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Market snapshot

80503 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

80503 — Pathology clinical consultation for clinical problem, 5-20 minutes

Billing groups
65
Named-group FFS services
17,674
FFS of Medicare
49%
Services YoY
+6.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~36,383 services

17,674 observed fee-for-service (49%) · ~18,709 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 — 80503 (CY2024)
TN 3,346 MI 2,165 OK 1,933 TX 1,571 VA 1,390

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$381K
Named-group Medicare payments
$288K
Avg charge / svc
$87
Avg allowed / svc
$22
Avg payment / svc
$16
Average charge per group
$23 65 groups · avg submitted charge / service $225
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 80503 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE PATHOLOGY GROUP PC MEMPHIS TN PATHOLOGY 5 3,147 $302,112 $96 94.1% (801) 765-2731
2 PATHOLOGY LABORATORY ASSOCIATES, INC. TULSA OK PATHOLOGY 25 1,796 $99,498 $55 92.9% (918) 388-5720
3 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 1,248 $200,928 $161 57.6% (248) 964-1187
4 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 957 $77,660 $81 80.8% (813) 745-4673
5 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 906 $45,672 $50 100.0% (252) 744-1406
6 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 901 $81,000 $90 57.4% (210) 558-6288
7 PREFERRED ANATOMIC PATHOLOGY SERVICES INC LAFAYETTE LA PATHOLOGY 5 896 $74,368 $83 84.8% (337) 289-7679
8 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 685 $64,415 $94 100.0% (319) 678-8201
9 ASSOCIATE PATHOLOGISTS OF JOLIET PLLC JOLIET IL PATHOLOGY 4 498 $26,208 $53 84.3% (815) 725-7222
10 MICHIGAN PATHOLOGY SPECIALISTS PC GRAND RAPIDS MI PATHOLOGY 32 494 $32,026 $65 22.8% (616) 267-2350
11 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK NY NURSE PRACTITIONER 226 416 $54,080 $130 35.6% (212) 639-2000
12 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX VA PATHOLOGY 45 388 $27,936 $72 27.9% (703) 391-3600
13 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 355 $24,023 $68 39.1% (206) 364-0500
14 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 333 $34,991 $105 100.0% (843) 792-1414
15 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 275 $20,997 $76 53.7% (617) 421-1000
16 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 245 $19,600 $80 63.1% (614) 293-5905
17 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NY PHYSICIAN ASSISTANT 1692 206 $21,366 $104 17.6% (843) 792-1414
18 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX MD PATHOLOGY 45 196 $14,112 $72 60.1% (703) 391-3600
19 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 189 $12,176 $64 12.0% (210) 450-7044
20 MICHIGAN DIAGNOSTIC PATHOLOGISTS PLLC SOUTHFIELD MI PATHOLOGY 8 174 $9,509 $55 8.0% (248) 849-5401
21 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 145 $13,530 $93 12.4% (716) 845-2300
22 LABORATORY PHYSICIANS ASSOCIATION DALLAS TX PATHOLOGY 11 141 $11,139 $79 9.0% (214) 947-7777
23 PATHOLOGY CONSULTATION SERVICES INC NORMAN OK PATHOLOGY 4 137 $10,412 $76 7.1% (405) 515-1000
24 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS MS PATHOLOGY 133 135 $10,125 $75 68.5% (561) 548-3639
25 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 132 $8,844 $67 11.3% (518) 262-3277
26 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 120 $10,594 $88 37.2% (720) 777-1234
27 DUBOIS REGIONAL MEDICAL CENTER DU BOIS TN PHYSICIAN ASSISTANT 416 119 $6,426 $54 3.6% —
28 PENINSULA PATHOLOGY ASSOCIATES, P.A. SALISBURY MD PATHOLOGY 5 110 $5,060 $46 33.7% (410) 543-7389
29 KANSAS PATHOLOGY CONSULTANTS, PA WICHITA CO PATHOLOGY 3 101 $13,517 $134 31.3% (316) 681-2741
30 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 101 $4,242 $42 70.6% (205) 934-3460
31 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 97 $19,594 $202 29.8% (612) 873-6963
32 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA NJ PHYSICIAN ASSISTANT 1103 95 $7,710 $81 10.0% (813) 745-4673
33 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK CA NURSE PRACTITIONER 226 88 $11,440 $130 22.9% (212) 639-2000
34 WESTERN PATHOLOGY CONSULTANTS, PC SCOTTSBLUFF NE PATHOLOGY 2 86 $9,890 $115 32.5% (308) 632-2900
35 PENINSULA PATHOLOGISTS MEDICAL GROUP INC MOUNTAIN VIEW CA PATHOLOGY 16 82 $6,150 $75 21.3% (650) 616-2951
36 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 81 $5,508 $68 5.2% (409) 772-2222
