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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
78831 Nuclear medicine study, spect imaging, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days CPT · Nuclear imaging
Classification Imaging Nuclear (CMS RBCS)
First observed 2020
National scale 388 services ▼ 29.7% YoY · 365 beneficiaries (CY2024, Medicare FFS)
Medicare paid $24K · $62.98 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
108
FFS of Medicare
49%
Services YoY
-29.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~172 services

108 observed fee-for-service (63%) · ~64 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; 1 state without payer-mix data excluded. How we scale

Top states — 78831 (CY2024)

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

Named-group submitted charges
$53K
Named-group allowed amount
$9K
Named-group Medicare payments
$7K
Avg charge / svc
$489
Avg allowed / svc
$83
Avg payment / svc
$63
Average charge per group
$291 5 groups · avg submitted charge / service $1,534
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 78831 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 78831 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 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 47 $16,221 $345 premium 100.0% (319) 678-8201
2 ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA MORRISTOWN NJ DIAGNOSTIC RADIOLOGY 97 25 $7,275 $291 premium 22.3% (973) 971-6866
3 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 13 $8,125 $625 premium 100.0% (212) 263-9700
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO XX NURSE PRACTITIONER 4339 12 $4,320 $360 premium 100.0%
5 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 11 $16,874 $1,534 premium 100.0% (248) 898-5058

*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 →