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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
81025 Urine pregnancy test 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 6,161 services ▼ 1.8% YoY · 3,283 beneficiaries (CY2024, Medicare FFS)
Medicare paid $51K · $8.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
44
Named-group FFS services
2,542
FFS of Medicare
49%
Services YoY
-1.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,264 services

2,542 observed fee-for-service (48%) · ~2,722 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 — 81025 (CY2024)

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

Named-group submitted charges
$60K
Named-group allowed amount
$21K
Named-group Medicare payments
$21K
Avg charge / svc
$24
Avg allowed / svc
$8
Avg payment / svc
$8
Average charge per group
$5 44 groups · avg submitted charge / service $100
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 81025 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 81025 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 FOUNDATION FOR SICKLE CELL DISEASE RESEARCH HOMESTEAD FL HEMATOLOGY/ONCOLOGY 4 996 $17,852 $18 premium 86.0% (954) 397-3251
2 RACC MEDICAL ASSOCIATES LLC FORT WAYNE IN PHYSICIAN ASSISTANT 22 202 $4,040 $20 premium 66.0% (260) 748-3650
3 HORIZON HEALTHCARE, INC MILWAUKEE WI NURSE PRACTITIONER 16 164 $4,264 $26 premium 38.7% (414) 376-5577
4 MNR INDUSTRIES, LLC BEL AIR MD NURSE PRACTITIONER 139 111 $3,441 $31 premium 31.8%
5 CAPITAL OB/GYN, INC. SACRAMENTO CA OBSTETRICS/GYNECOLOGY 11 80 $1,600 $20 premium 16.1% (916) 920-2082
6 ACHIEVE WHOLE RECOVERY, PC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 24 49 $740 $15 premium 100.0% (719) 373-9703
7 PREMIER PAIN AND SPINE CENTER PLLC NASHVILLE TN PHYSICAL MEDICINE AND REHABILITATION 12 46 $1,610 $35 premium 24.0% (615) 637-7463
8 BAY WOMENS HEALTH LLC GLEN BURNIE MD OBSTETRICS/GYNECOLOGY 3 46 $1,150 $25 premium 13.2% (410) 595-6353
9 PROFESSIONAL RESOURCE MANAGMENT OF WIREGRASS, LLC DOTHAN AL FAMILY PRACTICE 10 45 $1,125 $25 premium 50.0% (334) 712-1170
10 SAVIDA HEALTH PC WEST SPRINGFIELD MA NURSE PRACTITIONER 85 42 $462 $11 premium 12.2% (413) 732-0040
11 BETTY JEAN KERR PEOPLES HEALTH CENTERS SAINT LOUIS MO FAMILY PRACTICE 18 41 $1,230 $30 premium 100.0% (314) 367-7848
12 TOTAL WELLNESS CENTERS LLC WEST SPRINGFIELD MA PHYSICIAN ASSISTANT 38 38 $1,520 $40 premium 11.1% (413) 584-2173
13 BEHAVIORAL HEALTH NETWORK INC SPRINGFIELD MA CLINICAL SOCIAL WORKER 140 37 $407 $11 premium 10.8% (413) 736-3668
14 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 37 $799 $22 premium 17.2% (516) 407-2727
15 BETHPAGE MEDICAL PLLC NEW YORK NY OBSTETRICS/GYNECOLOGY 11 34 $612 $18 premium 15.8% (212) 629-1000
16 LIVE URGENT CARE LLC BELLMAWR NJ NURSE PRACTITIONER 6 33 $495 $15 premium 8.8% (856) 333-3616
17 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 30 $761 $25 premium 14.0% (631) 751-3000
18 AMIR REZA RADJABI MEDICAL PLLC NEW YORK NJ OBSTETRICS/GYNECOLOGY 5 29 $1,450 $50 premium 7.8% (212) 535-5350
19 WICOMICO COUNTY HEALTH DEPARTMENT SALISBURY MD FAMILY PRACTICE 2 26 $336 $13 premium 7.4% (410) 534-6930
20 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 26 $2,600 $100 premium 12.1% (718) 875-4848
21 UNITED OBSTETRICS AND GYNECOLOGY PC TIFTON GA OBSTETRICS/GYNECOLOGY 5 25 $625 $25 premium 55.6% (229) 391-3500
22 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 24 $2,232 $93 premium 5.7% (715) 838-5222
23 ILLINOIS CENTER FOR PAIN CONTROL LLC MICHIGAN CITY IN NURSE PRACTITIONER 5 22 $968 $44 premium 7.2% (219) 301-2633
24 TOTAL HEALTH CARE INC BALTIMORE MD NURSE PRACTITIONER 55 21 $549 $26 premium 6.0% (410) 383-8300
25 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 20 $618 $31 premium 100.0% (206) 721-5600
26 COMPREHENSIVE PAIN CENTER OF MISSISSIPPI MADISON MS NURSE PRACTITIONER 5 20 $1,000 $50 premium 62.5% (769) 300-0730
27 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 20 $500 $25 premium 5.7%
28 FIRST CHOICE URGENT CARE PC DEARBORN MI PHYSICIAN ASSISTANT 45 19 $95 $5 premium 5.0%
29 SOUTHWESTERN RECOVERY CENTER, LLC GROVE CITY OH NURSE PRACTITIONER 5 19 $191 $10 premium 29.7% (614) 594-2141
30 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO MD INTERNAL MEDICINE 1965 19 $380 $20 premium 5.4% (301) 618-5700
31 LADIES FIRST HEALTHCARE, PC FLINT MI CERTIFIED NURSE MIDWIFE (CNM) 2 18 $920 $51 premium 4.7% (810) 733-7791
32 GET WELL URGENT CARE HARPER WOODS PLC HARPER WOODS MI PHYSICIAN ASSISTANT 15 18 $270 $15 premium 4.7% (313) 499-1951
33 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 17 $493 $29 premium 8.9% (901) 226-3882
34 MAYER J SAAD MD PC WESTBURY NY PHYSICIAN ASSISTANT 42 17 $425 $25 premium 7.9% (516) 333-1444
35 OBSTETRICS AND GYNECOLOGY OF DOTHAN INC DOTHAN AL OBSTETRICS/GYNECOLOGY 5 16 $160 $10 premium 17.8% (334) 671-9445
36 MNR INDUSTRIES, LLC BEL AIR DE NURSE PRACTITIONER 139 16 $496 $31 premium 100.0%
37 THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN NURSE PRACTITIONER 237 15 $1,360 $91 premium 4.9% (317) 266-2901
38 MARC S BEHAR MD PC GARDEN CITY NY OBSTETRICS/GYNECOLOGY 3 14 $350 $25 premium 6.5% (516) 294-4700
39 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 14 $546 $39 premium 18.7% (847) 459-1160
40 LYNN URGENT CARE LLC LYNN MA PHYSICIAN ASSISTANT 13 14 $241 $17 premium 4.1% (781) 281-7081
41 SOUTHERN CALIFORNIA EMERGENCY MEDICINE YUCAIPA CA PHYSICIAN ASSISTANT 44 13 $182 $14 premium 2.6% (909) 797-8900
42 ADVANCED PHYSICIANS P C FOREST HILLS NY OBSTETRICS/GYNECOLOGY 7 13 $375 $29 premium 6.0% (718) 360-9550
43 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 12 $312 $26 premium 7.5% (713) 512-7500
44 HEINEN OBSTETRICS AND GYNECOLOGY LLC EUNICE LA NURSE PRACTITIONER 3 12 $360 $30 premium 25.0% (337) 546-6237
45 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 12 $264 $22 premium 5.6% (212) 271-4364

*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 →