NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 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 620 services ▲ 3.0% YoY · 610 beneficiaries (CY2024, Medicare FFS)
Medicare paid $42K · $66.99 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
339
FFS of Medicare
49%
Services YoY
+3.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~676 services

339 observed fee-for-service (50%) · ~337 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 — A9540 (CY2024)

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

Named-group submitted charges
$226K
Named-group allowed amount
$27K
Named-group Medicare payments
$21K
Avg charge / svc
$666
Avg allowed / svc
$79
Avg payment / svc
$63
Average charge per group
$68 7 groups · avg submitted charge / service $850
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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 A9540 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 A9540 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 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 160 $136,000 $850 premium 87.4% (800) 603-0558
2 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 81 $68,850 $850 premium 79.4% (904) 953-2000
3 ADVANCED RADIOLOGY P A BALTIMORE MD DIAGNOSTIC RADIOLOGY 161 42 $2,856 $68 premium 50.6% (888) 972-9700
4 RADIOLOGY REGIONAL CENTER P A FORT MYERS FL DIAGNOSTIC RADIOLOGY 52 21 $6,874 $327 premium 20.6% (239) 936-2316
5 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 12 $1,392 $116 premium 29.3% (617) 421-1000
6 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 12 $7,860 $655 premium 100.0% (212) 263-9700
7 SDMI, LLC LAS VEGAS NV DIAGNOSTIC RADIOLOGY 36 11 $2,095 $190 premium 100.0% (702) 732-6000

*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 →