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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
85049 Platelet count, automated 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 28,960 services ▲ 23.0% YoY · 22,051 beneficiaries (CY2024, Medicare FFS)
Medicare paid $127K · $4.37 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
22
Named-group FFS services
1,046
FFS of Medicare
49%
Services YoY
+23.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,066 services

1,046 observed fee-for-service (51%) · ~1,020 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 — 85049 (CY2024)

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

Named-group submitted charges
$22K
Named-group allowed amount
$5K
Named-group Medicare payments
$5K
Avg charge / svc
$21
Avg allowed / svc
$4
Avg payment / svc
$4
Average charge per group
$4 22 groups · avg submitted charge / service $56
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 85049 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 85049 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 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 175 $2,450 $14 premium 100.0% (603) 929-1195
2 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 105 $1,365 $13 premium 68.2% (563) 584-4100
3 VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER MIDLOTHIAN VA ENDOCRINOLOGY 15 84 $342 $4 premium 53.5% (804) 423-3636
4 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 80 $4,480 $56 premium 9.2% (608) 287-2050
5 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 79 $1,659 $21 premium 10.0% (612) 863-4000
6 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 77 $3,465 $45 premium 7.2% (800) 603-0558
7 SOUTHVIEW MEDICAL GROUP, PC BIRMINGHAM AL INTERNAL MEDICINE 39 55 $440 $8 premium 1.0% (205) 933-4640
8 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 53 $548 $10 premium 6.7% (320) 252-5131
9 TENNESSEE CANCER SPECIALISTS PLLC KNOXVILLE TN NURSE PRACTITIONER 65 47 $1,023 $22 premium 12.1% (865) 934-5800
10 STELLIS HEALTH, PA BUFFALO MN PHYSICIAN ASSISTANT 54 46 $644 $14 premium 5.8% (763) 682-1313
11 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 40 $2,240 $56 premium 4.6% (608) 831-1766
12 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 33 $215 $7 premium 1.9% (914) 241-1050
13 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 32 $515 $16 premium 10.1% (202) 296-3449
14 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 24 $384 $16 premium 1.4% (315) 472-7504
15 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 21 $588 $28 premium 1.4% (910) 295-5511
16 SANFORD MEDICAL CENTER SIOUX FALLS IA NURSE PRACTITIONER 831 16 $496 $31 premium 10.4% (605) 332-2883
17 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 15 $165 $11 premium 15.8%
18 CENTRACARE CLINIC SOUTHWEST LLC WILLMAR MN FAMILY PRACTICE 165 14 $428 $31 premium 1.8% (320) 231-5000
19 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 13 $247 $19 premium 0.6% (908) 273-4300
20 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 13 $234 $18 premium 2.6% (617) 421-1000
21 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 12 $276 $23 premium 2.1% (630) 469-9200
22 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 12 $192 $16 premium 0.8%

*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 →