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Market snapshot

A9596 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

A9596 — Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie

Billing groups
51
Named-group FFS services
14,954
FFS of Medicare
49%
Services YoY
+52.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~28,075 services

14,953 observed fee-for-service (53%) · ~13,122 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; 1 state without payer-mix data excluded. How we scale

Top states — A9596 (CY2024)
FL 9,151 CA 5,732 TX 5,378 VA 2,785 MD 2,461

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

Named-group submitted charges
$34.0M
Named-group allowed amount
$15.6M
Named-group Medicare payments
$12.5M
Avg charge / svc
$2,271
Avg allowed / svc
$1,046
Avg payment / svc
$834
Average charge per group
$1,000 51 groups · avg submitted charge / service $7,852
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers A9596 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 1,340 $2,010,000 $1,500 48.1% (757) 452-3599
2 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 933 $1,874,000 $2,009 17.3% (214) 691-9377
3 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 697 $2,117,222 $3,038 50.1% (479) 361-2585
4 WOODBURN NUCLEAR MEDICINE, LTD ANNANDALE VA NUCLEAR MEDICINE 7 680 $973,000 $1,431 24.4% (703) 698-0666
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 601 $1,977,290 $3,290 10.5% (858) 455-9100
6 SDMI, LLC LAS VEGAS NV DIAGNOSTIC RADIOLOGY 36 586 $932,730 $1,592 39.7% (702) 732-6000
7 WICHITA UROLOGY GROUP PA WICHITA KS UROLOGY 30 572 $800,800 $1,400 63.9% (316) 636-6100
8 CANCER CARE NORTHWEST CENTERS P S SPOKANE WA RADIATION ONCOLOGY 41 503 $1,418,460 $2,820 32.4% (509) 228-1000
9 ROCKY MOUNTAIN ONCOLOGY CENTER LLC CASPER WY PHYSICIAN ASSISTANT 8 470 $1,767,200 $3,760 100.0% —
10 UROLOGY CANCER CENTER PC OMAHA NE NURSE PRACTITIONER 5 455 $1,191,750 $2,619 36.5% (402) 991-8468
11 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 412 $1,379,370 $3,348 37.5% (617) 724-0287
12 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 397 $988,927 $2,491 17.1% (615) 385-3751
13 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 397 $476,400 $1,200 6.9% (310) 534-8400
14 PARTNERS IMAGING CENTER OF SARASOTA LLC SARASOTA FL DIAGNOSTIC RADIOLOGY 13 395 $605,700 $1,533 4.3% (941) 951-2100
15 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 353 $1,134,895 $3,215 6.2% —
16 MEDICAL SCANNING CONSULTANTS PA ST LOUIS PARK MN DIAGNOSTIC RADIOLOGY 81 333 $626,040 $1,880 35.1% (952) 541-1840
17 ASCENSION MEDICAL GROUP VIA CHRISTI PA WICHITA KS FAMILY PRACTICE 186 323 $374,400 $1,159 36.1% (316) 689-9349
18 SATISH A SHAH MD PC GETTYSBURG IL HEMATOLOGY/ONCOLOGY 17 323 $874,180 $2,706 25.2% (717) 334-4033
19 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 310 $465,000 $1,500 11.1% (703) 396-5292
20 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 270 $380,700 $1,410 77.1% (859) 258-4568
21 SOUND CANCER CARE PLLC PUYALLUP WA RADIATION ONCOLOGY 2 268 $1,148,755 $4,286 17.2% (253) 200-3166
22 IMPRESSION IMAGING LLC TAMARAC FL DIAGNOSTIC RADIOLOGY 20 260 $312,000 $1,200 2.8% (954) 580-2780
