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

78315 Nuclear medicine study of bone taken at different times CPT · Nuclear imaging

Classification Imaging › Nuclear (CMS RBCS)

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

National scale 14,238 services ▼ 8.6% YoY · 14,062 beneficiaries (CY2024, Medicare FFS)

Medicare paid $1.1M · $77.14 avg / service, national

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

Billing groups

162

Named groups billing this code

Named-group FFS services

6,161

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-8.6%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~12,621 services

6,161 observed fee-for-service (49%) · ~6,460 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 — 78315 (CY2024)

FL 1,529 TX 1,506 CA 1,021 PA 899 IL 573

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

Billed → allowed → paid

Named-group submitted charges

$2.2M

Named-group allowed amount

$584K

Named-group Medicare payments

$453K

Avg charge / svc

$359

Avg allowed / svc

$95

Avg payment / svc

$73

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$56–160

$160–264

$264–367

$367–471

$471–574

$574–678

$678–781

$781+

$56 162 groups · avg submitted charge / service $1,486

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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 →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 78315 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	78315 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share* locked column	Phone
1	RADIOLOGY ASSOCIATES OF NORTH TEXAS PA	FORT WORTH	TX	DIAGNOSTIC RADIOLOGY	340	277	$54,569	$197	premium	18.4%	(817) 321-0470
2	ADVANCED RADIOLOGY P A	BALTIMORE	MD	DIAGNOSTIC RADIOLOGY	161	153	$126,525	$827	premium	31.0%	(888) 972-9700
3	ADVANCED RADIOLOGY SERVICES PC	GRAND RAPIDS	MI	DIAGNOSTIC RADIOLOGY	249	134	$25,938	$194	premium	26.4%	(616) 363-7272
4	IHC HEALTH SERVICES INC	MURRAY	UT	PHYSICIAN ASSISTANT	3944	122	$35,176	$288	premium	91.7%	(801) 261-8346
5	ARKANSAS HEALTH GROUP	LITTLE ROCK	AR	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)	666	112	$19,984	$178	premium	36.5%	(501) 202-2093

That's the top 5 of 162 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →