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

33222 Relocation of pacemaker skin pocket CPT · Cardiovascular procedure

Classification Procedure › Cardiovascular › Pacemaker Insertion or Repair (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 262 services ▲ 10.1% YoY · 261 beneficiaries (CY2024, Medicare FFS)

Medicare paid $49K · $188.60 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

110

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+10.1%

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

~191 services

110 observed fee-for-service (58%) · ~81 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 — 33222 (CY2024)

FL 59 CA 57 MD 50 TX 35 VA 22

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

$117K

Named-group allowed amount

$19K

Named-group Medicare payments

$15K

Avg charge / svc

$1,059

Avg allowed / svc

$175

Avg payment / svc

$140

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

$681–780

$780–880

$880–979

$979–1,079

$1,079–1,178

$1,178–1,278

$1,278–1,377

$1,377+

$681 7 groups · avg submitted charge / service $1,648

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 33222 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	33222 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	UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC	TOWSON	MD	NURSE PRACTITIONER	292	24	$25,824	$1,076	premium	48.0%	(410) 337-4877
2	UT PHYSICIANS	HOUSTON	TX	NURSE PRACTITIONER	1758	21	$34,608	$1,648	premium	60.0%	(713) 566-5000
3	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	SEATTLE	WA	PHYSICIAN ASSISTANT	1531	17	$13,600	$800	premium	100.0%	(206) 721-5600
4	UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC	GLEN BURNIE	MD	NURSE PRACTITIONER	458	14	$15,064	$1,076	premium	28.0%	(410) 761-1222
5	LUMINIS HEALTH MEDICAL GROUP, LLC	ANNAPOLIS	MD	PHYSICIAN ASSISTANT	544	12	$8,172	$681	premium	24.0%	(443) 481-1000
6	NORTHSIDE CV PROFESSIONAL SERVICES LLC	LAWRENCEVILLE	GA	CARDIOVASCULAR DISEASE (CARDIOLOGY)	53	11	$11,396	$1,036	premium	100.0%	(770) 758-7482
7	JACKSON CLINIC PA	JACKSON	TN	NURSE PRACTITIONER	183	11	$7,876	$716	premium	100.0%	(731) 422-0213

*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 →