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Market snapshot

78454 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

78454 — Nuclear medicine studies of heart muscle at rest and with stress with single 2d image

Billing groups
29
Named-group FFS services
1,787
FFS of Medicare
49%
Services YoY
+2.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,484 services

1,787 observed fee-for-service (51%) · ~1,697 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 — 78454 (CY2024)

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

Named-group submitted charges
$585K
Named-group allowed amount
$110K
Named-group Medicare payments
$83K
Avg charge / svc
$327
Avg allowed / svc
$61
Avg payment / svc
$46
Average charge per group
$124 29 groups · avg submitted charge / service $1,060
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 78454 services, CY2024
#Physician group City St Specialty Providers 78454 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PENINSULA RADIOLOGICAL ASSOCIATES LIMITED NEWPORT NEWS VA DIAGNOSTIC RADIOLOGY 65 376 $69,936 $186 premium 100.0% (757) 594-3900
2 NORTHERN ARIZONA RADIOLOGY P C FLAGSTAFF AZ DIAGNOSTIC RADIOLOGY 11 158 $48,032 $304 premium 86.8% (928) 779-3366
3 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON OK PHYSICIAN ASSISTANT 685 154 $163,240 $1,060 premium 44.5% (202) 715-4000
4 SAN ANTONIO RADIOLOGICAL MEDICAL UPLAND CA DIAGNOSTIC RADIOLOGY 56 123 $31,857 $259 premium 18.1% (909) 985-2811
5 MORI BEAN AND BROOKS INC ORANGE PARK FL DIAGNOSTIC RADIOLOGY 947 119 $51,646 $434 premium 75.3% (904) 399-5550
6 ALLIANCE RADIOLOGY PA OVERLAND PARK MO DIAGNOSTIC RADIOLOGY 37 90 $20,070 $223 premium 84.9% (913) 599-6777
7 RADIOLOGICAL PHYSICIAN ASSOCIATES INC BRIDGEPORT WV DIAGNOSTIC RADIOLOGY 28 90 $25,560 $284 premium 76.3% (681) 342-1000
8 SPECTRUM HEALTHCARE PARTNERS PA PORTLAND ME DIAGNOSTIC RADIOLOGY 281 72 $14,688 $204 premium 100.0% (207) 828-2160
9 MEMORIALCARE MEDICAL FOUNDATION LONG BEACH CA FAMILY PRACTICE 549 63 $11,691 $186 premium 9.3% (562) 346-2222
10 SAN ANTONIO RADIOLOGICAL MEDICAL UPLAND CT DIAGNOSTIC RADIOLOGY 56 56 $14,504 $259 premium 60.2% (909) 985-2811
11 COOK COUNTY CHICAGO IL INTERNAL MEDICINE 794 48 $7,734 $161 premium 24.2% (312) 572-2000
12 INTELLIRAD IMAGING LLC MIAMI FL DIAGNOSTIC RADIOLOGY 61 39 $9,906 $254 premium 24.7% (305) 854-4400
13 ROSWELL CLINIC CORP ROSWELL NM NURSE PRACTITIONER 30 38 $6,498 $171 premium 100.0% (575) 627-4074
14 RADIOLOGIC ASSOCIATES PC BRISTOL CT DIAGNOSTIC RADIOLOGY 5 37 $6,327 $171 premium 39.8% (860) 584-0541
15 ALLEGHENY CLINIC RADIOLOGY PITTSBURGH PA DIAGNOSTIC RADIOLOGY 153 29 $5,220 $180 premium 18.0% (412) 734-6015
16 NORTHERN ARIZONA RADIOLOGY P C FLAGSTAFF KY DIAGNOSTIC RADIOLOGY 11 28 $8,512 $304 premium 70.0% (928) 779-3366
17 SPECIALISTS IN MEDICAL IMAGING, SC PEKIN IL DIAGNOSTIC RADIOLOGY 246 27 $19,953 $739 premium 13.6% (309) 671-8282
18 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 25 $10,375 $415 premium 3.7% (310) 423-3277
19 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 24 $6,216 $259 premium 3.5% (800) 954-8000
20 RIVERSIDE RADIOLOGY MEDICAL GROUP INC RIVERSIDE CA DIAGNOSTIC RADIOLOGY 43 23 $4,485 $195 premium 3.4% (951) 788-3400
21 MORI BEAN AND BROOKS INC ORANGE PARK NH DIAGNOSTIC RADIOLOGY 947 21 $9,114 $434 premium 100.0% (904) 399-5550
22 ADVANCED MIDWEST RADIOLOGY S C NEW LENOX IL DIAGNOSTIC RADIOLOGY 25 18 $3,744 $208 premium 9.1% (815) 717-8478
23 RADIOLOGIC PROFESSIONAL SERVICES. P.A. LAWRENCE MO DIAGNOSTIC RADIOLOGY 8 16 $3,568 $223 premium 15.1%
24 DARIN RENTZ DO PC REDLANDS CA ANESTHESIOLOGY 124 15 $2,881 $192 premium 2.2% (909) 335-5593
25 BRYAN RADIOLOGY ASSOCIATES BRYAN TX DIAGNOSTIC RADIOLOGY 11 15 $4,485 $299 premium 23.1% (979) 776-5931
26 RADIOLOGY ASSOCIATES OF NORTH TEXAS PA FORT WORTH TX DIAGNOSTIC RADIOLOGY 340 14 $3,682 $263 premium 21.5% (817) 321-0470
27 GREENSBORO RADIOLOGY, PA GREENSBORO NC DIAGNOSTIC RADIOLOGY 221 12 $8,868 $739 premium 100.0% (336) 274-6682
28 RCHP BILLINGS - MISSOULA LLC MISSOULA MT NURSE PRACTITIONER 68 12 $1,493 $124 premium 100.0% (406) 327-4646
29 RADIOLOGY ASSOCIATES OF MURRAY PLLC BENTON KY DIAGNOSTIC RADIOLOGY 12 12 $2,172 $181 premium 30.0% (270) 527-4800
30 RADIOLOGY ASSOCIATES OF MUNCIE INC SEYMOUR IN DIAGNOSTIC RADIOLOGY 56 11 $2,871 $261 premium 100.0% (812) 522-2349
31 TOWER IMAGING MEDICAL ASSOCIATES INC TORRANCE CA DIAGNOSTIC RADIOLOGY 88 11 $2,299 $209 premium 1.6% (310) 540-7676
32 RADIOLOGIC CENTER INC OMAHA NE DIAGNOSTIC RADIOLOGY 20 11 $3,278 $298 premium 100.0% (402) 390-0606

*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 →