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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33257 Partial destruction and reconstruction of right upper heart chamber CPT · Cardiovascular procedure
Classification Procedure › Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 882 services ▲ 17.0% YoY · 877 beneficiaries (CY2024, Medicare FFS)
Medicare paid $319K · $362.18 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
689
FFS of Medicare
49%
Services YoY
+17.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,347 services

689 observed fee-for-service (51%) · ~658 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 — 33257 (CY2024)
CA 204 OK 130 FL 119 NJ 66 AR 55

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$322K
Named-group Medicare payments
$257K
Avg charge / svc
$1,838
Avg allowed / svc
$468
Avg payment / svc
$373
Average charge per group
$232 28 groups · avg submitted charge / service $6,168
Market analyticsPlatform
a taste of the twelve-year trend layer

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  CY2021  CY2020 
# Physician group City St Specialty Providers 33257 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 114 90 $111,499 $1,239 69.2% (405) 951-4345
2 NCHMD INC NAPLES FL NEUROLOGY 515 57 $64,611 $1,134 47.9% (239) 436-5100
3 ARKANSAS HEART HOSPITAL LLC LITTLE ROCK AR NURSE PRACTITIONER 83 55 $56,485 $1,027 100.0% (501) 664-5860
4 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 39 $45,891 $1,177 32.8% —
5 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 36 $112,284 $3,119 17.6% (650) 723-4000
6 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 35 $43,890 $1,254 17.2% (916) 681-8852
7 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 28 $50,708 $1,811 100.0% (919) 350-7270
8 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 24 $50,535 $2,106 100.0% (617) 724-0287
9 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 24 $39,672 $1,653 18.5% (405) 608-3800
10 KANSAS HEART HOSPITAL, LLC WICHITA KS NURSE PRACTITIONER 24 23 $44,068 $1,916 100.0% (316) 630-5000
11 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 21 $44,940 $2,140 31.8% (973) 971-5596
12 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 21 $40,736 $1,940 10.3% (310) 423-3277
13 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 20 $74,100 $3,705 30.3% —
14 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 20 $43,161 $2,158 100.0% (541) 706-7715
15 LOURDES PHYSICIAN GROUP LLC LAFAYETTE LA NURSE PRACTITIONER 154 18 $23,400 $1,300 100.0% (337) 470-2990
16 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 15 $31,005 $2,067 100.0% —
17 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 15 $3,480 $232 48.4% (205) 795-5390
18 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 14 $86,352 $6,168 100.0% (800) 603-0558
19 CARDIAC SURGERY ASSOCIATES SC NAPERVILLE IL PHYSICIAN ASSISTANT 48 14 $31,306 $2,236 34.1% (630) 527-3083
20 NEW YORK UNIVERSITY NEW YORK NJ DIAGNOSTIC RADIOLOGY 5704 14 $54,422 $3,887 21.2% (212) 263-9700
21 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 13 $33,475 $2,575 100.0% (804) 828-9000
22 INTEGRIS CARDIOVASCULAR PHYSICIANS LLC OKLAHOMA CITY GA PHYSICIAN ASSISTANT 114 13 $18,904 $1,454 54.2% (405) 951-4345
23 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 12 $25,680 $2,140 100.0% (203) 276-4644
24 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 12 $22,224 $1,852 100.0% (615) 322-5000
25 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 12 $21,792 $1,816 10.1% (407) 200-2700
26 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11 $14,982 $1,362 100.0% —
27 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 11 $15,739 $1,431 45.8% (770) 422-2004
28 CARDIOTHORACIC AND VASCULAR SURGICAL ASSOCIATES PA JACKSONVILLE FL PHYSICIAN ASSISTANT 89 11 $19,976 $1,816 9.2% (904) 398-3888
29 RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY NEW BRUNSWICK NJ PHYSICIAN ASSISTANT 192 11 $40,755 $3,705 16.7% (732) 828-3000

*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 →