- 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. ~24,269 all-Medicare services · est. (12,685 observed FFS).
- Who bills itHow many named billing organizations and how many individual clinicians billed this code nationally. Billing that falls under CMS's 11-beneficiary disclosure floor is absent from the published record, so the smallest billers are missing. 45 billing groups and 165 clinicians bill G0513 nationally (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. Up 73.2% year over year; +0.4% over five years (2019 → 2023).
- Market structureThe share of this code's attributed national volume held by its five largest billing groups. The banded concentration read — fragmented through highly concentrated — is stated per state market, not nationally. The top five groups hold 52.8% of attributed national 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 G0513 nationally in 2023, and the payment per service. Explore — see what Medicare pays for this →
- Leading marketsThe state markets with the most volume for this code, and the share of all state-market volume they hold between them. Territories and billing that names no state sit outside that share. IL, TX, CA, and CO lead the state markets — together 59% of state-market volume.
This market's Overview — its estimated all-Medicare volume, national benchmarks, and what the field charges and is paid — is part of Explore.
Where this code is billed, state by state and year by year, is part of a Deep Dive.
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.
The codes in this code's family and sibling families with a similar published Medicare rate are part of a Deep Dive.
The groups built like this code's billers, in the same state, with no published volume on it, are part of a Deep Dive.
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