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Market snapshot

A9607 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

A9607 — Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie

Billing groups
13
Named-group FFS services
135,551
FFS of Medicare
49%
Services YoY
-30.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~269,555 services

135,551 observed fee-for-service (50%) · ~134,004 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 — A9607 (CY2024)

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

Named-group submitted charges
$76.0M
Named-group allowed amount
$34.9M
Named-group Medicare payments
$27.8M
Avg charge / svc
$561
Avg allowed / svc
$257
Avg payment / svc
$205
Average charge per group
$400 13 groups · avg submitted charge / service $901
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by A9607 services, CY2024
#Physician group City St Specialty Providers A9607 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 16,200 $7,290,000 $450 premium 45.4% (804) 330-9105
2 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 15,400 $7,584,249 $492 premium 23.4% (800) 603-0558
3 BAMF HEALTH I PC GRAND RAPIDS MI PHYSICIAN ASSISTANT 5 15,200 $8,160,107 $537 premium 100.0% (616) 330-2522
4 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 14,250 $8,251,540 $579 premium 48.4%
5 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 12,483 $7,733,162 $619 premium 35.0%
6 ARIZONA CENTER FOR HEMATOLOGY AND ONCOLOGY PLC PHOENIX AZ UROLOGY 61 11,200 $5,040,000 $450 premium 17.0% (480) 278-8300
7 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 9,400 $8,469,400 $901 premium 36.6% (239) 561-9622
8 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 8,164 $6,071,975 $744 premium 100.0% (706) 353-2990
9 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 7,000 $4,370,800 $624 premium 19.6% (703) 280-5390
10 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 6,995 $2,798,000 $400 premium 100.0% (402) 393-3110
11 SOUND CANCER CARE PLLC PUYALLUP WA RADIATION ONCOLOGY 2 6,800 $3,389,664 $498 premium 47.2% (253) 200-3166
12 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 6,400 $2,675,200 $418 premium 9.7% (480) 981-1326
13 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 67 6,059 $4,215,397 $696 premium 100.0% (505) 842-8171

*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 →