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Market snapshot

A9561 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

A9561 — Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries

Billing groups
7
Named-group FFS services
386
FFS of Medicare
49%
Services YoY
-21.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~784 services

386 observed fee-for-service (49%) · ~398 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 — A9561 (CY2024)

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

Named-group submitted charges
$98K
Named-group allowed amount
$19K
Named-group Medicare payments
$15K
Avg charge / svc
$255
Avg allowed / svc
$50
Avg payment / svc
$40
Average charge per group
$75 7 groups · avg submitted charge / service $600
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by A9561 services, CY2024
#Physician group City St Specialty Providers A9561 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 117 $70,200 $600 premium 41.3% (212) 263-9700
2 WOODBURN NUCLEAR MEDICINE, LTD ANNANDALE VA NUCLEAR MEDICINE 7 91 $9,100 $100 premium 36.0% (703) 698-0666
3 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 83 $8,715 $105 premium 100.0% (952) 541-1840
4 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 35 $2,940 $84 premium 100.0% (918) 505-3200
5 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 24 $4,608 $192 premium 27.9% (904) 953-2000
6 NORTHTOWNS CARDIOLOGY, PLLC AMHERST NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 23 $1,725 $75 premium 8.1% (716) 580-3810
7 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 13 $985 $76 premium 10.7% (310) 534-8400

*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 →