Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96450 Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord CPT · Chemotherapy treatment

Classification Treatment › Chemotherapy › Chemotherapy Administration (CMS RBCS)

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

National scale 1,187 services ▼ 8.8% YoY · 683 beneficiaries (CY2024, Medicare FFS)

Medicare paid $66K · $55.81 avg / service, national

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

Billing groups

Named-group FFS services

769

FFS of Medicare

49%

Services YoY

-8.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,571 services

769 observed fee-for-service (49%) · ~802 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 — 96450 (CY2024)

FL 268 CA 184 NY 161 KS 138 MN 111

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

Named-group submitted charges

$554K

Named-group allowed amount

$53K

Named-group Medicare payments

$42K

Avg charge / svc

$720

Avg allowed / svc

$69

Avg payment / svc

$55

Average charge per group

$244–394

$394–544

$544–694

$694–844

$844–994

$994–1,144

$1,144–1,294

$1,294+

$244 13 groups · avg submitted charge / service $1,674

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 96450 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	96450 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	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	138	$67,056	$486	premium	100.0%	(913) 588-1227
2	CITY OF HOPE MEDICAL FOUNDATION	DUARTE	CA	NURSE PRACTITIONER	942	127	$97,155	$765	premium	69.0%	(626) 256-4673
3	H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC	TAMPA	FL	PHYSICIAN ASSISTANT	1103	127	$56,240	$443	premium	47.4%	(813) 745-4673
4	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	81	$95,256	$1,176	premium	73.0%	(507) 284-2511
5	NORTHSIDE RADIOLOGY ASSOCIATES LLC	ATLANTA	FL	DIAGNOSTIC RADIOLOGY	370	61	$61,122	$1,002	premium	22.8%	(404) 851-6577
6	BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC	SOUTH MIAMI	FL	PHYSICIAN ASSISTANT	653	57	$13,908	$244	premium	21.3%	(786) 662-0600
7	UNIVERSITY OF VIRGINIA PHYSICIANS GROUP	CHARLOTTESVILLE	VA	NURSE PRACTITIONER	1704	50	$64,550	$1,291	premium	100.0%	(434) 924-5959
8	PHYSICIANS REFERRAL SERVICE	HOUSTON	TX	NURSE PRACTITIONER	2696	35	$33,333	$952	premium	44.3%	(713) 592-5433
9	SONORAN RADIOLOGY LTD	MESA	FL	DIAGNOSTIC RADIOLOGY	474	23	$10,246	$445	premium	8.6%	(832) 915-2534
10	MSKCC RADIOLOGY GROUP	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	199	20	$10,500	$525	premium	12.4%	(646) 888-5300
11	UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	PHYSICIAN ASSISTANT	3505	19	$5,206	$274	premium	28.4%	(215) 662-2777
12	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	19	$31,806	$1,674	premium	100.0%	—
13	HEALTHONE CLINIC SERVICES - ONCOLOGY HEMATOLOGY LLC	DENVER	CO	NURSE PRACTITIONER	47	12	$7,224	$602	premium	22.6%	(720) 754-4800

*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 →