NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
85044 Red blood count, manual test CPT · General Laboratory test
Classification Test General Laboratory Blood Count (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 42,538 services ▲ 7.0% YoY · 29,121 beneficiaries (CY2024, Medicare FFS)
Medicare paid $179K · $4.21 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
16
Named-group FFS services
21,391
FFS of Medicare
49%
Services YoY
+7.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~44,427 services

21,391 observed fee-for-service (48%) · ~23,036 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 — 85044 (CY2024)

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

Named-group submitted charges
$338K
Named-group allowed amount
$90K
Named-group Medicare payments
$90K
Avg charge / svc
$16
Avg allowed / svc
$4
Avg payment / svc
$4
Average charge per group
$9 16 groups · avg submitted charge / service $70
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 85044 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 85044 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 17,434 $261,510 $15 premium 88.9% (631) 751-3000
2 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 1,920 $42,240 $22 premium 71.7% (803) 461-3000
3 HEMATOLOGY ONCOLOGY ASSOCIATES OF THE PALM BEACHES LAKE WORTH FL HEMATOLOGY/ONCOLOGY 11 757 $13,626 $18 premium 12.7% (561) 965-1864
4 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 274 $2,362 $9 premium 4.6% (941) 255-3535
5 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 178 $2,670 $15 premium 16.5% (770) 536-9864
6 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MO NURSE PRACTITIONER 462 161 $2,415 $15 premium 100.0% (631) 751-3000
7 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NY PHYSICIAN ASSISTANT 1692 111 $1,665 $15 premium 0.6% (843) 792-1414
8 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 87 $1,305 $15 premium 0.4%
9 INTERNAL MEDICINE ASSOCIATES OF PALESTINE, PA PALESTINE TX ENDOCRINOLOGY 3 79 $869 $11 premium 18.8% (903) 729-3993
10 NORTHWEST CANCER SPECIALISTS PC PORTLAND OR PHYSICIAN ASSISTANT 68 72 $2,376 $33 premium 100.0% (503) 280-1223
11 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 58 $1,044 $18 premium 5.4%
12 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 54 $972 $18 premium 7.0% (908) 273-4300
13 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 40 $480 $12 premium 9.5% (817) 514-4000
14 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN AL NURSE PRACTITIONER 462 37 $555 $15 premium 64.9% (631) 751-3000
15 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN CT NURSE PRACTITIONER 462 24 $360 $15 premium 100.0% (631) 751-3000
16 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 22 $726 $33 premium 100.0% (503) 280-1223
17 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MA NURSE PRACTITIONER 462 22 $330 $15 premium 25.9% (631) 751-3000
18 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 19 $1,026 $54 premium 27.5% (608) 831-1766
19 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 19 $209 $11 premium 100.0% (304) 388-5432
20 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 12 $180 $15 premium 2.9%
21 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 11 $770 $70 premium 0.1% (213) 699-7013

*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 →