Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

A2019 Kerecis omega3 marigen shield, per square centimeter HCPCS · Medical/Surgical Supplies dme

Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)

First observed 2023

National scale 17,681 services ▲ 1016.2% YoY · 541 beneficiaries (CY2024, Medicare FFS)

Medicare paid $11.2M · $634.42 avg / service, national

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

Billing groups

Named-group FFS services

8,774

FFS of Medicare

49%

Services YoY

+1016.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~16,845 services

8,774 observed fee-for-service (52%) · ~8,071 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 — A2019 (CY2024)

KS 7,973 FL 5,406 TX 2,369 DE 1,468 MS 329

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

Named-group submitted charges

$8.0M

Named-group allowed amount

$6.4M

Named-group Medicare payments

$5.1M

Avg charge / svc

$915

Avg allowed / svc

$725

Avg payment / svc

$579

Average charge per group

$564–664

$664–764

$764–864

$864–964

$964–1,064

$1,064–1,163

$1,163–1,263

$1,263+

$564 13 groups · avg submitted charge / service $1,517

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 A2019 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	A2019 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	MID-KANSAS WOUND SPECIALIST P A	WICHITA	KS	NURSE PRACTITIONER	16	1,885	$2,376,700	$1,261	premium	23.6%	(316) 910-0024
2	PANZER DERMATOLOGY ASSOCIATES	NEWARK	DE	PHYSICIAN ASSISTANT	25	1,468	$858,780	$585	premium	100.0%	3026337550229
3	BAY DERMATOLOGY AND COSMETIC SURGERY P A	PORT RICHEY	FL	PHYSICIAN ASSISTANT	23	1,358	$840,361	$619	premium	25.1%	(727) 841-8505
4	SOUTH TEXAS SKIN CANCER CENTER LLC	SAN ANTONIO	TX	DERMATOLOGY	2	942	$1,429,019	$1,517	premium	39.8%	(210) 558-6234
5	TIMOTHY P. BUMANN D.O. P.A.	ABILENE	TX	EMERGENCY MEDICINE	5	824	$955,867	$1,160	premium	34.8%	—
6	UNIVERSITY PARK DERMATOLOGY PLLC	SARASOTA	FL	PHYSICIAN ASSISTANT	6	421	$263,800	$627	premium	7.8%	(941) 360-2477
7	RUSSELL ROWE MD PA	WACO	TX	PHYSICIAN ASSISTANT	6	400	$232,526	$581	premium	16.9%	(254) 265-7100
8	AQUA DERMATOLOGY OF GEORGIA PC	MARIETTA	FL	PHYSICIAN ASSISTANT	54	347	$195,677	$564	premium	6.4%	(770) 422-5557
9	DAVID B ROY DO PA	HATTIESBURG	MS	PHYSICIAN ASSISTANT	11	329	$230,994	$702	premium	100.0%	(601) 475-9968
10	WOODRUFF INSTITUTE LLC	NAPLES	FL	DERMATOLOGY	22	276	$160,334	$581	premium	5.1%	2395969337610
11	WALLIS DERMATOLOGY ASSOCIATES PLLC	LONGVIEW	TX	DERMATOLOGY	11	203	$142,735	$703	premium	8.6%	(903) 757-3881
12	WEST FLORIDA MEDICAL CENTER CLINIC PA	PENSACOLA	FL	PHYSICIAN ASSISTANT	109	185	$217,620	$1,176	premium	3.4%	(850) 474-8000
13	DERMATOLOGY AND SKIN SURGERY APMC	SHREVEPORT	LA	DERMATOLOGY	9	136	$122,400	$900	premium	100.0%	(318) 222-3278

*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 →