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Market snapshot

A9555 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

A9555 — Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries

Billing groups
189
Named-group FFS services
129,183
FFS of Medicare
49%
Services YoY
+19.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~262,329 services

129,183 observed fee-for-service (49%) · ~133,146 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — A9555 (CY2024)

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

Named-group submitted charges
$148.0M
Named-group allowed amount
$66.3M
Named-group Medicare payments
$52.9M
Avg charge / svc
$1,146
Avg allowed / svc
$514
Avg payment / svc
$410
Average charge per group
$128 189 groups · avg submitted charge / service $31,252
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Specialty market — Interventional Cardiology: 11,724 services across 14 groups; top group 20%. See Interventional Cardiology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by A9555 services, CY2023
#Physician group City St Specialty Providers A9555 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA GAINESVILLE FL INTERVENTIONAL CARDIOLOGY 36 2,352 $1,876,896 $798 premium 6.3% (352) 375-1212
2 CARDIOVASCULAR ASSOCIATION, P.L.L.C. HUMBLE TX INTERVENTIONAL CARDIOLOGY 52 1,499 $1,357,559 $906 premium 4.5% (281) 446-6656
3 HEART AND VASCULAR CENTER OF ARIZONA, PLLC PHOENIX AZ INTERVENTIONAL CARDIOLOGY 14 1,284 $1,336,366 $1,041 premium 11.5% (602) 307-0070
4 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 1,170 $684,450 $585 premium 15.8% (804) 282-2685
5 ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP ORANGE CA INTERVENTIONAL CARDIOLOGY 13 1,078 $1,131,900 $1,050 premium 1.5% 71456433001157
6 BIRMINGHAM HEART CLINIC, PLLC BIRMINGHAM AL INTERVENTIONAL CARDIOLOGY 25 888 $683,760 $770 premium 8.5% (205) 856-2284
7 LHAW LLC NAPLES FL INTERVENTIONAL CARDIOLOGY 2 775 $624,013 $805 premium 2.1% (239) 206-2833
8 HEART CARE CENTERS OF ILLINOIS, S.C. PALOS PARK IL INTERVENTIONAL CARDIOLOGY 38 766 $459,600 $600 premium 2.6%
9 FLORIDA CARDIOLOGY PA WINTER PARK FL INTERVENTIONAL CARDIOLOGY 21 580 $578,840 $998 premium 1.5% (407) 645-1847
10 CYPRESS HEART AND VASCULAR CENTER PLLC CYPRESS TX INTERVENTIONAL CARDIOLOGY 9 398 $941,600 $2,366 premium 1.2% (832) 688-8400
11 ASHCHI HEART AND VASCULAR CENTER PA JACKSONVILLE AL INTERVENTIONAL CARDIOLOGY 9 248 $235,600 $950 premium 2.4% (904) 222-6656
12 CARDIOLOGY ASSOCIATES P.A HOUSTON TX INTERVENTIONAL CARDIOLOGY 7 183 $150,400 $822 premium 0.6% (713) 797-1111
13 CYPRESS CARDIOVASCULAR INSTITUTE PLLC CYPRESS TX INTERVENTIONAL CARDIOLOGY 6 124 $109,800 $885 premium 0.4% (281) 955-9158
14 ASHCHI HEART AND VASCULAR CENTER PA JACKSONVILLE TX INTERVENTIONAL CARDIOLOGY 9 108 $102,600 $950 premium 0.3% (904) 222-6656
15 ASHCHI HEART AND VASCULAR CENTER PA JACKSONVILLE FL INTERVENTIONAL CARDIOLOGY 9 108 $102,600 $950 premium 0.3% (904) 222-6656
16 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND MI INTERVENTIONAL CARDIOLOGY 56 106 $62,010 $585 premium 45.3% (804) 282-2685
17 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 57 $59,800 $1,049 premium 0.2% (210) 575-8289

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →