Cost analysis for CPT 37243 — Occlusion of growths or obstructed vessels with review by radiologist
Average Medicare Payment
$1688.77
2023 data
Total Payments (2023)
$23.5M
Services (2023)
8.1K
Price Change (2014–2023)
+209.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $546.58 | $3.8M | 7.0K | — |
| 2015 | $569.76 | $4.0M | 7.3K | +4.2% |
| 2016 | $694.31 | $4.8M | 7.6K | +21.9% |
| 2017 | $549.71 | $4.0M | 7.3K | -20.8% |
| 2018 | $539.59 | $3.6M | 6.5K | -1.8% |
| 2019 | $656.88 | $4.3M | 6.5K | +21.7% |
| 2020 | $974.52 | $6.8M | 5.8K | +48.4% |
| 2021 | $1244.29 | $9.8M | 6.4K | +27.7% |
| 2022 | $1396.10 | $12.7M | 6.5K | +12.2% |
| 2023 | $1688.77 | $23.5M | 8.1K | +21.0% |
The most expensive state pays 14.6x more than the cheapest for this procedure. VA averages $6098.94 vs SC at $417.16.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| VA | $6098.94 | $3.6M | 596 | 10 |
| MA | $5155.37 | $2.2M | 434 | 8 |
| NJ | $4673.28 | $565.5K | 121 | 4 |
| AZ | $4213.06 | $1.3M | 317 | 13 |
| NC | $4206.27 | $2.0M | 485 | 9 |
| NY | $4073.08 | $3.4M | 825 | 23 |
| IL | $3768.01 | $1.1M | 296 | 8 |
| TX | $3690.57 | $1.6M | 440 | 18 |
| CO | $3634.77 | $668.8K | 184 | 7 |
| MO | $3313.29 | $712.4K | 215 | 6 |
| PA | $2869.98 | $2.1M | 739 | 15 |
| TN | $2106.33 | $581.3K | 276 | 12 |
| FL | $1183.21 | $734.8K | 621 | 23 |
| CA | $1029.31 | $740.1K | 719 | 29 |
| MD | $452.59 | $112.7K | 249 | 10 |
| GA | $440.37 | $50.2K | 114 | 6 |
| OR | $440.36 | $47.1K | 107 | 5 |
| LA | $436.88 | $56.4K | 129 | 5 |
| SC | $417.16 | $47.1K | 113 | 6 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Hesham Malik | Diagnostic Radiology | MA | $2.2M | 292 | $7440.08 |
| Ari Isaacson | Interventional Radiology | NC | $2.0M | 305 | $6448.23 |
| Mohammed Razvi | Interventional Radiology | PA | $1.9M | 247 | $7666.83 |
| Alex Pavidapha | Interventional Radiology | VA | $1.8M | 223 | $8064.06 |
| Rachel Piechowiak | Diagnostic Radiology | VA | $1.2M | 141 | $8405.68 |
| Daniel Bodmer | Diagnostic Radiology | NY | $1.0M | 134 | $7483.75 |
| Majid Maybody | Interventional Radiology | NY | $866.2K | 101 | $8576.72 |
| Osmanuddin Ahmed | Interventional Radiology | IL | $839.6K | 123 | $6825.85 |
| Marcus Jones | Interventional Radiology | MO | $663.6K | 102 | $6505.61 |
| Charles Nutting | Interventional Radiology | CO | $626.2K | 87 | $7197.45 |
| Keerthi Prasad | Radiation Oncology | TX | $596.8K | 88 | $6782.11 |
| Michael Drabkin | Diagnostic Radiology | NY | $575.6K | 67 | $8591.38 |
| Santiago Cornejo | Interventional Radiology | AZ | $417.6K | 61 | $6845.78 |
| David Wood | Interventional Radiology | AZ | $414.4K | 62 | $6683.71 |
| Travis Van Meter | Diagnostic Radiology | TX | $363.6K | 54 | $6733.81 |
| Anoop Wattamwar | Diagnostic Radiology | NJ | $300.8K | 51 | $5898.86 |
| Bryan Glaenzer | Interventional Radiology | KY | $291.2K | 47 | $6195.42 |
| Mustafa Syed | Diagnostic Radiology | VA | $284.4K | 34 | $8363.66 |
| Jaskirat Virk | Diagnostic Radiology | NJ | $246.4K | 31 | $7949.90 |
| Kan Zhang | Diagnostic Radiology | NY | $235.0K | 28 | $8391.97 |
The data suggests significant pricing inconsistencies for CPT 37243. With a 14.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 209.0% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.