NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes CPT · E&M
Classification E&M Home Services Home E&M - New and Established (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 289,288 services · est. ▲ 18.7% YoY · 142,550 FFS beneficiaries (CY2024, all-Medicare estimate) — 142,639 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 99345
The whole of 99345, written up and sourced.

The Brief is a national document for 99345. 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 99345 ran ~289,288 all-Medicare services (estimated), 142,639 observed fee-for-service in CY2024. The market is up 18.7% year over year. 1,053 billing groups and 3,513 clinicians bill it.
  2. 2Payment. Half the field lists between $250 and $421 per service; the median group lists $325. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. CA, FL, TX and IL lead the state markets — together 48% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~289,288 services

142,639 observed fee-for-service (49%) · ~146,649 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; 1 state without payer-mix data excluded. 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 $250 and $421

Submitted charges are provider-set list amounts, not payments · median $325 (named groups)
Where the market isobserved FFS services by state · CY2024
ME: 159MEVT: 94VTNH: 308NHWA: 1924WAID: 738IDMT: 233MTND: 318NDMN: 1349MNWI: 1897WIIL: 5818ILMI: 2443MINY: 5788NYMA: 3385MARI: 298RIOR: 464ORNV: 2096NVWY: 77WYSD: 170SDIA: 241IAIN: 1817INOH: 2126OHPA: 2999PANJ: 4894NJCT: 1158CTCA: 31149CAUT: 1361UTCO: 2438CONE: 948NEMO: 1022MOKY: 1012KYWV: 508WVVA: 2681VAMD: 4234MDDE: 387DEAZ: 4774AZNM: 290NMKS: 437KSAR: 657ARTN: 2810TNNC: 4370NCSC: 4183SCDC: 187DCOK: 846OKLA: 953LAMS: 1573MSAL: 672ALGA: 3201GAHI: 167HIAK: 14AKTX: 14045TXFL: 16870FL
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 → 0AL: 1 → 2AR: 1 → 2AZ: 2 → 8CO: 1 → 6CT: 0 → 5DC: 1 → 4DE: 1 → 3GA: 1 → 4HI: 0 → 2ID: 0 → 4IN: 1 → 3KS: 0 → 1KY: 2 → 3LA: 1 → 3MA: 2 → 4MD: 2 → 6ME: 0 → 1MI: 2 → 3MN: 0 → 4MO: 1 → 2MS: 0 → 5NC: 2 → 5NE: 0 → 4NH: 1 → 2NJ: 3 → 6NM: 0 → 1NV: 6 → 9NY: 3 → 4OH: 1 → 2OK: 1 → 2OR: 0 → 1PA: 1 → 3RI: 0 → 4SC: 1 → 7TN: 1 → 5UT: 1 → 7VA: 1 → 3VT: 0 → 1WA: 1 → 3WI: 0 → 4WV: 1 → 3WY: 0 → 1CA: 4 → 11FL: 3 → 9IL: 2 → 5TX: 3 → 8CA 4TX 3FL 3IL 211 CA9 FL8 TX5 IL
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. 4 states with a rate in only one of the two years are not drawn.

Open a state market: CA · FL · TX · IL · NY · NJ · AZ · NC · MD · SC · MA · 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 chart1,053 groups · bubble = services
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group$100$250$500$750$1,000+Average submitted charge per service — list amounts, not paymentsServices per group — 99345, CY2024
One mark per physician group, 99345 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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