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Market snapshot

93455 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93455 — Insertion of tube in bypass graft for diagnosis with review by radiologist

Billing groups
111
Named-group FFS services
2,895
FFS of Medicare
49%
Services YoY
-14.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,757 services

2,895 observed fee-for-service (50%) · ~2,862 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 — 93455 (CY2024)
CA 351 NY 336 MA 308 FL 301 OH 284

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

Named-group submitted charges
$4.1M
Named-group allowed amount
$616K
Named-group Medicare payments
$485K
Avg charge / svc
$1,424
Avg allowed / svc
$213
Avg payment / svc
$168
Average charge per group
$421 111 groups · avg submitted charge / service $8,602
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 93455 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 140 $314,720 $2,248 49.3% —
2 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 121 $112,871 $933 34.5% (310) 423-3277
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 103 $160,519 $1,558 30.7% —
4 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 88 $283,536 $3,222 44.2% (608) 287-2050
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 79 $225,466 $2,854 23.5% (212) 263-9700
6 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 77 $73,689 $957 22.9% —
7 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 73 $85,777 $1,175 23.7% (617) 732-5500
8 KANSAS HEART HOSPITAL, LLC WICHITA KS NURSE PRACTITIONER 24 70 $59,500 $850 38.0% (316) 630-5000
9 CATHOLIC HEALTH INITIATIVES-IOWA CORP WEST DES MOINES IA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 62 $56,482 $911 70.5% (515) 358-8000
10 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 58 $166,750 $2,875 38.4% (800) 603-0558
11 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 54 $80,790 $1,496 27.0% —
12 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 53 $171,932 $3,244 28.8% (620) 669-2500
13 BAPTIST MEDICAL GROUP LLC PENSACOLA FL PHYSICIAN ASSISTANT 248 50 $30,500 $610 16.6% —
14 SOMC MEDICAL CARE FOUNDATION, INC. PORTSMOUTH OH NURSE PRACTITIONER 349 50 $25,500 $510 17.6% (740) 356-7290
15 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 49 $83,496 $1,704 68.1% (605) 332-2883
16 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 42 $96,894 $2,307 14.0% (904) 953-2000
17 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 42 $48,706 $1,160 13.6% (617) 724-0287
18 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 40 $39,115 $978 33.1% —
19 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 39 $35,100 $900 12.7% (781) 983-9088
20 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 38 $55,974 $1,473 36.5% (507) 284-2511
21 CARDIOLOGY CONSULTANTS OF PHILADELPHIA PC PHILADELPHIA PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 143 35 $76,125 $2,175 14.7% (215) 463-5333
22 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 31 $16,039 $517 34.8% —
23 BLESSING HOSPITAL QUINCY IL NURSE PRACTITIONER 401 31 $25,374 $819 15.5% (217) 223-8400
24 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 30 $28,332 $944 20.7% (410) 502-4340
25 YUMA CARDIOLOGY ASSOCIATES PC YUMA AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 30 $25,800 $860 19.9% (928) 341-9522
26 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 30 $39,588 $1,320 12.6% (570) 888-5858
27 THE HEART GROUP OF LANCASTER GENERAL HEALTH LANCASTER PA NURSE PRACTITIONER 61 30 $20,149 $672 12.6% (717) 544-8300
28 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 29 $34,762 $1,199 9.4% —
29 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 29 $26,100 $900 12.2% —
30 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 28 $30,038 $1,073 8.0% (310) 423-0674
31 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 28 $26,516 $947 8.0% (800) 872-2273
32 CARDIOLOGY ASSOCIATES OF MOBILE INC MOBILE AL PHYSICIAN ASSISTANT 52 26 $32,604 $1,254 46.4% (251) 460-0078
33 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 26 $24,726 $951 34.7% (615) 322-5000
34 CENTENNIAL HEART LLC NASHVILLE TN NURSE PRACTITIONER 121 25 $31,883 $1,275 33.3% (615) 515-1900
35 BAPTIST CARDIOLOGY, INC. JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 25 $17,593 $704 8.3% (904) 399-1171
36 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 24 $23,971 $999 6.8% (858) 455-9100
37 CITRUS CARDIOLOGY CONSULTANTS, PLLC INVERNESS FL NURSE PRACTITIONER 47 23 $12,780 $556 7.6% (352) 726-8353
38 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 22 $71,720 $3,260 11.1% (608) 260-2900
39 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 22 $19,976 $908 7.3% (904) 308-6900
40 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE NJ NURSE PRACTITIONER 409 21 $17,599 $838 65.6% (843) 777-2000
41 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 21 $19,987 $952 11.4% (785) 354-9591
42 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 20 $69,400 $3,470 10.1% (414) 421-8400
43 ECONFINA CARDIOLOGY GROUP PA PANAMA CITY FL NURSE PRACTITIONER 17 20 $37,900 $1,895 6.6% (850) 769-0329
44 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 19 $15,672 $825 36.5% (701) 234-2000
45 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 19 $42,712 $2,248 5.7% (212) 746-5454
46 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 19 $13,053 $687 43.2% (816) 472-5157
47 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 19 $13,718 $722 21.3% (434) 924-5959
