Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

79005 Radioactive drug therapy by mouth CPT · Radiation Oncology treatment

Classification Treatment › Radiation Oncology › Radiation Treatment Planning (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 156 services ▼ 3.7% YoY · 151 beneficiaries (CY2024, Medicare FFS)

Medicare paid $11K · $73.06 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

115

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-3.7%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~235 services

115 observed fee-for-service (49%) · ~120 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 — 79005 (CY2024)

CA 27 MS 21 LA 16 AZ 16 CT 15

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

Billed → allowed → paid

Named-group submitted charges

$53K

Named-group allowed amount

$11K

Named-group Medicare payments

$9K

Avg charge / svc

$460

Avg allowed / svc

$97

Avg payment / svc

$76

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$260–357

$357–455

$455–552

$552–650

$650–747

$747–844

$844–942

$942+

$260 8 groups · avg submitted charge / service $1,343

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

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

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 79005 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	79005 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	MARK DEVIN SHEPHERD	TUPELO	MS	ENDOCRINOLOGY	2	21	$9,975	$475	premium	100.0%	(662) 844-4911
2	LAFAYETTE ARTHRITIS AND ENDOCRINE CLINIC APMC	LAFAYETTE	LA	NURSE PRACTITIONER	12	16	$4,720	$295	premium	100.0%	3372377801206
3	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	CT	PHYSICIAN ASSISTANT	6294	15	$6,622	$442	premium	100.0%	—
4	KETTERING NETWORK RADIOLOGISTS INC	DAYTON	OH	DIAGNOSTIC RADIOLOGY	74	14	$4,830	$345	premium	100.0%	(937) 558-3800
5	CITY OF HOPE MEDICAL FOUNDATION	DUARTE	CA	NURSE PRACTITIONER	942	14	$3,640	$260	premium	51.9%	(626) 256-4673
6	SHASTA COMMUNITY HEALTH CENTER	REDDING	CA	FAMILY PRACTICE	61	13	$5,200	$400	premium	48.1%	(530) 246-5796
7	COLUMBUS RADIOLOGY CORP	COLUMBUS	PA	DIAGNOSTIC RADIOLOGY	288	11	$14,773	$1,343	premium	100.0%	(614) 228-7231
8	ANCILLARY SERVICES OF PRACTICE ASSOCIATES PA	MORRISTOWN	NJ	DIAGNOSTIC RADIOLOGY	97	11	$3,190	$290	premium	100.0%	(973) 971-6866

*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 →