NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
80074 Acute hepatitis panel CPT · General Laboratory test
Classification Test › General Laboratory › Clinical Chemistry (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 101,856 services ▼ 4.5% YoY · 97,415 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.7M · $46.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
33
Named-group FFS services
4,854
FFS of Medicare
49%
Services YoY
-4.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,946 services

4,854 observed fee-for-service (49%) · ~5,092 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 — 80074 (CY2024)
CA 19,115 TX 11,982 FL 10,770 NC 8,788 NJ 8,658

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

Named-group submitted charges
$726K
Named-group allowed amount
$225K
Named-group Medicare payments
$225K
Avg charge / svc
$150
Avg allowed / svc
$46
Avg payment / svc
$46
Average charge per group
$45 33 groups · avg submitted charge / service $358
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 80074 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,323 $406,525 $175 43.5% (631) 751-3000
2 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 305 $14,811 $49 5.7% (845) 342-4774
3 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 286 $31,460 $110 23.1% (410) 744-0661
4 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 168 $19,320 $115 15.9% (313) 861-4400
5 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 156 $15,250 $98 1.3% (806) 358-8331
6 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 146 $14,816 $101 1.2% (806) 353-7000
7 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 127 $17,145 $135 1.1% (512) 346-6611
8 COLUMBUS ARTHRITIS CENTER, INC. COLUMBUS OH PHYSICIAN ASSISTANT 19 119 $15,017 $126 3.3% —
9 ARTICULARIS RHEUMATOLOGY SPECIALISTS OF TENNESSEE PLLC KNOXVILLE TN NURSE PRACTITIONER 5 109 $11,772 $108 3.1% (865) 896-3377
10 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 98 $15,778 $161 2.8% (731) 664-0002
11 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 91 $32,532 $358 27.3% (843) 497-5929
12 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 88 $12,320 $140 0.7% (806) 771-2400
13 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 77 $3,465 $45 1.4% (516) 536-2221
14 GASTROINTESTINAL ASSOCIATES PA FLOWOOD MS GASTROENTEROLOGY 46 70 $5,460 $78 24.0% 6013551234562
15 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 69 $9,859 $143 0.4% (559) 228-9660
16 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 69 $9,867 $143 0.6% (210) 450-7044
17 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 55 $10,010 $182 0.3% —
18 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 54 $16,578 $307 0.5% (850) 863-8150
19 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 51 $6,073 $119 1.0% (516) 407-2727
20 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 49 $7,791 $159 4.2% —
21 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 41 $4,882 $119 0.8% (631) 628-5000
22 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 40 $4,400 $110 3.2% (410) 332-9359
23 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MO NURSE PRACTITIONER 462 40 $7,000 $175 33.9% (631) 751-3000
24 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 38 $4,560 $120 77.6% (208) 887-9500
25 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK LUBBOCK UT CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 374 29 $4,060 $140 38.2% (806) 743-2800
26 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NY PHYSICIAN ASSISTANT 1692 21 $3,675 $175 0.4% (843) 792-1414
27 COMMONWEALTH PRIMARY CARE RICHMOND VA FAMILY PRACTICE 66 21 $2,940 $140 3.4% (804) 288-1800
28 GWINNETT CLINIC, LTD LAWRENCEVILLE GA INTERNAL MEDICINE 40 19 $2,717 $143 0.6% (770) 972-9000
29 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 18 $3,438 $191 0.5% —
30 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 15 $2,625 $175 0.3% —
31 NEUROSURGICAL ASSOCIATES , LLP LUBBOCK TX NURSE PRACTITIONER 33 14 $1,960 $140 0.1% (806) 796-3000
32 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 14 $3,248 $232 0.5% (316) 262-4467
33 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN OH RHEUMATOLOGY 6 12 $1,440 $120 0.3% (208) 887-9500
34 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 11 $1,452 $132 0.1% (817) 514-4000
35 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN IN RHEUMATOLOGY 20 11 $1,991 $181 3.9% (606) 802-2300

*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 →