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Market snapshot

93505 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93505 — Biopsy of heart muscle

Billing groups
50
Named-group FFS services
3,046
FFS of Medicare
49%
Services YoY
-16.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,313 services

3,046 observed fee-for-service (48%) · ~3,267 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 — 93505 (CY2024)
CA 584 FL 526 TX 418 TN 348 NY 267

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

Named-group submitted charges
$3.7M
Named-group allowed amount
$630K
Named-group Medicare payments
$497K
Avg charge / svc
$1,202
Avg allowed / svc
$207
Avg payment / svc
$163
Average charge per group
$440 50 groups · avg submitted charge / service $2,951
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 93505 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 281 $268,917 $957 80.7% (615) 322-5000
2 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 226 $666,981 $2,951 43.0% (904) 953-2000
3 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 177 $132,132 $747 30.3% (310) 423-0674
4 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 155 $228,625 $1,475 29.5% (954) 659-5000
5 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 118 $163,076 $1,382 100.0% (720) 777-1234
6 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 117 $111,222 $951 48.0% (617) 724-0287
7 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 116 $111,592 $962 81.1% (919) 684-8111
8 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 104 $69,736 $671 24.9% (210) 575-8289
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 102 $158,113 $1,550 38.2% (212) 263-9700
10 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 94 $70,392 $749 16.1% (310) 423-3277
11 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 89 $61,162 $687 47.3% (206) 364-0500
12 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 82 $120,120 $1,465 30.7% (212) 305-8559
13 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 73 $165,626 $2,269 12.5% (650) 723-4000
14 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 70 $93,730 $1,339 100.0% —
15 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 69 $90,873 $1,317 11.8% (310) 825-7922
16 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 67 $46,565 $695 12.7% (407) 200-2700
17 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 65 $63,895 $983 11.1% (800) 926-8273
18 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 63 $83,412 $1,324 77.8% (734) 763-5459
19 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 61 $34,755 $570 11.6% (813) 844-7585
20 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 60 $58,920 $982 10.3% (415) 600-1020
21 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 58 $61,422 $1,059 13.9% (214) 633-5555
22 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 51 $31,972 $627 100.0% (402) 559-4000
23 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 50 $81,850 $1,637 100.0% (800) 603-0558
24 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 48 $48,144 $1,003 11.5% (713) 266-9955
25 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 42 $33,458 $797 33.1% (612) 672-7422
26 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 41 $18,040 $440 11.8% (615) 269-4545
27 CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC BOSTON MA CARDIOVASCULAR DISEASE (CARDIOLOGY) 94 37 $81,017 $2,190 15.2% (617) 636-5000
28 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON MN NURSE PRACTITIONER 1930 36 $36,108 $1,003 28.3% (713) 266-9955
29 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 35 $30,198 $863 13.7% (410) 502-4340
30 CARDIOLOGY CLINICAL GROUP ROCHESTER NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 148 35 $33,075 $945 13.1% (585) 242-9450
31 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 34 $24,072 $708 100.0% (859) 257-1412
32 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY TX PHYSICIAN ASSISTANT 1783 32 $30,080 $940 7.7% (801) 581-2121
33 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 31 $18,600 $600 12.1% (410) 328-7877
34 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 29 $27,369 $944 11.9% (617) 732-5500
35 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 25 $24,700 $988 62.5% (804) 828-9000
36 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 24 $22,608 $942 100.0% (601) 815-4775
37 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 22 $18,524 $842 36.7% (215) 662-2777
38 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 22 $14,882 $676 5.3% (512) 324-7300
39 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 19 $18,810 $990 7.1% (212) 241-4812
40 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 18 $11,521 $640 22.2% (616) 885-5000
41 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 17 $13,464 $792 100.0% (404) 605-5000
42 CARDIOLOGY SPECIALISTS OF NORTH TEXAS PLLC DALLAS TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 67 16 $13,954 $872 3.8% —
43 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 15 $37,425 $2,495 5.6% (212) 746-5454
44 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 15 $36,421 $2,428 100.0% (843) 792-1414
45 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 15 $15,750 $1,050 37.5% (434) 924-5959
46 CLEVELAND CLINIC CLEVELAND PA PHYSICIAN ASSISTANT 6828 15 $20,085 $1,339 25.0% —
47 HEARTLAND CARDIOLOGY, LLC WICHITA KS NURSE PRACTITIONER 27 15 $8,250 $550 28.8% (316) 686-5300
48 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 14 $14,140 $1,010 2.4% (800) 872-2273
49 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 12 $7,200 $600 4.7% (410) 663-8100
50 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 12 $6,174 $514 100.0% (207) 885-9905
51 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 11 $13,760 $1,251 8.7% (507) 284-2511
52 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 11 $9,530 $866 5.9% (253) 428-2200

*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 →