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Market snapshot

78431 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

78431 — Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan

Billing groups
310
Named-group FFS services
103,611
FFS of Medicare
49%
Services YoY
+43.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~213,385 services

103,611 observed fee-for-service (49%) · ~109,774 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 — 78431 (CY2024)

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

Named-group submitted charges
$386.4M
Named-group allowed amount
$159.0M
Named-group Medicare payments
$126.8M
Avg charge / svc
$3,729
Avg allowed / svc
$1,534
Avg payment / svc
$1,224
Average charge per group
$86 310 groups · avg submitted charge / service $19,480
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Specialty market — Interventional Cardiology: 8,583 services across 20 groups; top group 20%. See Interventional Cardiology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 78431 services, CY2024
#Physician group City St Specialty Providers 78431 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA GAINESVILLE FL INTERVENTIONAL CARDIOLOGY 36 1,703 $9,097,426 $5,342 premium 7.3% (352) 375-1212
2 CARDIOVASCULAR ASSOCIATION, P.L.L.C. HUMBLE TX INTERVENTIONAL CARDIOLOGY 52 1,503 $8,994,116 $5,984 premium 5.2% (281) 446-6656
3 HEARTPLACE PLLC PLANO TX INTERVENTIONAL CARDIOLOGY 93 896 $5,376,000 $6,000 premium 3.1% (972) 985-8838
4 ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP ORANGE CA INTERVENTIONAL CARDIOLOGY 13 687 $3,022,800 $4,400 premium 3.0% 71456433001157
5 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 589 $2,768,300 $4,700 premium 7.5% (804) 282-2685
6 CARDIOVASCULAR ASSOCIATES OF MESA PC MESA AZ INTERVENTIONAL CARDIOLOGY 12 574 $2,027,368 $3,532 premium 9.7% (480) 641-5400
7 BIRMINGHAM HEART CLINIC, PLLC BIRMINGHAM AL INTERVENTIONAL CARDIOLOGY 25 463 $1,389,000 $3,000 premium 9.0% (205) 856-2284
8 LHAW LLC NAPLES FL INTERVENTIONAL CARDIOLOGY 2 388 $1,820,108 $4,691 premium 1.7% (239) 206-2833
9 CYPRESS HEART AND VASCULAR CENTER PLLC CYPRESS TX INTERVENTIONAL CARDIOLOGY 9 387 $1,165,000 $3,010 premium 1.3% (832) 688-8400
10 HEART CARE CENTERS OF ILLINOIS, S.C. PALOS PARK IL INTERVENTIONAL CARDIOLOGY 38 209 $1,098,295 $5,255 premium 1.2%
11 CARDIOLOGY ASSOCIATES P.A HOUSTON TX INTERVENTIONAL CARDIOLOGY 7 196 $614,738 $3,136 premium 0.7% (713) 797-1111
12 ST LOUIS HEART AND VASCULAR PC SAINT LOUIS MO INTERVENTIONAL CARDIOLOGY 23 159 $985,800 $6,200 premium 4.5% (314) 741-0911
13 ASHCHI HEART AND VASCULAR CENTER PA JACKSONVILLE AL INTERVENTIONAL CARDIOLOGY 9 156 $936,000 $6,000 premium 3.0% (904) 222-6656
14 CYPRESS CARDIOVASCULAR INSTITUTE PLLC CYPRESS TX INTERVENTIONAL CARDIOLOGY 6 122 $366,000 $3,000 premium 0.4% (281) 955-9158
15 FLORIDA CARDIOLOGY PA WINTER PARK FL INTERVENTIONAL CARDIOLOGY 21 115 $632,500 $5,500 premium 0.5% (407) 645-1847
16 BAY AREA CARDIOLOGY ASSOC. PA BRANDON FL INTERVENTIONAL CARDIOLOGY 19 111 $372,960 $3,360 premium 0.5% 8136846000228
17 ASHCHI HEART AND VASCULAR CENTER PA JACKSONVILLE FL INTERVENTIONAL CARDIOLOGY 9 104 $624,000 $6,000 premium 0.4% (904) 222-6656
18 CARDIOVASCULAR CONSULTANTS OF FRESNO, A PROFESSIONAL CORPORATION FRESNO CA INTERVENTIONAL CARDIOLOGY 6 66 $297,000 $4,500 premium 0.3% (559) 432-4303
19 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND MI INTERVENTIONAL CARDIOLOGY 56 49 $230,300 $4,700 premium 3.8% (804) 282-2685
20 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 40 $10,000 $250 premium 2.7% (405) 608-3800
21 CARDIOLOGY PARTNERS PL WELLINGTON FL INTERVENTIONAL CARDIOLOGY 27 35 $165,964 $4,742 premium 0.1% (561) 793-6100
22 FLORIDA HEART AND VASCULAR SPECIALISTS LLC MERRITT ISLAND FL INTERVENTIONAL CARDIOLOGY 2 20 $3,440 $172 premium 0.1% (321) 441-8749
23 ASHCHI HEART AND VASCULAR CENTER PA JACKSONVILLE TX INTERVENTIONAL CARDIOLOGY 9 11 $66,000 $6,000 premium 0.0% (904) 222-6656

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →