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Market snapshot

84152 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

84152 — Psa (prostate specific antigen) measurement, complexed

Billing groups
5
Named-group FFS services
2,229
FFS of Medicare
49%
Services YoY
-3.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,692 services

2,229 observed fee-for-service (48%) · ~2,463 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 — 84152 (CY2024)

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

Named-group submitted charges
$120K
Named-group allowed amount
$40K
Named-group Medicare payments
$40K
Avg charge / svc
$54
Avg allowed / svc
$18
Avg payment / svc
$18
Average charge per group
$40 5 groups · avg submitted charge / service $63
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 84152 services, CY2024
#Physician group City St Specialty Providers 84152 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TIJERINA UROLOGY CLINIC, P.A. PARIS TX NURSE PRACTITIONER 2 1,905 $104,775 $55 premium 49.9% (903) 785-0338
2 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 163 $7,661 $47 premium 57.6%
3 HORIZON INTERNAL MEDICINE PLLC HIGH POINT NC NURSE PRACTITIONER 15 80 $3,205 $40 premium 5.9% (336) 610-1300
4 CONSULTANTS IN PAIN MANAGEMENT, P.C. CHATTANOOGA TN NURSE PRACTITIONER 11 60 $3,780 $63 premium 65.9% (423) 648-8480
5 SELECT REHABILITATION, LLC GLENVIEW VA FAMILY PRACTICE 2028 21 $987 $47 premium 7.4%

*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 →