NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS
97607 Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less CPT · Skin procedure
Classification Procedure › Skin (CMS RBCS)
First observed 2015
National scale 4,224 services ▲ 12.0% YoY · 1,945 beneficiaries (CY2024, Medicare FFS)
Medicare paid $689K · $163.07 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

33

Named groups billing this code
Named-group FFS services

2,865

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+12.0%

FFS enrollment -2.2%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~5,943 services

2,865 observed fee-for-service (48%) · ~3,078 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — 97607 (CY2024)
FL 1,629 TX 1,042 GA 212 IL 185 NY 184

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

Billed → allowed → paid
Named-group submitted charges
$2.4M
Named-group allowed amount
$691K
Named-group Medicare payments
$552K
Avg charge / svc
$847
Avg allowed / svc
$241
Avg payment / svc
$193
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Average charge per group
$46 33 groups · avg submitted charge / service $2,474
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 97607 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VOHRA POST ACUTE CARE PHYSICIANS OF TEXAS, PLLC ABILENE TX FAMILY PRACTICE 46 746 $771,192 $1,034 61.2% (877) 866-7123
2 FLORIDA POST ACUTE CARE CLINICIANS LLC JACKSONVILLE FL NURSE PRACTITIONER 40 605 $625,544 $1,034 56.1% (904) 443-9635
3 INFUCARE MEDICAL GROUP OF CALIFORNIA INC PALM DESERT CA INFECTIOUS DISEASE 3 137 $68,500 $500 100.0% (844) 243-7833
4 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 129 $16,626 $129 10.6% (817) 281-2977
5 VOHRA WOUND PHYSICIANS OF FL LLC RICHMOND FL FAMILY PRACTICE 72 120 $124,085 $1,034 11.1% (804) 264-6000
6 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 103 $115,781 $1,124 100.0% (503) 494-8311
7 VOHRA POST ACUTE CARE PHYSICIANS OF THE NORTHEAST PA FRAMINGHAM FL FAMILY PRACTICE 33 95 $98,108 $1,033 8.8% (877) 866-7123
8 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON PA DIAGNOSTIC RADIOLOGY 3532 84 $16,884 $201 100.0% (617) 724-0287
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 79 $12,159 $154 47.0% —
10 HUTCHINSON REGIONAL MEDICAL CENTER INC HUTCHINSON KS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 149 77 $40,401 $525 100.0% (620) 665-2000
11 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 75 $113,925 $1,519 44.6% (212) 263-9700
12 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 73 $3,361 $46 6.8% (321) 434-8878
13 VOHRA WOUND PHYSICIANS OF THE MID-WEST, S.C. MILWAUKEE WI FAMILY PRACTICE 10 63 $65,145 $1,034 40.6% (877) 866-7123
14 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 39 $19,960 $512 25.2% (608) 287-2050
15 SAMRA PLASTIC AND RECONSTRUCTIVE SURGERY LLC HOLMDEL NJ PLASTIC AND RECONSTRUCTIVE SURGERY 9 39 $96,500 $2,474 43.8% (732) 739-2100
16 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 38 $38,270 $1,007 47.5% (919) 881-0160
17 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 38 $2,107 $55 15.0% (217) 544-6464
18 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 36 $2,340 $65 3.0% (210) 614-7414
19 ORTHOWEST IRVINE IL ORTHOPEDIC SURGERY 47 29 $21,881 $755 11.5% (949) 586-3200
20 VALLEY VIEW HOSPITAL ASSOCIATION GLENWOOD SPGS NE PHYSICIAN ASSISTANT 206 27 $55,431 $2,053 100.0% (970) 384-7290
21 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 24 $4,824 $201 36.9% (617) 724-0287
22 JOSE V PEREZ DO PA MIAMI LAKES FL NURSE PRACTITIONER 10 20 $12,000 $600 1.9% (305) 322-7582
23 VOHRA POST ACUTE CARE PHYSICIANS OF TEXAS, PLLC ABILENE FL FAMILY PRACTICE 46 20 $20,681 $1,034 1.9% (877) 866-7123
24 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 19 $2,622 $138 23.8% (919) 684-8111
25 RENO ORTHOPAEDIC CLINIC LTD RENO NV ORTHOPEDIC SURGERY 95 19 $4,560 $240 100.0% (775) 786-3040
26 ASPIRUS MEDICAL GROUP, INC. WAUSAU WI NURSE PRACTITIONER 265 19 $8,018 $422 12.3% (715) 847-2611
27 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 17 $6,035 $355 11.0% (414) 955-4263
28 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 14 $23,100 $1,650 8.3% (212) 305-8559
29 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 12 $2,088 $174 100.0% (803) 395-3400
30 CAROLINAS MEDICAL CENTER CHARLOTTE NC PHYSICIAN ASSISTANT 1034 12 $15,372 $1,281 15.0% (704) 355-2000
31 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 12 $588 $49 100.0% (502) 629-2398
32 HOWARD UNIVERSITY WASHINGTON DC DIAGNOSTIC RADIOLOGY 176 12 $1,152 $96 100.0% (202) 865-6679
33 JUDAH D PIFER MD PLLC PRESCOTT AZ ORTHOPEDIC SURGERY 2 11 $2,200 $200 100.0% (928) 778-9250
34 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON NC NURSE PRACTITIONER 3380 11 $14,091 $1,281 13.8% —
35 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 11 $2,365 $215 100.0% (205) 934-3460

*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 →