See it in full: sestamibi, the nuclear heart-imaging tracer (A9500), in Arizona is open as a live example — every paid panel, on real data.
View the live example →- 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. ~39,987 all-Medicare services · est. (20,745 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. 243 billing groups and 547 clinicians bill Q4038 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. Down 10.3% year over year; -39.9% 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 13.2% 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 Q4038 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. CA, TX, NJ, and AZ lead the state markets — together 33% 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.
Q4038 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 Q4038 in 2023, 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.
See what Medicare pays
An Explore subscription, $249 a seat a year, opens the Overview on every code, group and clinician page, including what the market charges and is paid.
It comes with 25 credits a seat a year for Deep Dives, which open the rest.
Included in Explore. Part of a Deep Dive.