NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4289 Revoshield + amniotic barrier, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)
First observed 2024
National scale 8,216 services · est. · 119 FFS beneficiaries (CY2024, all-Medicare estimate) — 4,601 observed fee-for-service services
Medicare paid $13.2M · est. · $1642.65 avg / service, national — $7.6M observed FFS
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

3

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

4,385

Scaled from 2,187 observed FFS services.
FFS of Medicare

49%

Payer-mix frame
Services YoY

—

Estimated all-Medicare volume estimate
FFS + estimated MA

~4,385 services

2,187 observed fee-for-service (50%) · ~2,198 estimated Medicare Advantage.

Billing for this code concentrates in one state — scaled by the national payer mix (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Top states — Q4289 (CY2024)
FL 2,750 IL 2,109 NJ 2,023 MD 1,130 OK 205

Est. all-Medicare services by billing state (scaled estimate — assumes MA utilization mirrors FFS); open a bar for that state's ranked market.

Billed → allowed → paid
Named-group submitted charges
$5.0M
Named-group allowed amount
$4.6M
Named-group Medicare payments
$7.3M · est.
— $3.6M observed FFS
Avg charge / svc
$2,276
Avg allowed / svc
$2,088
Avg payment / svc
$1,663
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
$1,848 3 groups · avg submitted charge / service $4,337
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4289 svcs Submitted charges Avg charge Medicare $ Share of state* Phone
1 SOUTHEASTERN DERMATOLOGY GROUP PA PANAMA CITY FL PHYSICIAN ASSISTANT 43 1,206 $2,229,250 $1,848 100.0% —
2 MARYLAND GENERAL CLINICAL PRACTICE GROUP, INC. BALTIMORE MD NURSE PRACTITIONER 61 859 $2,218,720 $2,583 100.0% (410) 225-8446
3 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 122 $529,100 $4,337 100.0% —

*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →