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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
82785 Ige (immune system protein) level CPT · General Laboratory test
Classification Test General Laboratory Immunoassay (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 125,992 services ▲ 5.9% YoY · 115,032 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.0M · $16.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
36
Named-group FFS services
5,385
FFS of Medicare
49%
Services YoY
+5.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,162 services

5,385 observed fee-for-service (48%) · ~5,777 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 — 82785 (CY2024)

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

Named-group submitted charges
$298K
Named-group allowed amount
$86K
Named-group Medicare payments
$86K
Avg charge / svc
$55
Avg allowed / svc
$16
Avg payment / svc
$16
Average charge per group
$22 36 groups · avg submitted charge / service $220
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 82785 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 82785 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 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,815 $90,735 $50 premium 19.4% (631) 751-3000
2 RONALD C FAGAN MD PC FARMINGDALE NY INTERNAL MEDICINE 4 740 $22,200 $30 premium 7.9% (516) 752-7000
3 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 559 $30,745 $55 premium 6.0% (516) 536-2221
4 IK MEDICAL PC BROOKLYN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 268 $13,400 $50 premium 2.9% (718) 759-0105
5 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 199 $18,109 $91 premium 0.8% (910) 295-5511
6 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 188 $12,596 $67 premium 6.7% (617) 421-1000
7 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 188 $14,852 $79 premium 0.9%
8 TEAMWORK HEALTH PLLC FAYETTEVILLE NC NURSE PRACTITIONER 7 174 $15,834 $91 premium 0.7% (910) 491-6793
9 NC IMMUNOLOGY PC MOORESVILLE NC ALLERGY/IMMUNOLOGY 2 113 $7,458 $66 premium 0.4% (704) 873-5055
10 AMERICAN MEDICAL TODAY PC BROOKLYN NY INTERNAL MEDICINE 10 109 $4,360 $40 premium 1.2% (718) 306-5025
11 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 105 $5,775 $55 premium 45.7% (270) 781-4043
12 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 88 $3,080 $35 premium 15.7% 9854465079110
13 NORTHAMPTON INTEGRATIVE MEDICINE, LLC NORTHAMPTON MA NURSE PRACTITIONER 5 83 $3,320 $40 premium 3.0% (413) 584-7787
14 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 72 $12,142 $169 premium 1.5% 21722384006209
15 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 58 $3,828 $66 premium 0.2% (704) 838-8210
16 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 56 $2,912 $52 premium 0.2% (910) 341-1540
17 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 50 $3,050 $61 premium 1.8%
18 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 47 $5,264 $112 premium 0.2% (415) 600-1020
19 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 45 $3,105 $69 premium 1.4% (620) 669-2500
20 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 39 $1,284 $33 premium 0.6% (806) 353-7000
21 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 34 $1,866 $55 premium 20.2% (864) 885-0058
22 ALLERGY ASSOCIATES HOLDINGS, LTD ONALASKA WI NURSE PRACTITIONER 5 33 $1,738 $53 premium 4.6% 6087822027214
23 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 29 $1,276 $44 premium 1.7% (360) 882-2778
24 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 28 $1,540 $55 premium 0.3% (914) 241-1050
25 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 27 $1,350 $50 premium 0.3%
26 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 26 $1,690 $65 premium 5.7% 57429632003973
27 VIRGIN ISLANDS EAR NOSE AND THROAT PC ST THOMAS VI OTOLARYNGOLOGY 3 21 $457 $22 premium 100.0% (340) 774-8881
28 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MO NURSE PRACTITIONER 462 21 $1,050 $50 premium 100.0% (631) 751-3000
29 DAVID L. SCHNEIDER, MD APMC METAIRIE LA NURSE PRACTITIONER 10 19 $684 $36 premium 3.4% (504) 889-0550
30 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 19 $608 $32 premium 5.9% (801) 773-4840
31 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 18 $822 $46 premium 1.6% (612) 672-7422
32 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 18 $3,960 $220 premium 0.2% (718) 875-4848
33 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 16 $527 $33 premium 0.3% (806) 358-8331
34 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 16 $2,768 $173 premium 0.6% (740) 446-5050
35 SLIIIP MEDICAL GROUP P A BYRON NC SLEEP MEDICINE 11 13 $1,183 $91 premium 0.1% (478) 238-3552
36 FAMILYCARE MEDICAL GROUP PC SYRACUSE NY FAMILY PRACTICE 106 13 $421 $32 premium 0.1% (315) 472-1488
37 ATRIUS HEALTH INC BOSTON FL NURSE PRACTITIONER 1196 13 $871 $67 premium 0.2% (617) 421-1000
38 ALLERGY AND ASTHMA ASSOCIATES OF MAINE PORTLAND ME ALLERGY/IMMUNOLOGY 9 13 $871 $67 premium 14.1% (207) 774-9839
39 FAMILYCARE MEDICAL GROUP PC SYRACUSE PA FAMILY PRACTICE 106 12 $396 $33 premium 1.2% (315) 472-1488

*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 →