Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

10009 Fine needle aspiration biopsy of growth using ct guidance, first growth CPT · Other Organ Systems procedure

Classification Procedure › Other Organ Systems (CMS RBCS)

First observed 2019

National scale 283 services ▼ 12.9% YoY · 280 beneficiaries (CY2024, Medicare FFS)

Medicare paid $49K · $172.19 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

102

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-12.9%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~190 services

102 observed fee-for-service (54%) · ~88 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 — 10009 (CY2024)

NY 75 IN 69 FL 30 DE 29 NJ 26

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

Billed → allowed → paid

Named-group submitted charges

$59K

Named-group allowed amount

$13K

Named-group Medicare payments

$10K

Avg charge / svc

$579

Avg allowed / svc

$124

Avg payment / svc

$97

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$367–478

$478–589

$589–700

$700–811

$811–922

$922–1,033

$1,033–1,144

$1,144+

$367 4 groups · avg submitted charge / service $1,377

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 10009 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	10009 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	EVANSVILLE RADIOLOGY PC	EVANSVILLE	IN	DIAGNOSTIC RADIOLOGY	29	42	$23,814	$567	premium	60.9%	(812) 422-3254
2	CHRISTIANA CARE HEALTH SERVICES INC	NEWARK	DE	PHYSICIAN ASSISTANT	1537	29	$10,653	$367	premium	100.0%	—
3	UNIVERSITY OF PITTSBURGH PHYSICIANS	PITTSBURGH	PA	DIAGNOSTIC RADIOLOGY	4291	20	$9,460	$473	premium	100.0%	—
4	SDMI, LLC	LAS VEGAS	NV	DIAGNOSTIC RADIOLOGY	36	11	$15,147	$1,377	premium	100.0%	(702) 732-6000

*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 →