48 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 19 $23,940 $1,260 5.7% (212) 241-4812
49 LIMA MEMORIAL PROFESSIONAL CORPORATION LIMA OH PHYSICIAN ASSISTANT 169 19 $7,999 $421 6.7% (419) 998-4575
50 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 18 $13,572 $754 5.1% (714) 871-3006
51 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 18 $54,990 $3,055 32.1% (256) 265-2372
52 UPMC WESTERN MARYLAND HEALTH SERVICES LLC CUMBERLAND MD PHYSICIAN ASSISTANT 171 17 $7,922 $466 11.7% —
53 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 17 $17,558 $1,033 16.3% (612) 863-4000
54 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 17 $9,231 $543 21.8% —
55 FLORIDA HEART ASSOCIATES PL FORT MYERS FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 27 17 $13,430 $790 5.6% (239) 938-2000
56 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 17 $15,096 $888 14.0% (325) 747-1511
57 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 16 $23,216 $1,451 13.2% (254) 724-2663
58 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 16 $18,570 $1,161 5.3% —
59 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 16 $75,328 $4,708 4.6% (650) 723-4000
60 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE IN NURSE PRACTITIONER 2448 16 $8,560 $535 20.5% (502) 928-1050
61 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 16 $12,928 $808 5.2% (617) 421-1000
62 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 15 $26,555 $1,770 100.0% (203) 688-4242
63 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 15 $16,200 $1,080 16.9% (804) 282-2685
64 NORTHWEST ALLIED PHYSICIANS LLC TUCSON AZ PHYSICIAN ASSISTANT 128 15 $12,630 $842 9.9% (520) 202-7770
65 READING HOSPITAL WEST READING PA NURSE PRACTITIONER 153 15 $17,469 $1,165 6.3% —
66 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 15 $13,050 $870 4.3% —
67 DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI PHYSICIAN ASSISTANT 192 14 $11,997 $857 53.8% —
68 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 14 $16,030 $1,145 4.2% (631) 444-1560
69 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 14 $15,778 $1,127 16.7% (919) 684-8111
70 INTEGRATED CARDIOLOGY GROUP LLC LINCOLN NE PHYSICIAN ASSISTANT 78 14 $8,358 $597 56.0% (402) 483-3333
71 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 14 $14,868 $1,062 21.5% (318) 966-6500
72 GIBSON COMMUNITY HOSPITAL ASSOCIATION GIBSON CITY IL NURSE PRACTITIONER 147 14 $23,282 $1,663 7.0% (217) 784-4030
73 PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC TOLEDO OH CARDIOVASCULAR DISEASE (CARDIOLOGY) 79 14 $13,398 $957 4.9% (419) 842-3000
74 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 14 $25,886 $1,849 7.0% —
75 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 14 $16,339 $1,167 35.9% (802) 847-0000
76 MOUNTAINSTAR CARDIOLOGY ST MARKS LLC OGDEN UT CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 14 $12,999 $928 100.0% (801) 479-2111
77 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 14 $16,016 $1,144 16.7% (919) 350-7270
78 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 13 $23,660 $1,820 3.9% (212) 305-8559
79 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 13 $24,350 $1,873 5.5% (484) 526-2400
80 HOLZER CLINIC LLC GALLIPOLIS FL NURSE PRACTITIONER 267 13 $46,540 $3,580 4.3% (740) 446-5050
81 RETREAT CARDIOLOGY LLC RICHMOND VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 14 13 $12,664 $974 14.6% (804) 288-0134
82 SGMC PHYSICIAN NETWORK INC VALDOSTA GA NURSE PRACTITIONER 126 13 $11,284 $868 100.0% (229) 433-8160
83 COMMUNITY CARE NETWORK INC MUNSTER IL NURSE PRACTITIONER 379 13 $7,254 $558 6.5% (219) 836-4563
84 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 13 $12,922 $994 12.5% (612) 672-7422
85 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 13 $9,040 $695 5.5% —
86 HEART CARE SPECIALISTS LLC SAINT LOUIS MO CARDIOVASCULAR DISEASE (CARDIOLOGY) 16 13 $7,227 $556 29.5% (314) 729-0088
87 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 13 $11,908 $916 36.1% —
88 BMC AFFILIATED PHYSICIANS, INC. BROCKTON MA PHYSICIAN ASSISTANT 525 12 $8,520 $710 3.9% (508) 427-3000
89 HOUSTON COUNTY HEALTHCARE AUTHORITY DOTHAN AL INTERNAL MEDICINE 258 12 $9,400 $783 21.4% (334) 793-8087
90 SAINT VINCENT PHYSICIAN SERVICES INC WORCESTER MA NURSE PRACTITIONER 72 12 $10,440 $870 3.9% (508) 753-7259
91 ST VINCENT INFIRMARY MEDICAL CENTER LITTLE ROCK AR NURSE PRACTITIONER 47 12 $9,480 $790 11.3% (501) 255-6000
92 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 12 $6,696 $558 15.4% (219) 836-4563
93 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 12 $9,300 $775 27.3% —
94 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 12 $10,668 $889 29.3% (360) 882-2778
95 MYMICHIGAN MEDICAL CENTER MIDLAND MIDLAND MI PHYSICIAN ASSISTANT 469 12 $6,360 $530 46.2% (989) 633-8018
96 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 12 $9,660 $805 26.7% (405) 608-3800
97 GOOD SAMARITAN HOSPITAL CORVALLIS CORVALLIS OR PHYSICIAN ASSISTANT 388 12 $11,004 $917 33.3% (541) 768-7700
98 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 12 $9,423 $785 29.3% (253) 428-2200
99 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC POUGHKEEPSIE NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 72 12 $41,856 $3,488 3.6% (845) 473-1188
100 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 11 $7,887 $717 7.6% (410) 522-9800

Showing the top 100 of 111 groups — 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 →