Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

82523 Collagen cross links test, (urine test to evaluate bone health) 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 85,566 services ▲ 14.9% YoY · 73,045 beneficiaries (CY2024, Medicare FFS)

Medicare paid $1.6M · $18.30 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

3,373

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+14.9%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~6,819 services

3,373 observed fee-for-service (49%) · ~3,446 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 — 82523 (CY2024)

CA 21,657 NJ 15,801 NC 9,689 FL 7,185 NY 4,860

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

Billed → allowed → paid

Named-group submitted charges

$174K

Named-group allowed amount

$62K

Named-group Medicare payments

$62K

Avg charge / svc

$52

Avg allowed / svc

$18

Avg payment / svc

$18

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$30–38

$38–45

$45–53

$53–60

$60–68

$68–76

$76–83

$83+

$30 11 groups · avg submitted charge / service $110

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 82523 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	82523 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	CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION	LOS ANGELES	CA	RHEUMATOLOGY	9	1,190	$69,020	$58	premium	5.5%	(310) 659-7878
2	NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE	GREENLAWN	NY	DIAGNOSTIC RADIOLOGY	315	475	$22,184	$47	premium	9.8%	(631) 628-5000
3	ENDOCRINE AND DIABETES PA	LIVINGSTON	NJ	ENDOCRINOLOGY	2	438	$30,310	$69	premium	2.8%	(973) 322-7200
4	PRINE HEALTH MEDICAL GROUP, PLLC	MANHASSET	NY	NEPHROLOGY	75	337	$15,738	$47	premium	6.9%	(516) 407-2727
5	ENDOCRINE ASSOCIATES OF ROCKLAND LLP	POMONA	NY	ENDOCRINOLOGY	4	332	$11,620	$35	premium	6.8%	(845) 362-3111
6	EAST COAST MEDICAL ASSOCIATES, INC.	BOCA RATON	FL	ENDOCRINOLOGY	6	329	$9,840	$30	premium	4.6%	(561) 391-1085
7	ARTHRITIS ASSOCIATES, P.A.	SAN ANTONIO	TX	RHEUMATOLOGY	6	109	$5,559	$51	premium	2.4%	2104772626242
8	CORE PHYSICIANS LLC	EXETER	NH	PHYSICIAN ASSISTANT	292	82	$3,608	$44	premium	81.2%	(603) 929-1195
9	FORT WAYNE ENDOCRINOLOGY PC	FORT WAYNE	IN	NURSE PRACTITIONER	3	28	$3,080	$110	premium	17.4%	(260) 436-1248
10	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	27	$1,609	$60	premium	2.7%	—
11	RHEUMATOLOGY CONSULTANTS, LLP	HEWLETT	NY	RHEUMATOLOGY	10	26	$1,872	$72	premium	0.5%	(516) 295-4481

*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 →