Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

37211 Insertion of tube into artery for drug infusion for blood clot with review by radiologist, initial treatment day CPT · Vascular procedure

Classification Procedure › Vascular (CMS RBCS)

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

National scale 282 services ▲ 24.2% YoY · 254 beneficiaries (CY2024, Medicare FFS)

Medicare paid $54K · $191.67 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

150

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+24.2%

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

~287 services

150 observed fee-for-service (52%) · ~137 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 — 37211 (CY2024)

NJ 103 CA 69 ID 22 SD 19 FL 16

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

$142K

Named-group allowed amount

$40K

Named-group Medicare payments

$32K

Avg charge / svc

$944

Avg allowed / svc

$265

Avg payment / svc

$211

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

$352–470

$470–589

$589–708

$708–827

$827–946

$946–1,064

$1,064–1,183

$1,183+

$352 8 groups · avg submitted charge / service $1,374

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 37211 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	37211 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	VASCULAR INSTITUTE OF CLEVELAND LLC	GARFIELD HEIGHTS	CA	CARDIAC SURGERY	2	42	$35,700	$850	premium	60.9%	(216) 839-0692
2	ST JOSEPH HOSPITAL LLC	LEWISTON	ID	PHYSICIAN ASSISTANT	86	22	$24,317	$1,105	premium	100.0%	(208) 298-1050
3	HEART HOSPITAL OF SOUTH DAKOTA LLC	SIOUX FALLS	SD	NURSE PRACTITIONER	67	19	$6,682	$352	premium	100.0%	(605) 977-7000
4	TENET FLORIDA PHYSICIAN SERVICES LLC	DELRAY BEACH	FL	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	224	16	$18,672	$1,167	premium	100.0%	(561) 498-4440
5	OHH PHYSICIANS LLC	OKLAHOMA CITY	OK	INTERVENTIONAL CARDIOLOGY	134	14	$16,016	$1,144	premium	100.0%	(405) 608-3800
6	FRANCISCAN MEDICAL GROUP	TACOMA	WA	PHYSICIAN ASSISTANT	1407	14	$15,275	$1,091	premium	100.0%	(253) 428-2200
7	INSPIRA HEALTH NETWORK MEDICAL GROUP PC	PITTSGROVE	NJ	DIAGNOSTIC RADIOLOGY	238	12	$9,780	$815	premium	11.7%	(856) 358-6161
8	SAN JUAN REGIONAL MEDICAL CENTER, INC.	FARMINGTON	NM	INTERNAL MEDICINE	221	11	$15,119	$1,374	premium	100.0%	—

*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 →