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Market snapshot

93243 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93243 — Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days

Billing groups
8
Named-group FFS services
763
FFS of Medicare
49%
Services YoY
+7.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,646 services

763 observed fee-for-service (46%) · ~883 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 — 93243 (CY2024)

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

Named-group submitted charges
$198K
Named-group allowed amount
$132K
Named-group Medicare payments
$102K
Avg charge / svc
$260
Avg allowed / svc
$173
Avg payment / svc
$133
Average charge per group
$0 8 groups · avg submitted charge / service $716
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 93243 services, CY2024
#Physician group City St Specialty Providers 93243 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CARDIOLOGY SPECIALISTS OF ACADIANA, LLC LAFAYETTE LA CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 310 $82,150 $265 premium 76.2% 3372699777139
2 BAYLOR ST. LUKE'S MEDICAL GROUP THE WOODLANDS TX PHYSICIAN ASSISTANT 177 278 $40,032 $144 premium 0.7% (281) 444-3278
3 COMPREHENSIVE CARDIOVASCULAR MEDICAL GROUP, INC. BAKERSFIELD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 57 $27,361 $480 premium 0.0% (661) 631-5544
4 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 38 $27,193 $716 premium 100.0%
5 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. JACKSONVILLE FL NURSE PRACTITIONER 884 31 $4,464 $144 premium 21.8% (904) 244-1680
6 LOS ALAMITOS INTERNAL MEDICAL GROUP INC LOS ALAMITOS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 21 $9,847 $469 premium 0.0% (562) 430-7533
7 SPRINGFIELD MEDICAL ASSOC PSC SPRINGFIELD KY INTERNAL MEDICINE 2 17 $0 $0 premium 100.0% (859) 336-7795
8 CLS HEALTH PLLC WEBSTER TX NURSE PRACTITIONER 172 11 $7,392 $672 premium 0.0% (281) 724-1860

*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 →