Medicare procedure market data by CPT code & state

Market snapshot

78433 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

78433 — Nuclear medicine study of heart muscle with metabolic and blood flow evaluation requiring 2 injections and concurrent ct scan

Billing groups

Named-group FFS services

491

FFS of Medicare

49%

Services YoY

-5.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~982 services

491 observed fee-for-service (50%) · ~491 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 — 78433 (CY2024)

MN 176 WA 143 CA 74 PA 72 MI 67

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

Named-group submitted charges

$404K

Named-group allowed amount

$79K

Named-group Medicare payments

$61K

Avg charge / svc

$823

Avg allowed / svc

$161

Avg payment / svc

$124

Average charge per group

$212–1,015

$1,015–1,818

$1,818–2,621

$2,621–3,424

$3,424–4,227

$4,227–5,030

$5,030–5,833

$5,833+

$212 15 groups · avg submitted charge / service $11,868

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 exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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.

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒

Physician groups ranked by 78433 services, CY2024
#	Physician group	City	St	Specialty	Providers	78433 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share*	Phone
1	THE ASSOCIATION OF UNIVERSITY PHYSICIANS	SEATTLE	WA	PHYSICIAN ASSISTANT	3612	143	$44,923	$314	premium	100.0%	(206) 364-0500
2	MEDSTAR MEDICAL GROUP II LLC	WASHINGTON	DC	PHYSICIAN ASSISTANT	3707	51	$18,718	$367	premium	100.0%	(202) 429-2401
3	CEDARS-SINAI MEDICAL CENTER	WEST HOLLYWOOD	CA	NURSE PRACTITIONER	802	50	$32,500	$650	premium	67.6%	(310) 423-3277
4	WELLSPAN MEDICAL GROUP	YORK	PA	PHYSICIAN ASSISTANT	2312	31	$6,572	$212	premium	43.1%	—
5	REGENTS OF THE UNIVERSITY OF MICHIGAN	ANN ARBOR	MI	INTERNAL MEDICINE	3330	29	$17,342	$598	premium	43.3%	(734) 763-5459
6	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	28	$20,580	$735	premium	52.8%	—
7	DUKE HEALTH INTEGRATED PRACTICE INC	DURHAM	NC	PHYSICIAN ASSISTANT	3051	27	$11,529	$427	premium	100.0%	(919) 684-8111
8	STATE UNIVERSITY OF IOWA	IOWA CITY	IA	PHYSICIAN ASSISTANT	1902	25	$10,506	$420	premium	100.0%	(319) 678-8201
9	MIDWEST HEART AND VASCULAR SPECIALISTS LLC	OVERLAND PARK	KS	CARDIOVASCULAR DISEASE (CARDIOLOGY)	81	24	$8,163	$340	premium	60.0%	(816) 523-7088
10	PIEDMONT CARDIOLOGY OF ATLANTA, LLC	ATLANTA	GA	PHYSICIAN ASSISTANT	477	18	$6,642	$369	premium	100.0%	(404) 605-5000
11	MAYO CLINIC ARIZONA	PHOENIX	AZ	PHYSICIAN ASSISTANT	1635	14	$9,730	$695	premium	100.0%	(800) 603-0558
12	SCRIPPS HEALTH	LA JOLLA	CA	PHYSICIAN ASSISTANT	1431	13	$154,287	$11,868	premium	17.6%	(858) 455-9100
13	BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES	ROYAL OAK	MI	PHYSICIAN ASSISTANT	833	13	$2,912	$224	premium	19.4%	(248) 898-5058
14	UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC	CINCINNATI	OH	NURSE PRACTITIONER	1504	13	$57,109	$4,393	premium	24.5%	(513) 584-1000
15	OHIOHEALTH CORPORATION	COLUMBUS	OH	PHYSICIAN ASSISTANT	2282	12	$2,580	$215	premium	22.6%	—

*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 →