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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
78267 Nuclear medicine study to acquire exhaled breath samples CPT · Nuclear imaging
Classification Imaging Nuclear (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 291 services ▼ 34.6% YoY · 248 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3K · $10.76 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
228
FFS of Medicare
49%
Services YoY
-34.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~497 services

228 observed fee-for-service (46%) · ~269 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 — 78267 (CY2024)

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

Named-group submitted charges
$19K
Named-group allowed amount
$2K
Named-group Medicare payments
$2K
Avg charge / svc
$84
Avg allowed / svc
$11
Avg payment / svc
$11
Average charge per group
$25 7 groups · avg submitted charge / service $260
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 78267 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 78267 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 MARK A NAGRANI MD PA NEW SMYRNA BEACH FL ANESTHESIOLOGY 3 60 $3,000 $50 premium 100.0% (386) 423-5500
2 EASTERN CAROLINA MEDICAL CENTER, PC BENSON NC PHYSICIAN ASSISTANT 5 51 $1,275 $25 premium 75.0% (919) 894-5787
3 NORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP INC YUBA CITY CA GASTROENTEROLOGY 3 39 $7,657 $196 premium 48.8% (530) 671-3671
4 LOS PALOS GASTROENTEROLOGY SPECIALISTS INC SALINAS CA GASTROENTEROLOGY 5 27 $2,025 $75 premium 33.8% (831) 424-8888
5 GUT PC DOTHAN AL GASTROENTEROLOGY 52 20 $500 $25 premium 100.0% (334) 836-1212
6 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 17 $4,420 $260 premium 25.0% (704) 667-1000
7 GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC GERMANTOWN MS GASTROENTEROLOGY 154 14 $380 $27 premium 100.0% (901) 755-9110

*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 →