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Market snapshot

81219 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

81219 — Gene analysis (calreticulin), common variants

Billing groups
7
Named-group FFS services
2,657
FFS of Medicare
49%
Services YoY
+6.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,885 services

2,657 observed fee-for-service (45%) · ~3,228 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 — 81219 (CY2024)

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$316K
Named-group Medicare payments
$316K
Avg charge / svc
$387
Avg allowed / svc
$119
Avg payment / svc
$119
Average charge per group
$267 7 groups · avg submitted charge / service $797
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 81219 services, CY2024
#Physician group City St Specialty Providers 81219 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,018 $322,706 $317 premium 25.0% (239) 561-9622
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 637 $312,130 $490 premium 76.4% (631) 751-3000
3 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 616 $224,840 $365 premium 15.1% (260) 484-8830
4 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 151 $47,867 $317 premium 3.7% (561) 548-3639
5 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 81 $64,572 $797 premium 7.8% (310) 267-2625
6 CANCER SPECIALISTS LLC JACKSONVILLE FL HEMATOLOGY/ONCOLOGY 46 80 $21,344 $267 premium 2.0% (904) 516-3737
7 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 45 $19,305 $429 premium 6.2% (201) 996-2210
8 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MO NURSE PRACTITIONER 462 29 $14,210 $490 premium 100.0% (631) 751-3000

*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 →