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Market snapshot

85055 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

85055 — Reticulated (young) platelet measurement

Billing groups
26
Named-group FFS services
35,089
FFS of Medicare
49%
Services YoY
+14.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~73,365 services

35,089 observed fee-for-service (48%) · ~38,276 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 — 85055 (CY2024)
TX 26,978 NY 3,188 CO 2,573 OK 2,130 IL 1,580

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

Named-group submitted charges
$4.6M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$1.2M
Avg charge / svc
$132
Avg allowed / svc
$35
Avg payment / svc
$35
Average charge per group
$40 26 groups · avg submitted charge / service $599
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 85055 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 24,831 $3,550,833 $143 92.0% —
2 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 2,760 $212,520 $77 86.6% (315) 472-7504
3 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 2,252 $313,028 $139 87.5% (719) 577-2555
4 JACKSON ONCOLOGY ASSOCIATES JACKSON MS HEMATOLOGY/ONCOLOGY 11 1,365 $102,375 $75 100.0% (601) 974-5600
5 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 913 $83,083 $91 42.9% (918) 505-3200
6 ILLINOIS CANCER SPECIALISTS ARLINGTON HEIGHTS IL HEMATOLOGY/ONCOLOGY 29 905 $125,795 $139 57.3% (847) 259-4482
7 MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD NORMAL IL HEMATOLOGY/ONCOLOGY 4 576 $40,320 $70 36.5% (309) 452-9701
8 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 170 $24,310 $143 0.6% (940) 766-3320
9 JACKSON ONCOLOGY ASSOCIATES JACKSON NC HEMATOLOGY/ONCOLOGY 11 164 $12,300 $75 58.4% (601) 974-5600
10 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 148 $20,572 $139 87.1% —
11 SOUTHERN ONCOLOGY SPECIALISTS PLLC HUNTERSVILLE NC PHYSICIAN ASSISTANT 13 117 $11,195 $96 41.6% (704) 947-5005
12 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 113 $9,040 $80 100.0% (256) 705-4224
13 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA TX NURSE PRACTITIONER 47 103 $9,373 $91 0.4% (918) 505-3200
14 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 70 $5,040 $72 100.0% (253) 428-8700
15 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 61 $8,723 $143 100.0% (541) 706-7715
16 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 52 $31,172 $599 3.3% 21722384006209
17 MASOUD KHORSAND- SAHBAIE MD P A ROSWELL NM HEMATOLOGY/ONCOLOGY 18 49 $1,953 $40 46.7% (575) 627-9500
18 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 47 $5,637 $120 3.0% (309) 243-3000
19 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 44 $4,611 $105 100.0% (616) 954-9800
20 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 40 $5,560 $139 100.0% (301) 982-9800
21 TEXAS ONCOLOGY PA DALLAS CT PHYSICIAN ASSISTANT 995 39 $5,577 $143 5.4% —
22 REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC VICTORIA TX NURSE PRACTITIONER 109 38 $5,434 $143 0.1% (361) 575-7441
23 TEXAS ONCOLOGY PA DALLAS CA PHYSICIAN ASSISTANT 995 36 $5,148 $143 15.6% —
24 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 35 $4,378 $125 100.0% (706) 353-2990
25 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 30 $4,290 $143 0.1% (512) 324-7300
26 TEXAS ONCOLOGY PA DALLAS VA PHYSICIAN ASSISTANT 995 22 $3,146 $143 12.9% —
27 SKY LAKES MEDICAL CENTER INC KLAMATH FALLS CO PHYSICIAN ASSISTANT 197 22 $3,058 $139 0.9% (541) 274-6221
28 TEXAS ONCOLOGY PA DALLAS CO PHYSICIAN ASSISTANT 995 17 $2,431 $143 0.7% —
29 SKY LAKES MEDICAL CENTER INC KLAMATH FALLS TX PHYSICIAN ASSISTANT 197 16 $2,288 $143 0.1% (541) 274-6221
30 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK LUBBOCK TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 374 15 $2,145 $143 0.1% (806) 743-2800
31 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 14 $966 $69 0.5% —
32 ADVANCED NEUROSCIENCE CLINIC PA MIDLAND TX NURSE PRACTITIONER 5 13 $1,859 $143 0.0% (432) 570-9991
33 ONCOLOGY HEMATOLOGY WEST PC OMAHA NE PHYSICIAN ASSISTANT 55 12 $912 $76 100.0% (402) 393-3110

*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 →