Nevvi Market Brief · National edition

Remote monitoring of physiologic parameters, management

HCPCS 99457

A single-code market brief: Medicare volume, market structure, state benchmarks, and what it pays, across 2019–2024. Every figure is computed from public Medicare data and positioned against the 3,567 codes billed at scale.

2,500,830
recorded services, 2024
$93.8M
Medicare payments
51
of 51 state markets
21%
in the largest state market
Data vintage CMS Part B, calendar year 2024
Scope One code · national · six years
Includes This brief, as a dated PDF
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

What the data shows

Ten measures, each on its own page with the figure and the table behind it. Every one is positioned against the 3,567 codes billed at 1,000 services or more in 2024.

1
Recorded volume rose 186 percent since 2021. 2,500,830 services in 2024, the 95th percentile of the comparison set.page 4
2
The estimated all-Medicare market rose 225 percent over the same years. Recorded claims cover 49 percent of it.page 5
3
Use per 1,000 beneficiaries rose 215 percent since 2021. This is the measure that does not move when enrolment shifts.page 6
4
Each beneficiary receives it 5.1 times a year on average. 2,500,830 services for 490,135 beneficiaries.page 7
5
34 of the 51 state markets have eleven or more organisations billing this code. The largest count in a single market is 202 billing organisations.page 8
6
All 51 state markets record volume for this code. The 84th percentile for geographic reach.page 9
7
The highest state rate is 4.8 times the national rate. 425 services per 1,000 fee-for-service beneficiaries in CT, against 89 nationally.page 10
8
The largest state market holds 21 percent of recorded volume. More concentrated than 53 percent of comparable codes.page 11
9
Medicare payments rose 164 percent since 2021. $93,814,831 in 2024; the gap against volume is the change in unit price.page 12
10
Submitted charges rose 17 percent; the Medicare payment fell 8 percent. $37.51 per service, the 42nd percentile.page 13
What this brief does not contain

No organisation, practice or individual is named or ranked. Every table in this brief is printed in it; nothing it rests on is held back. Figures cover Medicare fee-for-service claims; the estimated all-Medicare figures are described on the next page and in the methods.

Remote monitoring of physiologic parameters, management · HCPCS 994572
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

How these numbers are built

Two counts appear throughout. The recorded count is what Medicare fee-for-service claims contain, and it is exact. The estimated all-Medicare count adds the Medicare Advantage side of the programme, which does not file the same claims.

The estimate divides the recorded count by the fee-for-service share of Medicare enrolment for that year. It assumes the procedure is used at the same rate on both sides of the programme, which public data cannot test. Where that assumption fails, the estimate is wrong in a known direction.

Shares, ratios and rates are calculated on recorded claims only, never on the estimate. Scaling both sides of a fraction changes nothing and would imply a precision the estimate does not have.

State markets. The comparison universe is 51 state markets — the 50 states and the District of Columbia. The District of Columbia is not a state. It is counted here because it bills Medicare as a separate market and has its own enrolment count, so it can be ranked alongside the states.

Puerto Rico, Guam, the US Virgin Islands, the other territories and military billing addresses sit outside this universe. National totals include them; state tables do not, so state shares sum to slightly less than the national figure.

Growth baselines. Comparisons in this brief start at 2021. The first year in the series is not used as a base, because a partial or truncated first year fabricates growth, and a COVID year is not used as a base either.

Measure201920212024
Recorded services51,034874,0732,500,830
Estimated all-Medicare84,9701,563,2465,083,654
Medicare payments$2,062,544$35,468,942$93,814,831
Beneficiaries17,757185,199490,135
Recorded share of the estimate60%56%49%
Remote monitoring of physiologic parameters, management · HCPCS 994573
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Recorded volume rose 186 percent since 2021

2,500,830 services in 2024, the 95th percentile of the 3,567 codes billed at scale.

Figure 2.1Recorded services, 2019–2024
Services per calendar year. Linear scale, zero based.
1.7M3.3M5M02019202020212022202320242,500,830
Note: Recorded claims only. 2019 is the code’s partial first year of billing and is not used as a base.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

Volume rose from 874,073 in 2021 to 2,500,830 in 2024, +42.0 percent a year compounded across 3 years.

Against the 3,567 codes billed at 1,000 services or more in 2024, this sits at the 95th percentile by volume.

The high and low since 2021 are 2,500,830 in 2024 and 874,073 in 2021.

Services by year
YearServicesChange
201951,034
2020345,395+576.8%
2021874,073+153.1%
20221,438,115+64.5%
20231,913,465+33.1%
20242,500,830+30.7%
Remote monitoring of physiologic parameters, management · HCPCS 994574
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

The estimated all-Medicare market rose 225 percent over the same years

Recorded claims cover fee-for-service only. The estimate adds the Medicare Advantage side of the programme.

Figure 2.2Recorded and estimated all-Medicare services, 2019–2024
Services per calendar year. Both series on one zero-based axis.
2019202020212022202320245,083,6542,500,830Estimated all-MedicareRecorded in claims
Note: The estimate divides recorded services by the fee-for-service share of Medicare enrolment for that year. It assumes the procedure is used at the same rate on both sides of the programme, which public data cannot test.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

Recorded volume rose 186 percent since 2021 while the estimated market rose 225 percent.

The share of the market visible in claims moved from 56 percent to 49 percent. That share is the national fee-for-service enrolment share and is the same for every code.

Shares, ratios and rates elsewhere in this report are calculated on recorded claims only, not on the estimate.

Both bases by year
YearRecordedEstimatedRecorded share
201951,03484,97060%
2020345,395587,93859%
2021874,0731,563,24656%
20221,438,1152,694,20953%
20231,913,4653,743,22751%
20242,500,8305,083,65449%
Remote monitoring of physiologic parameters, management · HCPCS 994575
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Use per 1,000 beneficiaries rose 215 percent since 2021

Counting against the population eligible for it separates wider use from a change in who is counted.

Figure 2.3Services per 1,000 fee-for-service beneficiaries, 2019–2024
Services per 1,000 fee-for-service beneficiaries. Linear scale, zero based.
3367100020192020202120222023202489.4
Note: The fee-for-service population shrank across the period, so a flat absolute count would show a rising rate.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

Recorded volume rose 186 percent since 2021 while the rate per 1,000 beneficiaries rose 215 percent. The difference between them is the change in the fee-for-service population.

Beneficiaries receiving the procedure moved from 185,199 to 490,135.

This rate is the measure that does not move when enrolment shifts between the two parts of Medicare.

Rate and population
YearPer 1,000Beneficiaries
20191.5417,757
202010.7196,902
202128.34185,199
202248.49290,843
202366.85372,393
202489.37490,135
Remote monitoring of physiologic parameters, management · HCPCS 994576
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Each beneficiary receives it 5.1 times a year on average

2,500,830 services for 490,135 beneficiaries in 2024.

Figure 2.4Services per beneficiary, 2019–2024
Services per beneficiary. Linear scale, zero based.
3.36.710.00.02019202020212022202320245.10
Note: A service is a claim line, not a patient encounter. A beneficiary treated twice in a year counts once in the beneficiary column and twice in the service column.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

The ratio was 4.72 in 2021 and 5.10 in 2024.

That is the 84th percentile among the comparison set.

A ratio above one means some beneficiaries receive the procedure more than once in a year.

Services against beneficiaries
YearServicesBeneficiariesRatio
201951,03417,7572.87
2020345,39596,9023.56
2021874,073185,1994.72
20221,438,115290,8434.94
20231,913,465372,3935.14
20242,500,830490,1355.10
Remote monitoring of physiologic parameters, management · HCPCS 994577
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

34 of the 51 state markets have eleven or more organisations billing this code

How many distinct organisations bill the code in each state market.

Figure 2.5Billing organisations by state market, 2024
Distinct billing organisations in the calendar year. Bars share one zero-based axis.
CACA: 202202TXTX: 196196FLFL: 152152NYNY: 117117NJNJ: 9090GAGA: 8787AZAZ: 6363ILIL: 6363
Note: An organisation is a group practice as CMS records it. Markets with fewer than eleven organisations are counted but carry no share anywhere in this brief.
Source: CMS Medicare Physician & Other Practitioners, grouped to billing organisations by year.

