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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
72196 Mri scan of pelvis with contrast CPT · Magnetic Resonance imaging
Classification Imaging Magnetic Resonance MRI/MRA - Abdomen and Pelvis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 740 services ▲ 46.8% YoY · 732 beneficiaries (CY2024, Medicare FFS)
Medicare paid $63K · $84.97 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
12
Named-group FFS services
492
FFS of Medicare
49%
Services YoY
+46.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,121 services

492 observed fee-for-service (44%) · ~629 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 — 72196 (CY2024)

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

Named-group submitted charges
$364K
Named-group allowed amount
$58K
Named-group Medicare payments
$44K
Avg charge / svc
$739
Avg allowed / svc
$118
Avg payment / svc
$90
Average charge per group
$85 12 groups · avg submitted charge / service $1,950
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 72196 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 72196 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 LAKELAND RADIOLOGISTS P A FLOWOOD CA DIAGNOSTIC RADIOLOGY 29 75 $22,575 $301 premium 37.1% (601) 936-2390
2 NEW YORK MEDICAL IMAGING ASSOCIATES MD PC NEW YORK NY DIAGNOSTIC RADIOLOGY 7 74 $144,300 $1,950 premium 83.1% (212) 518-2901
3 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE MS UROLOGY 60 73 $30,660 $420 premium 100.0% (251) 433-1895
4 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 50 $16,650 $333 premium 82.0% (305) 689-5437
5 UROLOGY ASSOCIATES OF MOBILE, P.A. MOBILE AL UROLOGY 60 49 $20,580 $420 premium 100.0% (251) 433-1895
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 40 $50,680 $1,267 premium 100.0% (800) 603-0558
7 COASTAL IMAGING ASSOCIATES PLLC BEAUMONT TX DIAGNOSTIC RADIOLOGY 7 30 $10,800 $360 premium 100.0% (409) 212-5000
8 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 24 $22,008 $917 premium 100.0% (507) 284-2511
9 ONCOLOGY AND BODY IMAGING PSC SAN JUAN PR DIAGNOSTIC RADIOLOGY 16 20 $1,691 $85 premium 100.0% (787) 758-2000
10 HALO MEDICAL GROUP INDIAN WELLS CA DIAGNOSTIC RADIOLOGY 22 18 $16,200 $900 premium 8.9% (760) 776-8989
11 ZWANGER AND PESIRI RADIOLOGY GROUP LLP LINDENHURST NY DIAGNOSTIC RADIOLOGY 91 15 $19,169 $1,278 premium 16.9% (631) 225-7200
12 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 12 $4,344 $362 premium 50.0% (804) 828-9000
13 RADIOLOGY ASSOCIATES OF MUNCIE INC SEYMOUR IN DIAGNOSTIC RADIOLOGY 56 12 $4,116 $343 premium 100.0% (812) 522-2349

*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 →