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Market snapshot

Q9967 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q9967 — Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml

Billing groups
1,165
Named-group FFS services
37,418,732
FFS of Medicare
49%
Services YoY
+1.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~76,097,518 services

37,418,731 observed fee-for-service (49%) · ~38,678,787 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; 1 state without payer-mix data excluded. How we scale

Top states — Q9967 (CY2024)

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

Named-group submitted charges
$64.6M
Named-group allowed amount
$4.8M
Named-group Medicare payments
$3.8M
Avg charge / svc
$2
Avg allowed / svc
$0
Avg payment / svc
$0
Average charge per group
$0 1,165 groups · avg submitted charge / service $955
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Specialty market — Pain Management: 43,517 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Pain Management across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q9967 services, CY2024
#Physician group City St Specialty Providers Q9967 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 STEPHEN M SIMS MD PA CONROE TX PAIN MANAGEMENT 5 31,077 $31,077 $1 premium 0.4% (936) 756-3444
2 UNIVERSITY SPINE AND PAIN CENTER INC HERMOSA BEACH CA PAIN MANAGEMENT 3 6,061 $60,610 $10 premium 0.1% (424) 488-0500
3 FAMILY SPINE AND PAIN CARE INSTITUTE LLC VENICE FL PAIN MANAGEMENT 3 3,237 $97,170 $30 premium 0.0% (813) 495-8011
4 ORTHOMED PAIN RELIEF CENTERS LLC SARASOTA FL PAIN MANAGEMENT 2 1,965 $1,965 $1 premium 0.0% (941) 371-7171
5 PAIN CONTROL OF TEXAS PLLC AUSTIN TX PAIN MANAGEMENT 9 605 $27,225 $45 premium 0.0% (512) 371-6398
6 PAIN MANAGEMENT OF NORTH DALLAS, PA FRISCO TX PAIN MANAGEMENT 4 399 $1,995 $5 premium 0.0% (214) 618-0853
7 BRIAN LE DO PC LAS VEGAS NV PAIN MANAGEMENT 4 173 $865 $5 premium 0.0% (702) 676-2000

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →