NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1940 Injection, furosemide, up to 20 mg HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) › Injection - Enzymes (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 22,377 services ▼ 14.1% YoY · 7,835 beneficiaries (CY2024, Medicare FFS)
Medicare paid $9K · $0.39 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

102

Named groups billing this code
Named-group FFS services

14,256

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-14.1%

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

~27,650 services

14,256 observed fee-for-service (52%) · ~13,394 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 — J1940 (CY2024)
NY 3,723 FL 2,844 TN 1,561 MD 1,479 AZ 1,353

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
$165K
Named-group allowed amount
$7K
Named-group Medicare payments
$6K
Avg charge / svc
$12
Avg allowed / svc
$0
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
$1 102 groups · avg submitted charge / service $100
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J1940 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,056 $10,560 $10 28.4% (212) 263-9700
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 881 $31,260 $35 65.1% (800) 603-0558
3 TRICOUNTY PHYSICIANS LLC THE VILLAGES FL NURSE PRACTITIONER 4 750 $900 $1 26.4% (352) 561-6299
4 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 717 $4,707 $7 45.9% (731) 422-0213
5 MONMOUTH CARDIOLOGY ASSOCIATES, LLC EATONTOWN NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 43 691 $22,955 $33 83.4% (732) 663-0300
That's the top 5 of 102 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 →