Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

A9560 Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 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 893 services ▼ 8.9% YoY · 819 beneficiaries (CY2024, Medicare FFS)

Medicare paid $82K · $91.47 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

323

FFS of Medicare

49%

Services YoY

-8.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~674 services

323 observed fee-for-service (48%) · ~351 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 — A9560 (CY2024)

CA 239 AL 184 FL 131 MD 51 IL 46

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

Named-group submitted charges

$92K

Named-group allowed amount

$47K

Named-group Medicare payments

$38K

Avg charge / svc

$285

Avg allowed / svc

$147

Avg payment / svc

$117

Average charge per group

$120–158

$158–196

$196–234

$234–272

$272–310

$310–348

$348–386

$386+

$120 11 groups · avg submitted charge / service $519

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by A9560 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	A9560 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	SUTTER VALLEY MEDICAL FOUNDATION	SACRAMENTO	CA	DIAGNOSTIC RADIOLOGY	2420	52	$15,861	$305	premium	21.8%	(916) 681-8852
2	NORTHEASTERN PENNSYLVANIA CARDIOLOGY ASSOCIATES LLP	PLAINS	PA	CARDIOVASCULAR DISEASE (CARDIOLOGY)	6	44	$13,200	$300	premium	100.0%	(570) 823-1111
3	WATSON CLINIC LLP	LAKELAND	FL	NURSE PRACTITIONER	363	33	$7,095	$215	premium	25.2%	(863) 680-7780
4	CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC	LITTLE ROCK	AR	HEMATOLOGY/ONCOLOGY	90	32	$16,608	$519	premium	100.0%	—
5	SACRAMENTO HEART AND VASCULAR MEDICAL	SACRAMENTO	CA	CARDIOVASCULAR DISEASE (CARDIOLOGY)	9	30	$6,450	$215	premium	12.6%	(916) 830-2000
6	NEVADA HEART AND VASCULAR CENTER RESH LLP	LAS VEGAS	NV	CARDIOVASCULAR DISEASE (CARDIOLOGY)	42	30	$9,027	$301	premium	100.0%	(702) 240-6482
7	UNIVERSITY CANCER AND BLOOD CENTER LLC	ATHENS	GA	NURSE PRACTITIONER	56	30	$9,888	$330	premium	68.2%	(706) 353-2990
8	HEART AND VASCULAR CENTER OF ARIZONA, PLLC	PHOENIX	AZ	INTERVENTIONAL CARDIOLOGY	14	24	$2,880	$120	premium	58.5%	(602) 307-0070
9	VHS OUTPATIENT CLINICS INC	PHOENIX	AZ	PHYSICIAN ASSISTANT	180	17	$4,131	$243	premium	41.5%	(602) 274-6506
10	NAPLES INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, LLC	NAPLES	FL	INTERVENTIONAL CARDIOLOGY	2	17	$3,502	$206	premium	13.0%	(239) 643-9977
11	IMPRESSION IMAGING LLC	TAMARAC	FL	DIAGNOSTIC RADIOLOGY	20	14	$3,500	$250	premium	10.7%	(954) 580-2780

*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 →