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Market snapshot

85390 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

85390 — Coagulation function screening test with interpretation and report

Billing groups
82
Named-group FFS services
16,535
FFS of Medicare
49%
Services YoY
+7.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~32,686 services

16,535 observed fee-for-service (51%) · ~16,151 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 — 85390 (CY2024)
MA 4,676 NY 3,333 CT 1,880 IL 1,649 TX 1,486

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$580K
Named-group Medicare payments
$451K
Avg charge / svc
$102
Avg allowed / svc
$35
Avg payment / svc
$27
Average charge per group
$19 82 groups · avg submitted charge / service $232
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 85390 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 3,245 $490,245 $151 69.4% (617) 732-5500
2 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 1,789 $152,065 $85 95.2% (203) 688-4242
3 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 734 $31,562 $43 44.5% (847) 723-2210
4 LABORATORY MEDICINE CONSULTANTS LTD LAS VEGAS NV PATHOLOGY 29 506 $40,864 $81 45.8% (702) 731-8000
5 WILMINGTON PATHOLOGY ASSOCIATES PA WILMINGTON NC PATHOLOGY 9 437 $10,925 $25 53.6% (910) 362-9511
6 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 405 $63,990 $158 27.3% (214) 633-5555
7 NORTH DALLAS PATHOLOGY SERVICES PA DALLAS TX PATHOLOGY 11 364 $44,240 $122 24.5% (214) 345-6789
8 UNIVERSITY PATHOLOGISTS LABORATORIES, LLP SYRACUSE NY PATHOLOGY 25 308 $21,560 $70 9.2% (315) 464-4750
9 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 294 $39,904 $136 17.8% (888) 824-0200
10 LABORATORY MEDICINE CONSULTANTS LTD LAS VEGAS OH PATHOLOGY 29 280 $22,619 $81 34.7% (702) 731-8000
11 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 275 $32,399 $118 95.5% (503) 494-8311
12 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 275 $24,200 $88 34.1% —
13 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IL PATHOLOGY 11 274 $8,741 $32 16.6% (630) 933-2048
14 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 226 $21,008 $93 27.7% (919) 684-8111
15 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK NY NURSE PRACTITIONER 226 219 $41,610 $190 6.6% (212) 639-2000
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 214 $12,344 $58 28.7% (800) 926-8273
17 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 212 $16,960 $80 100.0% (501) 686-8000
18 CENTRAL FLORIDA PATHOLOGY ASSOCIATES PA ORLANDO FL PATHOLOGY 23 207 $7,245 $35 23.7% (407) 363-6611
19 HAWAII PATHOLOGISTS LABORATORY HONOLULU HI PATHOLOGY 16 206 $18,669 $91 100.0% (808) 691-4271
20 PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP HOLLYWOOD FL PATHOLOGY 30 197 $15,563 $79 22.5% (954) 265-2333
21 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 192 $23,040 $120 5.8% (866) 633-8255
22 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 189 $26,460 $140 25.3% (877) 827-7463
23 AMERIPATH LUBBOCK 501A CORPORATION FORT WORTH TX PATHOLOGY 18 180 $9,573 $53 12.1% (817) 250-5630
24 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 180 $14,760 $82 33.9% (248) 964-1187
25 ST JOSEPHS HEALTHCARE INC PATERSON NJ PSYCHIATRY 21 171 $10,431 $61 52.6% (973) 754-4750
26 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IA PATHOLOGY 11 154 $4,913 $32 54.6% (630) 933-2048