37 DUBOIS REGIONAL MEDICAL CENTER DU BOIS PA PHYSICIAN ASSISTANT 416 73 $3,942 $54 13.4% —
38 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK PA NURSE PRACTITIONER 226 72 $9,360 $130 13.2% (212) 639-2000
39 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 72 $12,796 $178 6.1% (305) 689-5437
40 STOCKDALE PODIATRY GROUP INC BAKERSFIELD CA PODIATRY 14 68 $7,140 $105 17.7% (661) 832-1667
41 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 63 $3,490 $55 4.0% (254) 724-2663
42 PATHOLOGY CONSULTATION SERVICES INC NORMAN MO PATHOLOGY 4 63 $4,788 $76 44.7% (405) 515-1000
43 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 63 $3,454 $55 6.9% (509) 665-6087
44 PRATT PATHOLOGY ASSOCIATES INC BOSTON MA PATHOLOGY 24 63 $3,718 $59 12.3% —
45 SAMARITAN MEDICAL CENTER WATERTOWN MA PHYSICIAN ASSISTANT 155 60 $2,809 $47 11.7% (315) 785-4000
46 COMMUNITY PATHOLOGY LABORATORY LLC COOKEVILLE TN PATHOLOGY 4 58 $2,957 $51 1.7% (931) 528-2836
47 EASTERN MAINE MEDICAL CENTER BANGOR ME PHYSICIAN ASSISTANT 697 54 $5,292 $98 100.0% (207) 973-7000
48 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA MO PHYSICIAN ASSISTANT 1103 53 $4,300 $81 37.6% (813) 745-4673
49 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 52 $3,536 $68 4.4% (954) 659-5000
50 KANSAS PATHOLOGY CONSULTANTS, PA WICHITA IN PATHOLOGY 3 52 $6,959 $134 77.6% (316) 681-2741
51 LICKING MEMORIAL HEALTH PROFESSIONALS NEWARK OH FAMILY PRACTICE 233 48 $3,744 $78 12.4% (220) 564-4270
52 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 44 $7,084 $161 2.0% (313) 916-2600
53 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 43 $6,794 $158 2.0% (734) 763-5459
54 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 38 $2,166 $57 9.8% (513) 584-1000
55 CORPUS FAMILY PRACTICE PLLC CORPUS CHRISTI TX INTERNAL MEDICINE 2 37 $3,700 $100 2.4% (361) 884-3966
56 PATHOLOGY LABORATORY ASSOCIATES, INC. TULSA KS PATHOLOGY 25 31 $1,717 $55 100.0% (918) 388-5720
57 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 31 $2,325 $75 8.1% (800) 872-2273
58 PRAIRIE LAKES HEALTH CARE SYSTEM INC WATERTOWN SD PHYSICIAN ASSISTANT 126 27 $2,943 $109 29.7% (605) 882-4743
59 LABORATORY PHYSICIANS ASSOCIATION DALLAS MA PATHOLOGY 11 27 $2,133 $79 5.3% (214) 947-7777
60 R IRVIN MORGAN MD PA PATHOLOGY ASSOCIATES GREENVILLE TX PATHOLOGY 2 27 $2,619 $97 1.7% (903) 455-4051
61 SAMARITAN MEDICAL CENTER WATERTOWN NY PHYSICIAN ASSISTANT 155 26 $1,217 $47 2.2% (315) 785-4000
62 PRATT PATHOLOGY ASSOCIATES INC BOSTON NH PATHOLOGY 24 26 $1,535 $59 100.0% —
63 COOPER PATHOLOGY PC CAMDEN DC PATHOLOGY 32 24 $1,209 $50 100.0% (856) 342-2506
64 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 23 $1,380 $60 1.5% —
65 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TN PATHOLOGY 25 22 $1,413 $64 0.7% (210) 558-6288
66 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 21 $714 $34 16.9% (520) 694-0111
67 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 21 $4,536 $216 6.4% (507) 284-2511
68 PRATT PATHOLOGY ASSOCIATES INC BOSTON MD PATHOLOGY 24 20 $1,180 $59 6.1% —
69 BAYLOR COLLEGE OF MEDICINE HOUSTON TX PATHOLOGY 51 18 $416 $23 1.1% (713) 481-3513
70 VALLEY PATHOLOGY MEDICAL ASSOCIATES INC ESCONDIDO CA PATHOLOGY 5 18 $1,368 $76 4.7% (442) 281-5000
71 NORTH CENTRAL OHIO FAMILY CARE CENTER INC ONTARIO OH NURSE PRACTITIONER 190 17 $759 $45 4.4% (419) 468-0505
72 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 17 $1,870 $110 1.1% (214) 633-5555
73 UNIVERSITY PHYSICIANS INCORPORATED AURORA FL PHYSICIAN ASSISTANT 3122 16 $1,408 $88 1.4% (720) 777-1234
74 OHI WEST MEDICAL GROUP LLC ST PETERSBURG FL PHYSICIAN ASSISTANT 193 16 $1,224 $77 1.4% (727) 823-1234
75 GOSHEN HOSPITAL ASSOCIATION INC GOSHEN IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 10 15 $405 $27 22.4% (219) 533-2141
76 MIDLAND PATHOLOGISTS PA MIDLAND TX PATHOLOGY 4 15 $456 $30 1.0% (432) 685-1111
77 GENERAL HOSPITAL PATHOLOGISTS LTD VIRGINIA BCH VA PATHOLOGY 3 14 $938 $67 1.0% (757) 463-5240
78 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 14 $1,372 $98 3.6% (877) 827-7463
79 NORTHWEST INDIANA PATHOLOGY CONSULTANTS, P.C. MUNSTER IL PATHOLOGY 11 14 $1,036 $74 2.4% (219) 836-1600
80 TEXAS PATHOLOGY CONSULTANTS PA BURLESON TX PATHOLOGY 4 12 $2,700 $225 0.8% (817) 293-4304
81 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 11 $1,430 $130 0.9% (212) 639-2000

*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 →