Medicare procedure market data by CPT code & state

+ Build a code basket

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

78429 Nuclear medicine study of heart muscle with metabolic evaluation and concurrent ct scan CPT · Nuclear imaging

Classification Imaging › Nuclear › Myocardial Perfusion Scan (CMS RBCS)

First observed 2020

National scale 812 services ▲ 22.3% YoY · 778 beneficiaries (CY2024, Medicare FFS)

Medicare paid $101K · $124.91 avg / service, national

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

Billing groups

Named-group FFS services

462

FFS of Medicare

49%

Services YoY

+22.3%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~892 services

462 observed fee-for-service (52%) · ~430 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 — 78429 (CY2024)

MA 133 MD 111 MI 82 SC 72 NY 65

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

Named-group submitted charges

$540K

Named-group allowed amount

$58K

Named-group Medicare payments

$45K

Avg charge / svc

$1,170

Avg allowed / svc

$125

Avg payment / svc

$97

Average charge per group

$175–855

$855–1,534

$1,534–2,214

$2,214–2,894

$2,894–3,574

$3,574–4,253

$4,253–4,933

$4,933+

$175 17 groups · avg submitted charge / service $8,065

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 78429 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	78429 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	BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC	BOSTON	MA	PHYSICIAN ASSISTANT	2942	85	$30,175	$355	premium	63.9%	(617) 732-5500
2	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	IL	NURSE PRACTITIONER	4339	39	$17,355	$445	premium	73.6%	—
3	WASHINGTON UNIVERSITY	SAINT LOUIS	MO	NURSE PRACTITIONER	3070	33	$16,731	$507	premium	100.0%	(314) 747-3000
4	STANFORD HEALTH CARE	STANFORD	CA	DIAGNOSTIC RADIOLOGY	3039	33	$266,145	$8,065	premium	63.5%	(650) 723-4000
5	MCV ASSOCIATED PHYSICIANS	RICHMOND	VA	NURSE PRACTITIONER	1791	31	$55,279	$1,783	premium	56.4%	(804) 828-9000
6	NORTHWESTERN MEDICAL FACULTY FOUNDATION	CHICAGO	MI	NURSE PRACTITIONER	4339	29	$12,905	$445	premium	35.4%	—
7	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	29	$17,168	$592	premium	44.6%	(212) 263-9700
8	KANSAS UNIVERSITY PHYSICIANS INC	KANSAS CITY	KS	NURSE PRACTITIONER	1815	28	$5,566	$199	premium	100.0%	(913) 588-1227
9	CAROLINAS PHYSICIANS NETWORK INC	CHARLOTTE	NC	PHYSICIAN ASSISTANT	2360	20	$17,248	$862	premium	64.5%	(704) 667-1000
10	LAHEY CLINIC INC	BURLINGTON	NY	NURSE PRACTITIONER	1400	20	$7,652	$383	premium	30.8%	—
11	REGENTS OF THE UNIVERSITY OF MICHIGAN	ANN ARBOR	MI	INTERNAL MEDICINE	3330	19	$7,790	$410	premium	23.2%	(734) 763-5459
12	ELLIOT PROFESSIONAL SERVICES	MANCHESTER	NH	PHYSICIAN ASSISTANT	394	17	$4,335	$255	premium	100.0%	(603) 552-1670
13	UNIVERSITY OF PENN - MEDICAL GROUP	PHILADELPHIA	PA	PHYSICIAN ASSISTANT	3505	16	$4,272	$267	premium	42.1%	(215) 662-2777
14	BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES	ROYAL OAK	MI	PHYSICIAN ASSISTANT	833	14	$2,450	$175	premium	17.1%	(248) 898-5058
15	WOODBURN NUCLEAR MEDICINE, LTD	ANNANDALE	VA	NUCLEAR MEDICINE	7	13	$65,000	$5,000	premium	23.6%	(703) 698-0666
16	MAINEHEALTH	PORTLAND	ME	NURSE PRACTITIONER	2574	13	$4,266	$328	premium	100.0%	(207) 885-9905
17	TMH PHYSICIAN ASSOCIATES PLLC	HOUSTON	TX	NURSE PRACTITIONER	1930	12	$3,671	$306	premium	100.0%	(713) 266-9955
18	UNIVERSITY OF VIRGINIA PHYSICIANS GROUP	CHARLOTTESVILLE	VA	NURSE PRACTITIONER	1704	11	$2,343	$213	premium	20.0%	(434) 924-5959

*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 →