NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4294 Amnio quad-core, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME Medical/Surgical Supplies Skin Allograft (CMS RBCS)
First observed 2024
National scale 24,158 services · 378 beneficiaries (CY2024, Medicare FFS)
Medicare paid $42.6M · $1762.21 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
11
Named-group FFS services
11,878
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~23,246 services

11,878 observed fee-for-service (51%) · ~11,368 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 — Q4294 (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$32.2M
Named-group allowed amount
$26.4M
Named-group Medicare payments
$21.0M
Avg charge / svc
$2,711
Avg allowed / svc
$2,219
Avg payment / svc
$1,768
Average charge per group
$2,222 11 groups · avg submitted charge / service $4,472
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by Q4294 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort Q4294 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 COMMUNITY CARE MOBILE DOCTORS SAN BERNARDINO CA NURSE PRACTITIONER 6 2,086 $4,753,994 $2,279 premium 55.2% (956) 245-2275
2 BEAR FOOT AND ANKLE LLC OCEAN NJ PODIATRY 2 2,063 $5,532,448 $2,682 premium 100.0% (732) 847-2500
3 WAZNI PLLC TAMPA FL GENERAL SURGERY 30 1,748 $3,884,233 $2,222 premium 27.6% (800) 991-6117
4 DELMARVA SKIN PA SELBYVILLE DE DERMATOLOGY 2 1,617 $7,015,628 $4,339 premium 100.0% (302) 564-0001
5 VITAL URGENT CARE LLC WEST PALM BEACH FL NURSE PRACTITIONER 5 1,323 $3,437,500 $2,598 premium 20.9% (561) 880-9880
6 CHRISTINE HOLLAND, M.D., P. A. DECATUR TX PHYSICIAN ASSISTANT 29 1,004 $2,491,484 $2,482 premium 34.0% (940) 626-2110
7 RESTORA SOLUTIONS PLLC SAN ANTONIO TX NURSE PRACTITIONER 3 900 $2,250,000 $2,500 premium 30.5% (726) 232-0098
8 GARRETT MEDICAL GROUP PLLC CELINA TX EMERGENCY MEDICINE 2 539 $1,211,740 $2,248 premium 18.2% (972) 842-4450
9 SOUTHERN MARYLAND FOOT AND ANKLE LLC WALDORF MD PODIATRY 4 426 $1,016,305 $2,386 premium 100.0% (301) 843-9581
10 PREMIER DERMATOLOGY, LLC ENGLEWOOD FL DERMATOLOGY 46 96 $429,332 $4,472 premium 1.5% (941) 474-8811
11 DERMATOLOGY ASSOCIATES PLLP KALISPELL UT PHYSICIAN ASSISTANT 9 76 $173,204 $2,279 premium 100.0% (406) 755-7555

*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 →