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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.

Top physician groups by percentage of total 2021 mammography procedures

RankDefinitive IDPhysician groupCityState% Total procedures% Total chargesExplore dataset
1625810Lenox Hill RadiologyAstoriaNY3.00%4.20%Explore
2585307Fairfax Radiological ConsultantsFairfaxVA2.20%2.70%Explore
3589006Rayus Radiology (FKA Center for Diagnostic Imaging)Saint Louis ParkMN1.90%2.90%Explore
4553198University RadiologyNew BrunswickNJ1.60%1.90%Explore
51006837Radiology Imaging Associates PCEnglewoodCO1.60%2.10%Explore
6551050Spectrum Healthcare PartnersSouth PortlandME1.50%0.80%Explore
7552252Baptist Health Medical GroupLexingtonKY1.40%0.80%Explore
8582599Rose Imaging SpecialistsAustinTX1.40%1.80%Explore
9550405Lehigh Valley Physician GroupBethlehemPA1.40%0.50%Explore
10611304Inland ImagingSpokaneWA1.20%1.40%Explore
11595227South Texas Radiology Imaging CentersSan AntonioTX1.20%1.40%Explore
12695579Radiology of IndianaIndianapolisIN1.20%0.50%Explore
13585321Northwest Radiology NetworkIndianapolisIN1.20%0.60%Explore
14553060Texas Radiology AssociatesPlanoTX1.20%3.10%Explore
15956280Bay Imaging ConsultantsWalnut CreekCA1.10%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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Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.