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Market snapshot

Q9956 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q9956 — Injection, octafluoropropane microspheres, per ml

Billing groups
24
Named-group FFS services
4,512
FFS of Medicare
49%
Services YoY
-7.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,725 services

4,512 observed fee-for-service (46%) · ~5,213 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 — Q9956 (CY2024)

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

Named-group submitted charges
$607K
Named-group allowed amount
$183K
Named-group Medicare payments
$142K
Avg charge / svc
$134
Avg allowed / svc
$41
Avg payment / svc
$32
Average charge per group
$37 24 groups · avg submitted charge / service $300
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q9956 services, CY2024
#Physician group City St Specialty Providers Q9956 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,066 $224,454 $211 premium 56.3%
2 HEART SOUTH CARDIOVASCULAR GROUP, P.C. BIRMINGHAM AL NURSE PRACTITIONER 23 918 $33,966 $37 premium 95.2% (205) 877-2838
3 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 390 $91,533 $235 premium 21.5% (217) 366-1200
4 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 327 $26,487 $81 premium 18.0% (217) 544-6464
5 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 234 $23,634 $101 premium 35.0% (916) 681-8852
6 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 169 $19,604 $116 premium 37.9% (704) 667-1000
7 HEALTHTEXAS PROVIDER NETWORK DALLAS MO PHYSICIAN ASSISTANT 2482 162 $34,117 $211 premium 3.9%
8 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 159 $23,691 $149 premium 8.4% (713) 266-9955
9 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 128 $10,704 $84 premium 28.7% (252) 635-6777
10 GREAT LAKES PHYSICIAN PRACTICE PC JAMESTOWN NY PHYSICIAN ASSISTANT 142 119 $17,850 $150 premium 14.0% (814) 483-5306
11 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 102 $13,123 $129 premium 22.9% (336) 713-9800
12 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 84 $7,056 $84 premium 9.0% (651) 221-3456
13 SINNATHAMBY CARDIOLOGY SERVICES, INC. DAYTON OH CARDIAC ELECTROPHYSIOLOGY 7 81 $24,300 $300 premium 100.0% (937) 424-3589
14 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 81 $9,702 $120 premium 5.1% (414) 955-4263
15 TEXAS SPECIALTY PHYSICIANS PALESTINE TX NURSE PRACTITIONER 46 77 $5,925 $77 premium 4.1% (903) 731-5030
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 68 $10,064 $148 premium 10.2% (800) 926-8273
17 CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC LAFAYETTE LA NURSE PRACTITIONER 142 61 $5,185 $85 premium 49.6% (337) 289-8429
18 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 55 $3,288 $60 premium 5.9% (763) 581-5400
19 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 53 $7,920 $149 premium 2.9% (888) 824-0200
20 PARK NICOLLET CLINIC ST LOUIS PARK MN PHYSICIAN ASSISTANT 1754 41 $3,444 $84 premium 4.4% (952) 993-3123
21 TRI-CITY CARDIOLOGY CONSULTANTS PC MESA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 36 $1,656 $46 premium 5.4% (480) 835-6100
22 STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC STOCKTON CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 14 31 $2,697 $87 premium 4.6%
23 HH HEART CENTER, LLC HUNTSVILLE AL CARDIOVASCULAR DISEASE (CARDIOLOGY) 90 25 $1,200 $48 premium 2.6% (256) 265-2372
24 CARDIOVASCULAR ASSOCIATES OF CHARLOTTESVILLE, PLC CHARLOTTESVILLE VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 24 $2,640 $110 premium 15.7% (434) 293-4072
25 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 21 $2,310 $110 premium 13.7% (703) 562-2110

*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 →