NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
Q4295 Amnio tri-core amniotic, per square centimeter HCPCS · Medical/Surgical Supplies dme
Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)
First observed 2024
National scale 39,923 services · 836 beneficiaries (CY2024, Medicare FFS)
Medicare paid $62.7M · $1570.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups

14

Named groups billing this code
Named-group FFS services

24,629

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Services YoY

—

Estimated all-Medicare volume estimate
FFS + estimated MA

~47,391 services

24,629 observed fee-for-service (52%) · ~22,762 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 — Q4295 (CY2024)
FL 22,301 OK 8,792 MA 3,350 TN 2,747 IN 866

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
$55.1M
Named-group allowed amount
$48.4M
Named-group Medicare payments
$38.6M
Avg charge / svc
$2,238
Avg allowed / svc
$1,965
Avg payment / svc
$1,565
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
$2,008 14 groups · avg submitted charge / service $2,480
Market analyticsPlatform Methods →

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers Q4295 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 DYNAMIC WOUND CARE LLC OKLAHOMA CITY OK NURSE PRACTITIONER 16 7,124 $14,473,877 $2,032 81.0% (405) 554-3344
2 SURGICAL WOUND CARE ASSOCIATES PLLC TUCSON TN NURSE PRACTITIONER 3 2,747 $6,776,669 $2,467 100.0% (520) 497-5760
3 VOHRA POST ACUTE CARE PHYSICIANS OF THE NORTHEAST PA FRAMINGHAM MA FAMILY PRACTICE 33 1,886 $4,678,034 $2,480 56.3% (877) 866-7123
4 VOHRA POST ACUTE CARE PHYSICIANS OF THE NORTHEAST PA FRAMINGHAM FL FAMILY PRACTICE 33 1,834 $4,500,776 $2,454 8.2% (877) 866-7123
5 NEIL SANDHU PA ORANGE CITY FL NURSE PRACTITIONER 8 1,490 $2,992,665 $2,008 6.7% (386) 628-3376
6 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF MA NURSE PRACTITIONER 1202 1,464 $3,464,983 $2,367 43.7% —
7 ARCHWELL HEALTH PROFESSIONAL SERVICES OF OKLAHOMA LLC OKLAHOMA CITY OK NURSE PRACTITIONER 7 1,319 $2,688,366 $2,038 15.0% (405) 251-8884
8 LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC THE VILLAGES FL PHYSICIAN ASSISTANT 192 1,162 $2,333,877 $2,008 5.2% (352) 753-2812
9 INDIGO DERMATOLOGY LLC MELBOURNE FL DERMATOLOGY 4 1,046 $2,486,394 $2,377 4.7% (321) 951-1010
10 VOHRA WOUND PHYSICIANS OF IL SC CHICAGO IN FAMILY PRACTICE 22 866 $1,912,785 $2,209 100.0% (877) 866-7123
11 VOHRA WOUND PHYSICIANS OF FL LLC RICHMOND OH FAMILY PRACTICE 72 823 $1,982,957 $2,409 100.0% (804) 264-6000
12 VOHRA POST ACUTE CARE PHYSICIANS OF THE EAST PA LOUISVILLE FL FAMILY PRACTICE 56 706 $1,751,162 $2,480 3.2% (954) 399-4673
13 VOHRA WOUND PHYSICIANS OF NY PLLC HICKORY NJ FAMILY PRACTICE 36 624 $1,547,770 $2,480 100.0% (877) 866-7123
14 VOHRA WOUND PHYSICIANS OF IL SC CHICAGO FL FAMILY PRACTICE 22 608 $1,508,083 $2,480 2.7% (877) 866-7123
15 MICHAEL J FREEMAN MD PA OCALA FL DERMATOLOGY 5 344 $690,752 $2,008 1.5% (352) 732-7779
16 VOHRA WOUND PHYSICIANS OF NY PLLC HICKORY NY FAMILY PRACTICE 36 338 $837,339 $2,477 100.0% (877) 866-7123
17 NOSKY PA KISSIMMEE FL DERMATOLOGY 8 248 $498,108 $2,008 1.1% (407) 483-4950

*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 →