Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

47531 Injection of bile duct for x-ray through already existing skin access using imaging guidance with review by radiologist CPT · Standard X-ray imaging

Classification Imaging › Standard X-ray (CMS RBCS)

First observed 2016

National scale 312 services ▲ 11.0% YoY · 279 beneficiaries (CY2024, Medicare FFS)

Medicare paid $14K · $45.49 avg / service, national

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

Billing groups

Named-group FFS services

225

FFS of Medicare

49%

Services YoY

+11.0%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~420 services

225 observed fee-for-service (54%) · ~195 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 — 47531 (CY2024)

AR 72 PA 67 IA 61 IL 32 MA 27

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

Named-group submitted charges

$138K

Named-group allowed amount

$13K

Named-group Medicare payments

$10K

Avg charge / svc

$611

Avg allowed / svc

$56

Avg payment / svc

$44

Average charge per group

$214–333

$333–452

$452–571

$571–691

$691–810

$810–929

$929–1,048

$1,048+

$214 10 groups · avg submitted charge / service $1,447

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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 →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 47531 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	47531 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	ST VINCENT MEDICAL GROUP	LITTLE ROCK	AR	FAMILY PRACTICE	247	72	$56,448	$784	premium	100.0%	(501) 562-4838
2	MEDICAL IMAGING OF LEHIGH VALLEY PC	ALLENTOWN	PA	DIAGNOSTIC RADIOLOGY	119	27	$9,450	$350	premium	40.3%	(610) 770-1606
3	MAYO CLINIC JACKSONVILLE	JACKSONVILLE	FL	NURSE PRACTITIONER	1587	23	$33,283	$1,447	premium	100.0%	(904) 953-2000
4	ENDEAVOR HEALTH MEDICAL GROUP	EVANSTON	IL	NURSE PRACTITIONER	3380	20	$4,720	$236	premium	62.5%	—
5	RADIOLOGISTS OF NORTH IOWA PC	MASON CITY	IA	DIAGNOSTIC RADIOLOGY	14	16	$4,128	$258	premium	26.2%	(641) 424-0102
6	LAHEY CLINIC INC	BURLINGTON	MA	NURSE PRACTITIONER	1400	15	$7,282	$485	premium	55.6%	—
7	RADIOLOGY CONSULTANTS OF IOWA PLC	CEDAR RAPIDS	IA	DIAGNOSTIC RADIOLOGY	72	14	$11,564	$826	premium	23.0%	(319) 364-0121
8	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	13	$5,031	$387	premium	100.0%	—
9	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	PA	PHYSICIAN ASSISTANT	3707	13	$2,779	$214	premium	19.4%	(202) 429-2401
10	SOUTH SHORE RADIOLOGICAL ASSOCIATES INC	SOUTH WEYMOUTH	MA	DIAGNOSTIC RADIOLOGY	36	12	$2,892	$241	premium	44.4%	(781) 340-8000

*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 →