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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
49465 Contrast injection for x-ray imaging through existing tube in stomach, small bowel or large bowel CPT · Standard X-ray imaging
Classification Imaging Standard X-ray (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,437 services ▲ 26.3% YoY · 1,298 beneficiaries (CY2024, Medicare FFS)
Medicare paid $34K · $23.37 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
14
Named-group FFS services
448
FFS of Medicare
49%
Services YoY
+26.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~948 services

448 observed fee-for-service (47%) · ~500 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 — 49465 (CY2024)

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

Named-group submitted charges
$97K
Named-group allowed amount
$13K
Named-group Medicare payments
$10K
Avg charge / svc
$216
Avg allowed / svc
$29
Avg payment / svc
$23
Average charge per group
$34 14 groups · avg submitted charge / service $696
Market analyticsPlatform
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 49465 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 49465 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 MAIMONIDES MEDICAL CENTER - MMC RADIOLOGY FPP BROOKLYN NY DIAGNOSTIC RADIOLOGY 57 74 $6,240 $84 premium 22.2% (718) 283-6158
2 REGIONAL RADIOLOGY, LLC COVINGTON LA DIAGNOSTIC RADIOLOGY 40 69 $2,354 $34 premium 39.9% (985) 898-4000
3 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 67 $40,602 $606 premium 53.2% (214) 633-5555
4 RED RIVER CONSULTANTS INC SHREVEPORT LA DIAGNOSTIC RADIOLOGY 60 55 $5,610 $102 premium 31.8% (318) 212-4550
5 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 38 $7,638 $201 premium 74.5% (508) 334-1000
6 RADIOLOGY ASSOCIATES OF WICHITA FALLS PA WICHITA FALLS TX DIAGNOSTIC RADIOLOGY 53 19 $10,450 $550 premium 15.1% (940) 766-0217
7 RED RIVER CONSULTANTS INC SHREVEPORT CO DIAGNOSTIC RADIOLOGY 60 19 $1,938 $102 premium 55.9% (318) 212-4550
8 QUANTUM IMAGING AND THERAPEUTIC ASSOCIATES INC HARRISBURG FL DIAGNOSTIC RADIOLOGY 90 18 $3,516 $195 premium 11.5% (717) 932-5200
9 DRS HARRIS BIRKHILL WANG SONGE AND ASSOC PC DEARBORN MI DIAGNOSTIC RADIOLOGY 62 16 $1,056 $66 premium 57.1% (313) 593-7301
10 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 14 $1,596 $114 premium 100.0% (501) 202-2093
11 RADIOLOGY ASSOCIATES OF CLEARWATER CLEARWATER FL DIAGNOSTIC RADIOLOGY 53 13 $2,119 $163 premium 8.3% (727) 441-3711
12 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 12 $8,352 $696 premium 100.0% (804) 828-9000
13 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 12 $1,212 $101 premium 42.9% (248) 964-1187
14 SAN ANTONIO RADIOLOGICAL MEDICAL UPLAND CA DIAGNOSTIC RADIOLOGY 56 11 $1,353 $123 premium 15.3% (909) 985-2811
15 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 11 $2,871 $261 premium 11.1% (901) 226-3882

*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 →