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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
78811 Nuclear medicine study limited area CPT · Nuclear imaging
Classification Imaging Nuclear PET- Oncology (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,085 services ▲ 431.9% YoY · 835 beneficiaries (CY2024, Medicare FFS)
Medicare paid $740K · $682.36 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
9
Named-group FFS services
676
FFS of Medicare
49%
Services YoY
+431.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,396 services

676 observed fee-for-service (48%) · ~720 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 — 78811 (CY2024)

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

Named-group submitted charges
$3.6M
Named-group allowed amount
$460K
Named-group Medicare payments
$365K
Avg charge / svc
$5,382
Avg allowed / svc
$680
Avg payment / svc
$541
Average charge per group
$175 9 groups · avg submitted charge / service $7,321
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 78811 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 78811 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 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 388 $2,840,483 $7,321 premium 61.1% (212) 263-9700
2 OCEAN PULMONARY ASSOCIATES, P.A. TOMS RIVER NJ PULMONARY DISEASE 9 94 $16,450 $175 premium 100.0% (732) 341-1380
3 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 56 $395,024 $7,054 premium 52.3% (904) 953-2000
4 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 45 $159,660 $3,548 premium 38.5% (650) 723-4000
5 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 36 $195,732 $5,437 premium 100.0% (205) 934-3460
6 MEMORIAL NUCLEAR MEDICINE GROUP NEW YORK NY NUCLEAR MEDICINE 39 17 $7,310 $430 premium 2.7% (212) 639-2000
7 QUANTUM RADIOLOGY PC MARIETTA GA DIAGNOSTIC RADIOLOGY 104 16 $6,032 $377 premium 100.0% (770) 732-4000
8 STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK AR DIAGNOSTIC RADIOLOGY 59 13 $15,340 $1,180 premium 100.0% (631) 638-2121
9 FLORIDA HOSPITAL MEDICAL GROUP INC ORLANDO FL DIAGNOSTIC RADIOLOGY 321 11 $2,332 $212 premium 10.3% (407) 303-5600

*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 →