NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
94760 Test to measure oxygen level in blood using ear or finger device CPT · Pulmonary test
Classification Test Pulmonary (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 6,315 services ▲ 15.5% YoY · 3,851 beneficiaries (CY2024, Medicare FFS)
Medicare paid $10K · $1.62 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
22
Named-group FFS services
627
FFS of Medicare
49%
Services YoY
+15.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,239 services

627 observed fee-for-service (51%) · ~612 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 — 94760 (CY2024)

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

Named-group submitted charges
$14K
Named-group allowed amount
$2K
Named-group Medicare payments
$1K
Avg charge / svc
$22
Avg allowed / svc
$3
Avg payment / svc
$2
Average charge per group
$3 22 groups · avg submitted charge / service $50
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 94760 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 94760 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 PERFECT HEALTH MEDICAL LLC BROOKLYN NY NURSE PRACTITIONER 11 117 $3,042 $26 premium 11.9% (212) 734-6621
2 TAYLOR REGIONAL MEDICAL GROUP LLC CAMPBELLSVILLE KY NURSE PRACTITIONER 62 59 $354 $6 premium 1.5%
3 WAHID MEDICAL CORPORATION PATTERSON CA FAMILY PRACTICE 2 49 $193 $4 premium 26.9% (209) 892-1300
4 LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC BURBANK CA PHYSICIAN ASSISTANT 64 48 $1,680 $35 premium 26.4% (818) 887-2671
5 NANTUCKET COTTAGE HOSPITAL NANTUCKET MA NURSE PRACTITIONER 89 40 $1,840 $46 premium 19.9% (508) 825-8100
6 WESTERN MARYLAND HEALTH CARE CORPORATION OAKLAND MD NURSE PRACTITIONER 27 38 $122 $3 premium 100.0% 30153333003081
7 WHOLESOME MEDICAL PC NEW HYDE PARK NY INTERNAL MEDICINE 4 26 $780 $30 premium 2.7% (516) 352-1804
8 CLEAR LAKE PRIMARY CARE PLLC WEBSTER TX FAMILY PRACTICE 43 23 $184 $8 premium 28.8% (281) 724-1862
9 MISSION MEDICAL CARE PC ROCKVILLE CENTRE NY NURSE PRACTITIONER 51 23 $920 $40 premium 2.3% (212) 803-3339
10 ARC HEALTHRESOURCES OF ROCKLAND INC NEW CITY NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 15 22 $396 $18 premium 2.2% (845) 267-0110
11 BABYLON MEDICAL PRACTICE, P.C. BABYLON NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 21 $630 $30 premium 2.1% (631) 661-2277
12 JOHN A FAGAN MD FAMILY PRACTICE INC RANCHO CUCAMONGA CA FAMILY PRACTICE 2 20 $100 $5 premium 11.0% (909) 982-7741
13 GREATER NEW BEDFORD COMMUNITY HEALTH CENTER INC NEW BEDFORD MA NURSE PRACTITIONER 49 19 $475 $25 premium 9.5% (508) 992-6553
14 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNIS MA ORTHOPEDIC SURGERY 1373 17 $543 $32 premium 8.5% (508) 385-4212
15 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION WHITESBURG KY NURSE PRACTITIONER 83 16 $160 $10 premium 0.4% (606) 633-4871
16 PATCHOGUE FAMILY MEDICAL CARE PC PATCHOGUE NY FAMILY PRACTICE 3 15 $90 $6 premium 1.5% (631) 475-5734
17 MOUNT AUBURN PROFESSIONAL SERVICES INC CAMBRIDGE MA INTERNAL MEDICINE 223 14 $169 $12 premium 7.0% (617) 499-5112
18 FAMILY HEALTH PC RIVERVIEW MI FAMILY PRACTICE 7 14 $476 $34 premium 36.8% (313) 362-5100
19 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 13 $312 $24 premium 5.0% (610) 527-3800
20 ST JOSEPHS MEDICAL PC LIVERPOOL NY PHYSICIAN ASSISTANT 378 11 $55 $5 premium 1.1% (315) 475-8402
21 MAGNUM PHYSICIANS PC QUEENS VILLAGE NY FAMILY PRACTICE 2 11 $440 $40 premium 1.1% (718) 464-9727
22 LAWRENCE MEDICAL ASSOCIATES PC BRONXVILLE NY INTERNAL MEDICINE 231 11 $550 $50 premium 1.1% (914) 787-1000

*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 →