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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
38220 Aspiration of bone marrow sample for diagnosis CPT · Other Organ Systems procedure
Classification Procedure Other Organ Systems (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1,375 services ▼ 8.3% YoY · 1,267 beneficiaries (CY2024, Medicare FFS)
Medicare paid $74K · $54.04 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
20
Named-group FFS services
1,079
FFS of Medicare
49%
Services YoY
-8.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,114 services

1,079 observed fee-for-service (51%) · ~1,035 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 — 38220 (CY2024)

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

Named-group submitted charges
$629K
Named-group allowed amount
$74K
Named-group Medicare payments
$58K
Avg charge / svc
$583
Avg allowed / svc
$68
Avg payment / svc
$53
Average charge per group
$32 20 groups · avg submitted charge / service $2,919
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 38220 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 38220 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 269 $210,627 $783 premium 96.1% (713) 592-5433
2 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 257 $165,508 $644 premium 84.3% (201) 996-2210
3 RAMIN GANJIANPOUR MD INC MISSION HILLS CA PHYSICIAN ASSISTANT 4 96 $11,904 $124 premium 39.7% (818) 361-0136
4 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 64 $45,952 $718 premium 100.0% (205) 934-3460
5 OMID S. SHAYE, M.D., A MEDICAL CORPORATION WEST HILLS CA HEMATOLOGY/ONCOLOGY 3 58 $20,522 $354 premium 24.0% (818) 346-1773
6 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 54 $32,346 $599 premium 100.0% (804) 828-9000
7 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 47 $9,904 $211 premium 71.2% (206) 364-0500
8 PMK MEDICAL GROUP, INC. OXNARD CA HEMATOLOGY/ONCOLOGY 7 44 $16,500 $375 premium 18.2% (805) 485-8709
9 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 23 $10,366 $451 premium 9.5% (213) 977-1214
10 AVERA ST LUKES ABERDEEN SD NURSE PRACTITIONER 169 20 $637 $32 premium 100.0% (605) 622-5100
11 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 20 $11,000 $550 premium 31.2%
12 HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTH JERSEY LLC KINGMAN AZ HEMATOLOGY/ONCOLOGY 3 19 $6,606 $348 premium 100.0% (928) 681-1234
13 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 16 $10,304 $644 premium 55.2% (813) 844-7585
14 EAST SIDE ONCOLOGY ASSOCIATES PLLC DBA AMERICAN INFUSION CENTER NEW YORK NY NURSE PRACTITIONER 9 15 $11,850 $790 premium 23.4% (212) 879-3496
15 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 15 $43,785 $2,919 premium 23.4% (212) 263-9700
16 CHITRA VENKATRAMAN MD PA GREENBELT MD HEMATOLOGY/ONCOLOGY 3 14 $3,500 $250 premium 29.8% (301) 345-1800
17 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 14 $3,948 $282 premium 21.9% (631) 751-3000
18 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS DC PHYSICIAN ASSISTANT 544 12 $3,840 $320 premium 100.0% (443) 481-1000
19 UNITED HOSPITAL CENTER INC BRIDGEPORT PA PHYSICIAN ASSISTANT 298 11 $2,200 $200 premium 100.0% (681) 342-1842
20 SAN JUAN ONCOLOGY ASSOCIATES PC FARMINGTON NM HEMATOLOGY/ONCOLOGY 3 11 $7,711 $701 premium 100.0% (505) 564-6850

*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 →