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Market snapshot

0240U nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

0240U — Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid-19), influenza a, and influenza b) in upper respiratory specimen, each reported as detected or not detected

Billing groups
25
Named-group FFS services
1,504
FFS of Medicare
49%
Services YoY
-72.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,726 services

1,504 observed fee-for-service (55%) · ~1,222 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 0240U (CY2024)
FL 50,922 WI 683 KS 578 IL 480 AR 400

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Named-group submitted charges
$377K
Named-group allowed amount
$209K
Named-group Medicare payments
$209K
Avg charge / svc
$251
Avg allowed / svc
$139
Avg payment / svc
$139
Average charge per group
$150 25 groups · avg submitted charge / service $471
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 0240U svcs Submitted charges Avg charge Medicare $ Share* Phone
1 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 405 $109,842 $271 70.1% (785) 354-9591
2 CROSSETT HEALTH FOUNDATION CROSSETT AR NURSE PRACTITIONER 21 127 $19,939 $157 31.8% (870) 364-1272
3 INTEGRATED MEDICAL GROUP, P.C. POTTSVILLE PA PHYSICIAN ASSISTANT 107 102 $20,400 $200 72.9% —
4 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 73 $31,901 $437 75.3% (701) 323-8300
5 ST BERNARDS PHYSICIAN CLINICS INC JONESBORO AR NURSE PRACTITIONER 206 73 $20,805 $285 18.2% (870) 972-8181
6 RURAL HEALTH CARE INC WORTHINGTON MN NURSE PRACTITIONER 151 71 $18,815 $265 64.5% (507) 372-6522
7 SISTERS OF MERCY URGENT CARE INC ASHEVILLE NC PHYSICIAN ASSISTANT 45 70 $10,647 $152 64.2% (828) 210-8325
8 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 59 $11,800 $200 0.1% (352) 416-1082
9 BLACK HILLS SURGICAL HOSPITAL LLC RAPID CITY SD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 75 53 $9,434 $178 18.0% (605) 721-4700
10 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 53 $13,780 $260 63.9% —
11 ARIZONA MEDICAL SPECIALTY GROUP LLC TUCSON AZ NURSE PRACTITIONER 5 52 $15,600 $300 71.2% (520) 800-8229
12 DLP CONEMAUGH PHYSICIAN PRACTICES LLC JOHNSTOWN PA PHYSICIAN ASSISTANT 280 38 $10,830 $285 27.1% (814) 534-9104
13 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 34 $12,138 $357 75.6% (240) 215-1138
14 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 30 $4,710 $157 12.5% (563) 584-4100
15 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NJ INTERNAL MEDICINE 366 28 $6,020 $215 100.0% (732) 477-5600
16 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 28 $13,191 $471 13.9% (310) 423-0674
17 ALLIANCE PHYSICIANS INC WEST CARROLLTON OH FAMILY PRACTICE 314 27 $6,912 $256 54.0% (937) 865-0534
18 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 26 $4,680 $180 100.0% —
19 THINK AKSARBEN LLC OMAHA NE FAMILY PRACTICE 73 25 $3,750 $150 100.0% (402) 991-7000
20 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 23 $6,233 $271 46.0% (740) 446-5050
21 BLACK HILLS SURGICAL HOSPITAL LLC RAPID CITY AZ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 75 21 $3,738 $178 28.8% (605) 721-4700
22 FASTMED PC DURHAM NC PHYSICIAN ASSISTANT 173 14 $2,100 $150 12.8% (919) 313-3900
23 PRIVIA MEDICAL GROUP, LLC ARLINGTON NC NURSE PRACTITIONER 1477 14 $3,640 $260 12.8% —
24 INNOVIS HEALTH LLC FARGO ND NURSE PRACTITIONER 565 12 $2,580 $215 12.4% (701) 364-6600
25 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 12 $5,244 $437 12.4% (701) 234-2000
26 ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC NORMAN OK FAMILY PRACTICE 82 12 $4,800 $400 41.4% (405) 447-0300
27 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND CA PHYSICIAN ASSISTANT 588 11 $1,980 $180 5.5% —
28 NORTH MEMORIAL HEALTH CARE ROBBINSDALE MN PHYSICIAN ASSISTANT 501 11 $1,782 $162 10.0% (763) 581-5400

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →