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Medicare New York · CY2024

Who bills the most Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (78431) to Medicare in New York?

Medicare Part B FFS · CY2024 · as published by CMS
13
Billing groups
3,220
Named-group FFS services
$17,292,176
Named-group submitted charges
$5,370
Avg charge / service
$1,634
Avg allowed / service
80%
Top-5 concentration
1%
Independent share

13 physician groups billed Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (78431) to Medicare fee-for-service in New York in 2024; the top five named groups hold 80% of that volume, and independent (non-hospital-affiliated) groups deliver 1%.

78431 — Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole New York market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 47% of Medicare in New York; Medicare Advantage penetration 44% → 53% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 78431 svcs Share*Phone
1 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOKNYHOSPITALIST 414 1,222 13.4% (631) 444-1560
2 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORKNYPHYSICIAN ASSISTANT 657 471 5.2% (212) 271-4364
3 BROOKHAVEN HEART PLLC PATCHOGUENYINTERNAL MEDICINE 25 357 3.9% (631) 654-3278
4 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANYNYNURSE PRACTITIONER 68 276 3.0% (518) 292-6000
5 NEW YORK UNIVERSITY NEW YORKNYDIAGNOSTIC RADIOLOGY 5704 250 2.7% (212) 263-9700
6 CHS PHYSICIAN PARTNERS PC ROSLYNNYPHYSICIAN ASSISTANT 734 248 2.7%
7 MOHAWK VALLEY CARDIOLOGY PC UTICANYNURSE PRACTITIONER 6 225 2.5% (315) 801-7145
8 CENTRAL NEW YORK CARDIOLOGY, PC UTICANYCARDIOVASCULAR DISEASE (CARDIOLOGY) 28 43 0.5% (315) 733-7598
9 LAURELTON HEART SPECIALIST PC ROSEDALENYCARDIOVASCULAR DISEASE (CARDIOLOGY) 2 31 0.3% (718) 949-9400
10 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORKNYNURSE PRACTITIONER 2273 29 0.3% (212) 305-8559
11 MONTEFIORE MEDICAL CENTER BRONXNYPHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 28 0.3% (866) 633-8255
12 GARNET HEALTH DOCTORS PC MIDDLETOWNNYHOSPITALIST 170 22 0.2% (845) 333-7575
13 CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC SAN ANTONIONYCARDIOVASCULAR DISEASE (CARDIOLOGY) 124 18 0.2% (210) 271-3204

*Share of New York's disclosed Medicare-FFS services for 78431, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 78431 in New York — including groups registered elsewhere ("City" is each 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.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →