34K · $20.43 avg / service, national

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

Billing groups

Named-group FFS services

902

FFS of Medicare

49%

Services YoY

-13.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,877 services

902 observed fee-for-service (48%) · ~975 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 — 94667 (CY2024)

NY 803 CA 328 FL 175 AZ 78 OK 78

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

Named-group submitted charges

$46K

Named-group allowed amount

$24K

Named-group Medicare payments

$18K

Avg charge / svc

$51

Avg allowed / svc

$27

Avg payment / svc

$20

Average charge per group

$30–39

$39–47

$47–56

$56–64

$64–73

$73–81

$81–90

$90+

$30 11 groups · avg submitted charge / service $122

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 94667 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	94667 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	QUENTIN MEDICAL PC	BROOKLYN	NY	INTERNAL MEDICINE	5	249	$11,202	$45	premium	31.0%	(718) 336-4499
2	LINDENWOOD MEDICAL PC	STATEN ISLAND	NY	NURSE PRACTITIONER	3	211	$10,550	$50	premium	26.3%	(718) 954-2202
3	JEFFREY C YOUNG DO INC	SAN GABRIEL	CA	FAMILY PRACTICE	2	129	$4,644	$36	premium	39.3%	(626) 571-7958
4	WESTON MEDICAL HEALTH CENTER LLC	WESTON	FL	PHYSICAL THERAPIST IN PRIVATE PRACTICE	6	84	$2,520	$30	premium	48.0%	(954) 888-6650
5	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	78	$9,516	$122	premium	100.0%	(800) 603-0558
6	AMERICAN HEALTH NETWORK OF INDIANA LLC	FISHERS	IN	FAMILY PRACTICE	204	35	$1,925	$55	premium	100.0%	(317) 842-7928
7	CENTURY MEDICAL AND DENTAL CENTER INC	BROOKLYN	NY	PHYSICIAN ASSISTANT	104	33	$1,570	$48	premium	4.1%	(718) 650-2233
8	FAYN MEDICAL PC	BROOKLYN	NY	DIAGNOSTIC RADIOLOGY	3	25	$925	$37	premium	3.1%	(718) 646-4500
9	AIKEN PROFESSIONAL ASSOCIATION LLC	AIKEN	SC	NURSE PRACTITIONER	52	22	$1,078	$49	premium	100.0%	(803) 226-0589
10	SOUTH BROOKLYN MEDICAL CARE PC	BROOKLYN	NY	INTERNAL MEDICINE	3	19	$950	$50	premium	2.4%	(718) 265-2222
11	EXECUTIVE MEDICAL CARE PC	BROOKLYN	NY	PHYSICIAN ASSISTANT	9	17	$1,275	$75	premium	2.1%	(718) 934-0322

*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 →