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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
33990 Insertion of blood flow assist device in lower heart chamber through skin with review by radiologist using artery access CPT · Cardiovascular procedure
Classification Procedure Cardiovascular (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 458 services ▲ 6.8% YoY · 449 beneficiaries (CY2024, Medicare FFS)
Medicare paid $75K · $164.75 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
349
FFS of Medicare
49%
Services YoY
+6.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~685 services

349 observed fee-for-service (51%) · ~336 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 — 33990 (CY2024)

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

Named-group submitted charges
$550K
Named-group allowed amount
$72K
Named-group Medicare payments
$58K
Avg charge / svc
$1,575
Avg allowed / svc
$206
Avg payment / svc
$165
Average charge per group
$670 21 groups · avg submitted charge / service $5,601
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 33990 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 33990 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 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 45 $99,695 $2,215 premium 100.0% (617) 732-5500
2 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 29 $56,550 $1,950 premium 100.0% (314) 747-3000
3 WYOMING CARDIOPULMONARY SERVICES PC CASPER WY INTERVENTIONAL CARDIOLOGY 11 21 $117,614 $5,601 premium 100.0% (307) 266-3174
4 CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 124 21 $23,436 $1,116 premium 55.3% (210) 271-3204
5 HEART SPECIALISTS OF SARASOTA PL SARASOTA OH PHYSICIAN ASSISTANT 24 20 $15,082 $754 premium 60.6% (941) 917-1000
6 JOHNS HOPKINS UNIVERSITY BALTIMORE TN NURSE PRACTITIONER 2900 19 $24,044 $1,265 premium 63.3% (410) 502-4340
7 SOUTHWEST MEDICAL ASSOCIATES, LLC ALBUQUERQUE NM PHYSICIAN ASSISTANT 328 19 $18,639 $981 premium 59.4% (505) 727-7090
8 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 17 $12,532 $737 premium 44.7% (713) 242-2222
9 LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM NURSE PRACTITIONER 96 13 $11,843 $911 premium 40.6% (575) 556-6440
10 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 13 $15,132 $1,164 premium 50.0% (206) 386-6000
11 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 13 $14,092 $1,084 premium 50.0% (360) 493-4083
12 PREMIER HEALTH SPECIALISTS INC DAYTON OH PHYSICIAN ASSISTANT 574 13 $14,521 $1,117 premium 39.4%
13 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 13 $18,057 $1,389 premium 21.3% (904) 308-6900
14 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 13 $14,651 $1,127 premium 21.3% (407) 200-2700
15 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 12 $8,040 $670 premium 100.0%
16 SACRED HEART HEALTH SYSTEM INC PENSACOLA FL NURSE PRACTITIONER 371 12 $14,328 $1,194 premium 19.7% (850) 416-2400
17 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 12 $19,296 $1,608 premium 100.0%
18 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 11 $16,115 $1,465 premium 100.0% (215) 662-2777
19 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON NY INTERNAL MEDICINE 1689 11 $16,665 $1,515 premium 100.0% (781) 983-9088
20 TRI-CITY CARDIOLOGY CONSULTANTS PC MESA AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 11 $9,482 $862 premium 47.8% (480) 835-6100
21 CALIFORNIA CARDIOVASCULAR INSTITUTE BAKERSFIELD CA CARDIAC ELECTROPHYSIOLOGY 4 11 $9,840 $895 premium 100.0% (661) 443-0088

*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 →