NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
J1955 Injection, levocarnitine, per 1 gm HCPCS · Treatment
Classification Treatment › Injections and Infusions (nononcologic) (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 116,670 services ▼ 35.9% YoY · 2,172 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.6M · $21.92 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

11

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

131,106

Scaled from 68,979 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-33.6%

All-Medicare est. · observed FFS -35.9%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~131,106 services

68,979 observed fee-for-service (53%) · ~62,127 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 — J1955 (CY2024)
FL 41,671 OK 38,699 CA 9,496 VA 8,574 NV 4,824

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
$3.6M
Named-group allowed amount
$1.9M
Named-group Medicare payments
$1.5M
Avg charge / svc
$52
Avg allowed / svc
$28
Avg payment / svc
$22
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
$18 11 groups · avg submitted charge / service $89
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers J1955 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 NEUROPATHY TREATMENT CLINIC OF OKLAHOMA LLC TULSA OK NURSE PRACTITIONER 4 20,605 $1,405,879 $68 53.2% (918) 708-1816
2 BARKLEY HEALTHCARE GROUP LLC FORT MYERS FL NURSE PRACTITIONER 2 11,928 $278,568 $23 28.6% (239) 565-0004
3 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 8,870 $605,854 $68 22.9% —
4 FIRST STEP REGENERATIVE CLINIC SANTA BARBARA VA NURSE PRACTITIONER 2 8,040 $717,329 $89 93.8% (805) 450-2891
5 PREMIER HEALTHCARE OF PLACERVILLE PLACERVILLE CA CHIROPRACTIC 6 7,184 $179,600 $25 75.7% (530) 622-3536
That's the top 5 of 11 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 →