NEVVI Medicare utilization intelligence

Down since 2015 — about 0.4× its level on the fee-for-service record, 0.6× MA-adjusted.

Medicare reported an estimated 331,000 A-V Fistula PCI services in the United States in 2024

Published Jul 2026 · CMS Part B PUF 📋 Cite See the data →
Medicare A-V Fistula PCI services · fee-for-service record vs MA-adjusted total · 2015–2024
2015201620172018201920202021202220232024164,000331,000Fee-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 2017 recode (Dialysis-circuit intervention), 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
20152016201720182019202020212022202320245.8
Billed A-V Fistula PCI 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 Vascular families · billed services · 2024
Varicose Vein AblationVaricose Vein Ablation: 339K339KVenous Catheter Inserti…Venous Catheter Insertion: 332K332KA-V Fistula PCIA-V Fistula PCI: 164K164KTransluminal Angioplast…Transluminal Angioplasty - Arterial: 100K100KA-V Fistula CreationA-V Fistula Creation: 21K21KVascular EmbolizationVascular Embolization: 19K19K
This family is 3rd of 6 published Vascular families — about 17% 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 164,000 A-V Fistula PCI billed services in the United States; scaled for Medicare Advantage — roughly half of Medicare enrollment — that is an estimated 331,000 services, or about 5.8 per 1,000 fee-for-service beneficiaries.

This counts reported Medicare A-V Fistula PCI 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 164,000 billed services; scaled to total Medicare enrollment it is an estimated 331,000. Assumption-free, that is about 5.8 A-V Fistula PCI services per 1,000 fee-for-service beneficiaries. Across 2015–2024 the estimated total moved about 0.6 times (about 0.4 times on the fee-for-service record alone, before the Medicare Advantage adjustment).

What this is

Reported Medicare fee-for-service A-V Fistula PCI 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.