23 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE FL UROLOGY 36 222 $434,850 $1,959 2.4% (904) 483-2310
24 CANCER SPECIALISTS LLC JACKSONVILLE FL HEMATOLOGY/ONCOLOGY 46 215 $565,880 $2,632 2.3% (904) 516-3737
25 EAST RIVER MEDICAL IMAGING PC NEW YORK NY DIAGNOSTIC RADIOLOGY 10 203 $203,000 $1,000 15.9% (212) 288-7615
26 SCRIPPS HEALTH LA JOLLA MA PHYSICIAN ASSISTANT 1431 199 $654,710 $3,290 18.1% (858) 455-9100
27 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 195 $292,500 $1,500 15.7% (402) 393-3110
28 UROLOGY NEVADA LTD RENO NV PHYSICIAN ASSISTANT 25 189 $575,694 $3,046 12.8% (775) 322-7811
29 RAVI PATEL M D INC BAKERSFIELD CA HEMATOLOGY/ONCOLOGY 20 187 $629,442 $3,366 3.3% (661) 322-2206
30 RBS EVOLUTION OF ALASKA LLC SOLDOTNA AK RADIATION ONCOLOGY 10 180 $676,800 $3,760 14.4% (907) 262-7762
31 AUC UROLOGISTS LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 28 167 $562,002 $3,365 100.0% (843) 347-2450
32 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 163 $436,677 $2,679 2.8% (559) 326-1222
33 ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC PHOENIX AZ UROLOGY 61 155 $264,065 $1,704 100.0% (480) 278-8300
34 MERCED MRI MEDICAL GROUP LOS BANOS CA DIAGNOSTIC RADIOLOGY 4 146 $196,000 $1,347 2.5% (209) 384-4250
35 UROLOGY ASSOCIATES PC NASHVILLE TN UROLOGY 43 143 $286,000 $2,000 6.2% (615) 250-9200
36 RADIOLOGY ASSOCIATES OF VENICE AND ENGLEWOOD PA VENICE FL DIAGNOSTIC RADIOLOGY 8 141 $292,648 $2,076 1.5% (941) 486-3483
37 THEDACARE, INCORPORATED APPLETON WI PHYSICIAN ASSISTANT 653 137 $297,275 $2,170 100.0% (920) 720-2300
38 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 135 $182,250 $1,350 4.8% (804) 330-9105
39 MICHAEL P SHERMAN MD PHD A MEDICAL CORPORATION WALNUT CREEK CA HEMATOLOGY/ONCOLOGY 13 115 $172,500 $1,500 2.0% (925) 939-9610
40 CANCER SPECIALISTS LLC JACKSONVILLE XX HEMATOLOGY/ONCOLOGY 46 105 $276,360 $2,632 100.0% (904) 516-3737
41 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 105 $157,500 $1,500 3.8% (757) 595-9880
42 IMAGING ASSOCIATES LLC ANCHORAGE AK DIAGNOSTIC RADIOLOGY 23 95 $228,000 $2,400 7.6% (901) 222-4624
43 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 93 $259,845 $2,794 1.7% —
44 MARY BIRD PERKINS CANCER CENTER BATON ROUGE LA HEMATOLOGY/ONCOLOGY 82 93 $422,820 $4,546 18.5% (225) 767-0847
45 SAN PATRICIO MRI AND CT CENTER, P.S.C. GUAYNABO PR DIAGNOSTIC RADIOLOGY 6 85 $94,848 $1,116 60.7% (787) 620-5772
46 WILLIAM NOYES MD PC GRAND FORKS ND MEDICAL ONCOLOGY 4 85 $180,200 $2,120 100.0% (701) 787-5800
47 SLOCUM DICKSON MEDICAL GROUP PLLC NEW HARTFORD NY PHYSICIAN ASSISTANT 93 85 $145,738 $1,715 6.7% (315) 798-1500
48 AUSTIN RADIOLOGICAL ASSOCIATION AUSTIN TX DIAGNOSTIC RADIOLOGY 125 85 $247,500 $2,912 1.6% (512) 795-5100
49 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 85 $359,550 $4,230 6.7% (866) 633-8255
50 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 75 $202,500 $2,700 5.4% (501) 227-7596
51 BEVERLY HILLS ONCOLOGY MEDICAL GROUP INC BEVERLY HILLS CA RADIATION ONCOLOGY 8 70 $549,662 $7,852 1.2% (310) 432-8999
52 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 66 $124,080 $1,880 6.9% (612) 873-6963
53 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 57 $152,750 $2,680 4.1% —

*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 →