Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95962 Measurement of brain wave activity (eeg) with electrodes on brain to provoke seizures or identify brain structures, each additional hour CPT · Neurologic test

Classification Test › Neurologic (CMS RBCS)

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

National scale 579 services ▲ 13.3% YoY · 292 beneficiaries (CY2024, Medicare FFS)

Medicare paid $75K · $129.46 avg / service, national

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

Billing groups

Named-group FFS services

479

FFS of Medicare

49%

Services YoY

+13.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,008 services

479 observed fee-for-service (48%) · ~529 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 — 95962 (CY2024)

FL 102 NC 101 MN 56 CO 46 WV 43

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

Named-group submitted charges

$398K

Named-group allowed amount

$80K

Named-group Medicare payments

$63K

Avg charge / svc

$831

Avg allowed / svc

$168

Avg payment / svc

$132

Average charge per group

$332–503

$503–674

$674–845

$845–1,016

$1,016–1,187

$1,187–1,358

$1,358–1,529

$1,529+

$332 16 groups · avg submitted charge / service $3,027

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 95962 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	95962 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	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	56	$70,392	$1,257	premium	100.0%	(507) 284-2511
2	UNIVERSITY PHYSICIANS INCORPORATED	AURORA	CO	PHYSICIAN ASSISTANT	3122	46	$42,780	$930	premium	100.0%	(720) 777-1234
3	UNIVERSITY OF MIAMI	MIAMI	FL	NURSE PRACTITIONER	2331	45	$28,035	$623	premium	44.1%	(305) 689-5437
4	THE EMORY CLINIC INC	ATLANTA	WV	NURSE PRACTITIONER	3484	43	$31,981	$744	premium	100.0%	(404) 778-7525
5	UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL	CHARLESTON	SC	PHYSICIAN ASSISTANT	1692	42	$42,938	$1,022	premium	100.0%	(843) 792-1414
6	UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC	BIRMINGHAM	AL	NURSE PRACTITIONER	2788	35	$14,210	$406	premium	100.0%	(205) 934-3460
7	OU HEALTH PARTNERS INC	OKLAHOMA CITY	OK	PHYSICIAN ASSISTANT	1160	34	$11,288	$332	premium	100.0%	(405) 271-4311
8	TENET FLORIDA PHYSICIAN SERVICES LLC	DELRAY BEACH	FL	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	224	24	$11,640	$485	premium	23.5%	(561) 498-4440
9	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	23	$21,505	$935	premium	100.0%	—
10	WAKE FOREST UNIVERSITY HEALTH SCIENCES	WINSTON SALEM	NC	PHYSICIAN ASSISTANT	2609	23	$14,007	$609	premium	22.8%	(336) 713-9800
11	SCRIPPS HEALTH	LA JOLLA	CA	PHYSICIAN ASSISTANT	1431	21	$11,642	$554	premium	100.0%	(858) 455-9100
12	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	21	$14,806	$705	premium	100.0%	(913) 588-1227
13	FLORIDA CLINICAL PRACTICE ASSOCIATION INC	GAINESVILLE	FL	NURSE PRACTITIONER	1912	18	$17,570	$976	premium	17.6%	(352) 265-8990
14	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	CHAPEL HILL	NC	NURSE PRACTITIONER	2120	17	$8,398	$494	premium	16.8%	(984) 215-5556
15	MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC	BOSTON	MA	DIAGNOSTIC RADIOLOGY	3532	16	$11,591	$724	premium	100.0%	(617) 724-0287
16	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	15	$45,405	$3,027	premium	14.7%	(904) 953-2000

*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 →