Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95144 Professional service for preparation and provision of single-dose vial of allergen CPT · Treatment - Miscellaneous

Classification Treatment › Treatment - Miscellaneous (CMS RBCS)

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

National scale 130,510 services ▼ 3.0% YoY · 1,602 beneficiaries (CY2024, Medicare FFS)

Medicare paid $1.6M · $12.30 avg / service, national

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

Billing groups

Named groups billing this code

Named-group FFS services

62,505

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-3.0%

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

~125,806 services

62,505 observed fee-for-service (50%) · ~63,301 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 — 95144 (CY2024)

AZ 42,451 TX 29,172 TN 10,235 CT 6,797 NM 6,535

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

$2.0M

Named-group allowed amount

$987K

Named-group Medicare payments

$761K

Avg charge / svc

$33

Avg allowed / svc

$16

Avg payment / svc

$12

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

$15–19

$19–23

$23–26

$26–30

$30–34

$34–38

$38–42

$42+

$15 15 groups · avg submitted charge / service $50

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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 →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 95144 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	95144 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	PRIVIA MEDICAL GROUP GULF COAST PLLC	HOUSTON	TX	NURSE PRACTITIONER	515	12,345	$469,110	$38	premium	42.3%	(713) 512-7500
2	HAMAD AHMAD MD PC	BARTLETT	TN	PHYSICIAN ASSISTANT	13	10,235	$396,678	$39	premium	100.0%	(901) 762-1531
3	MCGOVERN ALLERGY CLINIC, P.A.	BELLAIRE	TX	ALLERGY/IMMUNOLOGY	4	9,231	$193,851	$21	premium	31.6%	(713) 661-1444
4	DAN MOEZZI MD PC	ALAMOGORDO	NM	FAMILY PRACTICE	3	6,535	$261,400	$40	premium	100.0%	(505) 443-0339
5	POTTER PLASTIC AND RECONSTRUCTIVE SURGERY PA	HAYS	KS	NURSE PRACTITIONER	3	5,340	$117,480	$22	premium	100.0%	(785) 301-2250
6	HELEN PASLAY PROFESSIONAL NURSE PRACTITIONER SERVICES PLLC	PRESCOTT	AZ	NURSE PRACTITIONER	2	5,090	$106,890	$21	premium	12.0%	(928) 277-0593
7	DUPAGE INTERNAL MEDICINE OF ILLINOIS LLC	HINSDALE	IL	NURSE PRACTITIONER	5	4,425	$150,450	$34	premium	71.3%	(630) 325-9630
8	CAPITAL ALLERGY AND RESPIRATORY DISEASE CENTER A MED CORP	FOLSOM	CA	ALLERGY/IMMUNOLOGY	4	3,356	$127,528	$38	premium	52.4%	(916) 580-1891
9	ALLERGY AND ASTHMA CLINIC INCORPORATED	SAN MATEO	CA	ALLERGY/IMMUNOLOGY	6	1,669	$72,225	$43	premium	26.0%	(650) 343-4597
10	ALLERGYCARE PLLC	WATERTOWN	NY	ALLERGY/IMMUNOLOGY	2	1,082	$54,100	$50	premium	19.1%	31562479110
11	KERN ALLERGY MEDICAL CLINIC INC	BAKERSFIELD	CA	ALLERGY/IMMUNOLOGY	2	850	$21,250	$25	premium	13.3%	(661) 327-9693
12	SURGICAL ASSOCIATES NORTHWEST PC	FEDERAL WAY	WA	UROLOGY	11	770	$11,550	$15	premium	100.0%	(253) 927-1882
13	NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.	JONESBORO	AR	NURSE PRACTITIONER	301	580	$13,340	$23	premium	10.7%	(870) 936-8000
14	HONORHEALTH MEDICAL GROUP, LLC	PHOENIX	AZ	FAMILY PRACTICE	326	517	$20,095	$39	premium	1.2%	(602) 371-3100
15	BAKER EAR, NOSE AND THROAT ASSOCIATES, PLC	BAY CITY	MI	OTOLARYNGOLOGY	4	480	$18,979	$40	premium	51.1%	—

*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 →