NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
38221 Biopsy of bone marrow 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 1,927 services ▲ 5.3% YoY · 1,816 beneficiaries (CY2024, Medicare FFS)
Medicare paid $176K · $91.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
47
Named-group FFS services
1,428
FFS of Medicare
49%
Services YoY
+5.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,793 services

1,428 observed fee-for-service (51%) · ~1,365 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; 1 state without payer-mix data excluded. How we scale

Top states — 38221 (CY2024)
CA 387 NJ 326 NY 295 NC 198 FL 116

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

Named-group submitted charges
$857K
Named-group allowed amount
$173K
Named-group Medicare payments
$135K
Avg charge / svc
$600
Avg allowed / svc
$121
Avg payment / svc
$95
Average charge per group
$137 47 groups · avg submitted charge / service $1,713
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 38221 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 258 $177,504 $688 79.1% (201) 996-2210
2 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 73 $33,726 $462 36.9% (984) 215-5556
3 OMID S. SHAYE, M.D., A MEDICAL CORPORATION WEST HILLS CA HEMATOLOGY/ONCOLOGY 3 59 $21,567 $366 15.2% (818) 346-1773
4 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 54 $92,502 $1,713 18.3% (212) 263-9700
5 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 49 $46,305 $945 12.7% (310) 825-7922
6 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 46 $24,932 $542 23.2% (252) 635-6777
7 PMK MEDICAL GROUP, INC. OXNARD CA HEMATOLOGY/ONCOLOGY 7 44 $18,700 $425 11.4% (805) 485-8709
8 EPIC CARE PLEASANT HILL CA HEMATOLOGY/ONCOLOGY 54 41 $31,775 $775 10.6% (925) 687-2570
9 MCH PROFESSIONAL CARE HOSPITAL BASED ODESSA TX INTERNAL MEDICINE 82 41 $7,421 $181 61.2% (432) 640-2401
10 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 39 $23,510 $603 10.1% (310) 423-0674
11 NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC NEW HYDE PARK NY PHYSICIAN ASSISTANT 155 38 $39,482 $1,039 12.9% —
12 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWR PA NURSE PRACTITIONER 134 35 $13,475 $385 74.5% (610) 527-3800
13 PINNACLE HEALTHCARE LLC SOMERSET FL DIAGNOSTIC RADIOLOGY 21 35 $28,656 $819 30.2% (928) 855-8151
14 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 33 $5,379 $163 53.2% —
15 HENDERSON COUNTY HOSPITAL CORPORATION HENDERSONVILLE NC PHYSICIAN ASSISTANT 230 32 $4,448 $139 16.2% (828) 694-8427
16 EVANS MEDICAL FOUNDATION INC BOSTON MA INTERNAL MEDICINE 530 31 $6,076 $196 70.5% (617) 414-5405
17 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 26 $16,995 $654 6.7% (858) 455-9100
18 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 26 $17,888 $688 41.3% —
19 NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC NEWPORT BEACH CA PATHOLOGY 26 26 $3,892 $150 6.7% (949) 891-1297
20 COASTAL IMAGING LLC MANAHAWKIN NJ DIAGNOSTIC RADIOLOGY 63 24 $5,600 $233 7.4% (609) 597-6011
21 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 23 $19,205 $835 37.7% (608) 785-0940
22 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 22 $13,640 $620 7.5% (212) 305-8559
23 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 21 $27,636 $1,316 33.3% (703) 396-5292
24 HEMATOLOGY-ONCOLOGY ASSOCIATES OF NORTH JERSEY LLC KINGMAN AZ HEMATOLOGY/ONCOLOGY 3 19 $7,256 $382 100.0% (928) 681-1234
25 TAMPA GENERAL MEDICAL GROUP INC TAMPA FL PHYSICIAN ASSISTANT 352 17 $11,696 $688 14.7% (813) 844-7585
26 CGH MEDICAL CENTER STERLING IL NURSE PRACTITIONER 199 17 $20,069 $1,181 27.4% (815) 625-4790
27 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 16 $8,480 $530 5.4% (914) 682-0700
28 SAN JUAN ONCOLOGY ASSOCIATES PC FARMINGTON NM HEMATOLOGY/ONCOLOGY 3 15 $10,966 $731 100.0% (505) 564-6850
29 SELF MEDICAL GROUP GREENWOOD SC NURSE PRACTITIONER 400 15 $2,055 $137 100.0% —
30 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 15 $6,950 $463 24.6% (715) 838-5222
31 EAST SIDE ONCOLOGY ASSOCIATES PLLC DBA AMERICAN INFUSION CENTER NEW YORK NY NURSE PRACTITIONER 9 15 $10,935 $729 5.1% (212) 879-3496
32 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 15 $10,692 $713 3.9% (800) 926-8273
33 CHITRA VENKATRAMAN MD PA GREENBELT MD HEMATOLOGY/ONCOLOGY 3 14 $3,500 $250 29.8% (301) 345-1800
34 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 14 $4,102 $293 4.7% (631) 751-3000
35 SAN ANTONIO RADIOLOGICAL MEDICAL UPLAND CA DIAGNOSTIC RADIOLOGY 56 13 $3,874 $298 3.4% (909) 985-2811
36 TRI-COUNTY HEMATOLOGY AND ONCOLOGY ASSOCIATES INC MASSILLON OH HEMATOLOGY/ONCOLOGY 6 13 $3,786 $291 100.0% (330) 478-0001
37 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK MA HEMATOLOGY/ONCOLOGY 153 13 $7,094 $546 29.5% (201) 996-2210
38 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 13 $4,108 $316 11.2% (321) 312-3501
39 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC PHYSICIAN ASSISTANT 600 13 $9,841 $757 6.6% (704) 403-3000
40 CANCER SPECIALISTS LLC JACKSONVILLE FL HEMATOLOGY/ONCOLOGY 46 12 $4,182 $348 10.3% (904) 516-3737
41 SAMARITAN MEDICAL CENTER WATERTOWN NY PHYSICIAN ASSISTANT 155 12 $3,312 $276 4.1% (315) 785-4000
42 LANCASTER CANCER CENTER LTD LANCASTER PA HEMATOLOGY 4 12 $3,057 $255 25.5% (717) 291-1313
43 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 12 $5,100 $425 3.1% (213) 977-1214
44 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS DC PHYSICIAN ASSISTANT 544 12 $3,900 $325 100.0% (443) 481-1000
45 CANCER SPECIALISTS LLC JACKSONVILLE XX HEMATOLOGY/ONCOLOGY 46 11 $3,927 $357 100.0% (904) 516-3737
46 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY FL NURSE PRACTITIONER 1815 11 $12,130 $1,103 9.5% (913) 588-1227
47 RADIOLOGY ASSOCIATES OF WICHITA FALLS PA WICHITA FALLS TX DIAGNOSTIC RADIOLOGY 53 11 $6,160 $560 16.4% (940) 766-0217
48 CANCER AND BLOOD MEDICAL SERVICES OF NEW YORK PC WHITE PLAINS NY NURSE PRACTITIONER 17 11 $7,322 $666 3.7% (914) 849-7630
49 VAIL CLINIC INC VAIL CO PHYSICAL THERAPIST IN PRIVATE PRACTICE 119 11 $2,640 $240 25.6% (970) 476-2451

*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 →