NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1939 Injection, bumetanide, 0.5 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2024
National scale 2,042 services · 263 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1K · $0.49 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

9

Named groups billing this code
Named-group FFS services

962

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services YoY

—

Estimated all-Medicare volume estimate
FFS + estimated MA

~1,926 services

962 observed fee-for-service (50%) · ~964 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 — J1939 (CY2024)
MD 850 IL 340 PA 239 KY 201 NC 157

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
$3K
Named-group allowed amount
$594
Named-group Medicare payments
$474
Avg charge / svc
$3
Avg allowed / svc
$1
Avg payment / svc
$0
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
$1 9 groups · avg submitted charge / service $12
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J1939 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 239 $478 $2 100.0% —
2 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 154 $770 $5 45.3% (847) 459-1160
3 ALEXIAN BROTHERS SPECIALTY GROUP ELK GROVE VILLAGE IL NURSE PRACTITIONER 44 141 $170 $1 41.5% (847) 437-5500
4 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE IN NURSE PRACTITIONER 1377 92 $368 $4 100.0% (502) 937-2209
5 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 79 $316 $4 39.3% (502) 937-2209
6 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 60 $90 $2 100.0% (863) 680-7780
7 MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC LIMA OH NURSE PRACTITIONER 251 56 $59 $1 100.0% (419) 227-3361
8 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 49 $59 $1 31.2% (252) 634-3278
9 MERCY CLINIC HEART AND VASCULAR LLC SAINT LOUIS MO CARDIOVASCULAR DISEASE (CARDIOLOGY) 112 47 $70 $2 100.0% (314) 842-0602
10 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 45 $528 $12 13.2% (630) 469-9200

*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 →