In 2023, a total of 7,323 thrombectomy procedures were performed for 7,249 unique beneficiaries across 438 providers. Nearly all procedures (99.7%) occurred in facility settings, and 7,301 procedures were performed in urban areas versus 22 in rural or unknown settings.  There was marked state-level variation: Alaska demonstrated the highest rate of 844.6 procedures per 100,000 beneficiaries (15 cases), while Oregon had the lowest at 2.4. The disparity ratio between the highest and lowest states was approximately 351-fold. States with high MT utilization included Delaware (99.1) and Maryland (83.4), while several states including Utah and West Virginia had rates below 10 per 100,000 beneficiaries.

Mechanical thrombectomy use is concentrated in urban areas with state-to-state variation, highlighting geographic disparities in access to stroke management. These results are preliminary. Future steps include performing statistical analyses for associations in the current dataset and incorporating multi-year CMS data and additional state-level predictors to better characterize variability in access to care.