- Market size ~194,511 all-Medicare services · est. (100,567 observed FFS).
- Who bills it 27 billing groups and 61 clinicians bill Q4197 nationally (at the ≥11-service disclosure floor).
- Growth Down 33.2% year over year.
- Market structure The top five groups hold 38.4% of attributed national volume.
- Medicare paymentMedicare's payments for Q4197 nationally in 2024, and the payment per service. Notify me at launch →
- Leading markets CA, FL, OK and KS lead the state markets — together 54% of state-market volume.
The Brief is a national document for Q4197. 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 Q4197 ran ~194,511 all-Medicare services (estimated), 100,567 observed fee-for-service in CY2024. The market is down 33.2% year over year. 27 billing groups and 61 clinicians bill it.
- 2Payment. Half the field lists between $230 and $364 per service; the median group lists $341. Submitted charges are provider-set list amounts, not payments.
- 3Geography. CA, FL, OK and KS lead the state markets — together 54% of state-market volume.
~194,511 services
100,567 observed fee-for-service (52%) · ~93,944 estimated Medicare Advantage.
Half the field lists between $230 and $364
The same field as one dot per billing group: where the cluster sits, and how far the tail reaches
Open a state market: CA · FL · OK · KS · WV · SC · IL · TN · AR · KY · VA · TX — 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 Q4197 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.
Showing the top 25 of 27 groups — the full ranking is part of the Platform. Explore the Platform →
Medicare $ counts Q4197 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 →
61 clinicians billed Q4197 nationally in CY2024 — 100,567 observed fee-for-service services. Individual clinicians only; organizational billers are listed under Provider groups.
Clinicians ranked by Q4197 services, highest first, CY2024. Every sort re-runs the search across the whole market.
Showing the top 25 of 61 clinicians — the full clinician ranking is part of the Platform. Explore the Platform →
Services and patients are observed Medicare fee-for-service counts for Q4197 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.