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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
82653 Measurement of pancreatic elastase (enzyme) in stool CPT · General Laboratory test
Classification Test General Laboratory Clinical Chemistry (CMS RBCS)
First observed 2022
National scale 66,676 services ▲ 14.2% YoY · 64,466 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.5M · $22.48 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
4
Named-group FFS services
720
FFS of Medicare
49%
Services YoY
+14.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,049 services

720 observed fee-for-service (69%) · ~329 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 — 82653 (CY2024)

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

Named-group submitted charges
$80K
Named-group allowed amount
$16K
Named-group Medicare payments
$16K
Avg charge / svc
$111
Avg allowed / svc
$22
Avg payment / svc
$22
Average charge per group
$69 4 groups · avg submitted charge / service $142
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 82653 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 82653 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 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 579 $63,783 $110 premium 47.1% (202) 296-3449
2 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 87 $12,354 $142 premium 7.5%
3 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 32 $2,208 $69 premium 0.5% (908) 273-4300
4 VANGUARD MEDICAL GROUP PA VERONA NJ PHYSICIAN ASSISTANT 58 22 $1,518 $69 premium 0.3% (973) 239-2600

*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 →