NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4262 Dual layer impax membrane, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)
First observed 2023
National scale 159,311 services ▼ 82.3% YoY · 658 beneficiaries (CY2024, Medicare FFS)
Medicare paid $144.1M · $904.77 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

13

Named groups billing this code
Named-group FFS services

33,413

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

-82.3%

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

~69,673 services

33,413 observed fee-for-service (48%) · ~36,260 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 — Q4262 (CY2024)
AZ 113,634 FL 15,072 CO 13,324 NV 7,683 TX 6,606

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
$41.9M
Named-group allowed amount
$37.9M
Named-group Medicare payments
$30.2M
Avg charge / svc
$1,254
Avg allowed / svc
$1,133
Avg payment / svc
$903
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
$1,111 13 groups · avg submitted charge / service $1,373
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4262 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COMPASSIONATE CONCIERGE PHYSICIANS LLC LONGMONT CO NURSE PRACTITIONER 11 13,034 $17,889,184 $1,373 97.8% —
2 JEFFREY MONASH MD PC TUCSON AZ NURSE PRACTITIONER 5 6,708 $7,854,733 $1,171 5.9% (520) 319-6000
3 HYDRORIO-LIFT PLC GLENDALE AZ NURSE PRACTITIONER 2 5,081 $5,970,633 $1,175 4.5% (602) 748-9560
4 NAUTILUS HEALTH CARE GROUP LLC TIERRA VERDE FL GENERAL SURGERY 52 1,244 $1,399,445 $1,125 8.3% (727) 867-5480
5 TRANSITIONS HEALTHCARE LLC CLEARWATER FL NURSE PRACTITIONER 23 1,208 $1,449,600 $1,200 8.0% (727) 214-4622
6 INTEGRATED REHAB CONSULTANTS LLC CHICAGO TX PHYSICAL MEDICINE AND REHABILITATION 164 932 $1,111,997 $1,193 14.1% (773) 224-5900
7 BKU WOUND MANAGEMENT PLLC SCOTTSDALE AZ NURSE PRACTITIONER 7 898 $1,089,084 $1,213 0.8% (800) 640-3451
8 SPENCER J HARDENBROOK MD PC PLANTATION NV NURSE PRACTITIONER 98 784 $940,800 $1,200 10.2% (800) 640-3451
9 FLORIDA POST ACUTE CARE CLINICIANS LLC JACKSONVILLE FL NURSE PRACTITIONER 40 640 $711,222 $1,111 4.2% (904) 443-9635
10 FLORIDA REHAB SPECIALISTS, PLLC GAINESVILLE FL NURSE PRACTITIONER 74 614 $740,100 $1,205 4.1% (352) 234-3050
11 HEALING PARTNERS PLUS PLLC BALA CYNWYD TX NURSE PRACTITIONER 139 572 $686,400 $1,200 8.7% (888) 402-0202
12 SPENCER J HARDENBROOK MD PC PLANTATION FL NURSE PRACTITIONER 98 524 $628,800 $1,200 3.5% (800) 640-3451
13 PLAID EAGLE MEDICAL PLLC AURORA WA NURSE PRACTITIONER 35 506 $613,200 $1,212 100.0% (800) 640-3451
14 SPENCER J HARDENBROOK MD PC PLANTATION GA NURSE PRACTITIONER 98 428 $513,600 $1,200 100.0% (800) 640-3451
15 FLOW HEALTH PC FORT WORTH TX NURSE PRACTITIONER 4 240 $288,000 $1,200 3.6% (407) 315-2271

*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 →