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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0404 Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination HCPCS · Cardiography test
Classification Test › Cardiography › External Electrocardiographic Monitoring (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 775 services ▲ 6.2% YoY · 775 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2K · $2.97 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
438
FFS of Medicare
49%
Services YoY
+6.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~840 services

438 observed fee-for-service (52%) · ~402 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 — G0404 (CY2024)
NY 108 IL 89 IA 79 FL 69 CO 58

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

Named-group submitted charges
$24K
Named-group allowed amount
$3K
Named-group Medicare payments
$1K
Avg charge / svc
$55
Avg allowed / svc
$6
Avg payment / svc
$3
Average charge per group
$8 26 groups · avg submitted charge / service $238
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0404 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NH PHYSICIAN ASSISTANT 6294 37 $2,960 $80 100.0% —
2 LA PLATA FAMILY MEDICINE ASSOC PC DURANGO CO FAMILY PRACTICE 8 36 $5,437 $151 62.1% (970) 259-3110
3 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 34 $1,224 $36 38.2% (630) 933-4800
4 TRINITY HEALTH MINOT ND NURSE PRACTITIONER 296 25 $1,150 $46 100.0% (701) 418-8000
5 PECONIC CARDIOLOGY PC RIVERHEAD NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 19 22 $1,760 $80 20.4% (631) 727-7773
6 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 18 $383 $21 62.1% —
7 PROVIDENCE HEALTH ALLIANCE WACO TX PHYSICIAN ASSISTANT 121 17 $406 $24 29.8% (254) 537-6200
8 SMITHSON VALLEY FAMILY MEDICINE, LLP SPRING BRANCH TX PHYSICIAN ASSISTANT 7 16 $400 $25 28.1% (830) 885-5541
9 CHIPOLA MEDICAL ASSOCIATES LLC MARIANNA FL NURSE PRACTITIONER 8 16 $192 $12 23.2% (850) 526-3434
10 PRAIRIESTAR HEALTH CENTER INC HUTCHINSON KS NURSE PRACTITIONER 27 14 $980 $70 50.0% (620) 663-8484
11 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 14 $323 $23 50.0% (785) 354-9591
12 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14 $1,120 $80 13.0% —
13 PAHRUMP FAMILY MEDICAL PAHRUMP NV NURSE PRACTITIONER 4 14 $280 $20 100.0% (775) 910-9811
14 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 13 $284 $22 16.5% —
15 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 12 $344 $29 50.0% (541) 706-7715
16 PRAXIS HEALTH PC BEND OR PHYSICIAN ASSISTANT 173 12 $192 $16 50.0% (541) 388-2333
17 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 12 $576 $48 21.1% (254) 724-2663
18 POLAND MEDICAL CENTER LTD POLAND OH FAMILY PRACTICE 9 12 $480 $40 52.2% (330) 757-7888
19 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 12 $181 $15 21.1% —
20 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 11 $231 $21 19.0% —
21 MERCY HEALTH SYSTEM CORPORATION JANESVILLE IL EMERGENCY MEDICINE 755 11 $608 $55 12.4% (608) 756-6000
22 HILLCREST CLINIC, LLC BLAIRSVILLE GA PHYSICIAN ASSISTANT 6 11 $85 $8 29.7% (706) 745-8790
23 WOOSTER CLINIC LLC WOOSTER OH DIAGNOSTIC RADIOLOGY 393 11 $2,618 $238 47.8% (330) 287-4500
24 JOHN R CLOUGH LIVINGSTON TN NURSE PRACTITIONER 8 11 $528 $48 100.0% (931) 823-3030
25 OUTER CAPE HEALTH SERVICES INC HARWICH PORT MA NURSE PRACTITIONER 52 11 $550 $50 37.9% (508) 432-1400
26 RURAL HEALTH CARE INC WORTHINGTON MN NURSE PRACTITIONER 151 11 $687 $62 100.0% (507) 372-6522
27 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 11 $286 $26 12.4% —

*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 →