NEVVI Medicare utilization intelligence

The 5th of 6 published Cardiovascular families by billed volume.

Medicare reported an estimated 151,000 Insertion/Removal/Replacement ICD services in the United States in 2024

Published Jul 2026 · CMS Part B PUF 📋 Cite See the data →
Medicare Insertion/Removal/Replacement ICD services · fee-for-service record vs MA-adjusted total · 2015–2024
201520162017201820192020202120222023202476,000151,000Fee-for-service recordMA-adjusted total (est.)
Two series: the measured fee-for-service record and the MA-adjusted estimated total (FFS × total÷FFS enrollment). Their gap is Medicare Advantage's share, which the public file does not itemize by procedure. A services-volume count — billed services, not a count of procedures, visits, transports, or people. Cells under 11 beneficiaries withheld by CMS. Excludes commercial payers. This series pools an earlier code family Medicare retired in a 2019 recode (Implant & removal), so the trend does not break where the codes changed — a code migration, not a market jump.
Utilization rate · per 1,000 fee-for-service beneficiaries · 2015–2024
20152016201720182019202020212022202320242.7
Billed Insertion/Removal/Replacement ICD services per 1,000 fee-for-service beneficiaries — an enrollment-independent rate that isolates utilization from the shrinking fee-for-service pool. Assumption-free, so it is NOT scaled to total Medicare.
Share of the published Cardiovascular families · billed services · 2024
Percutaneous Transcathe…Percutaneous Transcatheterization: 787K787KComprehensive Electroph…Comprehensive Electrophysiologic Evaluation: 281K281KPercutaneous Coronary A…Percutaneous Coronary Artery Angioplasty and Stenting: 191K191KPacemaker Insertion or …Pacemaker Insertion or Repair: 100K100KInsertion/Removal/Repla…Insertion/Removal/Replacement ICD: 76K76KPacemaker RemovalPacemaker Removal: 17K17K
This family is 5th of 6 published Cardiovascular families — about 5% of their combined billed services. A share of billed fee-for-service services, assumption-free (not scaled).

In 2024, Medicare's fee-for-service record carried about 76,000 Insertion/Removal/Replacement ICD billed services in the United States; scaled for Medicare Advantage — roughly half of Medicare enrollment — that is an estimated 151,000 services, or about 2.7 per 1,000 fee-for-service beneficiaries.

This counts reported Medicare Insertion/Removal/Replacement ICD SERVICES — billed services, not procedures, visits, transports, or people. A single episode can bill several services, and one person can be served many times, so this is a volume of billed services and nothing more. On the fee-for-service record the 2024 volume was about 76,000 billed services; scaled to total Medicare enrollment it is an estimated 151,000. Assumption-free, that is about 2.7 Insertion/Removal/Replacement ICD services per 1,000 fee-for-service beneficiaries. Across 2015–2024 the estimated total moved about 1.5 times (about 1.1 times on the fee-for-service record alone, before the Medicare Advantage adjustment).

What this is

Reported Medicare fee-for-service Insertion/Removal/Replacement ICD billed services, 2015 to 2024, scaled to total Medicare enrollment, with the assumption-free per-1,000-beneficiary rate stated alongside.

What it is not

Not a count of procedures, visits, transports, or people (a services-volume count — one episode can bill several services), not Medicare Advantage measured directly, not all-payer, and not a care-quality or need signal. The scaled figures are estimates: the calculation assumes MA per-capita utilization ≈ FFS; MA plans may manage utilization differently. The per-1,000 rate is on the fee-for-service record and is not scaled.