Healthcare Insights
Top 15 provider groups by mammogram procedures
Mammography is a routine part of preventive care for many women. Screening mammograms and tomosynthesis specifically help healthcare providers identify the presence of breast cancer using X-rays.
October is Breast Cancer Awareness Month, a period dedicated by the National Breast Cancer Foundation to raise awareness about the impact of breast cancer and the inequality of access to preventive and curative care.
In observance of the month, we’ve compiled a list of the physician groups that performed the most mammography procedures in 2021, using Definitive Healthcare claims data.
| Rank | Definitive ID | Physician group | City | State | % Total procedures | % Total charges | Explore dataset |
|---|---|---|---|---|---|---|---|
| 1 | 625810 | Lenox Hill Radiology | Astoria | NY | 3.00% | 4.20% | Explore |
| 2 | 585307 | Fairfax Radiological Consultants | Fairfax | VA | 2.20% | 2.70% | Explore |
| 3 | 589006 | Rayus Radiology (FKA Center for Diagnostic Imaging) | Saint Louis Park | MN | 1.90% | 2.90% | Explore |
| 4 | 553198 | University Radiology | New Brunswick | NJ | 1.60% | 1.90% | Explore |
| 5 | 1006837 | Radiology Imaging Associates PC | Englewood | CO | 1.60% | 2.10% | Explore |
| 6 | 551050 | Spectrum Healthcare Partners | South Portland | ME | 1.50% | 0.80% | Explore |
| 7 | 552252 | Baptist Health Medical Group | Lexington | KY | 1.40% | 0.80% | Explore |
| 8 | 582599 | Rose Imaging Specialists | Austin | TX | 1.40% | 1.80% | Explore |
| 9 | 550405 | Lehigh Valley Physician Group | Bethlehem | PA | 1.40% | 0.50% | Explore |
| 10 | 611304 | Inland Imaging | Spokane | WA | 1.20% | 1.40% | Explore |
| 11 | 595227 | South Texas Radiology Imaging Centers | San Antonio | TX | 1.20% | 1.40% | Explore |
| 12 | 695579 | Radiology of Indiana | Indianapolis | IN | 1.20% | 0.50% | Explore |
| 13 | 585321 | Northwest Radiology Network | Indianapolis | IN | 1.20% | 0.60% | Explore |
| 14 | 553060 | Texas Radiology Associates | Plano | TX | 1.20% | 3.10% | Explore |
| 15 | 956280 | Bay Imaging Consultants | Walnut Creek | CA | 1.10% | 1.10% | Explore |
Fig. 1 Data is from the Definitive Healthcare ClaimsMx product. Data is accurate as of October 2022.
Which physician groups performed the most mammograms in 2021?
Lenox Hill Radiology performed 3.0% of all mammogram procedures in 2021, putting them at the number-one spot on our list. This provider group from Astoria, New York, is one of the largest in the country, with at least 193 physicians practicing at their imaging centers.
They also have 43 facilities certified under the Mammography Quality Standards Act (MQSA)—the second-highest count of MQSA facilities for any imaging center corporation in the country.
In second on our list is Fairfax Radiological Consultants of Fairfax, Virginia, with 2.2% of total mammography procedures in 2021. Rayus Radiology takes third place with 1.9% of total procedures. Despite the lower overall procedure volume, this group from St. Louis Park, Minnesota, actually accounts for a greater percentage of 2021 charges than the entry above it.
How do screening mammograms and diagnostic mammograms differ?
Screening mammograms are preventive exams usually scheduled annually or every other year for women past a certain age who have no apparent cancer symptoms.
While traditional guidance recommended that all women begin receiving annual screening mammograms after turning 40, the United States Preventive Services Task Force now recommends that screenings begin at age 50 and occur every two years. This change in guidance is due to some studies demonstrating that false positives are more likely in women between 40-49. Some organizations (like Mayo Clinic) still recommend annual screenings starting at 40.
Diagnostic mammograms are more intensive imaging procedures used to verify results from a screening procedure. They deliver a more detailed image of the breast tissue, providing multiple perspectives and levels of magnification to help providers accurately diagnose any abnormalities.
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