NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95860 Needle measurement of electrical activity in arm or leg muscles, 1 extremity CPT · Neurologic test
Classification Test Neurologic Electrical Nerve Conductivity (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,667 services ▼ 3.4% YoY · 1,584 beneficiaries (CY2024, Medicare FFS)
Medicare paid $81K · $48.88 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
415
FFS of Medicare
49%
Services YoY
-3.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~885 services

415 observed fee-for-service (47%) · ~470 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 — 95860 (CY2024)

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
$33K
Named-group Medicare payments
$26K
Avg charge / svc
$276
Avg allowed / svc
$79
Avg payment / svc
$63
Average charge per group
$198 7 groups · avg submitted charge / service $340
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 95860 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 95860 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 RTNA, PC NEW YORK TN NEUROLOGY 7 193 $60,868 $315 premium 83.2% 6153468182932
2 SOUTHEASTERN MEDICAL PA SUNSET BEACH NC PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 137 $29,455 $215 premium 100.0% (910) 575-5750
3 LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY ALAMOSA CO DIAGNOSTIC RADIOLOGY 155 24 $7,728 $322 premium 100.0% (719) 589-2511
4 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 18 $5,814 $323 premium 100.0% (541) 706-7715
5 ORTHOTX PLLC ARLINGTON TX ORTHOPEDIC SURGERY 81 15 $5,100 $340 premium 100.0% (817) 375-5200
6 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 15 $2,970 $198 premium 2.9% (877) 827-7463
7 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 13 $2,773 $213 premium 100.0% (617) 724-0287

*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 →