See it in full: sestamibi, the nuclear heart-imaging tracer (A9500), in Arizona is open as a live example — every paid panel, on real data.
View the live example →- Market sizeThe volume of this code in the market for the year: an all-Medicare estimate scaled from the observed fee-for-service count where one can be drawn, otherwise the narrower count the row names. ~21,764 all-Medicare services · est. (9,722 observed FFS). The #11 state market of 51 by est. all-Medicare volume.
- Billing groupsHow many named billing organizations billed this code in the market, and the services they billed between them. Billing that falls under CMS's 11-beneficiary disclosure floor is absent from the published record. 84 groups bill G0438 in North Carolina — 5,205 observed fee-for-service services (at the ≥11-beneficiary disclosure floor).
- GrowthHow this code's volume changed year over year and over five years. A change between two years of the record, never a projection of what comes next. Down 19.2% year over year; -35.6% over five years, #38 of 51 by five-year growth.
- Market structureHow much of the state's named-group volume the five largest billing groups hold, banded: under 40% fragmented, 40–60% moderately concentrated, 60–80% concentrated, 80%+ highly concentrated. Our bands, not a regulator's. Not shown for markets under 11 billing groups, or where named groups cover under 25% of the state's disclosed volume — both published floors. Fragmented — 84 billing groups, the top five holding 34% of named-group volume.
- Concentration trendHow the five largest groups' share of this market moved between the two years shown. An endpoint comparison on the group roster, not a reading of every year in between. More concentrated in 2024 than 2020 (top 5 hold 31% → 36%, group-roster grain).
- Medicare paymentWhat Medicare paid for this code in the market over the year, and the payment per service. Observed fee-for-service payments only: Medicare Advantage is paid by capitation and is not counted.Medicare's payments for G0438 in North Carolina in 2024, and this market's payment per service against the national rate. Explore — see what Medicare pays for this →
What is a Deep Dive?
Search gives you the facts. A Deep Dive goes deeper on the page you are reading: it opens the tabs marked with this icon and keeps a dated record in your Saved.
Once it is done, it stays available to your account for that data year, and your teammates can open it without doing it again.
This market's Overview — its estimated all-Medicare volume, national benchmarks, and what the field charges and is paid — is part of Explore.
The groups in this market that bill this code, ranked by volume, are part of a Deep Dive.
The clinicians in this market who bill this code, ranked by volume, are part of a Deep Dive.
The codes the same organizations bill alongside this one are part of a Deep Dive.
The codes in this code's family and sibling families with a similar published Medicare rate are part of a Deep Dive.
The groups built like this code's billers, in the same state, with no published volume on it, are part of a Deep Dive.
See what Medicare pays
An Explore subscription, $249 a seat a year, opens the Overview on every code, group and clinician page, including what the market charges and is paid.
It comes with 200 credits a seat a year for Deep Dives, which open the rest.
Start with a 14-day trial. We’ll email you a one-time link to sign in.