27 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 154 $9,548 $62 28.2% (615) 322-5000
28 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 152 $16,112 $106 18.7% (984) 215-5556
29 ASSOCIATED PATHOLOGISTS, PA TAMPA FL PATHOLOGY 19 145 $16,530 $114 16.6% (813) 576-3600
30 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 142 $12,922 $91 26.7% (734) 763-5459
31 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 141 $17,239 $122 100.0% (404) 778-7525
32 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 140 $7,560 $54 100.0% (205) 934-3460
33 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 137 $15,207 $111 4.1% (212) 746-5454
34 PATHOLOGY CONSULTANTS INC HAMMOND IN PATHOLOGY 21 135 $15,005 $111 65.2% (219) 989-3700
35 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 131 $9,930 $76 100.0% (802) 847-0000
36 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 130 $20,670 $159 25.1% (215) 662-2777
37 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 128 $21,760 $170 14.6% (904) 953-2000
38 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 124 $18,760 $151 2.7% (617) 724-0287
39 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 123 $7,712 $63 8.3% (512) 579-4000
40 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 123 $20,049 $163 7.5% (708) 216-8372
41 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 119 $6,545 $55 23.0% (215) 456-8242
42 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 118 $10,773 $91 100.0% (402) 559-4000
43 LABORATORY MEDICINE CONSULTANTS LTD LAS VEGAS CA PATHOLOGY 29 117 $9,477 $81 15.7% (702) 731-8000
44 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 111 $11,847 $107 32.9% (206) 364-0500
45 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 103 $2,067 $20 28.1% (505) 841-1234
46 MERIDIAN LABORATORY PHYSICIANS, PA RED BANK NJ PATHOLOGY 18 100 $6,500 $65 30.8% (732) 741-2700
47 VANDERBILT HEALTH CLINICIANS, LLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 130 91 $5,642 $62 16.6% (615) 322-3000
48 TARRANT PATHOLOGY ASSOCIATES FORT WORTH TX PATHOLOGY 5 89 $4,895 $55 6.0% (817) 922-1559
49 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 87 $16,617 $191 11.7% (415) 476-4029
50 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 86 $12,040 $140 10.7% (614) 293-5905
51 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 84 $4,620 $55 16.2% —
52 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 82 $10,004 $122 1.8% (781) 983-9088
53 BAYLOR COLLEGE OF MEDICINE HOUSTON TX INTERNAL MEDICINE 814 76 $7,448 $98 5.1% (713) 873-2000
54 TUPELO PATHOLOGY GROUP, P.A. TUPELO MS PATHOLOGY 5 73 $4,380 $60 100.0% (662) 377-3073
55 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 72 $5,976 $83 13.9% (484) 337-4570
56 UNM MEDICAL GROUP INC ALBUQUERQUE NM FAMILY PRACTICE 1089 71 $7,242 $102 19.3% (505) 272-2111
57 SPECTRUM HEALTHCARE PARTNERS PA PORTLAND ME DIAGNOSTIC RADIOLOGY 281 70 $8,050 $115 72.2% (207) 828-2160
58 LABORATORY PHYSICIANS ASSOCIATION DALLAS MO PATHOLOGY 11 70 $1,330 $19 37.0% (214) 947-7777
59 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 68 $3,672 $54 4.6% (210) 450-7044
60 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 66 $8,976 $136 12.8% (717) 531-5638
61 ASSOCIATED PATHOLOGY CONSULTANTS-ELMHURST SC ELMHURST IL PATHOLOGY 8 65 $6,578 $101 3.9% (630) 833-1400
62 NTX PATHOLOGY PROGRAM, PLLC PLANO TX PATHOLOGY 26 59 $6,563 $111 4.0% (972) 519-1585
63 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 58 $7,394 $127 7.8% (310) 423-0674
