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Market snapshot

85730 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

85730 — Coagulation assessment blood test, plasma or whole blood

Billing groups
59
Named-group FFS services
8,970
FFS of Medicare
49%
Services YoY
-0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,550 services

8,970 observed fee-for-service (48%) · ~9,580 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 — 85730 (CY2024)
CA 78,737 NJ 74,276 FL 47,275 TX 26,023 NY 23,576

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

Named-group submitted charges
$338K
Named-group allowed amount
$53K
Named-group Medicare payments
$53K
Avg charge / svc
$38
Avg allowed / svc
$6
Avg payment / svc
$6
Average charge per group
$6 59 groups · avg submitted charge / service $98
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 85730 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 1,445 $141,610 $98 3.1% (904) 953-2000
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,265 $44,275 $35 5.4% (631) 751-3000
3 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 753 $10,542 $14 1.0% (310) 278-3400
4 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 535 $11,235 $21 0.7% (310) 423-0674
5 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 321 $8,025 $25 0.4% (908) 273-4300
6 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 269 $4,035 $15 0.3% (323) 525-1111
7 CARDIOVASCULAR ASSOCIATION, P.L.L.C. HUMBLE TX INTERVENTIONAL CARDIOLOGY 52 264 $5,016 $19 1.0% (281) 446-6656
8 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 243 $4,374 $18 0.9% (210) 450-7044
9 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 240 $1,534 $6 1.0% (845) 342-4774
10 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 237 $5,167 $22 1.0% (914) 241-1050
11 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 235 $7,285 $31 3.9% (630) 469-9200
12 RAVI PATEL M D INC BAKERSFIELD CA HEMATOLOGY/ONCOLOGY 20 214 $4,708 $22 0.3% (661) 322-2206
13 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 174 $9,048 $52 0.7% —
14 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 154 $8,784 $57 2.6% 21722384006209
15 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 134 $2,278 $17 0.3% (850) 863-8150
16 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 123 $2,218 $18 0.5% (210) 593-5700
17 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 122 $3,416 $28 0.5% (845) 703-6999
18 CENTENNIAL HEART LLC NASHVILLE KY NURSE PRACTITIONER 121 114 $4,788 $42 18.7% (615) 515-1900
19 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 111 $2,220 $20 1.7% (410) 757-7600
20 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 107 $5,350 $50 1.8% (847) 459-1160
21 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 106 $2,544 $24 17.3% (270) 781-4043
22 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 105 $4,095 $39 0.4% (914) 682-0700
23 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 100 $2,500 $25 8.1% (225) 246-9790
24 OWENSBORO HEALTH MEDICAL GROUP INC OWENSBORO KY NURSE PRACTITIONER 467 99 $2,376 $24 16.2% —
25 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 98 $1,470 $15 13.0% (574) 647-7275
26 NORTHSIDE CV PROFESSIONAL SERVICES LLC LAWRENCEVILLE KY CARDIOVASCULAR DISEASE (CARDIOLOGY) 53 96 $2,304 $24 15.7% (770) 758-7482
27 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO MD INTERNAL MEDICINE 1965 94 $1,316 $14 1.5% (301) 618-5700
28 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 93 $3,906 $42 0.1% (415) 600-1020
29 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 74 $2,590 $35 0.4% (252) 355-4357
30 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN FL NURSE PRACTITIONER 462 72 $2,520 $35 0.2% (631) 751-3000
31 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 68 $1,088 $16 0.1% (559) 326-1222
32 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 64 $1,024 $16 0.1% (863) 603-6565
33 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 55 $661 $12 0.2% (806) 358-8331
34 JPB MEDICAL GROUP INC VAN NUYS CA INTERNAL MEDICINE 4 54 $1,200 $22 0.1% (818) 785-0300
35 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 51 $816 $16 1.2% (731) 422-0213
36 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTH MA PHYSICIAN ASSISTANT 434 49 $1,960 $40 1.2% (508) 996-3991
37 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 45 $974 $22 1.6% (206) 721-5600
38 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 43 $517 $12 0.2% (806) 353-7000
39 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 43 $878 $20 2.4% (616) 954-9800
40 PINEHURST SURGICAL CLINIC PA PINEHURST NC PHYSICIAN ASSISTANT 91 42 $2,268 $54 0.2% (910) 295-6831
41 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 40 $1,960 $49 0.2% (518) 262-6696
42 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 36 $2,916 $81 0.5% (740) 446-5050
43 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 34 $442 $13 0.5% (614) 451-9612
44 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 29 $1,015 $35 0.1% (315) 472-7504
45 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 27 $513 $19 8.0% —
46 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 27 $947 $35 0.4% (202) 296-3449
47 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 26 $872 $34 0.4% —
48 BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 64 25 $625 $25 2.0% (225) 237-1880
49 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 24 $720 $30 0.9% (620) 669-2500
50 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 23 $276 $12 0.0% (561) 295-6962
51 PRIMARY CARE GROUP, LLC MEMPHIS TN NURSE PRACTITIONER 109 22 $418 $19 0.5% (901) 387-2900
52 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 21 $525 $25 0.0% —
53 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 20 $340 $17 0.1% (518) 782-3700
54 GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD RAPID CITY FL NURSE PRACTITIONER 63 19 $608 $32 0.0% 60535525002356
55 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 17 $1,190 $70 0.3% (888) 824-0200
56 BUFFALO MEDICAL GROUP, P.C. WILLIAMSVILLE NY PHYSICIAN ASSISTANT 237 17 $221 $13 0.1% (716) 630-1000
57 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 15 $315 $21 2.0% (574) 234-8161
58 INTERNAL MEDICINE ASSOCIATES, P.C. MACON GA INTERNAL MEDICINE 9 13 $520 $40 0.3% (478) 745-1191
59 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 13 $312 $24 1.7% 57429632003973
60 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO PHYSICIAN ASSISTANT 251 11 $326 $30 2.4% (417) 875-3000

*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 →