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Market snapshot

G0166 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0166 — External counterpulsation, per treatment session

Billing groups
16
Named-group FFS services
8,425
FFS of Medicare
49%
Services YoY
-7.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,420 services

8,425 observed fee-for-service (46%) · ~9,995 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 — G0166 (CY2024)

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

Named-group submitted charges
$3.0M
Named-group allowed amount
$870K
Named-group Medicare payments
$687K
Avg charge / svc
$356
Avg allowed / svc
$103
Avg payment / svc
$82
Average charge per group
$182 16 groups · avg submitted charge / service $900
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0166 services, CY2024
#Physician group City St Specialty Providers G0166 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 LAKE CARDIOLOGY PA MOUNT DORA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 1,415 $297,150 $210 premium 48.2% (352) 735-1400
2 ASIAN MEDICAL CLINIC FREMONT INC HAYWARD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 768 $230,010 $299 premium 7.7% (510) 786-2222
3 NEXUS HEALTH PRIMARY CARE LLC SANTA FE NM INTERNAL MEDICINE 7 705 $227,010 $322 premium 100.0% (505) 395-3000
4 LEGACY HEART CARE OF FORT WORTH, LLC FORT WORTH TX NURSE PRACTITIONER 15 633 $569,700 $900 premium 4.9% (817) 753-8973
5 CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 124 630 $567,000 $900 premium 4.8% (210) 271-3204
6 THE CHRIST HOSPITAL CARDIOVASCULAR ASSOCIATES LLC CINCINNATI OH NURSE PRACTITIONER 144 561 $134,079 $239 premium 100.0%
7 ROCHESTER DIAGNOSTIC AND SPECIALTY CENTER ROCHESTER MI CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 548 $164,400 $300 premium 100.0% (248) 651-9200
8 CARDIOVASCULAR INTERVENTIONS PA ORLANDO FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 547 $168,476 $308 premium 18.6% (407) 896-7899
9 LAKE AREA PHYSICAL THERAPY INC. MELROSE FL ORTHOPEDIC SURGERY 365 428 $85,600 $200 premium 14.6%
10 MKK HEALTHCARE INC KAILUA KONA HI NURSE PRACTITIONER 2 411 $74,617 $182 premium 100.0% (808) 329-9211
11 BRENNAN MEDICAL CORPORATION WATSONVILLE CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 397 $99,250 $250 premium 4.0% (831) 768-0220
12 RAJIV AGARWAL MD PA HUMBLE TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 322 $99,106 $308 premium 2.5% (832) 644-8930
13 ROMESH K JAPRA MD A MEDICAL CORPORATION FREMONT CA INTERNAL MEDICINE 2 308 $83,450 $271 premium 3.1% (510) 790-2202
14 CHANDRA REDDY NARALA MD PLLC HENDERSON NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 299 $62,790 $210 premium 100.0% (702) 947-5700
15 MARION HEART CENTER, PA OCALA FL FAMILY PRACTICE 6 298 $80,460 $270 premium 10.1% (352) 861-6633
16 DON W LEE M D A MEDICAL CORPORATION GLENDALE CA CARDIAC ELECTROPHYSIOLOGY 3 155 $54,250 $350 premium 1.6% (818) 247-0160

*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 →