Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93293 Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days CPT · Cardiography test

Classification Test › Cardiography › External Electrocardiographic Monitoring (CMS RBCS)

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

National scale 7,467 services ▼ 37.7% YoY · 4,008 beneficiaries (CY2024, Medicare FFS)

Medicare paid $184K · $24.68 avg / service, national

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

Billing groups

Named-group FFS services

1,335

FFS of Medicare

49%

Services YoY

-37.7%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~2,522 services

1,335 observed fee-for-service (53%) · ~1,187 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 — 93293 (CY2024)

IL 3,537 NY 2,102 NJ 798 PA 190 CA 188

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

Named-group submitted charges

$125K

Named-group allowed amount

$34K

Named-group Medicare payments

$24K

Avg charge / svc

$93

Avg allowed / svc

$25

Avg payment / svc

$18

Average charge per group

$30–65

$65–99

$99–134

$134–168

$168–203

$203–238

$238–272

$272+

$30 10 groups · avg submitted charge / service $435

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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 →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 93293 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	93293 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	MEDICAL ASSOCIATES OF ENGLEWOOD PC	ENGLEWOOD	NJ	INTERNAL MEDICINE	550	736	$37,880	$51	premium	92.2%	(201) 894-3158
2	NORTH COAST CARDIOLOGY INC	ENCINITAS	CA	CARDIOVASCULAR DISEASE (CARDIOLOGY)	2	112	$48,757	$435	premium	59.6%	(760) 753-0220
3	HESHAM FAKHRI MD PLLC	TAMPA	FL	NURSE PRACTITIONER	6	104	$12,499	$120	premium	70.3%	(813) 708-8346
4	HANNIBAL REGIONAL HEALTHCARE SYSTEM INC	HANNIBAL	MO	NURSE PRACTITIONER	265	101	$3,939	$39	premium	100.0%	(573) 248-1300
5	HEART GROUP OF THE EASTERN SHORE, P.C.	FAIRHOPE	AL	CARDIOVASCULAR DISEASE (CARDIOLOGY)	6	93	$5,580	$60	premium	100.0%	(251) 990-1920
6	NORTH SHORE-LIJ MEDICAL PC	MANHASSET	NY	PHYSICIAN ASSISTANT	6294	57	$1,710	$30	premium	2.7%	—
7	CALIFORNIA CARDIOVASCULAR INSTITUTE	BAKERSFIELD	CA	CARDIAC ELECTROPHYSIOLOGY	4	50	$4,900	$98	premium	26.6%	(661) 443-0088
8	PHOENIX REHABILITATION AND HEALTH SERVICES INC	CRANBERRY TOWNSHIP	PA	PHYSICIAN ASSISTANT	2664	45	$6,750	$150	premium	23.7%	—
9	BILLINGS CLINIC	BILLINGS	MT	PHYSICIAN ASSISTANT	811	20	$1,020	$51	premium	27.0%	(406) 657-4000
10	RALEIGH GENERAL HOSPITAL LLC	BECKLEY	WV	NURSE PRACTITIONER	27	17	$1,598	$94	premium	100.0%	(304) 252-0641

*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 →