64 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 57 $5,814 $102 16.9% (206) 223-6600
65 NORTH DALLAS PATHOLOGY SERVICES PA DALLAS MD PATHOLOGY 11 55 $6,710 $122 100.0% (214) 345-6789
66 LABORATORY PHYSICIANS ASSOCIATION DALLAS TX PATHOLOGY 11 54 $1,026 $19 3.6% (214) 947-7777
67 PATHOLOGY SPECIALISTS OF MEMPHIS PC MEMPHIS TN PATHOLOGY 15 51 $4,437 $87 9.3% (901) 516-7182
68 NORTH SHORE PATHOLOGISTS SC MILWAUKEE WI PATHOLOGY 15 48 $4,936 $103 8.1% (414) 647-7400
69 THE EMORY CLINIC INC ATLANTA FL NURSE PRACTITIONER 3484 46 $5,680 $123 5.3% (404) 778-7525
70 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON NM PHYSICIAN ASSISTANT 1194 45 $4,482 $100 12.3% (802) 847-0000
71 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 43 $5,418 $126 4.9% (561) 548-3639
72 THE EMORY CLINIC INC ATLANTA MA NURSE PRACTITIONER 3484 41 $4,987 $122 0.9% (404) 778-7525
73 RUFFOLO HOOPER AND ASSOCIATES MD PA TAMPA FL PATHOLOGY 44 41 $5,084 $124 4.7% (813) 971-6000
74 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON HOUSTON TX PATHOLOGY 45 37 $3,737 $101 2.5% (713) 566-5100
75 PATHOLGY SERVICES OF KALAMAZOO PC KALAMAZOO MI PATHOLOGY 15 37 $3,367 $91 7.0% (269) 341-7654
76 LAB MEDICINE OF GREATER TULSA PC TULSA OK PATHOLOGY 11 33 $2,376 $72 39.8% (918) 494-1420
77 TEXAS CHILDRENS HOSPITAL HOUSTON CT PATHOLOGY 22 30 $3,960 $132 1.6% (832) 826-3000
78 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 27 $1,864 $69 14.3% (573) 882-2667
79 PATHOLOGY ASSOCIATES OF CENTRAL IOWA PLC DES MOINES IA PATHOLOGY 8 26 $2,392 $92 9.2% —
80 MONTEFIORE MEDICAL CENTER BRONX NM PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 25 $3,000 $120 6.8% (866) 633-8255
81 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 24 $3,000 $125 37.5% (800) 603-0558
82 SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. CINCINNATI OH PATHOLOGY 18 23 $805 $35 2.9% (513) 865-1111
83 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 22 $1,804 $82 4.1% (313) 916-2600
84 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR IA PATHOLOGY 10 21 $1,743 $83 7.4% (484) 337-4570
85 PATHOLOGY SPECIALISTS P A ORLANDO OH PATHOLOGY 15 16 $798 $50 2.0% (407) 422-1377
86 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 16 $1,372 $86 1.9% (612) 672-7422
87 DARTMOUTH-HITCHCOCK CLINIC LEBANON MA PHYSICIAN ASSISTANT 1441 15 $3,489 $233 0.3% (603) 650-5000
88 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 15 $2,175 $145 4.6% (201) 996-2000
89 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK MA NURSE PRACTITIONER 226 14 $2,660 $190 0.3% (212) 639-2000
90 TUPELO PATHOLOGY GROUP, P.A. TUPELO CA PATHOLOGY 5 14 $840 $60 1.9% (662) 377-3073
91 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 14 $3,234 $231 100.0% (603) 650-5000
92 PATHOLOGY SPECIALISTS P A ORLANDO OR PATHOLOGY 15 13 $648 $50 4.5% (407) 422-1377
93 PATHOLOGY SPECIALISTS P A ORLANDO FL PATHOLOGY 15 13 $648 $50 1.5% (407) 422-1377
94 MICHIGAN PATHOLOGY SPECIALISTS PC GRAND RAPIDS MI PATHOLOGY 32 12 $1,104 $92 2.3% (616) 267-2350
95 PALM BEACH PATHOLOGY, PA WEST PALM BCH FL PATHOLOGY 8 12 $1,512 $126 1.4% (561) 642-2998
96 CAMBRIDGE PUBLIC HEALTH COMMISSION CAMBRIDGE MA PHYSICIAN ASSISTANT 656 11 $682 $62 0.2% (617) 665-3000
97 NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI NEW YORK NJ PATHOLOGY 8 11 $935 $85 3.4% (212) 606-1224

*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 →