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Market snapshot

83695 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

83695 — Lipoprotein (a) level

Billing groups
26
Named-group FFS services
8,323
FFS of Medicare
49%
Services YoY
+34.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~16,202 services

8,323 observed fee-for-service (51%) · ~7,879 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 — 83695 (CY2024)

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

Named-group submitted charges
$246K
Named-group allowed amount
$117K
Named-group Medicare payments
$117K
Avg charge / svc
$30
Avg allowed / svc
$14
Avg payment / svc
$14
Average charge per group
$14 26 groups · avg submitted charge / service $88
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 83695 services, CY2024
#Physician group City St Specialty Providers 83695 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 2,373 $49,494 $21 premium 5.8% (732) 845-2200
2 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NY ENDOCRINOLOGY 13 1,262 $25,525 $20 premium 13.5% (732) 845-2200
3 ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA LINDEN NJ PHYSICIAN ASSISTANT 47 759 $32,607 $43 premium 1.9%
4 MARION HEART CENTER, PA OCALA FL FAMILY PRACTICE 6 477 $9,540 $20 premium 1.2% (352) 861-6633
5 FIRST MEDICAL CARE INC DECATUR GA FAMILY PRACTICE 4 458 $18,320 $40 premium 6.2% (770) 934-6832
6 APEX CARDIOLOGY CONSULTANTS INGLEWOOD CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 8 439 $7,463 $17 premium 1.0% (310) 672-3900
7 EAST COAST MEDICAL ASSOCIATES, INC. BOCA RATON FL ENDOCRINOLOGY 6 317 $7,916 $25 premium 0.8% (561) 391-1085
8 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 272 $9,520 $35 premium 1.4% (241) 823-4800
9 COLONIAL FAMILY PRACTICE LLC SUMTER SC DIAGNOSTIC RADIOLOGY 57 253 $10,869 $43 premium 47.9% (803) 773-5227
10 CROSSPOINTE MEDICAL CLINIC CYPRESS TX FAMILY PRACTICE 5 234 $6,702 $29 premium 1.2% (281) 463-1400
11 RONALD C FAGAN MD PC FARMINGDALE NY INTERNAL MEDICINE 4 222 $8,870 $40 premium 2.4% (516) 752-7000
12 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 167 $6,042 $36 premium 0.4% (352) 351-4634
13 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 163 $9,780 $60 premium 2.1% (520) 547-5725
14 JELLINGER AND LERMAN, MD, LLC FT LAUDERDALE FL ENDOCRINOLOGY 5 152 $6,840 $45 premium 0.4% (954) 963-7100
15 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 120 $9,120 $76 premium 0.9%
16 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 90 $4,766 $53 premium 17.0% (864) 885-0058
17 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 89 $5,874 $66 premium 45.6% (314) 747-3000
18 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 83 $3,652 $44 premium 1.4% (443) 393-3788
19 MANGROVE MEDICAL GROUP CHICO CA NURSE PRACTITIONER 9 78 $1,508 $19 premium 0.2% 5303450064268
20 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 72 $1,440 $20 premium 0.2% (818) 842-7145
21 CITRUS CARDIOLOGY CONSULTANTS, PLLC INVERNESS FL NURSE PRACTITIONER 47 58 $1,740 $30 premium 0.1% (352) 726-8353
22 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 46 $1,840 $40 premium 0.8% (410) 757-7600
23 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 38 $3,344 $88 premium 0.1% (415) 600-1020
24 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 37 $1,433 $39 premium 1.9% (651) 406-8860
25 MEDICAL MULTISPECIALTY ASSOCIATION PA FAIR LAWN MI DIAGNOSTIC RADIOLOGY 5 29 $415 $14 premium 3.7% (201) 796-9200
26 NAVA HEALTH MEDICAL GROUP, LLC MONTVALE MD FAMILY PRACTICE 6 21 $601 $29 premium 0.3% (800) 762-6282
27 OCALA FAMILY MEDICAL CENTER INC OCALA FL NURSE PRACTITIONER 60 14 $401 $29 premium 0.0% (352) 237-4133

*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 →