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Market snapshot

72126 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

72126 — Ct scan of upper spine with contrast

Billing groups
39
Named-group FFS services
1,517
FFS of Medicare
49%
Services YoY
+14.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,920 services

1,517 observed fee-for-service (52%) · ~1,403 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 — 72126 (CY2024)
MD 632 TX 583 CA 345 VA 332 PA 331

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

Named-group submitted charges
$518K
Named-group allowed amount
$85K
Named-group Medicare payments
$66K
Avg charge / svc
$341
Avg allowed / svc
$56
Avg payment / svc
$44
Average charge per group
$137 39 groups · avg submitted charge / service $1,390
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 72126 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A BALTIMORE MD DIAGNOSTIC RADIOLOGY 83 366 $96,624 $264 57.9% (410) 328-5700
2 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 124 $30,008 $242 21.3% (817) 321-0470
3 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 89 $32,752 $368 55.3% (919) 684-8111
4 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 68 $16,252 $239 32.5% (616) 363-7272
5 HOUSTON RADIOLOGY ASSOCIATED HOUSTON TX DIAGNOSTIC RADIOLOGY 103 59 $25,583 $434 10.1% (281) 206-9020
6 DIAGNOSTIC IMAGING ALLIANCE OF LOUISVILLE PSC LOUISVILLE KY DIAGNOSTIC RADIOLOGY 28 55 $8,415 $153 66.3% (502) 896-2120
7 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 44 $12,540 $285 28.4% (508) 334-1000
8 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 42 $33,390 $795 7.2% (713) 592-5433
9 IMAGING ASSOCIATES OF INDIANA, PC CROWN POINT IN DIAGNOSTIC RADIOLOGY 263 39 $31,005 $795 14.8% (219) 757-6320
10 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 37 $24,616 $665 42.5% (507) 284-2511
11 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 37 $14,134 $382 59.7% 22576922002164
12 ARROWHEAD RADIOLOGY MEDICAL GROUP INC COLTON CA DIAGNOSTIC RADIOLOGY 10 37 $6,512 $176 10.7% (909) 580-1520
13 SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE SPRINGFIELD MO NEUROSURGERY 15 37 $10,182 $275 37.8% (417) 885-3888
14 LAKELAND RADIOLOGISTS P A FLOWOOD MS DIAGNOSTIC RADIOLOGY 29 29 $8,555 $295 37.2% (601) 936-2390
15 X-RAY ASSOCIATES OF LOUISVILLE PSC LOUISVILLE KY DIAGNOSTIC RADIOLOGY 55 28 $9,188 $328 33.7% (502) 897-8121
16 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 26 $22,957 $883 7.5% (650) 723-4000
17 RADIOLOGY OF HUNSTVILLE PC HUNTSVILLE AL DIAGNOSTIC RADIOLOGY 63 26 $4,680 $180 33.3% 2565390457145
18 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 23 $3,304 $144 100.0% (913) 588-1227
19 RADIOLOGY ASSOCIATES OF ABILENE PA ABILENE TX DIAGNOSTIC RADIOLOGY 25 23 $4,807 $209 3.9% (325) 670-2000
20 BLUE RIDGE RADIOLOGY PC LYNCHBURG TN DIAGNOSTIC RADIOLOGY 76 22 $3,014 $137 29.7% (423) 968-1144
21 FAIRFAX RADIOLOGICAL CONSULTANTS ALEXANDRIA VA DIAGNOSTIC RADIOLOGY 150 21 $7,665 $365 6.3% (703) 698-4444
22 RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER NY DIAGNOSTIC RADIOLOGY 134 21 $5,250 $250 17.5% —
23 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 20 $3,500 $175 100.0% (800) 603-0558
24 JOHNS HOPKINS UNIVERSITY WASHINGTON MA MEDICAL ONCOLOGY 196 18 $5,742 $319 11.6% (202) 537-4000
25 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK IN DIAGNOSTIC RADIOLOGY 81 17 $23,654 $1,391 6.4% (952) 541-1840
26 BORG AND IDE IMAGING PC ROCHESTER NY DIAGNOSTIC RADIOLOGY 14 16 $12,272 $767 13.3% (585) 241-6600
27 ASSOCIATION OF UNIVERSITY RADIOLOGISTS, PC KNOXVILLE IN DIAGNOSTIC RADIOLOGY 35 16 $2,800 $175 6.1% (865) 305-9661
28 WEST COUNTY RADIOLOGICAL GROUP INC SAINT LOUIS MO DIAGNOSTIC RADIOLOGY 104 15 $4,065 $271 15.3% (314) 941-5600
29 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 15 $3,015 $201 2.6% (214) 633-5555
30 RADIOLOGY ASSOCIATES LLC BATON ROUGE LA DIAGNOSTIC RADIOLOGY 79 14 $3,150 $225 22.6% (225) 757-0552
31 COVENANT MEDICAL CENTER INC SAGINAW MI PHYSICIAN ASSISTANT 493 14 $2,500 $179 6.7% (989) 583-4220
32 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS CA PHYSICIAN ASSISTANT 3200 14 $2,814 $201 4.1% (214) 633-5555
33 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 13 $3,445 $265 54.2% (203) 688-4242
34 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 12 $2,172 $181 46.2% —
35 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 12 $3,204 $267 2.1% (254) 724-2663
36 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 12 $5,352 $446 19.0% (813) 615-7075
37 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 12 $2,040 $170 13.6% (513) 584-1000
38 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 11 $15,266 $1,388 12.6% (952) 541-1840
39 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 11 $5,170 $470 13.8% (888) 824-0200
40 AMERICAN RADIOLOGY CONSULTANTS PLLC DALLAS TX DIAGNOSTIC RADIOLOGY 121 11 $2,398 $218 1.9% (214) 820-3216
41 MSKCC RADIOLOGY GROUP NEW YORK NY DIAGNOSTIC RADIOLOGY 199 11 $3,740 $340 9.2% (646) 888-5300

*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 →