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Market snapshot

93226 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93226 — Electrocardiogram (ecg) 2-day continuous with report

Billing groups
15
Named-group FFS services
1,987
FFS of Medicare
49%
Services YoY
-16.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,197 services

1,987 observed fee-for-service (47%) · ~2,210 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 — 93226 (CY2024)

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

Named-group submitted charges
$252K
Named-group allowed amount
$69K
Named-group Medicare payments
$52K
Avg charge / svc
$127
Avg allowed / svc
$35
Avg payment / svc
$26
Average charge per group
$46 15 groups · avg submitted charge / service $252
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 93226 services, CY2024
#Physician group City St Specialty Providers 93226 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ECONFINA CARDIOLOGY GROUP PA PANAMA CITY FL NURSE PRACTITIONER 17 724 $33,316 $46 premium 45.3% (850) 769-0329
2 SOUTHERN CALIFORNIA HEART SPECIALISTS PASADENA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 281 $56,200 $200 premium 1.2% (626) 793-1227
3 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 242 $32,670 $135 premium 1.0% (760) 353-6363
4 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 121 $26,136 $216 premium 100.0% (260) 425-5900
5 GUTHRIE MEDICAL GROUP PC SAYRE NY PHYSICIAN ASSISTANT 804 100 $25,207 $252 premium 5.6% (570) 888-5858
6 TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP INC MURRIETA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 98 $10,094 $103 premium 0.4% (951) 698-4600
7 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 92 $23,257 $253 premium 0.5% (570) 888-5858
8 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 92 $18,400 $200 premium 65.2% 3372699777139
9 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN PA NURSE PRACTITIONER 309 59 $5,900 $100 premium 0.3% (402) 219-8000
10 CARIENT HEART AND VASCULAR, LLC MANASSAS VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 26 40 $3,680 $92 premium 74.1% 57158117712611
11 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN NE NURSE PRACTITIONER 309 36 $3,600 $100 premium 100.0% (402) 219-8000
12 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 28 $2,828 $101 premium 36.4% (864) 885-0058
13 KANSAS HEART HOSPITAL, LLC WICHITA KS NURSE PRACTITIONER 24 21 $3,360 $160 premium 5.4% (316) 630-5000
14 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 15 $2,985 $199 premium 0.1% (713) 566-5000
15 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 13 $1,144 $88 premium 27.7% (563) 584-4100
16 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE LA ORTHOPEDIC SURGERY 95 13 $2,574 $198 premium 9.2% (337) 238-9931
17 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 12 $900 $75 premium 0.1% (903) 606-5560

*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 →