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Market snapshot

81455 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

81455 — Genomic sequence analysis panel of dna or combined dna and rna of 51 or more genes associated with blood and lymphatic system disorders

Billing groups
4
Named-group FFS services
3,369
FFS of Medicare
49%
Services YoY
-66.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,312 services

3,369 observed fee-for-service (46%) · ~3,943 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 — 81455 (CY2024)

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

Named-group submitted charges
$26.2M
Named-group allowed amount
$9.6M
Named-group Medicare payments
$9.6M
Avg charge / svc
$7,763
Avg allowed / svc
$2,860
Avg payment / svc
$2,860
Average charge per group
$3,848 4 groups · avg submitted charge / service $10,219
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 81455 services, CY2024
#Physician group City St Specialty Providers 81455 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 2,715 $19,816,785 $7,299 premium 49.9% (239) 561-9622
2 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 596 $6,090,524 $10,219 premium 18.2% (201) 996-2210
3 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 46 $177,000 $3,848 premium 64.8% (212) 746-5454
4 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 12 $70,080 $5,840 premium 100.0% (318) 675-8700

*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 →