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Market snapshot

85097 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

85097 — Bone marrow, smear interpretation

Billing groups
509
Named-group FFS services
91,301
FFS of Medicare
49%
Services YoY
+2.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~185,577 services

91,301 observed fee-for-service (49%) · ~94,276 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 — 85097 (CY2024)

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

Named-group submitted charges
$22.7M
Named-group allowed amount
$4.5M
Named-group Medicare payments
$3.5M
Avg charge / svc
$248
Avg allowed / svc
$49
Avg payment / svc
$39
Average charge per group
$56 509 groups · avg submitted charge / service $712
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 85097 services, CY2024
#Physician group City St Specialty Providers 85097 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 3,429 $1,351,338 $394 premium 28.3% (713) 592-5433
2 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,629 $648,342 $398 premium 53.7% (507) 284-2511
3 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,559 $406,899 $261 premium 13.5% (239) 561-9622
4 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 1,504 $244,340 $162 premium 68.1% (501) 686-8000
5 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 1,462 $295,324 $202 premium 10.3% (626) 256-4673
6 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 1,382 $215,993 $156 premium 12.0% (813) 745-4673
7 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,355 $273,069 $202 premium 31.3% (617) 732-5500
8 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 1,177 $250,995 $213 premium 33.7% (615) 221-4400
9 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 1,091 $207,945 $191 premium 51.8% (913) 588-7743
10 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 1,044 $172,433 $165 premium 37.8% (206) 364-0500
11 PATHOLOGY AND LABORATORY MEDICINE, PC ATLANTA GA PATHOLOGY 27 975 $165,750 $170 premium 34.9% (770) 458-6103
12 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 946 $503,839 $533 premium 6.7% (650) 723-4000
13 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 920 $252,940 $275 premium 34.6% (314) 747-3000
14 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 885 $371,700 $420 premium 23.7% (800) 603-0558
15 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 793 $165,737 $209 premium 6.9% (260) 484-8830
16 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 735 $121,275 $165 premium 14.9% (215) 662-2777
17 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 724 $309,332 $427 premium 6.3% (904) 953-2000
18 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 667 $176,755 $265 premium 14.6%
19 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 643 $124,099 $193 premium 21.3% (757) 668-3221
20 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 622 $161,098 $259 premium 7.8% (212) 241-4812
21 PATHOLOGY SPECIALIST OF ARIZONA, LLP PHOENIX AZ PATHOLOGY 66 581 $81,439 $140 premium 15.6% (602) 685-5211
22 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 575 $32,971 $57 premium 4.7% (713) 394-6450
23 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 574 $206,640 $360 premium 4.1% (415) 476-4029
24 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 568 $348,429 $613 premium 7.1% (212) 263-9700
25 PATHOLOGY GROUP PC OKLAHOMA CITY OK PATHOLOGY 9 558 $145,638 $261 premium 34.7% (405) 272-7065
26 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 556 $100,080 $180 premium 16.0% (614) 293-5905
27 CENTRAL FLORIDA PATHOLOGY ASSOCIATES PA ORLANDO FL PATHOLOGY 23 535 $173,875 $325 premium 4.6% (407) 363-6611
28 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 528 $110,880 $210 premium 18.2% (704) 304-5988
29 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 519 $95,496 $184 premium 4.5% (305) 689-5437
30 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 515 $154,500 $300 premium 4.2% (214) 633-5555
31 GREAT LAKES PATHOLOGISTS SC WEST ALLIS WI PATHOLOGY 55 499 $175,659 $352 premium 18.5% (414) 328-7950
32 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 471 $75,360 $160 premium 17.3% (248) 964-1187
33 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 454 $74,210 $163 premium 3.2% (916) 447-6267
34 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 446 $102,256 $229 premium 14.8% (434) 924-5959
35 PHYSICIANS LABORATORY LTD SIOUX FALLS SD PATHOLOGY 15 440 $74,800 $170 premium 72.4% (605) 322-7200
36 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 439 $165,278 $376 premium 9.6% (888) 824-0200
37 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 435 $110,902 $255 premium 3.8% (561) 548-3639
38 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 426 $157,620 $370 premium 14.1% (804) 828-9000
39 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 420 $184,179 $439 premium 28.7% (319) 678-8201
40 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 418 $55,843 $134 premium 15.1% (509) 892-2700
41 MORRISTOWN PATHOLOGY ASSOCIATES PA MORRISTOWN NJ PATHOLOGY 25 414 $97,290 $235 premium 7.5% (973) 971-5600
42 PATHOLOGY ASSOCIATES OF GREENVILLE GREENVILLE SC PATHOLOGY 34 413 $64,015 $155 premium 18.6% (864) 295-3492
43 GREATER CINCINNATI PATHOLOGISTS INC CINCINNATI OH PATHOLOGY 21 413 $72,275 $175 premium 11.9% (513) 585-2000
44 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 411 $128,004 $311 premium 44.7% (503) 494-8311
45 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 400 $80,000 $200 premium 25.4% (720) 777-1234
46 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 398 $96,450 $242 premium 14.2% (404) 778-7525
