HCPCS A9595
Piflufolastat f-18, diagnostic, 1 millicurie (CMS descriptor)
Other services Work RVU per service none (2023 fee schedule; adds 0 work RVUs)
Trend
Medicare payment on the code
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
Billers
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
| observed | calculated | calculated | calculated | calculated | calculated | reported | |
|---|---|---|---|---|---|---|---|
| 2024 | 642 | $121,133,930 | +28% | 242,774 | 225 | 1,247 | 0.00 |
| 2023 | 528 | $94,385,026 | +50% | 189,481 | 225 | 1,126 | 0.00 |
| 2022 | 387 | $62,905,334 | not in the 2021 file | 102,674 | 162 | 840 | 0.00 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2024.
By state
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| California | 87 | $18,003,093 | 37,106 | 267 | 1,252 | |
| New York | 47 | $11,799,623 | 25,104 | 189 | 1,842 | |
| Florida | 44 | $7,935,209 | 17,237 | 300 | 900 | |
| Maryland | 37 | $6,286,632 | 12,212 | 285 | 1,106 | |
| Texas | 38 | $5,693,872 | 8,831 | 162 | 768 | |
| Massachusetts | 21 | $5,410,115 | 10,969 | 414 | 1,305 | |
| Arizona | 25 | $4,582,428 | 9,462 | 252 | 800 | |
| Virginia | 12 | $3,910,574 | 7,193 | 118 | 2,552 | |
| Colorado | 22 | $3,103,254 | 5,775 | 223 | 495 | |
| New Jersey | 19 | $3,012,879 | 5,002 | 124 | 723 | |
| Illinois | 22 | $2,920,481 | 6,064 | 218 | 573 | |
| Pennsylvania | 22 | $2,286,755 | 4,786 | 196 | 438 | |
| Washington | 14 | $2,101,822 | 4,340 | 199 | 754 | |
| North Carolina | 11 | $1,407,332 | 2,945 | 160 | 710 | |
| Ohio | 11 | $925,296 | 2,091 | 126 | 500 |
Not listed: 28 states with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2023.
Top metro areas
| observed | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 45 | $12,413,310 | 24,920 | 161 | |
| Baltimore-Columbia-Towson, MD | 21 | $4,726,141 | 8,862 | 356 | |
| Los Angeles-Long Beach-Anaheim, CA | 21 | $4,650,109 | 9,575 | 254 | |
| Phoenix-Mesa-Chandler, AZ | 17 | $3,442,707 | 7,089 | 252 | |
| Dallas-Fort Worth-Arlington, TX | 13 | $3,077,833 | 4,319 | 211 | |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 16 | $2,718,891 | 4,438 | 265 | |
| Sacramento-Roseville-Folsom, CA | 11 | $2,700,263 | 5,550 | 290 | |
| Boston-Cambridge-Newton, MA-NH | 12 | $2,610,228 | 5,152 | 355 | |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 22 | $2,468,333 | 5,040 | 228 | |
| Chicago-Naperville-Elgin, IL-IN | 14 | $2,007,476 | 4,162 | 217 | |
| San Diego-Chula Vista-Carlsbad, CA | 13 | $1,747,973 | 3,629 | 244 | |
| Seattle-Tacoma-Bellevue, WA | 12 | $1,675,291 | 3,453 | 199 | |
| Denver-Aurora-Centennial, CO | 11 | $978,644 | 1,970 | 165 |
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 13 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.
Specialties billing A9595 nationally
Diagnostic Radiology accounts for 48% of payment for A9595 nationally in 2023, across 6 specialties on claims.
| observed | calculated | calculated | calculated | calculated | calculated | |
|---|---|---|---|---|---|---|
| Diagnostic Radiology | 282 | 53% | $45,015,754 | 48% | 91,740 | 325 |
| Independent Diagnostic Testing Facility (IDTF) | 69 | 13% | $17,647,655 | 19% | 34,079 | 494 |
| Nuclear Medicine | 61 | 12% | $17,421,172 | 18% | 34,662 | 568 |
| Hematology-Oncology | 43 | 8.1% | $5,384,386 | 5.7% | 10,941 | 254 |
| Radiation Oncology | 41 | 7.8% | $5,349,155 | 5.7% | 10,900 | 266 |
| Medical Oncology | 17 | 3.2% | $1,692,194 | 1.8% | 3,263 | 192 |
Not listed: 4 specialties with fewer than 11 billers (small cells).
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2023.
Top billers of A9595 nationally
Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.
Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations