NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
38525 Biopsy or removal of deep lymph nodes of underarm CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems Lymph Node Biopsy (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 65,561 services · est. ▼ 1.9% YoY · 32,703 FFS beneficiaries (CY2024, all-Medicare estimate) — 32,884 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief 38525
The whole of 38525, written up and sourced.

The Brief is a national document for 38525. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 38525 ran ~65,561 all-Medicare services (estimated), 32,884 observed fee-for-service in CY2024. The market is roughly flat year over year. 563 billing groups and 1,434 clinicians bill it.
  2. 2Payment. Half the field lists between $1,000 and $1,580 per service; the median group lists $1,274. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. CA, TX, FL and NY lead the state markets — together 32% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~65,561 services

32,884 observed fee-for-service (50%) · ~32,677 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
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $1,000 and $1,580

Submitted charges are provider-set list amounts, not payments · median $1,274 (named groups)
Every group, one dot563 billing groups · median $1,274

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$1,500$3,000++26 groups list more, to $43,281 →average submitted charge per service, per billing groupmedian $1,274
One dot per billing group, 38525 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
ME: 136MEVT: 56VTNH: 180NHWA: 709WAID: 255IDMT: 164MTND: 127NDMN: 363MNWI: 382WIIL: 1322ILMI: 477MINY: 1593NYMA: 878MARI: 41RIOR: 381ORNV: 172NVWY: 28WYSD: 134SDIA: 388IAIN: 796INOH: 952OHPA: 1543PANJ: 725NJCT: 189CTCA: 3549CAUT: 235UTCO: 500CONE: 262NEMO: 667MOKY: 448KYWV: 65WVVA: 1395VAMD: 1080MDDE: 113DEAZ: 997AZNM: 53NMKS: 471KSAR: 553ARTN: 917TNNC: 1089NCSC: 651SCDC: 190DCOK: 428OKLA: 428LAMS: 242MSAL: 278ALGA: 923GAHI: 58HIAK: 62AKTX: 2692TXFL: 2547FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AK: 1 → 1AL: 1 → 1AR: 1 → 2AZ: 2 → 2CO: 2 → 1CT: 1 → 1DC: 4 → 4DE: 1 → 1GA: 1 → 1HI: 0 → 1IA: 1 → 1ID: 1 → 1IL: 1 → 1IN: 1 → 1KS: 1 → 1KY: 1 → 1LA: 1 → 1MA: 1 → 1MD: 2 → 2ME: 1 → 1MI: 1 → 1MN: 1 → 1MO: 2 → 1MS: 1 → 1MT: 1 → 1NC: 1 → 1ND: 1 → 1NE: 1 → 1NH: 1 → 1NJ: 1 → 1NM: 0 → 0NV: 1 → 1OH: 1 → 1OK: 1 → 1OR: 1 → 1PA: 1 → 1RI: 1 → 1SC: 1 → 1SD: 1 → 1TN: 1 → 2UT: 1 → 1VA: 2 → 2VT: 1 → 1WA: 1 → 1WI: 1 → 1WV: 1 → 0WY: 0 → 0CA: 1 → 1FL: 2 → 1NY: 1 → 1TX: 1 → 1FL 2TX 1CA 1NY 11 TX1 FL1 CA1 NY
One line per state market, 51 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere.

Open a state market: CA · TX · FL · NY · PA · VA · IL · NC · MD · AZ · OH · GA — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart563 groups · bubble = services
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One mark per physician group, 38525 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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