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

95865 Needle measurement of electrical activity in voice box muscles 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 1,106 services ▼ 37.2% YoY · 1,098 beneficiaries (CY2024, Medicare FFS)

Medicare paid $71K · $63.77 avg / service, national

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

Billing groups

Named-group FFS services

505

FFS of Medicare

49%

Services YoY

-37.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,053 services

505 observed fee-for-service (48%) · ~548 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 — 95865 (CY2024)

CA 193 NV 137 PA 125 AZ 93 FL 82

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

Named-group submitted charges

$424K

Named-group allowed amount

$40K

Named-group Medicare payments

$32K

Avg charge / svc

$839

Avg allowed / svc

$79

Avg payment / svc

$63

Average charge per group

$175–341

$341–507

$507–673

$673–838

$838–1,004

$1,004–1,170

$1,170–1,336

$1,336–1,502

$175 10 groups · avg submitted charge / service $1,502

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.

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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 95865 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	95865 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	UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	PHYSICIAN ASSISTANT	3505	125	$32,875	$263	premium	100.0%	(215) 662-2777
2	PACIFIC NEUROMONITORING ASSOCIATES INC	ENCINO	CA	NEUROLOGY	7	58	$40,600	$700	premium	30.1%	(734) 213-9240
3	MONITORING ASSOCIATES LLC	SUGAR LAND	FL	NEUROLOGY	11	50	$75,100	$1,502	premium	61.0%	(855) 864-4322
4	NEUROLOGIC LLC	BOULDER	MI	NEUROLOGY	4	44	$20,966	$476	premium	100.0%	(303) 888-4384
5	RTNA, PC	NEW YORK	AZ	NEUROLOGY	7	41	$61,403	$1,498	premium	44.1%	6153468182932
6	AMERICAN NEUROMONITORING ASSOCIATES, PC	AUSTIN	MD	NEUROLOGY	29	38	$59,642	$1,570	premium	74.5%	(734) 213-9249
7	AMERICAN NEUROMONITORING ASSOCIATES, PC	AUSTIN	NV	NEUROLOGY	29	37	$53,495	$1,446	premium	27.0%	(734) 213-9249
8	MPOWER CLINICAL TX	PHOENIX	TX	PHYSICIAN ASSISTANT	32	24	$14,091	$587	premium	29.3%	(210) 598-4268
9	AMERICAN NEUROMONITORING ASSOCIATES, PC	AUSTIN	AZ	NEUROLOGY	29	19	$13,300	$700	premium	20.4%	(734) 213-9249
10	JONATHAN D BURNS	RENO	NV	NURSE PRACTITIONER	2	19	$28,538	$1,502	premium	13.9%	(775) 260-6485
11	AMERICAN NEUROMONITORING ASSOCIATES, PC	AUSTIN	WI	NEUROLOGY	29	16	$11,200	$700	premium	100.0%	(734) 213-9249
12	REGENTS OF THE UNIVERSITY OF CALIFORNIA	SAN DIEGO	CA	DIAGNOSTIC RADIOLOGY	2057	12	$2,786	$232	premium	6.2%	(800) 926-8273
13	AMERICAN NEUROMONITORING ASSOCIATES, PC	AUSTIN	WA	NEUROLOGY	29	11	$7,700	$700	premium	100.0%	(734) 213-9249
14	HERITAGE MEDICAL ASSOCIATES PC	NASHVILLE	TN	INTERNAL MEDICINE	166	11	$1,925	$175	premium	100.0%	(629) 255-2115

*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 →