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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
82075 Measurement of alcohol level in breath specimen 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 6,354 services ▼ 33.8% YoY · 1,687 beneficiaries (CY2024, Medicare FFS)
Medicare paid $184K · $29.02 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
2,770
FFS of Medicare
49%
Services YoY
-33.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,761 services

2,770 observed fee-for-service (48%) · ~2,991 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 — 82075 (CY2024)

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

Named-group submitted charges
$171K
Named-group allowed amount
$81K
Named-group Medicare payments
$81K
Avg charge / svc
$62
Avg allowed / svc
$29
Avg payment / svc
$29
Average charge per group
$30 19 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 82075 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 82075 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 SUMMIT PRIMARY CARE PUEBLO CO NURSE PRACTITIONER 10 743 $37,120 $50 premium 43.4% (719) 281-3285
2 OHIO VALLEY PHYSICIANS INC ATHENS WV NURSE PRACTITIONER 139 544 $27,200 $50 premium 64.3% (740) 592-9349
3 IDEAL OPTION PLLC KENNEWICK WA NURSE PRACTITIONER 95 365 $33,440 $92 premium 73.6% (509) 222-1275
4 ACHIEVE WHOLE RECOVERY, PC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 24 207 $20,710 $100 premium 12.1% (719) 373-9703
5 OVP HEALTH CARE INC HUNTINGTON WV NURSE PRACTITIONER 12 98 $4,900 $50 premium 11.6% (304) 781-0076
6 GRANDW INC MORGANTOWN WV PHYSICIAN ASSISTANT 82 95 $4,750 $50 premium 11.2% (304) 460-5123
7 IDEAL OPTION PLLC KENNEWICK ID NURSE PRACTITIONER 95 94 $8,900 $95 premium 33.7% (509) 222-1275
8 INTENSIVE TREATMENT SYSTEMS LLC PHOENIX AZ NURSE PRACTITIONER 5 72 $4,320 $60 premium 100.0% (602) 996-0099
9 FAMILY CARE CENTER LLC COLORADO SPRINGS CO MENTAL HEALTH COUNSELOR 651 64 $3,200 $50 premium 3.7% (888) 374-5066
10 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 62 $3,100 $50 premium 3.6% (303) 778-5797
11 OHIO VALLEY PHYSICIANS INC ATHENS KY NURSE PRACTITIONER 139 61 $3,050 $50 premium 16.9% (740) 592-9349
12 IDEAL OPTION PLLC KENNEWICK OR NURSE PRACTITIONER 95 52 $4,560 $88 premium 14.7% (509) 222-1275
13 MAGNOLIA MEDICAL COMPANY DENVER MI NURSE PRACTITIONER 27 46 $2,300 $50 premium 100.0% (303) 209-5115
14 MODERN PSYCHIATRY AND WELLNESS LLC HAMILTON OH MENTAL HEALTH COUNSELOR 21 44 $1,408 $32 premium 100.0% (513) 795-7557
15 MAGNOLIA MEDICAL COMPANY DENVER CO NURSE PRACTITIONER 27 42 $2,100 $50 premium 2.5% (303) 209-5115
16 HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC DENVER CO PHYSICIAN ASSISTANT 44 35 $1,750 $50 premium 2.0% (303) 750-4933
17 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 30 $1,200 $40 premium 1.8% (720) 777-1234
18 PREMIER HEALTH CENTER, LLC DORA AL EMERGENCY MEDICINE 3 24 $720 $30 premium 100.0% (205) 648-4567
19 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA AK NURSE PRACTITIONER 373 23 $1,780 $77 premium 11.5% (907) 966-8611
20 COUNTY OF SANTA CRUZ SANTA CRUZ CA CLINICAL SOCIAL WORKER 65 22 $1,166 $53 premium 24.4% (831) 454-4100
21 AMERICAN GREATEST CARE LLC BURKE MD NURSE PRACTITIONER 14 21 $1,890 $90 premium 9.5% (571) 516-3116
22 DEACONESS HOSPITAL, INC. EVANSVILLE KY HOSPITALIST 420 13 $402 $31 premium 3.6% (812) 450-7338
23 SOUTHCENTRAL FOUNDATION ANCHORAGE AK NURSE PRACTITIONER 163 13 $765 $59 premium 6.5% (907) 729-2583

*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 →