Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type HCPCS · Orthotic Devices dme

Classification DME › Orthotic Devices (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 629 services ▲ 9.8% YoY · 290 beneficiaries (CY2024, Medicare FFS)

Medicare paid $55K · $87.48 avg / service, national

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

Billing groups

Named-group FFS services

572

FFS of Medicare

49%

Services YoY

+9.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,218 services

572 observed fee-for-service (47%) · ~646 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 — L8509 (CY2024)

PA 183 AR 58 MO 52 AZ 51 MI 50

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

Named-group submitted charges

$235K

Named-group allowed amount

$65K

Named-group Medicare payments

$49K

Avg charge / svc

$410

Avg allowed / svc

$114

Avg payment / svc

$86

Average charge per group

$1–95

$95–190

$190–284

$284–379

$379–473

$473–568

$568–662

$662+

$1 10 groups · avg submitted charge / service $780

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 L8509 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	L8509 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	UNIVERSITY OF PITTSBURGH PHYSICIANS	PITTSBURGH	PA	DIAGNOSTIC RADIOLOGY	4291	183	$53,376	$292	premium	100.0%	—
2	CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC	LITTLE ROCK	AR	HEMATOLOGY/ONCOLOGY	90	58	$42,224	$728	premium	100.0%	—
3	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	52	$18,876	$363	premium	100.0%	(314) 747-3000
4	BARBARA ANN KARMANOS CANCER INSTITUTE	DETROIT	MI	DIAGNOSTIC RADIOLOGY	57	50	$45	$1	premium	100.0%	(800) 527-6266
5	MAYO CLINIC	ROCHESTER	MN	NURSE PRACTITIONER	4896	47	$14,570	$310	premium	100.0%	(507) 284-2511
6	UNIVERSITY PHYSICIANS INCORPORATED	AURORA	CO	PHYSICIAN ASSISTANT	3122	45	$19,485	$433	premium	100.0%	(720) 777-1234
7	SIU PHYSICIANS AND SURGEONS INC	SPRINGFIELD	IL	NURSE PRACTITIONER	321	43	$33,540	$780	premium	100.0%	(217) 545-8000
8	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	35	$21,315	$609	premium	68.6%	(800) 603-0558
9	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	34	$24,124	$710	premium	100.0%	(904) 953-2000
10	USC CARE MEDICAL GROUP INC	LOS ANGELES	CA	DIAGNOSTIC RADIOLOGY	1374	25	$7,250	$290	premium	100.0%	(800) 872-2273

*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 →