In 2024, 34 of the 51 state markets have at least eleven organisations billing the code — enough that no single biller's volume can be recovered from the market's total.

Counts are per state market. An organisation billing from two states appears in both, so the counts are not summed to a national figure.

This brief counts organisations; it does not name or rank them, and it publishes no organisation's share.

Organisations by state, 2024
State marketOrganisations
CA202
TX196
FL152
NY117
NJ90
GA87
AZ63
IL63
NC56
MD54
Markets with eleven or more34
Remote monitoring of physiologic parameters, management · HCPCS 994578
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

All 51 state markets record volume for this code

The 84th percentile for geographic reach among the 3,567 codes billed at scale.

Figure 2.6Recorded services by billing state, 2024
Services in the calendar year. Shading is low to high.
ME: 1280MEVT: 48VTNH: 4250NHWA: 18747WAID: 6155IDMT: 2059MTND: 405NDMN: 3444MNWI: 3276WIIL: 66644ILMI: 47871MINY: 199018NYMA: 20455MARI: 773RIOR: 13628ORNV: 26764NVWY: 1469WYSD: 2344SDIA: 27817IAIN: 20916INOH: 18246OHPA: 31129PANJ: 103618NJCT: 108958CTCA: 514251CAUT: 15777UTCO: 14531CONE: 9092NEMO: 38385MOKY: 12293KYWV: 2231WVVA: 99743VAMD: 58818MDDE: 14217DEAZ: 89459AZNM: 8128NMKS: 17070KSAR: 15436ARTN: 61568TNNC: 34896NCSC: 41447SCDC: 5332DCOK: 20024OKLA: 22603LAMS: 15440MSAL: 26563ALGA: 118454GAHI: 6942HIAK: 2007AKTX: 261123TXFL: 245145FL
Note: The map covers 51 state markets — the 50 states and the District of Columbia. Shaded markets record volume; unshaded ones do not appear in the public file. States are assigned from the billing address on the claim, which is where the practice bills from and not necessarily where the patient lives. Territories and military addresses are outside the comparison universe and are not drawn.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

All 51 state markets record volume for this code in 2024.

That reach is wider than 84 percent of codes billed at comparable volume.

The 51 state markets account for 2,500,289 of 2,500,830 recorded services. The remaining 541 are billed from Puerto Rico, Guam, the Virgin Islands or military addresses, which sit outside the comparison universe.

States by volume, 2024
StateServicesShare
CA514,25120.6%
TX261,12310.4%
FL245,1459.8%
NY199,0188.0%
GA118,4544.7%
CT108,9584.4%
NJ103,6184.1%
VA99,7434.0%
AZ89,4593.6%
IL66,6442.7%
TN61,5682.5%
MD58,8182.4%
All 51 state markets2,500,289100.0%
Remote monitoring of physiologic parameters, management · HCPCS 994579
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

The highest state rate is 4.8 times the national rate

Volume answers how much; the rate answers how intensively, sized to each state’s own eligible population.

Figure 2.7Services per 1,000 fee-for-service beneficiaries by state market, 2024
Services per 1,000 fee-for-service beneficiaries in the calendar year. Bars share one zero-based axis.
CTCT: 425425CACA: 182182GAGA: 161161TXTX: 145145AZAZ: 142142NYNY: 130130FLFL: 128128NJNJ: 120120
Note: Each state’s denominator is its own fee-for-service enrolment, so small states rank on use, not size. Rates are recorded claims only.
Source: CMS Medicare Physician & Other Practitioners; CMS Medicare Monthly Enrollment (state fee-for-service enrolment).

Measured per 1,000 fee-for-service beneficiaries, CT records the highest rate, 425 services per 1,000. The lowest recorded rate is 0.49, in VT.

The volume ranking and the rate ranking are different lists: CA records the most services while CT records the highest rate.

A state's rate divides its recorded services by that state's own fee-for-service enrolment for the year, so the measure does not move when enrolment shifts, and no blended divisor is used across states. States absent from the file carry no rate, which is not the same as zero.

States by rate, 2024
State marketPer 1,000Services
CT425108,958
CA182514,251
GA161118,454
TX145261,123
AZ14289,459
NY130199,018
FL128245,145
NJ120103,618
VA11499,743
NV11226,764
National892,500,830
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Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

The largest state market holds 21 percent of recorded volume

More concentrated than 53 percent of comparable codes.

Figure 2.8Largest billing states, 2024
Services in the calendar year. Bars share one zero-based axis.
CACA: 514,251514,251TXTX: 261,123261,123FLFL: 245,145245,145NYNY: 199,018199,018GAGA: 118,454118,454CTCT: 108,958108,958NJNJ: 103,618103,618VAVA: 99,74399,743
Note: Shares are of recorded claims within the 51 state markets, not of the estimated all-Medicare market.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

The largest state market accounts for 20.6 percent of recorded volume; the top three account for 40.8 percent.

That places the code at the 53rd percentile for concentration among comparable codes.

Concentration at this level is consistent with a market served from many practices across many states.

Concentration
MeasureShare
Largest state market20.6%
Top 3 state markets40.8%
Top 5 state markets53.5%
All other state markets46.5%
Remote monitoring of physiologic parameters, management · HCPCS 9945711
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Medicare payments rose 164 percent since 2021

$93,814,831 in 2024, against a 186 percent move in volume.

Figure 2.9Recorded Medicare payments, 2019–2024
Dollars per calendar year. Linear scale, zero based.
$33.3M$66.7M$100M$0201920202021202220232024$93.8M
Note: What Medicare paid, not what a practice charged. Recorded claims only.
Source: CMS Medicare Physician & Other Practitioners, national totals by year.

Payments rose 164 percent while volume rose 186 percent. The gap between those figures is the change in payment per service.

Payment per service fell 8 percent, from $40.58 to $37.51.

At $37.51 per service the code sits at the 42nd percentile of the comparison set.

Payments and unit price
YearPaymentsPer service
2019$2,062,544$40.42
2020$14,090,241$40.79
2021$35,468,942$40.58
2022$56,203,168$39.08
2023$72,037,095$37.65
2024$93,814,831$37.51
Remote monitoring of physiologic parameters, management · HCPCS 9945712
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Submitted charges rose 17 percent; the Medicare payment fell 8 percent

A charge-to-payment ratio of 3.03 times in 2024.

Figure 2.10Average submitted charge and Medicare payment per service, 2020–2024
Dollars per service, volume weighted. Both series on one zero-based axis.
20202021202220232024$113.58$37.51Submitted chargeMedicare payment
Note: The submitted charge is what practices billed; the payment is what Medicare paid. Medicare’s payment is set by the fee schedule and does not respond to what is submitted. It is not the CMS allowed amount, which also carries the beneficiary’s cost share.
Source: CMS Medicare Physician & Other Practitioners, provider-grain file (begins 2020).

The charge rose from $96.89 to $113.58 while the Medicare payment moved from $40.79 to $37.51.

The ratio between them went from 2.38 to 3.03 times.

Provider-grain files begin in 2020, so this page covers a shorter window than the volume pages.

Charge against payment
YearChargePaidRatio
2020$96.89$40.792.38×
2021$103.26$40.582.54×
2022$111.70$39.082.86×
2023$113.16$37.653.01×
2024$113.58$37.513.03×
Remote monitoring of physiologic parameters, management · HCPCS 9945713
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Methods, and the limits of these figures

Sources. Volume, payment and provider figures come from the CMS Medicare Physician & Other Practitioners public use files, 2019 to 2024. Enrolment shares come from CMS Medicare Monthly Enrollment. Both are published by the Centers for Medicare & Medicaid Services and carry no licence restriction.

What is counted. A service is a claim line, not a patient encounter. A beneficiary who receives the procedure twice in a year counts once in the beneficiary column and twice in the service column.

