- Market sizeThe volume of this code in the market for the year: an all-Medicare estimate scaled from the observed fee-for-service count where one can be drawn, otherwise the narrower count the row names. ~124,103 all-Medicare services · est. (55,436 observed FFS). The #1 state market of 47 by est. all-Medicare volume.
- Billing groupsHow many named billing organizations billed this code in the market, and the services they billed between them. Billing that falls under CMS's 11-beneficiary disclosure floor is absent from the published record. 22 groups bill G0481 in North Carolina — 6,125 observed fee-for-service services (at the ≥11-beneficiary disclosure floor).
- GrowthHow this code's volume changed year over year and over five years. A change between two years of the record, never a projection of what comes next. Down 6.3% year over year; +15.3% over five years, #21 of 43 by five-year growth; recorded fee-for-service volume fell 13% since 2020, while the all-Medicare estimate rose 15% — scaled estimate — assumes MA utilization mirrors FFS; not an observation.
- Market structureThe share of this state market's disclosed volume held by its five largest billing groups. No concentration band is stated here: a band is drawn on named-group volume, which this figure is not. The top five groups hold 6.4% of state volume.
- Medicare paymentWhat Medicare paid for this code in the market over the year, and the payment per service. Observed fee-for-service payments only: Medicare Advantage is paid by capitation and is not counted.Medicare's payments for G0481 in North Carolina in 2024, and this market's payment per service against the national rate. Explore — see what Medicare pays for this →
This market's Overview — its estimated all-Medicare volume, national benchmarks, and what the field charges and is paid — is part of Explore.
The groups in this market that bill this code, ranked by volume, are part of a Deep Dive.
The clinicians in this market who bill this code, ranked by volume, are part of a Deep Dive.
The codes the same organizations bill alongside this one are part of a Deep Dive.
G0481 is not priced under the Physician Fee Schedule, so there is no schedule rate to compare against. Codes that pay similarly cannot be listed.
More than 200 groups billed G0481 in 2024, so no comparison is drawn: this read is for codes with thin adoption, where a same-state comparison set is small enough to be a comparison rather than a census. The Provider groups tab lists the billers.
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