Medicare procedure market data by CPT code & state

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Market snapshot

94728 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

94728 — Test to measure resistance of the airways and lungs to differing frequencies

Billing groups

Named-group FFS services

1,372

FFS of Medicare

49%

Services YoY

-10.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~2,615 services

1,372 observed fee-for-service (52%) · ~1,243 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 — 94728 (CY2024)

TX 610 MS 543 MD 253 FL 220 AL 205

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

Named-group submitted charges

$115K

Named-group allowed amount

$53K

Named-group Medicare payments

$40K

Avg charge / svc

$84

Avg allowed / svc

$39

Avg payment / svc

$29

Average charge per group

$50–61

$61–72

$72–83

$83–94

$94–105

$105–117

$117–128

$128+

$50 7 groups · avg submitted charge / service $163

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.

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒

Physician groups ranked by 94728 services, CY2024
#	Physician group	City	St	Specialty	Providers	94728 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share*	Phone
1	TIPPAH COUNTY HOSPITAL	RIPLEY	MS	NURSE PRACTITIONER	23	543	$40,725	$75	premium	100.0%	(662) 837-9221
2	ALLERGY ARTS LLP	AMARILLO	TX	RHEUMATOLOGY	6	501	$37,435	$75	premium	82.1%	(806) 353-7000
3	ADVANCED DIAGNOSTIC IMAGING PC	NASHVILLE	TN	NURSE PRACTITIONER	534	149	$24,353	$163	premium	100.0%	(615) 612-2146
4	FREDERICK MEDICAL AND PULMONARY ASSOC	FREDERICK	MD	PULMONARY DISEASE	4	96	$7,680	$80	premium	37.9%	(301) 663-5922
5	HIDALGO MEDICAL SERVICES	SILVER CITY	NM	NURSE PRACTITIONER	39	34	$2,754	$81	premium	100.0%	(575) 388-1511
6	BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC	BOSTON	MA	PHYSICIAN ASSISTANT	2942	32	$1,636	$51	premium	100.0%	(617) 732-5500
7	LAWRENCE D SHER M D INC	ROLLING HILLS ESTATES	CA	NURSE PRACTITIONER	3	17	$850	$50	premium	9.6%	(310) 544-6858

*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 →