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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
83605 Lactic acid level 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 19,715 services ▼ 2.8% YoY · 16,593 beneficiaries (CY2024, Medicare FFS)
Medicare paid $223K · $11.31 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
1,405
FFS of Medicare
49%
Services YoY
-2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,657 services

1,405 observed fee-for-service (53%) · ~1,252 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 — 83605 (CY2024)

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

Named-group submitted charges
$49K
Named-group allowed amount
$16K
Named-group Medicare payments
$16K
Avg charge / svc
$35
Avg allowed / svc
$11
Avg payment / svc
$11
Average charge per group
$17 26 groups · avg submitted charge / service $88
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 83605 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 83605 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 MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 428 $12,378 $29 premium 27.9% (631) 628-5000
2 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO MD INTERNAL MEDICINE 1965 278 $7,784 $28 premium 37.3% (301) 618-5700
3 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 132 $5,491 $42 premium 54.1% (206) 721-5600
4 DANDJ GRACE TEAM LLC FORT WORTH TX INTERNAL MEDICINE 5 70 $3,500 $50 premium 6.8% (817) 449-2555
5 WINSLOW INDIAN HEALTH CARE CENTER INC WINSLOW AZ FAMILY PRACTICE 100 62 $3,910 $63 premium 15.6%
6 SOKYAHEALTH MEDICAL GROUP PC SAN DIEGO CA MARRIAGE AND FAMILY THERAPIST 167 48 $1,248 $26 premium 1.4% (858) 427-5060
7 SUBLETTE COUNTY HOSPITAL DISTRICT PINEDALE WY PHYSICIAN ASSISTANT 11 38 $2,337 $62 premium 100.0%
8 DISPATCH HEALTH MEDICAL PC WOODCLIFF LAKE NJ NURSE PRACTITIONER 13 37 $962 $26 premium 3.2% (201) 882-7526
9 DISPATCHHEALTH-FLORIDA INC. TAMPA FL NURSE PRACTITIONER 65 37 $962 $26 premium 3.6% (813) 551-1015
10 SALEM CLINIC PC SALEM OR DIAGNOSTIC RADIOLOGY 102 30 $1,260 $42 premium 34.9% (503) 399-2424
11 PASEO MEDICAL SPECIALISTS LLC GLENDALE AZ CRITICAL CARE (INTENSIVISTS) 3 28 $972 $35 premium 7.0% (602) 978-6100
12 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 24 $1,320 $55 premium 12.1% (630) 469-9200
13 OCALA LUNG AND CRITICAL CARE ASSOCATES INC OCALA FL NURSE PRACTITIONER 19 19 $380 $20 premium 1.8% (352) 732-5552
14 ATLANTIC ADVANCED URGENT CARE MOUNTAIN LAKES NY PHYSICIAN ASSISTANT 45 18 $450 $25 premium 1.2% (973) 939-6220
15 CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC LOS ANGELES CA PHYSICIAN ASSISTANT 342 17 $442 $26 premium 0.5% (310) 504-1825
16 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 15 $368 $24 premium 6.1% (425) 339-5442
17 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 15 $1,200 $80 premium 0.4% (415) 600-1020
18 EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION BLOOMINGTON MN EMERGENCY MEDICINE 268 13 $221 $17 premium 4.3% (952) 835-9880
19 DISPATCHHEALTH-OREGON PC PORTLAND OR NURSE PRACTITIONER 13 13 $338 $26 premium 15.1% (503) 714-8987
20 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 13 $1,144 $88 premium 4.3% (507) 284-2511
21 MERCY HEALTH URGENT CARE LLC MILFORD OH PHYSICIAN ASSISTANT 68 13 $338 $26 premium 3.2% (513) 981-4050
22 KIRK MITCHELL MD PA FORT WORTH TX NURSE PRACTITIONER 13 12 $312 $26 premium 1.2% (877) 969-6863
23 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 12 $576 $48 premium 3.0%
24 DISPATCHHEALTH WASHINGTON PC TACOMA WA NURSE PRACTITIONER 55 11 $286 $26 premium 4.5% (253) 271-9720
25 TOWN CENTER URGENT CARE LLC GRUNDY VA INTERNAL MEDICINE 8 11 $286 $26 premium 3.7% (276) 244-1557
26 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 11 $286 $26 premium 4.5% (206) 364-0500

*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 →