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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
85048 Automated white blood cell count 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 30,255 services ▼ 1.1% YoY · 16,329 beneficiaries (CY2024, Medicare FFS)
Medicare paid $75K · $2.47 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
2,130
FFS of Medicare
49%
Services YoY
-1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,057 services

2,130 observed fee-for-service (53%) · ~1,927 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 — 85048 (CY2024)

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

Named-group submitted charges
$47K
Named-group allowed amount
$5K
Named-group Medicare payments
$5K
Avg charge / svc
$22
Avg allowed / svc
$2
Avg payment / svc
$2
Average charge per group
$5 21 groups · avg submitted charge / service $64
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 85048 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 85048 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 AVERA QUEEN OF PEACE MITCHELL SD DIAGNOSTIC RADIOLOGY 116 428 $8,132 $19 premium 50.9% (605) 995-2000
2 COMMONWEALTH PRIMARY CARE RICHMOND VA FAMILY PRACTICE 66 248 $2,480 $10 premium 63.8% (804) 288-1800
3 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 236 $1,888 $8 premium 9.2% (805) 681-7500
4 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 223 $12,488 $56 premium 12.4% (608) 287-2050
5 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 194 $1,358 $7 premium 38.8%
6 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 125 $4,750 $38 premium 7.0% (920) 496-4700
7 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 120 $6,600 $55 premium 6.7% (608) 831-1766
8 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 105 $840 $8 premium 21.0% (563) 584-4100
9 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 65 $1,625 $25 premium 3.4% (800) 603-0558
10 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 52 $309 $6 premium 16.6% (320) 252-5131
11 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 52 $1,823 $35 premium 100.0% (843) 497-5929
12 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 49 $490 $10 premium 2.0% (617) 421-1000
13 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 40 $720 $18 premium 2.2% (910) 341-1540
14 LEGACY PHYSICIAN GROUP PC LANSING MI PHYSICIAN ASSISTANT 11 35 $175 $5 premium 36.1% (517) 913-6711
15 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 30 $360 $12 premium 1.6% (919) 684-8111
16 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 30 $348 $12 premium 9.6% (612) 863-4000
17 BIG HORN HEALTH NETWORK SHERIDAN WY PHYSICIAN ASSISTANT 70 29 $1,856 $64 premium 61.7%
18 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 23 $322 $14 premium 1.2% (704) 384-8200
19 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 17 $174 $10 premium 5.4% (651) 221-3456
20 EFFINGHAM REHAB SERVICES, LLC KINGSLAND GA ORTHOPEDIC SURGERY 133 16 $104 $6 premium 10.7% (419) 221-3717
21 HOUSTON COUNTY HEALTHCARE AUTHORITY DOTHAN AL INTERNAL MEDICINE 258 13 $260 $20 premium 4.0% (334) 793-8087

*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 →