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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
0823T Insertion of permanent single-chamber leadless pacemaker for pacing the right upper heart chamber using imaging guidance HCPCS · Cardiovascular procedure
Classification Procedure Cardiovascular Pacemaker Insertion or Repair (CMS RBCS)
First observed 2024
National scale 48 services · 48 beneficiaries (CY2024, Medicare FFS)
Medicare paid $25K · $523.37 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
1
Named-group FFS services
34
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~62 services

34 observed fee-for-service (55%) · ~28 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 — 0823T (CY2024)

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

Named-group submitted charges
$26K
Named-group allowed amount
$21K
Named-group Medicare payments
$17K
Avg charge / svc
$760
Avg allowed / svc
$613
Avg payment / svc
$488
Market analyticsPlatform

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 0823T 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 0823T 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 ST BERNARDS PHYSICIAN CLINICS INC JONESBORO AR NURSE PRACTITIONER 206 34 $25,840 $760 premium 100.0% (870) 972-8181

*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 →