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Market snapshot

93998 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

93998 — Other noninvasive vascular diagnostic study

Billing groups
4
Named-group FFS services
274
FFS of Medicare
49%
Services YoY
+256.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~466 services

274 observed fee-for-service (59%) · ~192 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 — 93998 (CY2024)

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

Named-group submitted charges
$76K
Named-group allowed amount
$26K
Named-group Medicare payments
$21K
Avg charge / svc
$276
Avg allowed / svc
$95
Avg payment / svc
$75
Average charge per group
$73 4 groups · avg submitted charge / service $558
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 93998 services, CY2024
#Physician group City St Specialty Providers 93998 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 208 $51,571 $248 premium 93.3% (617) 732-5500
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 28 $15,624 $558 premium 65.1% (507) 284-2511
3 RIVERSIDE RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC COLUMBUS OH DIAGNOSTIC RADIOLOGY 243 23 $1,689 $73 premium 100.0% (614) 566-5600
4 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 15 $6,673 $445 premium 6.7% (617) 724-0287

*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 →