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Market snapshot

78452 in WA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

78452 — Nuclear medicine studies of heart muscle at rest and with stress and spect

Billing groups
32
Named-group FFS services
11,312
FFS of Medicare
51%
Services YoY
-6.1%
FFS enrollment -5.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~22,037 services

11,312 observed fee-for-service (51%) · ~10,725 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

Named-group submitted charges
$4.9M
Named-group allowed amount
$1.5M
Named-group Medicare payments
$1.2M
Avg charge / svc
$430
Avg allowed / svc
$134
Avg payment / svc
$102
Average charge per group
$107 32 groups · avg submitted charge / service $2,956
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Specialty market — Nuclear Medicine: 199 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Nuclear Medicine across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 78452 services, CY2024
#Physician group City Specialty Providers 78452 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 WASHINGTON NUCLEAR MEDICINE LLC Auburn NUCLEAR MEDICINE 2 199 $21,293 $107 premium 1.1%

*"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 →