Fee-for-service only. The claims files cover Medicare fee-for-service. Medicare Advantage plans cover a growing majority of enrolment and do not file these claims. Every figure labelled “recorded” excludes them.

Suppression. CMS withholds any provider row covering fewer than eleven beneficiaries. A state served only by small billers therefore records nothing here, which is not the same as zero. No share is published for a pool of fewer than eleven billers, and no organisation or individual is named or ranked anywhere in this brief.

Billing state. States are assigned from the practice address on the claim. A centrally analysed test bills from the laboratory’s address whatever the patient’s location, so a highly concentrated map locates billers, not demand.

Comparison set. Percentile positions are against the 3,567 codes with at least 1,000 recorded services in 2024. They describe where this code sits among codes billed at comparable scale, not among all HCPCS codes.

Provider years. Provider-grain files begin in 2020, so the charge page covers a shorter window than the volume pages.

Why these chapters. The chapters in this brief are chosen from the data, not fixed. This code routed as DENSE: 34 state markets clear the 11-group floor and 51 comparative states bill volume (the app's 12-state Market-position gate), so structure and state benchmarks both render. A code whose data supports a different set of claims gets a different set of chapters, so no chapter in this brief rests on a figure the data cannot carry.

Not in this brief. No organisation, practice or individual is named. No commercial or list-price figure is used. No projection of future volume is made, and no statement is made about whether the procedure is used appropriately, or about clinical need.

What is delivered. This brief is delivered as a dated PDF. Every table behind every figure is printed in these pages, so the document is complete on its own. It contains no provider or organisation detail.

Remote monitoring of physiologic parameters, management · HCPCS 9945714
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Appendix — the full series

Every value plotted in this brief.

National series, 2019–2024
YearServicesEstimatedPaymentsBeneficiariesPer serviceRecorded share
201951,03484,970$2,062,54417,757$40.4260%
2020345,395587,938$14,090,24196,902$40.7959%
2021874,0731,563,246$35,468,942185,199$40.5856%
20221,438,1152,694,209$56,203,168290,843$39.0853%
20231,913,4653,743,227$72,037,095372,393$37.6551%
20242,500,8305,083,654$93,814,831490,135$37.5149%
State markets, 2024
State marketServicesShare
CA514,25120.6%
TX261,12310.4%
FL245,1459.8%
NY199,0188.0%
GA118,4544.7%
CT108,9584.4%
NJ103,6184.1%
VA99,7434.0%
AZ89,4593.6%
IL66,6442.7%
TN61,5682.5%
MD58,8182.4%
MI47,8711.9%
SC41,4471.7%
MO38,3851.5%
NC34,8961.4%
PA31,1291.2%
IA27,8171.1%
NV26,7641.1%
AL26,5631.1%
LA22,6030.9%
IN20,9160.8%
MA20,4550.8%
OK20,0240.8%
Remote monitoring of physiologic parameters, management · HCPCS 9945715
Remote monitoring of physiologic parameters, management · HCPCS 99457Nevvi Market Brief

Appendix — the full series, continued

State markets, 2024 (continued)
State marketServicesShare
WA18,7470.7%
OH18,2460.7%
KS17,0700.7%
UT15,7770.6%
MS15,4400.6%
AR15,4360.6%
CO14,5310.6%
DE14,2170.6%
OR13,6280.5%
KY12,2930.5%
NE9,0920.4%
NM8,1280.3%
HI6,9420.3%
ID6,1550.2%
DC5,3320.2%
NH4,2500.2%
MN3,4440.1%
WI3,2760.1%
SD2,3440.1%
WV2,2310.1%
MT2,0590.1%
AK2,0070.1%
WY1,4690.1%
ME1,2800.1%
RI7730.0%
ND4050.0%
VT480.0%
All 51 state markets2,500,289100.0%

Nevvi publishes single-code market briefs built from Medicare public data. This edition covers HCPCS 99457, national, 2019–2024, at the CMS Part B calendar-year 2024 vintage. nevvi.app

Remote monitoring of physiologic parameters, management · HCPCS 9945716
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