47 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 387 $81,558 $211 premium 32.4% (205) 934-3460
48 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 380 $174,728 $460 premium 2.7% (310) 267-2625
49 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 377 $134,212 $356 premium 2.7% (877) 827-7463
50 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 371 $41,181 $111 premium 8.1% (847) 723-2210
51 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 370 $73,630 $199 premium 12.7% (984) 215-5556
52 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 367 $146,433 $399 premium 13.6% (608) 287-2050
53 PATHOLOGY LABORATORY ASSOCIATES, INC. TULSA OK PATHOLOGY 25 366 $52,323 $143 premium 22.8% (918) 388-5720
54 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 361 $57,994 $161 premium 17.8% (410) 502-4340
55 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 359 $117,261 $327 premium 2.5% (310) 423-0674
56 PRESBYTERIAN PATHOLOGY GROUP PLLC CHARLOTTE NC PATHOLOGY 22 348 $62,640 $180 premium 12.0% (704) 384-4814
57 COMPREHENSIVE PATHOLOGY ASSOCIATES, P.A. MIAMI FL PATHOLOGY 20 348 $91,872 $264 premium 3.0% (786) 596-6525
58 CELLNETIX PATHOLOGY PLLC SEATTLE WA PATHOLOGY 58 347 $55,547 $160 premium 12.6% (206) 320-2000
59 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 342 $85,990 $251 premium 2.8% (512) 579-4000
60 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 338 $89,614 $265 premium 2.4% (858) 455-9100
61 DRS CLACK SPENCER WHITE AND MCCORMACK PA SARASOTA FL PATHOLOGY 13 338 $44,613 $132 premium 2.9% (941) 362-8900
62 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 337 $185,350 $550 premium 4.2%
63 UTAH PATHOLOGY SERVICES INC MURRAY UT PATHOLOGY 28 333 $43,623 $131 premium 32.5% (801) 266-0055
64 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK FL PATHOLOGY 46 328 $84,062 $256 premium 2.9% 91226126691205
65 NTX PATHOLOGY PROGRAM, PLLC PLANO TX PATHOLOGY 26 327 $85,020 $260 premium 2.7% (972) 519-1585
66 DIAGNOSTIC PATHOLOGY SERV PC CHATTANOOGA TN PATHOLOGY 11 319 $30,174 $95 premium 9.1% (423) 624-6623
67 NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC NEWPORT BEACH CA PATHOLOGY 26 316 $59,168 $187 premium 2.2% (949) 891-1297
68 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 315 $85,685 $272 premium 14.2% (843) 792-1414
69 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 315 $133,388 $423 premium 3.9% (716) 845-2300
70 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 314 $116,180 $370 premium 19.5% (203) 688-4242
71 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 314 $95,770 $305 premium 6.9%
72 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 311 $39,798 $128 premium 6.3%
73 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 311 $59,603 $192 premium 30.4% (801) 581-2121
74 MERIDIAN LABORATORY PHYSICIANS, PA RED BANK NJ PATHOLOGY 18 309 $51,856 $168 premium 5.6% (732) 741-2700
75 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 309 $71,379 $231 premium 19.6% (970) 212-0530
76 RUFFOLO HOOPER AND ASSOCIATES MD PA TAMPA FL PATHOLOGY 44 305 $61,305 $201 premium 2.7% (813) 971-6000
77 CORPATH LTD COLUMBUS OH PATHOLOGY 26 304 $66,272 $218 premium 8.7% (614) 566-4945
78 PATHOLOGY ASSOCIATES CLOVIS CA PATHOLOGY 16 303 $67,266 $222 premium 2.1% (559) 326-2800
79 UNIVERSITY PATHOLOGY DIAGNOSTICS SC CHICAGO IL PATHOLOGY 19 299 $58,305 $195 premium 6.6%
80 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 291 $64,101 $220 premium 10.0% (919) 684-8111
81 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 291 $108,792 $374 premium 2.1% (800) 926-8273
82 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 286 $74,360 $260 premium 2.4% (210) 558-6288
83 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 284 $189,837 $668 premium 71.2% (603) 650-5000
84 CHARLESTON PATHOLOGY PA CHARLESTON SC PATHOLOGY 12 283 $50,940 $180 premium 12.7% (843) 724-2260
85 THE DELTA PATHOLOGY GROUP LLC SHREVEPORT LA PATHOLOGY 28 282 $73,123 $259 premium 23.3% (318) 364-2000
86 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 281 $101,160 $360 premium 8.1%
87 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 281 $73,060 $260 premium 3.5% (212) 639-2000
88 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 280 $73,717 $263 premium 10.0% (770) 422-2004
89 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACK NJ HEMATOLOGY/ONCOLOGY 153 279 $99,045 $355 premium 5.1% (201) 996-2210
90 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 272 $193,725 $712 premium 2.2% (254) 724-2663
91 PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC DALLAS TX PATHOLOGY 48 263 $64,253 $244 premium 2.2%
92 LABORATORY MEDICINE CONSULTANTS LTD LAS VEGAS NV PATHOLOGY 29 258 $34,156 $132 premium 35.7% (702) 731-8000
93 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 254 $35,290 $139 premium 6.8% (520) 694-0111
94 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 253 $45,540 $180 premium 5.1%
95 HEALTHONE IRL PATHOLOGY SERVICES LLC ENGLEWOOD MI PATHOLOGY 20 252 $65,520 $260 premium 9.2% (303) 788-6130
96 MONUMENT PATHOLOGISTS INC. RICHMOND VA PATHOLOGY 11 251 $79,316 $316 premium 8.3%
97 HEALTHONE IRL PATHOLOGY SERVICES LLC ENGLEWOOD CO PATHOLOGY 20 250 $65,000 $260 premium 15.9% (303) 788-6130
98 PHYSICIANS REFERRAL SERVICE HOUSTON NY NURSE PRACTITIONER 2696 249 $97,933 $393 premium 3.1% (713) 592-5433
99 PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP HOLLYWOOD FL PATHOLOGY 30 248 $46,854 $189 premium 2.2% (954) 265-2333
100 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 247 $74,594 $302 premium 5.7% (781) 983-9088

Showing the top 100 of 509 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →