NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes HCPCS · E&M
Classification E&M Care Management/Coordination (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 203,507 services · est. ▼ 14.4% YoY · 43,533 FFS beneficiaries (CY2024, all-Medicare estimate) — 100,825 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Disease-burden context Related condition CDC BRFSS · age-adjusted · population survey

The condition this service manages

Diagnosed diabetes

7.2–15.6% of adults across 54 reporting states CDC BRFSS 2023–2024, age-adjusted state estimates

CDC-published US estimate: 12.3% (BRFSS 2024, crude prevalence — not age-adjusted, so not directly comparable to the state figures above).

CDC BRFSS prevalence is survey data covering all-payer adults 18 and older; Nevvi utilization counts Medicare fee-for-service only, largely 65 and older. The two appear side by side as context — Nevvi never combines them into a score, rating, or ranking. See Methods.

Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief G0108
The whole of G0108, written up and sourced.

The Brief is a national document for G0108. 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 G0108 ran ~203,507 all-Medicare services (estimated), 100,825 observed fee-for-service in CY2024. The market is down 14.4% year over year. 273 billing groups and 997 clinicians bill it.
  2. 2Payment. Half the field lists between $104 and $169 per service; the median group lists $137. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. MN, WI, CA and IL lead the state markets — together 37% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~203,507 services

100,825 observed fee-for-service (50%) · ~102,682 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 $104 and $169

Submitted charges are provider-set list amounts, not payments · median $137 (named groups)
Every group, one dot273 billing groups · median $137

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

$0$125$250++12 groups list more, to $661 →average submitted charge per service, per billing groupmedian $137
One dot per billing group, G0108 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: 62MEVTNH: 616NHWA: 4102WAID: 804IDMT: 562MTND: 1159NDMN: 10865MNWI: 9924WIIL: 8163ILMI: 502MINY: 6812NYMA: 4506MARI: 63RIOR: 1996ORNV: 18NVWY: 301WYSDIA: 1830IAIN: 1943INOH: 2986OHPA: 3758PANJ: 2017NJCT: 946CTCA: 8555CAUT: 251UTCO: 812CONE: 1183NEMO: 1871MOKY: 486KYWVVA: 1333VAMD: 3166MDDE: 239DEAZ: 728AZNM: 194NMKS: 2280KSAR: 687ARTN: 1854TNNC: 3108NCSC: 1217SCDC: 94DCOK: 427OKLA: 1166LAMS: 264MSAL: 109ALGA: 1172GAHI: 475HIAK: 264AKTX: 2222TXFL: 2733FL
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: 3 → 3AL: 1 → 0AR: 1 → 2AZ: 4 → 1CO: 3 → 2CT: 0 → 4DC: 3 → 2DE: 2 → 2FL: 2 → 1GA: 2 → 2HI: 8 → 5IA: 6 → 5ID: 5 → 5IN: 4 → 3KS: 4 → 7KY: 2 → 1LA: 3 → 3MA: 8 → 6MD: 3 → 4ME: 1 → 0MI: 1 → 1MO: 6 → 4MS: 1 → 1MT: 6 → 3NC: 3 → 4ND: 15 → 14NE: 9 → 5NH: 1 → 3NJ: 2 → 2NM: 2 → 1NV: 14 → 0NY: 4 → 4OH: 3 → 3OK: 1 → 1OR: 7 → 6PA: 3 → 3RI: 5 → 1SC: 2 → 2TN: 4 → 3TX: 2 → 1UT: 5 → 1VA: 2 → 2WA: 8 → 6WY: 8 → 3CA: 9 → 3IL: 6 → 7MN: 25 → 28WI: 17 → 20MN 25WI 17CA 9IL 628 MN20 WI7 IL3 CA
One line per state market, 48 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: MN · WI · CA · IL · NY · MA · WA · PA · MD · NC · OH · FL — 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 chart273 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 groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$50$125$250$375$500+Average submitted charge per service — list amounts, not paymentsServices per group — G0108, CY2024
One mark per physician group, G0108 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.

Browse Medicare billing by specialty →