NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4133 Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)
First observed 2014
National scale 6,978 services ▼ 46.2% YoY · 147 beneficiaries (CY2024, Medicare FFS)
Medicare paid $757K · $108.42 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

6

Named groups billing this code
Named-group FFS services

6,707

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-46.2%

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

~14,223 services

6,707 observed fee-for-service (47%) · ~7,516 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 — Q4133 (CY2024)
CA 3,250 OH 2,501 AZ 576 HI 380 WI 271

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
$1.5M
Named-group allowed amount
$914K
Named-group Medicare payments
$728K
Avg charge / svc
$222
Avg allowed / svc
$136
Avg payment / svc
$108
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
$138 6 groups · avg submitted charge / service $318
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4133 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC DAYTON OH PHYSICIAN ASSISTANT 115 2,501 $597,174 $239 100.0% (937) 433-7536
2 STOCKDALE PODIATRY GROUP INC BAKERSFIELD CA PODIATRY 14 1,773 $341,775 $193 54.6% (661) 832-1667
3 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 756 $240,630 $318 23.3% (858) 455-9100
4 FOREFRONT DERMATOLOGY SC PENSACOLA CA PHYSICIAN ASSISTANT 639 721 $100,572 $139 22.2% (800) 243-7546
5 BERMAN MEDICAL CONSULTING PC GLENDALE AZ NURSE PRACTITIONER 8 576 $155,520 $270 100.0% (480) 347-0844
6 COMPLETE DERMATOLOGY MILILANI HI DERMATOLOGY 5 380 $52,320 $138 100.0% (808) 621-1000

*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 →