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Market snapshot

Q9969 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q9969 — Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose

Billing groups
16
Named-group FFS services
4,097
FFS of Medicare
49%
Services YoY
+3.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,676 services

4,097 observed fee-for-service (47%) · ~4,579 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 — Q9969 (CY2024)

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

Named-group submitted charges
$104K
Named-group allowed amount
$44K
Named-group Medicare payments
$35K
Avg charge / svc
$25
Avg allowed / svc
$11
Avg payment / svc
$9
Average charge per group
$10 16 groups · avg submitted charge / service $100
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by Q9969 services, CY2024
#Physician group City St Specialty Providers Q9969 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 738 $7,380 $10 premium 27.7% (919) 350-7270
2 CARDIOLOGY ASSOCIATES OF MOBILE INC MOBILE AL PHYSICIAN ASSISTANT 52 730 $9,490 $13 premium 54.4% (251) 460-0078
3 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 665 $6,650 $10 premium 97.8%
4 GEORGIA HEART SPECIALISTS, LLC CONYERS GA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 486 $32,430 $67 premium 88.0% (770) 918-0074
5 CARDIOLOGY OF SOUTHERN CALIFORNIA NATIONAL CITY CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 481 $14,430 $30 premium 43.6% (619) 470-7700
6 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 210 $2,100 $10 premium 68.9% (703) 396-5292
7 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 182 $18,200 $100 premium 89.2% (901) 261-0700
8 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 130 $2,316 $18 premium 11.8% (714) 871-3006
9 MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA PHYSICIAN ASSISTANT 280 89 $1,602 $18 premium 6.7% (413) 582-2441
10 MULTICARE HEALTH SYSTEM GIG HARBOR VA NURSE PRACTITIONER 2289 73 $730 $10 premium 23.9%
11 PHOENIX CARDIOVASCULAR INSTITUTE LLC CHATTANOOGA GA NURSE PRACTITIONER 6 66 $1,980 $30 premium 12.0% (706) 858-3988
12 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO IL DIAGNOSTIC RADIOLOGY 236 58 $2,378 $41 premium 6.3% (505) 439-6100
13 REGIONAL CLINICS OF LONGVIEW LONGVIEW TX NURSE PRACTITIONER 36 46 $560 $12 premium 100.0% (903) 757-6042
14 MULTICARE HEALTH SYSTEM GIG HARBOR NY NURSE PRACTITIONER 2289 34 $340 $10 premium 100.0%
15 METROPOLITAN HEALTHCARE PARTNERS PLLC CHICAGO IL NURSE PRACTITIONER 23 26 $780 $30 premium 2.8% (847) 673-5166
16 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 24 $1,896 $79 premium 0.9% (910) 662-6000
17 CARIENT HEART AND VASCULAR, LLC MANASSAS VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 26 22 $220 $10 premium 7.2% 57158117712611
18 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 19 $570 $30 premium 100.0% (502) 928-1050
19 MULTICARE HEALTH SYSTEM GIG HARBOR RI NURSE PRACTITIONER 2289 18 $180 $10 premium 100.0%

*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 →