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A9500 Technetium tc-99m sestamibi, diagnostic, per study dose HCPCS · Nuclear imaging
Classification Imaging › Nuclear › Myocardial Perfusion Scan (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1.13M services · est. ▼ 8.9% YoY · 313,627 FFS beneficiary-episodes (CY2024, all-Medicare estimate) — 546,847 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the AZ market is below
Live example

You’re looking at the paid view, on real data. Sestamibi, the nuclear heart-imaging tracer (A9500), in Arizona is Nevvi’s open example market; every market on a plan renders exactly like this.

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Data year CY2024 CY2023 CY2022 CY2021 CY2020
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Market summary
Market Brief A9500
A shareable PDF report summarizing this market’s size, trends, and providers.
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National benchmarks

Arizona ranks #4 of the 50 state markets by est. all-Medicare services for this code — 49.8 services per 1,000 Part B FFS beneficiaries in CY2024.

104 svc (lowest) median 7,182 224,840 (highest)

Each tick is one state market's est. all-Medicare services (scaled estimate) for this code, CY2024, on a value axis — the 50 states and DC; overseas territories are excluded. Rank counts from the highest (#4 of 50 ≈ the 94th percentile). Where each group on this page sits nationally within its specialty renders on its drill-down.

Market position
volume →

Arizona is a high-volume, shrinking market for this code — #34 of 49 state markets by 5-year growth, #4 of 50 by est. all-Medicare services.

5-yr change -11.9% CAGR (avg. yearly growth) -1.9%/yr volume #4 of 50 growth #34 of 49
Volume bands are terciles among all state markets for this search, CY2020–CY2024; growth bands are this market's own 5-year change (±2%). Excludes only a code's partial introduction year.
Estimated all-Medicare volume estimate
FFS + estimated MA

~63,253 services

31,425 observed fee-for-service (50%) · ~31,828 estimated Medicare Advantage.

Medicare Advantage covers 51% of Arizona’s Medicare beneficiaries.

Medicare Advantage penetration 42% → 51% since 2020.

Largest parent organizations by disclosed enrollment
  • UnitedHealth Group, Inc.≥41%
  • Humana Inc.≥22%
  • Health Care Service Corporation≥9%

Shares are floors: each is that organization’s enrollment CMS discloses, against the 783,286 Medicare Advantage beneficiaries CMS counts in Arizona. CMS suppresses small plan×county cells, so every organization holds at least what is shown and may hold more — the first two are not separated by these figures, and the order is by disclosed enrollment, not by a measured rank. Enrollment as of August 2026 (monthly file); beneficiary counts CY2025 (annual file).

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 · Methods.
Average charge

$358-0.9% vs 2023

per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment

$61-4.1% vs 2023

per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio

5.8×+15.0% vs 2023

average list $358 vs average Medicare payment $62 per service · named-group basis
What they charge

Half the field lists between $203 and $360

Submitted charges are provider-set list amounts, not payments · median $273 (named groups)
Every group, one dot33 billing groups · median $273

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$400$800++1 groups list more, to $1,000 →average submitted charge per service, per billing groupmedian $273
One dot per billing group, A9500 in AZ CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.

Every named group in this market, placed by list charge against volume

This market’s groups, on one chart33 groups · bubble = services · the five largest are called out
1001,000CARDIOJOST PLLC · 1,012 services · $373 average list charge · $267 average Medicare paid per serviceNORTHERN ARIZONA HEALTHCARE CORPORATION · 927 services · $229 average list charge · $10 average Medicare paid per serviceKAYNAK MEDICAL SERVICES LLC · 766 services · $398 average list charge · $59 average Medicare paid per serviceNATIONAL CARDIOVASCULAR ASSOCIATES LLC · 751 services · $322 average list charge · $101 average Medicare paid per serviceTUCSON PHYSICIAN GROUP HOLDINGS LLC · 597 services · $276 average list charge · $25 average Medicare paid per serviceYUMA CARDIOLOGY ASSOCIATES PC · 446 services · $365 average list charge · $43 average Medicare paid per serviceSOUTHWEST HEART AND VASCULAR CARE, LTD · 417 services · $305 average list charge · $41 average Medicare paid per serviceSAN TAN CARDIOVASCULAR CENTER LLC · 414 services · $1,000 average list charge · $210 average Medicare paid per serviceYUMA CARDIAC CENTER PC · 324 services · $215 average list charge · $86 average Medicare paid per serviceLAKESIDE HEART AND VASCULAR CENTER PLLC · 320 services · $273 average list charge · $200 average Medicare paid per serviceKUMAR RAVI MD FACC PC · 251 services · $322 average list charge · $102 average Medicare paid per serviceSOUTHWEST CARDIOVASCULAR ASSOCIATES AHMED ALFAFARA AND PRASAD LTD · 238 services · $190 average list charge · $48 average Medicare paid per serviceJOSEPH A CAPLAN MD PC · 228 services · $244 average list charge · $39 average Medicare paid per serviceSWARUP LLC · 197 services · $160 average list charge · $35 average Medicare paid per serviceLIVWELL HEALTH LLC · 144 services · $800 average list charge · $601 average Medicare paid per serviceMAYO CLINIC ARIZONA · 112 services · $458 average list charge · $16 average Medicare paid per serviceZYMEK CARDIOLOGY PLLC · 104 services · $99 average list charge · $77 average Medicare paid per serviceVASCULAR HEART AND LUNG ASSOCIATES, PC · 104 services · $72 average list charge · $26 average Medicare paid per serviceRED SEA HEART CENTER PLC · 96 services · $250 average list charge · $194 average Medicare paid per serviceHEALTHFINITY PLLC · 75 services · $150 average list charge · $32 average Medicare paid per serviceOLD PUEBLO CARDIOLOGY PC · 72 services · $250 average list charge · $72 average Medicare paid per serviceCEDARS HEART CLINIC, LLC · 60 services · $47 average list charge · $26 average Medicare paid per servicePREMIER CARDIOVASCULAR CENTER, PLC · 52 services · $194 average list charge · $88 average Medicare paid per servicePHOENIX HEART PLLC · 28 services · $308 average list charge · $78 average Medicare paid per serviceHEART ONE ASSOCIATES LLC · 27 services · $243 average list charge · $12 average Medicare paid per serviceCARDIOVASCULAR ASSOCIATES OF MESA PC · 24 services · $279 average list charge · $25 average Medicare paid per servicePIONEER CARDIOVASCULAR CONSULTANTS, P.C. · 22 services · $87 average list charge · $41 average Medicare paid per serviceHEART AND VASCULAR ASSOCIATES LLC · 22 services · $203 average list charge · $27 average Medicare paid per serviceTRI-CITY CARDIOLOGY CONSULTANTS PC · 3,975 services · $360 average list charge · $24 average Medicare paid per serviceHONORHEALTH AMBULATORY · 2,740 services · $394 average list charge · $16 average Medicare paid per serviceVHS OUTPATIENT CLINICS INC · 1,759 services · $287 average list charge · $21 average Medicare paid per serviceLIFETIME CARDIOVASCULAR PLC · 1,384 services · $250 average list charge · $97 average Medicare paid per serviceZAKI LABABIDI MD SC · 1,168 services · $630 average list charge · $28 average Medicare paid per serviceLIFETIME CARDIOVASCULAR PLCVHS OUTPATIENT CLINICS INCTRI-CITY CARDIOLOGY CONSULTANTS PCHONORHEALTH AMBULATORYZAKI LABABIDI MD SC$100$250$500$750$1,000+Average submitted charge per service — list amounts, not paymentsServices per group — A9500, CY2024
One mark per physician group, A9500 in AZ CY2024 — every mark carries its group name and figures on hover. Submitted charges are provider-set list amounts, not payments.

Phoenix is Arizona's largest named-group market for this service — drawn to scale

Where the market isbubble = services
Phoenix: 4,273 services · 8 groups · median list charge $308Mesa: 3,913 services · 5 groups · median list charge $360Chandler: 2,291 services · 5 groups · median list charge $250Yuma: 1,887 services · 6 groups · median list charge $290Scottsdale: 1,320 services · 3 groups · median list charge $407Gilbert: 1,272 services · 2 groups · median list charge $364Flagstaff: 1,065 services · 2 groups · median list charge $318Tucson: 693 services · 3 groups · median list charge $273Casa Grande: 424 services · 1 groups · median list charge $276Peoria: 389 services · 3 groups · median list charge $244Surprise: 299 services · 1 groups · median list charge $322Avondale: 251 services · 1 groups · median list charge $322Glendale: 152 services · 2 groups · median list charge $290Prescott: 114 services · 1 groups · median list charge $671Goodyear: 59 services · 1 groups · median list charge $276Tempe: 22 services · 1 groups · median list charge $87PhoenixMesaChandlerYumaScottsdaleFlagstaffTucsonCasa GrandePeoriaSurpriseAvondaleGlendale
16 of the top 19 billing cities mapped (97.7% of their named-group volume).
Leading city marketsthe map, as a list
1Phoenix 4,273 $308
8 groups · median list charge
2Mesa 3,913 $360
5 groups · median list charge
3Chandler 2,291 $250
5 groups · median list charge
4Yuma 1,887 $290
6 groups · median list charge
5Scottsdale 1,320 $407
3 groups · median list charge
6Gilbert 1,272 $364
2 groups · median list charge
7Flagstaff 1,065 $318
2 groups · median list charge
8Tucson 693 $273
3 groups · median list charge
9Casa Grande 424 $276
1 group · median list charge
10Peoria 389 $244
3 groups · median list charge
11Surprise 299 $322
1 group · median list charge
City grain — the group ranking lives below. 11 cities listed.
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