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Market snapshot

82103 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

82103 — Alpha-1-antitrypsin (protein) blood test, total

Billing groups
4
Named-group FFS services
513
FFS of Medicare
49%
Services YoY
+17.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~850 services

513 observed fee-for-service (60%) · ~337 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 — 82103 (CY2024)

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

Named-group submitted charges
$70K
Named-group allowed amount
$7K
Named-group Medicare payments
$7K
Avg charge / svc
$137
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$31 4 groups · avg submitted charge / service $381
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 82103 services, CY2024
#Physician group City St Specialty Providers 82103 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 230 $7,084 $31 premium 35.0% (202) 296-3449
2 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 140 $53,404 $381 premium 5.2% 21722384006209
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 103 $6,806 $66 premium 6.2%
4 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 40 $2,760 $69 premium 1.5% (630) 469-9200

*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 →