NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
97608 Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area more than 50.0 sq cm CPT · Skin procedure
Classification Procedure › Skin (CMS RBCS)
First observed 2015
National scale 459 services ▲ 82.1% YoY · 439 beneficiaries (CY2024, Medicare FFS)
Medicare paid $9K · $19.32 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

10

Named groups billing this code
Named-group all-Medicare svcs · est.

766

Scaled from 364 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+90.9%

All-Medicare est. · observed FFS +82.1%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~766 services

364 observed fee-for-service (48%) · ~402 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 — 97608 (CY2024)
TX 141 OR 99 FL 43 NC 43 IL 37

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
$248K
Named-group allowed amount
$9K
Named-group Medicare payments
$7K
Avg charge / svc
$681
Avg allowed / svc
$24
Avg payment / svc
$19
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 10 groups · avg submitted charge / service $1,237
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 97608 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 99 $121,021 $1,222 100.0% (503) 494-8311
2 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 71 $11,644 $164 50.4% (817) 281-2977
3 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 43 $44,677 $1,039 100.0% (919) 881-0160
4 TALLAHASSEE ORTHOPEDIC CLINIC III PL TALLAHASSEE FL PHYSICIAN ASSISTANT 542 31 $30,510 $984 72.1% (850) 877-8174
5 RMH MEDICAL GROUP LLC ROCKINGHAM NY PHYSICIAN ASSISTANT 263 25 $1,190 $48 100.0% (540) 689-1110
That's the top 5 of 10 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →