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Market snapshot

Q9950 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q9950 — Injection, sulfur hexafluoride lipid microspheres, per ml

Billing groups
19
Named-group FFS services
5,553
FFS of Medicare
49%
Services YoY
-6.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,857 services

5,553 observed fee-for-service (51%) · ~5,304 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 — Q9950 (CY2024)

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

Named-group submitted charges
$418K
Named-group allowed amount
$103K
Named-group Medicare payments
$80K
Avg charge / svc
$75
Avg allowed / svc
$18
Avg payment / svc
$14
Average charge per group
$19 19 groups · avg submitted charge / service $426
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q9950 services, CY2024
#Physician group City St Specialty Providers Q9950 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 949 $72,924 $77 premium 44.5% (214) 633-5555
2 WYOMING CARDIOPULMONARY SERVICES PC CASPER WY INTERVENTIONAL CARDIOLOGY 11 599 $44,568 $74 premium 100.0% (307) 266-3174
3 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 561 $35,343 $63 premium 100.0% (816) 472-5157
4 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 505 $18,685 $37 premium 23.7% (512) 346-6611
5 HOUSTON CARDIOVASCULAR ASSOC PA HOUSTON TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 84 495 $14,850 $30 premium 23.2% (713) 790-0841
6 MANHATTAN MEDICAL GROUP LLC MANHATTAN KS NURSE PRACTITIONER 15 408 $40,800 $100 premium 100.0% (785) 539-4644
7 GEORGIA HEART SPECIALISTS, LLC CONYERS GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 304 $12,905 $42 premium 73.1% (770) 918-0074
8 HOLSTON MEDICAL GROUP PC BRISTOL TN NURSE PRACTITIONER 244 265 $10,600 $40 premium 82.8% (423) 844-7000
9 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 258 $65,016 $252 premium 52.3% (919) 684-8111
10 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 160 $8,000 $50 premium 80.8% (212) 241-4812
11 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 156 $4,992 $32 premium 57.6% (800) 825-5391
12 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 140 $6,120 $44 premium 28.2%
13 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 125 $53,300 $426 premium 5.9%
14 MCPC-5 LLC PINEHURST NC CARDIOVASCULAR DISEASE (CARDIOLOGY) 30 120 $2,280 $19 premium 24.3% (910) 715-7650
15 SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT PHYSICIAN ASSISTANT 285 106 $4,372 $41 premium 40.0% (406) 237-3913
16 SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS SC PHYSICIAN ASSISTANT 285 80 $3,300 $41 premium 100.0% (406) 237-3913
17 SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS NJ PHYSICIAN ASSISTANT 285 70 $2,888 $41 premium 25.8% (406) 237-3913
18 CARDIOVASCULAR ASSOCIATION, P.L.L.C. HUMBLE TX INTERVENTIONAL CARDIOLOGY 52 59 $1,692 $29 premium 2.8% (281) 446-6656
19 KARING HEARTS CARDIOLOGY PC JOHNSON CITY TN NURSE PRACTITIONER 14 55 $4,290 $78 premium 17.2% (423) 926-4468
20 KARING HEARTS CARDIOLOGY PC JOHNSON CITY PA NURSE PRACTITIONER 14 55 $4,290 $78 premium 48.2% (423) 926-4468
21 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 45 $2,184 $49 premium 16.6% (856) 247-7260
22 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 38 $4,104 $108 premium 6.5% (916) 681-8852

*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 →