NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4037 Cast supplies, short leg cast, adult (11 years +), plaster HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,960 services ▼ 1.0% YoY · 615 beneficiaries (CY2024, Medicare FFS)
Medicare paid $30K · $15.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

7

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

1,365

Scaled from 648 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-2.3%

All-Medicare est. · observed FFS -1.0%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~1,365 services

648 observed fee-for-service (47%) · ~717 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 — Q4037 (CY2024)
CA 896 OK 434 FL 235 TX 159 CT 103

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
$27K
Named-group allowed amount
$13K
Named-group Medicare payments
$10K
Avg charge / svc
$42
Avg allowed / svc
$20
Avg payment / svc
$16
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
$25 7 groups · avg submitted charge / service $200
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4037 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 MD SOLUTIONS MEDICAL CORP SHERMAN OAKS CA DERMATOLOGY 11 355 $8,875 $25 39.6% (818) 906-2141
2 KEVIN M LYNCH DPM PA MERRITT ISLAND FL PODIATRY 3 147 $5,145 $35 62.6% (321) 454-6333
3 MILFORD PODIATRY ASSOCIATES PC MILFORD CT PODIATRY 4 62 $1,860 $30 60.2% (203) 874-6755
4 ANKLE AND FOOT ASSOCIATES LLC WAYCROSS GA PODIATRY 21 28 $2,940 $105 100.0% —
5 ANKLE AND FOOT SPECIALIST OF NJ SOUTH PLAINFIELD NJ PODIATRY 3 26 $3,298 $127 100.0% (908) 222-8980
That's the top 5 of 7 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 →