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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
93453 Insertion of tube in right and left heart chambers for diagnosis with review by radiologist CPT · Cardiovascular procedure
Classification Procedure Cardiovascular Percutaneous Transcatheterization (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 146 services ▲ 22.7% YoY · 146 beneficiaries (CY2024, Medicare FFS)
Medicare paid $39K · $264.25 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
6
Named-group FFS services
103
FFS of Medicare
49%
Services YoY
+22.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~229 services

103 observed fee-for-service (45%) · ~126 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 — 93453 (CY2024)

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

Named-group submitted charges
$196K
Named-group allowed amount
$39K
Named-group Medicare payments
$31K
Avg charge / svc
$1,905
Avg allowed / svc
$377
Avg payment / svc
$301
Average charge per group
$629 6 groups · avg submitted charge / service $3,633
Market analyticsPlatform
a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 93453 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 93453 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 FLORIDA CARDIAC CONSULTANTS INC SARASOTA FL PHYSICIAN ASSISTANT 13 24 $17,688 $737 premium 33.8%
2 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 22 $79,926 $3,633 premium 100.0% (608) 287-2050
3 IDICULA MEDICAL ASSOCIATES MD PA WEEKI WACHEE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 21 $58,509 $2,786 premium 29.6% (352) 596-4660
4 SOUTHERN CALIFORNIA HEART SPECIALISTS PASADENA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 14 $22,820 $1,630 premium 100.0% (626) 793-1227
5 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 11 $6,921 $629 premium 15.5% (386) 231-6000
6 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 11 $10,384 $944 premium 100.0% (360) 493-4083

*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 →