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Market snapshot

80164 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

80164 — Valproic acid level, total

Billing groups
8
Named-group FFS services
388
FFS of Medicare
49%
Services YoY
-1.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~859 services

388 observed fee-for-service (45%) · ~471 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 — 80164 (CY2024)

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

Named-group submitted charges
$25K
Named-group allowed amount
$5K
Named-group Medicare payments
$5K
Avg charge / svc
$63
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$45 8 groups · avg submitted charge / service $158
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 80164 services, CY2024
#Physician group City St Specialty Providers 80164 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 104 $5,408 $52 premium 0.6%
2 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 104 $5,200 $50 premium 0.9% (336) 610-1300
3 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 96 $6,240 $65 premium 0.7%
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 19 $1,995 $105 premium 0.1% (415) 600-1020
5 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 18 $877 $49 premium 1.0% (206) 721-5600
6 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 17 $2,691 $158 premium 0.4% (251) 665-8000
7 CENTRACARE CLINIC SOUTHWEST LLC WILLMAR MN FAMILY PRACTICE 165 15 $1,458 $97 premium 1.9% (320) 231-5000
8 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 15 $675 $45 premium 0.6% (270) 781-4043

*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 →