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Market snapshot

78813 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

78813 — Nuclear medicine study whole body

Billing groups
12
Named-group FFS services
690
FFS of Medicare
49%
Services YoY
+47.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,554 services

690 observed fee-for-service (44%) · ~864 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 — 78813 (CY2024)

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

Named-group submitted charges
$407K
Named-group allowed amount
$81K
Named-group Medicare payments
$64K
Avg charge / svc
$590
Avg allowed / svc
$118
Avg payment / svc
$93
Average charge per group
$225 12 groups · avg submitted charge / service $12,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 78813 services, CY2024
#Physician group City St Specialty Providers 78813 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 173 $90,825 $525 premium 94.0% (919) 684-8111
2 ADVANCED RADIOLOGY SERVICES PC GRAND RAPIDS MI DIAGNOSTIC RADIOLOGY 249 125 $44,125 $353 premium 48.4% (616) 363-7272
3 QUANTUM RADIOLOGY PC MARIETTA GA DIAGNOSTIC RADIOLOGY 104 93 $45,291 $487 premium 100.0% (770) 732-4000
4 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 93 $22,785 $245 premium 100.0% (501) 686-8000
5 RADIOLOGY REGIONAL CENTER P A FORT MYERS MI DIAGNOSTIC RADIOLOGY 52 45 $15,885 $353 premium 17.4% (239) 936-2316
6 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 42 $14,784 $352 premium 7.3% (612) 873-6963
7 MSU HEALTH CARE INC. EAST LANSING MI DIAGNOSTIC RADIOLOGY 217 28 $6,300 $225 premium 10.9%
8 COOK COUNTY CHICAGO IL INTERNAL MEDICINE 794 24 $9,392 $391 premium 41.4% (312) 572-2000
9 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 20 $4,900 $245 premium 34.5% (312) 563-2875
10 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 19 $4,655 $245 premium 100.0% (314) 747-3000
11 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 16 $4,497 $281 premium 100.0% (206) 364-0500
12 BEVERLY HILLS ONCOLOGY MEDICAL GROUP INC BEVERLY HILLS CA RADIATION ONCOLOGY 8 12 $144,000 $12,000 premium 13.0% (310) 432-8999

*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 →