- 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. ~14,802,055 all-Medicare services · est. (8,789,715 observed FFS). The #2 state market of 39 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. 1 group bills P9603 in Illinois — 26,722 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 12.3% year over year; +20.0% over five years, #16 of 34 by five-year growth; recorded fee-for-service volume fell 2% since 2019, while the all-Medicare estimate rose 20% — scaled estimate — assumes MA utilization mirrors FFS; not an observation.
- 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 P9603 in Illinois in 2023, 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.
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P9603 is not priced under the Physician Fee Schedule, so there is no schedule rate to compare against. Codes that pay similarly cannot be listed.
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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