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

78018 Nuclear medicine study of whole body for thyroid cancer CPT · Nuclear imaging

Classification Imaging › Nuclear (CMS RBCS)

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

National scale 350 services ▼ 5.4% YoY · 300 beneficiaries (CY2024, Medicare FFS)

Medicare paid $10K · $29.22 avg / service, national

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

Billing groups

Named-group FFS services

186

FFS of Medicare

49%

Services YoY

-5.4%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~357 services

186 observed fee-for-service (52%) · ~171 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; 1 state without payer-mix data excluded. How we scale

Top states — 78018 (CY2024)

DC 40 MI 32 MD 31 CT 27 AZ 26

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

Named-group submitted charges

$43K

Named-group allowed amount

$7K

Named-group Medicare payments

$6K

Avg charge / svc

$231

Avg allowed / svc

$39

Avg payment / svc

$30

Average charge per group

$129–177

$177–225

$225–273

$273–321

$321–369

$369–417

$417–465

$465+

$129 10 groups · avg submitted charge / service $676

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.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 78018 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	78018 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	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	DC	PHYSICIAN ASSISTANT	3707	40	$5,160	$129	premium	100.0%	(202) 429-2401
2	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	CT	PHYSICIAN ASSISTANT	6294	27	$5,766	$214	premium	100.0%	—
3	RADIOLOGY ASSOCIATES OF NORTH TEXAS PA	FORT WORTH	TX	DIAGNOSTIC RADIOLOGY	340	17	$2,771	$163	premium	100.0%	(817) 321-0470
4	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	XX	NURSE PRACTITIONER	4339	17	$2,890	$170	premium	100.0%	—
5	QUANTUM RADIOLOGY PC	MARIETTA	GA	DIAGNOSTIC RADIOLOGY	104	17	$3,519	$207	premium	100.0%	(770) 732-4000
6	BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES	ROYAL OAK	MI	PHYSICIAN ASSISTANT	833	16	$10,824	$676	premium	50.0%	(248) 898-5058
7	REGENTS OF THE UNIVERSITY OF MICHIGAN	ANN ARBOR	MI	INTERNAL MEDICINE	3330	16	$4,992	$312	premium	50.0%	(734) 763-5459
8	KETTERING NETWORK RADIOLOGISTS INC	DAYTON	OH	DIAGNOSTIC RADIOLOGY	74	13	$2,015	$155	premium	100.0%	(937) 558-3800
9	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	12	$3,528	$294	premium	100.0%	(212) 263-9700
10	KENTUCKY MEDICAL SERVICES FOUNDATION, INC	LEXINGTON	KY	DIAGNOSTIC RADIOLOGY	989	11	$1,584	$144	premium	47.8%	(859) 257-1412

*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 →