NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4239 Amnio-maxx or amnio-maxx lite, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)
First observed 2024
National scale 47,039 services · 892 beneficiaries (CY2024, Medicare FFS)
Medicare paid $89.8M · $1908.24 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

18

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

56,163

Scaled from 26,247 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services YoY

—

Estimated all-Medicare volume estimate
FFS + estimated MA

~56,163 services

26,247 observed fee-for-service (47%) · ~29,916 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 — Q4239 (CY2024)
CA 18,894 OH 10,738 TX 5,512 KY 3,672 AZ 2,292

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
$73.5M
Named-group allowed amount
$62.9M
Named-group Medicare payments
$50.1M
Avg charge / svc
$2,799
Avg allowed / svc
$2,396
Avg payment / svc
$1,909
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
$2,400 18 groups · avg submitted charge / service $6,008
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4239 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 PRESTIGE FOOT AND ANKLE CENTER LLC MEDINA OH PODIATRY 9 10,738 $26,458,432 $2,464 100.0% (330) 591-9635
2 FRONTIER FOOT AND ANKLE SPECIALISTS LLC BANDON TX PODIATRY 3 3,856 $9,267,145 $2,403 70.0% (541) 329-2555
3 RAKHESH GUTTIKONDA MEDICAL INC NATIONAL CITY CA PHYSICIAN ASSISTANT 2 1,600 $4,800,000 $3,000 8.5% (619) 470-4325
4 FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC GLENDALE AZ PODIATRY 14 1,248 $3,011,872 $2,413 54.5% (623) 544-9090
5 MUNDH NP AND GARRETSON MD MEDICAL CORPORATION Live Oak CA NURSE PRACTITIONER 2 1,096 $2,740,000 $2,500 5.8% —
That's the top 5 of 18 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 →