Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95872 Needle measurement of electrical activity in muscle, including jitter, blocking and/or fiber density 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 758 services ▼ 43.6% YoY · 468 beneficiaries (CY2024, Medicare FFS)

Medicare paid $98K · $129.40 avg / service, national

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

Billing groups

Named-group FFS services

370

FFS of Medicare

49%

Services YoY

-43.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~743 services

370 observed fee-for-service (50%) · ~373 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 — 95872 (CY2024)

TX 309 NC 97 VA 63 NY 58 CA 48

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

Named-group submitted charges

$241K

Named-group allowed amount

$62K

Named-group Medicare payments

$47K

Avg charge / svc

$652

Avg allowed / svc

$166

Avg payment / svc

$128

Average charge per group

$379–466

$466–552

$552–639

$639–725

$725–812

$812–898

$898–985

$985+

$379 14 groups · avg submitted charge / service $1,200

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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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 95872 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	95872 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	THE REGENTS OF THE UNIVERSITY OF CALIFORNIA	LOS ANGELES	CA	NEUROLOGY	102	48	$48,108	$1,002	premium	100.0%	—
2	MUNSON MEDICAL CENTER	TRAVERSE CITY	MI	PHYSICIAN ASSISTANT	378	47	$18,022	$383	premium	100.0%	(231) 935-8000
3	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	45	$39,960	$888	premium	77.6%	(212) 263-9700
4	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	NC	PHYSICIAN ASSISTANT	3051	42	$15,960	$380	premium	43.3%	(919) 684-8111
5	NEUROLOGY CENTER OF FAIRFAX, LTD	FAIRFAX	VA	NEUROLOGY	14	34	$18,700	$550	premium	54.0%	70387608001208
6	MCV ASSOCIATED PHYSICIANS	RICHMOND	VA	NURSE PRACTITIONER	1791	29	$21,299	$734	premium	46.0%	(804) 828-9000
7	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	CHAPEL HILL	MD	NURSE PRACTITIONER	2120	27	$13,068	$484	premium	57.4%	(984) 215-5556
8	COVENANT SPINE AND NEUROLOGY, PLLC	KERNERSVILLE	NC	PHYSICIAN ASSISTANT	6	18	$10,314	$573	premium	18.6%	(336) 761-4020
9	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	17	$6,451	$379	premium	100.0%	(913) 588-1227
10	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	15	$10,215	$681	premium	100.0%	—
11	TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK	NEW YORK	NY	NURSE PRACTITIONER	2273	13	$15,600	$1,200	premium	22.4%	(212) 305-8559
12	UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	OR	PHYSICIAN ASSISTANT	3505	12	$5,292	$441	premium	100.0%	(215) 662-2777
13	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	12	$11,232	$936	premium	100.0%	—
14	UNIVERSITY MEDICAL SERVICE ASSOCIATION INC	TAMPA	FL	NURSE PRACTITIONER	814	11	$7,018	$638	premium	100.0%	—

*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 →