- Market size ~1,173 all-Medicare services · est. (585 observed FFS).
- Who bills it 5 billing groups and 12 clinicians bill 78469 nationally (at the ≥11-service disclosure floor).
- Growth Roughly flat year over year; +154.4% over five years (2020 → 2024). The five-year base year, 2020, is the pandemic year.
- Medicare paymentMedicare's payments for 78469 nationally in 2024, and the payment per service. Notify me at launch →
- Leading markets NY, CA, TX and NJ lead the state markets — together 98% of state-market volume.
The Brief is a national document for 78469. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.
- 1Size and growth. The national market for 78469 ran ~1,173 all-Medicare services (estimated), 585 observed fee-for-service in CY2024. The market is roughly flat year over year. 5 billing groups and 12 clinicians bill it.
- 2Payment. Half the field lists between $143 and $468 per service; the median group lists $150. Submitted charges are provider-set list amounts, not payments.
- 3Geography. NY, CA, TX and NJ lead the state markets — together 98% of state-market volume.
~1,173 services
585 observed fee-for-service (50%) · ~588 estimated Medicare Advantage.
Half the field lists between $143 and $468
Each dot is one billing group — 5 of them list this code
Open a state market: NY · CA · TX · NJ · KS — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.
Every group in this market, placed by list charge against volume
Physician groups ranked by 78469 services, highest first, CY2024. Every sort re-runs the search across the whole market — these are the market's true top rows on this measure, never a re-order of this page.
Medicare $ counts 78469 payments nationwide, CY2024; avg list is that row's submitted charges per service on the same basis — list amounts, not payments. Each national row sums the group's volume across the state markets it bills in — state-level shares are per-market figures and are not shown at this scope. See Methods.
*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 — and the observed foundation every market figure here builds on. Market totals anchor on a labeled all-Medicare estimate scaled from that foundation, with the observed count disclosed beside it — Medicare only, never all-payer. Modeled all-payer databases project every payer statistically and typically run higher. Same market, different denominator. How the numbers reconcile →
12 clinicians billed 78469 nationally in CY2024 — 585 observed fee-for-service services. Individual clinicians only; organizational billers are listed under Provider groups.
Clinicians ranked by 78469 services, highest first, CY2024. Every sort re-runs the search across the whole market.
Services and patients are observed Medicare fee-for-service counts for 78469 billed by each clinician nationwide, CY2024; avg list is submitted charges per service — list amounts, not payments. Clinician×code rows under 11 beneficiaries are suppressed by CMS, so small billers are absent by construction. See Methods.