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Market snapshot

85046 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

85046 — Red blood count automated, with additional calculations

Billing groups
48
Named-group FFS services
35,640
FFS of Medicare
49%
Services YoY
+5.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~76,684 services

35,640 observed fee-for-service (46%) · ~41,044 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 — 85046 (CY2024)
CA 14,265 FL 11,448 TX 7,110 AL 6,578 NY 4,616

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

Named-group submitted charges
$784K
Named-group allowed amount
$193K
Named-group Medicare payments
$193K
Avg charge / svc
$22
Avg allowed / svc
$5
Avg payment / svc
$5
Average charge per group
$10 48 groups · avg submitted charge / service $131
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 85046 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 7,604 $152,080 $20 66.4% (239) 561-9622
2 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 5,672 $147,413 $26 79.8% —
3 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 4,461 $66,915 $15 67.8% (256) 705-4224
4 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 2,011 $46,253 $23 14.1% (559) 228-9660
5 RAVI PATEL M D INC BAKERSFIELD CA HEMATOLOGY/ONCOLOGY 20 1,908 $38,160 $20 13.4% (661) 322-2206
6 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 1,874 $46,850 $25 42.7% —
7 BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC BIRMINGHAM AL MEDICAL ONCOLOGY 31 1,364 $31,372 $23 20.7% (205) 592-5077
8 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 1,358 $33,950 $25 55.8% (952) 928-2900
9 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 1,303 $19,555 $15 9.1% (323) 525-1111
10 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 1,235 $19,760 $16 26.8% (315) 472-7504
11 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 924 $15,708 $17 93.3% —
12 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 680 $42,160 $62 15.5% (703) 280-5390
13 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 613 $15,325 $25 38.4% (719) 577-2555
14 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 299 $9,993 $33 82.1% (423) 698-0927
15 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 299 $5,212 $17 2.6% (260) 484-8830
16 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS IL HEMATOLOGY/ONCOLOGY 437 295 $5,900 $20 27.2% (239) 561-9622
17 EASTERN CAROLINA MEDICAL CENTER, PC BENSON NC PHYSICIAN ASSISTANT 5 284 $8,520 $30 26.5% (919) 894-5787
18 MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA WESTBROOK ME HEMATOLOGY/ONCOLOGY 69 251 $2,761 $11 100.0% (207) 303-3300
19 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 250 $6,250 $25 21.8% (316) 262-4467
20 LANCASTER CANCER CENTER LTD LANCASTER PA HEMATOLOGY 4 245 $2,940 $12 8.1% (717) 291-1313
21 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 225 $3,600 $16 20.8% (319) 678-8201
22 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 193 $5,018 $26 4.4% (540) 662-1108
23 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 189 $4,536 $24 17.4% (319) 247-3010
24 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 174 $4,350 $25 67.4% (541) 683-5001
25 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 168 $1,848 $11 1.5% (941) 366-1888
26 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 150 $1,656 $11 49.8% (402) 393-3110
27 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 148 $2,461 $17 41.9% (616) 954-9800
28 MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD NORMAL IL HEMATOLOGY/ONCOLOGY 4 146 $2,190 $15 13.5% (309) 452-9701
29 CAPITAL MEDICAL CLINIC, LLP AUSTIN TX INTERNAL MEDICINE 18 143 $4,290 $30 2.0% (512) 454-5171
30 HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA PC DUNMORE PA HEMATOLOGY/ONCOLOGY 7 128 $2,560 $20 4.3% (570) 342-3675
31 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 121 $4,840 $40 11.2% (847) 459-1160
32 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 112 $1,140 $10 13.3% (253) 428-8700
33 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 91 $1,456 $16 8.5% (910) 341-1540
34 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 74 $9,712 $131 6.8% 21722384006209
35 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 69 $1,104 $16 20.1% (573) 556-5771
36 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 64 $1,024 $16 28.1% 57429632003973
37 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 60 $1,560 $26 0.8% (940) 766-3320
38 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 57 $912 $16 25.0% (574) 647-7275
39 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 46 $460 $10 12.6% (423) 926-8181
40 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 42 $4,115 $98 0.6% (251) 665-8000
41 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 42 $1,050 $25 1.7% (651) 221-3456
42 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 32 $312 $10 100.0% (253) 428-8700
43 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 31 $434 $14 12.0% (541) 382-2811
44 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE OH HEMATOLOGY/ONCOLOGY 333 31 $527 $17 4.6% (260) 484-8830
45 CATHOLIC HEALTH INITIATIVES-IOWA CORP WEST DES MOINES IA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 29 $464 $16 2.7% (515) 358-8000
46 KATMAI ONCOLOGY GROUP LLC ANCHORAGE AK HEMATOLOGY/ONCOLOGY 11 25 $675 $27 100.0% (907) 562-0321
47 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 25 $2,475 $99 2.3% (252) 355-4357
48 TEXAS ONCOLOGY PA DALLAS CO PHYSICIAN ASSISTANT 995 23 $598 $26 1.4% —
49 HOLDREGE MEDICAL CLINIC PC HOLDREGE NE FAMILY PRACTICE 10 16 $304 $19 5.3% (308) 995-4431
50 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 16 $400 $25 31.4% (413) 774-6301
51 CANCER CENTER OF KANSAS PA WICHITA MN HEMATOLOGY/ONCOLOGY 27 14 $350 $25 0.6% (316) 262-4467
52 CANCER CARE NORTHWEST CENTERS P S SPOKANE WA RADIATION ONCOLOGY 41 14 $259 $18 1.7% (509) 228-1000
53 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 12 $240 $20 100.0% (410) 757-7600

*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 →