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

84134 Prealbumin (protein) 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 133,249 services ▼ 0.6% YoY · 92,537 beneficiaries (CY2024, Medicare FFS)

Medicare paid $1.9M · $14.28 avg / service, national

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

Billing groups

Named-group FFS services

5,661

FFS of Medicare

49%

Services YoY

-0.6%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~11,698 services

5,661 observed fee-for-service (48%) · ~6,037 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 — 84134 (CY2024)

MI 16,961 NJ 16,508 CA 15,260 TX 13,104 NY 9,811

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

Named-group submitted charges

$245K

Named-group allowed amount

$81K

Named-group Medicare payments

$81K

Avg charge / svc

$43

Avg allowed / svc

$14

Avg payment / svc

$14

Average charge per group

$35–46

$46–58

$58–69

$69–80

$80–92

$92–103

$103–114

$114+

$35 12 groups · avg submitted charge / service $187

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

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 →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 84134 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	84134 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	ADVANCED INTERNAL MEDICINE GROUP PC	GREENVALE	NY	INTERNAL MEDICINE	5	4,081	$160,531	$39	premium	41.6%	(516) 352-8100
2	RAVI PATEL M D INC	BAKERSFIELD	CA	HEMATOLOGY/ONCOLOGY	20	436	$23,161	$53	premium	2.9%	(661) 322-2206
3	VALMOND MEDICAL PLLC	NEW YORK	NY	NURSE PRACTITIONER	13	374	$14,550	$39	premium	3.8%	(917) 359-1955
4	ASSOCIATED CLINICIANS OF EAST TEXAS	LONGVIEW	TX	PHYSICIAN ASSISTANT	107	300	$15,000	$50	premium	2.3%	—
5	KC BARIATRIC LLC	LENEXA	KS	PHYSICIAN ASSISTANT	15	218	$13,080	$60	premium	10.4%	(913) 677-6319
6	CLEVELAND CLINIC	CLEVELAND	OH	PHYSICIAN ASSISTANT	6828	60	$3,480	$58	premium	1.0%	—
7	DUPAGE MEDICAL GROUP LTD	GLEN ELLYN	IL	PHYSICIAN ASSISTANT	1323	52	$3,900	$75	premium	1.1%	(630) 469-9200
8	MEDICAL ASSOCIATES OF VICKSBURG PLLC	VICKSBURG	MS	PHYSICIAN ASSISTANT	8	46	$1,840	$40	premium	6.9%	(601) 262-1000
9	UNIVERSITY OF SOUTH ALABAMA	MOBILE	AL	GYNECOLOGICAL ONCOLOGY	4	37	$6,926	$187	premium	1.9%	(251) 665-8000
10	SOUTHERN CLINIC PC	DOTHAN	AL	NURSE PRACTITIONER	25	27	$945	$35	premium	1.4%	(334) 794-6611
11	HEALTHEAST MEDICAL RESEARCH INSTITUTE	SAINT PAUL	MN	PHYSICIAN ASSISTANT	691	17	$700	$41	premium	2.3%	—
12	THE SOUTH BEND CLINIC LLC	SOUTH BEND	KY	NURSE PRACTITIONER	166	13	$676	$52	premium	3.9%	(574) 234-8161

*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 →