Disease-burden context Related condition
The condition this service manages
Diagnosed diabetes
14.3% of adults in KY
Medicare FFS beneficiaries with the diagnosis (CMS CCW, 2023)
Share of Medicare fee-for-service beneficiaries with the CCW diagnosis flag; the same denominator as Nevvi's utilization counts. Context only — never combined with utilization.
The survey figure is what adults reported; the CCW figure is a diagnosis recorded on a Medicare claim, and the two are adjusted to different populations, so they are not expected to match. Source: CMS Chronic Conditions Warehouse, via the Mapping Medicare Disparities tool.
CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.
- Market sizeThe volume of this code in the market for the year: an all-Medicare estimate scaled from the observed fee-for-service count where one can be drawn, otherwise the narrower count the row names. ~411 all-Medicare services · est. (199 observed FFS). The #23 state market of 31 by est. all-Medicare volume.
- Billing groupsHow many named billing organizations billed this code in the market, and the services they billed between them. Billing that falls under CMS's 11-beneficiary disclosure floor is absent from the published record. 1 group bills G0109 in Kentucky — 147 observed fee-for-service services (at the ≥11-beneficiary disclosure floor).
- GrowthHow this code's volume changed year over year and over five years. A change between two years of the record, never a projection of what comes next. Up 7.8% year over year; -67.7% over five years, #16 of 29 by five-year growth.
- Medicare paymentWhat Medicare paid for this code in the market over the year, and the payment per service. Observed fee-for-service payments only: Medicare Advantage is paid by capitation and is not counted.Medicare's payments for G0109 in Kentucky in 2023, and this market's payment per service against the national rate. Explore — see what Medicare pays for this →
This market's Overview — its estimated all-Medicare volume, national benchmarks, and what the field charges and is paid — is part of Explore.
The groups in this market that bill this code, ranked by volume, are part of a Deep Dive.
The clinicians in this market who bill this code, ranked by volume, are part of a Deep Dive.
The codes the same organizations bill alongside this one are part of a Deep Dive.
Other codes in this subcategory pay within 20% of G0109, but CMS has not assigned them to a procedure family, so they are not listed here.
The groups built like this code's billers, in the same state, with no published volume on it, are part of a Deep Dive.
See what Medicare pays
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Included in Explore. Part of a Deep Dive.