NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
92523 Evaluation of speech sound production with evaluation of language comprehension and expression CPT · Treatment
Classification Treatment Physical, Occupational, and Speech Therapy Speech Therapy (CMS RBCS)
First observed 2014
National scale 62,985 services · est. ▲ 18.6% YoY · 27,103 FFS beneficiaries (CY2024, all-Medicare estimate) — 31,723 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 92523
The whole of 92523, written up and sourced.

The Brief is a national document for 92523. 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 92523 ran ~62,985 all-Medicare services (estimated), 31,723 observed fee-for-service in CY2024. The market is up 18.6% year over year. 264 billing groups and 1,111 clinicians bill it.
  2. 2Payment. Half the field lists between $265 and $400 per service; the median group lists $331. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. NY, FL, NJ and PA lead the state markets — together 36% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~62,985 services

31,723 observed fee-for-service (50%) · ~31,262 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 $265 and $400

Submitted charges are provider-set list amounts, not payments · median $331 (named groups)
Every group, one dot264 billing groups · median $331

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

$0$400$800++7 groups list more, to $1,112 →average submitted charge per service, per billing groupmedian $331
One dot per billing group, 92523 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: 126MEVTNH: 100NHWA: 547WAIDMT: 22MTND: 19NDMN: 453MNWI: 722WIIL: 1745ILMI: 428MINY: 3675NYMA: 329MARI: 73RIOR: 59ORNV: 439NVWY: 54WYSD: 132SDIA: 382IAIN: 611INOH: 1064OHPA: 2349PANJ: 2634NJCT: 290CTCA: 594CAUT: 35UTCO: 614CONE: 391NEMO: 761MOKY: 481KYWV: 151WVVA: 1379VAMD: 784MDDE: 347DEAZ: 251AZNMKS: 586KSAR: 452ARTN: 850TNNC: 857NCSC: 1147SCDC: 51DCOK: 207OKLA: 177LAMS: 378MSAL: 209ALGA: 600GAHI: 61HIAK: 88AKTX: 1156TXFL: 2852FL
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: 0 → 1AL: 0 → 1AR: 0 → 1AZ: 0 → 0CA: 0 → 0CO: 0 → 1CT: 1 → 1DC: 1 → 1DE: 1 → 2GA: 0 → 1HI: 0 → 1IA: 0 → 1IL: 1 → 1IN: 1 → 1KS: 1 → 2KY: 1 → 1LA: 0 → 1MA: 0 → 0MD: 1 → 1ME: 1 → 1MI: 0 → 1MN: 1 → 1MO: 1 → 1MS: 0 → 1MT: 0 → 0NC: 0 → 1ND: 1 → 0NE: 0 → 2NH: 1 → 1NV: 2 → 2OH: 0 → 1OK: 0 → 1OR: 0 → 0RI: 0 → 1SC: 1 → 2TN: 0 → 1TX: 0 → 1UT: 0 → 0VA: 1 → 2WA: 0 → 1WI: 1 → 1WV: 0 → 1WY: 1 → 1FL: 1 → 1NJ: 2 → 3NY: 2 → 2PA: 1 → 2NJ 2NY 2PA 1FL 13 NJ2 NY2 PA1 FL
One line per state market, 47 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. 1 state with a rate in only one of the two years is not drawn.

Open a state market: NY · FL · NJ · PA · IL · VA · TX · SC · OH · NC · TN · MD — 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 chart264 groups · bubble = services
1001,000One billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$100$250$500$750$1,000+Average submitted charge per service — list amounts, not paymentsServices per group — 92523, CY2024
One mark per physician group, 92523 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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