Medicare procedure market data by CPT code & state

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Market snapshot

81338 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

81338 — Gene analysis (mpl proto-oncogene, thrombopoietin receptor) for detection of common variants

Billing groups

Named-group FFS services

1,413

FFS of Medicare

49%

Services YoY

+5.2%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~3,066 services

1,413 observed fee-for-service (46%) · ~1,653 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 — 81338 (CY2024)

NJ 1,521 FL 1,052 TX 763 NY 752 AZ 529

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

Named-group submitted charges

$732K

Named-group allowed amount

$208K

Named-group Medicare payments

$208K

Avg charge / svc

$518

Avg allowed / svc

$147

Avg payment / svc

$147

Average charge per group

$330–362

$362–395

$395–427

$427–460

$460–493

$493–525

$525–558

$558+

$330 4 groups · avg submitted charge / service $602

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒

Physician groups ranked by 81338 services, CY2024
#	Physician group	City	St	Specialty	Providers	81338 svcs	Submitted charges	Avg charge	Medicare $ locked column	Share*	Phone
1	NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC	SMITHTOWN	NY	NURSE PRACTITIONER	462	637	$383,474	$602	premium	84.7%	(631) 751-3000
2	AMERICAN ONCOLOGY PARTNERS PA	FORT WAYNE	FL	HEMATOLOGY/ONCOLOGY	333	617	$278,267	$451	premium	58.7%	(260) 484-8830
3	CANCER SPECIALISTS LLC	JACKSONVILLE	FL	HEMATOLOGY/ONCOLOGY	46	80	$26,360	$330	premium	7.6%	(904) 516-3737
4	REGIONAL CANCER CARE ASSOCIATES LLC	HACKENSACK	NJ	HEMATOLOGY/ONCOLOGY	153	50	$26,300	$526	premium	3.3%	(201) 996-2210
5	NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC	SMITHTOWN	MO	NURSE PRACTITIONER	462	29	$17,458	$602	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 →