Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

70540 Mri scan of bone of eye socket, face, and/or neck without contrast CPT · Magnetic Resonance imaging

Classification Imaging › Magnetic Resonance › MRI/MRA - Head and Neck (CMS RBCS)

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

National scale 1,741 services ▲ 5.8% YoY · 1,607 beneficiaries (CY2024, Medicare FFS)

Medicare paid $193K · $110.88 avg / service, national

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

Billing groups

Named-group FFS services

998

FFS of Medicare

49%

Services YoY

+5.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~1,877 services

998 observed fee-for-service (53%) · ~879 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 — 70540 (CY2024)

AR 656 NY 362 CA 280 FL 73 AZ 63

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

Named-group submitted charges

$595K

Named-group allowed amount

$105K

Named-group Medicare payments

$82K

Avg charge / svc

$596

Avg allowed / svc

$105

Avg payment / svc

$82

Average charge per group

$251–488

$488–725

$725–963

$963–1,200

$1,200–1,438

$1,438–1,675

$1,675–1,913

$1,913+

$251 11 groups · avg submitted charge / service $2,200

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 70540 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	70540 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	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	LITTLE ROCK	AR	NURSE PRACTITIONER	1241	656	$249,936	$381	premium	100.0%	(501) 686-8000
2	ZWANGER AND PESIRI RADIOLOGY GROUP LLP	LINDENHURST	NY	DIAGNOSTIC RADIOLOGY	91	155	$143,990	$929	premium	42.8%	(631) 225-7200
3	DRAGHA LLC	SCOTTSDALE	AZ	HOSPITALIST	3	48	$30,658	$639	premium	76.2%	(480) 750-8130
4	COMMUNITY RADIOLOGY ASSOCIATES INC	FREDERICK	MD	DIAGNOSTIC RADIOLOGY	62	28	$31,542	$1,126	premium	100.0%	(888) 601-0943
5	BEVERLY RADIOLOGY MEDICAL GROUP III	GARDEN GROVE	CA	DIAGNOSTIC RADIOLOGY	328	16	$19,168	$1,198	premium	5.7%	—
6	COMMUNITY RADIOLOGY ASSOCIATES INC	FREDERICK	DC	DIAGNOSTIC RADIOLOGY	62	15	$17,970	$1,198	premium	100.0%	(888) 601-0943
7	LENOX HILL RADIOLOGY AND MEDICAL IMAGING ASSOCIATES PC	NEW YORK	AZ	DIAGNOSTIC RADIOLOGY	244	15	$3,759	$251	premium	23.8%	(212) 772-3111
8	SDMI, LLC	LAS VEGAS	NV	DIAGNOSTIC RADIOLOGY	36	14	$16,870	$1,205	premium	50.0%	(702) 732-6000
9	BIRMINGHAM PHYSICIANS RADIOLOGY PLLC	BIRMINGHAM	AL	NEUROLOGY	3	13	$28,600	$2,200	premium	41.9%	(205) 823-3366
10	RADIOLOGY REGIONAL CENTER P A	FORT MYERS	FL	DIAGNOSTIC RADIOLOGY	52	13	$14,695	$1,130	premium	17.8%	(239) 936-2316
11	DIGNITY HEALTH MEDICAL FOUNDATION	FOLSOM	CA	DIAGNOSTIC RADIOLOGY	1197	13	$12,760	$982	premium	4.6%	(916) 983-7476
12	UNITED MEDICAL IMAGING HEALTHCARE INC	LOS ANGELES	CA	DIAGNOSTIC RADIOLOGY	59	12	$25,200	$2,100	premium	4.3%	(323) 262-1814

*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 →