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Market snapshot

81270 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

81270 — Gene analysis (janus kinase 2) variant

Billing groups
6
Named-group FFS services
1,502
FFS of Medicare
49%
Services YoY
+3.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,271 services

1,502 observed fee-for-service (46%) · ~1,769 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 — 81270 (CY2024)

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

Named-group submitted charges
$462K
Named-group allowed amount
$135K
Named-group Medicare payments
$135K
Avg charge / svc
$308
Avg allowed / svc
$90
Avg payment / svc
$90
Average charge per group
$152 6 groups · avg submitted charge / service $370
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 81270 services, CY2024
#Physician group City St Specialty Providers 81270 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 636 $235,320 $370 premium 67.7% (631) 751-3000
2 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 615 $169,125 $275 premium 11.9% (260) 484-8830
3 CANCER SPECIALISTS LLC JACKSONVILLE FL HEMATOLOGY/ONCOLOGY 46 80 $16,088 $201 premium 1.5% (904) 516-3737
4 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 73 $18,250 $250 premium 58.4% (256) 705-4224
5 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 46 $6,992 $152 premium 3.5% (201) 996-2210
6 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MO NURSE PRACTITIONER 462 29 $10,730 $370 premium 100.0% (631) 751-3000
7 PATHOLOGY LABORATORY ASSOCIATES, INC. TULSA OK PATHOLOGY 25 23 $5,557 $242 premium 41.8% (918) 388-5720

*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 →