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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0358T Whole body composition tissue and fluid measurements with interpretation and report HCPCS · Test - Miscellaneous
Classification Test Test - Miscellaneous (CMS RBCS)
First observed 2020
National scale 6,025 services ▲ 157.1% YoY · 3,099 beneficiaries (CY2024, Medicare FFS)
Medicare paid $45K · $7.40 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
2,294
FFS of Medicare
49%
Services YoY
+157.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,184 services

2,294 observed fee-for-service (55%) · ~1,890 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

Top states — 0358T (CY2024)

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$79K
Named-group allowed amount
$34K
Named-group Medicare payments
$25K
Avg charge / svc
$34
Avg allowed / svc
$15
Avg payment / svc
$11
Average charge per group
$0 21 groups · avg submitted charge / service $155
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 0358T services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 0358T svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 NINTH STREET INTERNAL MEDICINE ASSOCIATES LTD PHILADELPHIA PA INTERNAL MEDICINE 14 689 $40,800 $59 premium 100.0% (215) 440-8681
2 NUTRIHEALTH LLC GEORGETOWN DE NURSE PRACTITIONER 26 670 $7 $0 premium 22.6% (302) 856-3737
3 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 195 $2 $0 premium 6.6% (302) 645-3525
4 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 99 $5,544 $56 premium 14.5% (904) 953-2000
5 BELLEVUE FAMILY PRACTICE PC BELLEVUE NE PHYSICIAN ASSISTANT 5 64 $320 $5 premium 100.0% (402) 292-0114
6 NEWMAN MEMORIAL COUNTY HOSPITAL EMPORIA KS INTERNAL MEDICINE 62 62 $3,100 $50 premium 100.0% (620) 343-6800
7 VITALIS METABOLIC HEALTH PLLC OKLAHOMA CITY OK INTERNAL MEDICINE 2 59 $442 $8 premium 55.7% (405) 653-9161
8 SUGAR LAND FAMILY PRACTICE, PA SUGAR LAND TX INTERNAL MEDICINE 2 51 $2,570 $50 premium 20.5% (281) 491-0909
9 CHATTAHOOCHEE INSTITUTE FOR WELLNESS LONGEVITY AND WEIGHT MANAGEMENT COLUMBUS GA FAMILY PRACTICE 2 49 $1,675 $34 premium 69.0% (706) 507-0001
10 STEVEN A WOOL MD PERSONALIZED HEALTHCARE OF ARIZONA PLLC TUCSON AZ NURSE PRACTITIONER 4 47 $5,875 $125 premium 51.6% (520) 525-9433
11 WEIGHT IN GOLD WELLNESS SC WATERTOWN WI NURSE PRACTITIONER 11 44 $1,760 $40 premium 77.2% (920) 471-4044
12 SLEEP FIT MEDICAL SONOMA CA PHYSICIAN ASSISTANT 2 39 $6,030 $155 premium 13.4% (707) 776-6154
13 INCLUSIVE HEALTH CORPORATION GLENN DALE MD INTERNAL MEDICINE 2 32 $1,760 $55 premium 100.0% (301) 313-0600
14 SIMONA SCUMPIA MD PA AUSTIN TX ENDOCRINOLOGY 2 32 $800 $25 premium 12.9% (512) 467-2727
15 SOUTH BROWARD HOSPITAL DISTRICT HOLLYWOOD FL NURSE PRACTITIONER 665 31 $1,550 $50 premium 4.5% (954) 265-7750
16 NORTH SHORE PRIMARY CARE S.C. LIBERTYVILLE IL NURSE PRACTITIONER 7 31 $2,697 $87 premium 100.0% (847) 573-9663
17 COOLMED PLLC SAN ANTONIO TX NURSE PRACTITIONER 2 26 $461 $18 premium 10.4% (210) 463-9230
18 SURGICAL INTENSIVISTS, PC VALHALLA NY GENERAL SURGERY 4 22 $2,200 $100 premium 11.2%
19 PALI MOMI MEDICAL CENTER AIEA WA NURSE PRACTITIONER 92 21 $210 $10 premium 100.0% (808) 486-6000
20 THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION THIBODAUX LA NURSE PRACTITIONER 129 19 $475 $25 premium 100.0% (985) 493-4087
21 CORA SOUTH CAROLINA LLC BLUFFTON SC ORTHOPEDIC SURGERY 199 12 $300 $25 premium 100.0% (843) 507-8473

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →