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

93225 Electrocardiogram (ecg) 2-day continuous CPT · Cardiography test

Classification Test › Cardiography › Electrocardiogram (CMS RBCS)

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

National scale 30,393 services ▼ 24.4% YoY · 28,998 beneficiaries (CY2024, Medicare FFS)

Medicare paid $383K · $12.61 avg / service, national

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

Billing groups

215

Named groups billing this code

Named-group FFS services

18,323

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

-24.4%

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

~38,119 services

18,323 observed fee-for-service (48%) · ~19,796 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 — 93225 (CY2024)

NY 3,737 FL 3,365 CA 2,628 TX 1,715 PA 1,533

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

$1.7M

Named-group allowed amount

$314K

Named-group Medicare payments

$233K

Avg charge / svc

$94

Avg allowed / svc

$17

Avg payment / svc

$13

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

$20–43

$43–66

$66–89

$89–112

$112–135

$135–158

$158–182

$182+

$20 215 groups · avg submitted charge / service $649

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 93225 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	93225 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share* locked column	Phone
1	ECONFINA CARDIOLOGY GROUP PA	PANAMA CITY	FL	NURSE PRACTITIONER	17	717	$43,020	$60	premium	21.3%	(850) 769-0329
2	BAPTIST HEALTH MEDICAL GROUP INC	LOUISVILLE	KY	NURSE PRACTITIONER	2448	605	$41,140	$68	premium	98.1%	(502) 928-1050
3	HEALTHTEXAS PROVIDER NETWORK	DALLAS	TX	PHYSICIAN ASSISTANT	2482	521	$54,705	$105	premium	30.4%	—
4	VANDERBILT UNIVERSITY MEDICAL CENTER	NASHVILLE	TN	NURSE PRACTITIONER	3394	519	$52,419	$101	premium	51.7%	(615) 322-5000
5	HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC	STORRS	CT	PHYSICIAN ASSISTANT	1493	496	$51,425	$104	premium	81.2%	(860) 724-2579

That's the top 5 of 215 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →