NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4276 Orion, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME Medical/Surgical Supplies Skin Allograft (CMS RBCS)
First observed 2023
National scale 132,581 services ▲ 434.6% YoY · 691 beneficiaries (CY2024, Medicare FFS)
Medicare paid $141.0M · $1063.85 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 all-Medicare svcs · est.

212,929

Scaled from 113,539 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services · year over year
Services YoY

+428.8%

All-Medicare est. · observed FFS +434.6%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~212,929 services

113,539 observed fee-for-service (53%) · ~99,390 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 — Q4276 (CY2024)

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
$173.8M
Named-group allowed amount
$150.9M
Named-group Medicare payments
$120.2M
Avg charge / svc
$1,530
Avg allowed / svc
$1,329
Avg payment / svc
$1,059
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
$1,225 13 groups · avg submitted charge / service $2,104
Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q4276 services, highest first, CY2024
# Physician group locked column City locked column St locked column Specialty locked column Providers locked column Q4276 svcs Submitted charges locked column Avg charge locked column Medicare $ locked column Share of state* locked column Phone
1 ADVANCED WOUND THERAPY - AR, LLC ROGERS OK FAMILY PRACTICE 2 53,861 $65,980,356 $1,225 premium 100.0% (918) 803-1190
2 COMPASSIONATE CONCIERGE PHYSICIANS LLC LONGMONT CO NURSE PRACTITIONER 11 12,221 $20,726,628 $1,696 premium 43.6%
3 CH MSSP SERVICES CO LLC CENTENNIAL CO NURSE PRACTITIONER 12 10,728 $18,089,519 $1,686 premium 38.3% (337) 991-9276
4 RICHARD S COHEN DPM PA GREENBELT DC PODIATRY 3 8,762 $18,070,400 $2,062 premium 100.0% (301) 345-4087
5 HEALING WOUNDS HAPPIER HEARTS, LLC MIAMI FL NURSE PRACTITIONER 3 7,638 $16,073,500 $2,104 premium 26.5% (786) 897-1748
That's the top 5 of 13 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 →