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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86003 Measurement of antibody (ige) to allergic substance, crude allergen extract, each CPT · General Laboratory test
Classification Test General Laboratory Immunoassay (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 2.48M services ▲ 10.9% YoY · 99,598 beneficiaries (CY2024, Medicare FFS)
Medicare paid $12.7M · $5.11 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
38
Named-group FFS services
80,431
FFS of Medicare
49%
Services YoY
+10.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~164,796 services

80,431 observed fee-for-service (49%) · ~84,365 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 — 86003 (CY2024)

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$410K
Named-group Medicare payments
$410K
Avg charge / svc
$18
Avg allowed / svc
$5
Avg payment / svc
$5
Average charge per group
$7 38 groups · avg submitted charge / service $66
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 86003 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 86003 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 MANHATTAN INTERNAL MEDICINE ASSOCIATES PC NEW YORK NY INTERNAL MEDICINE 6 12,687 $201,998 $16 premium 9.9% (212) 725-5300
2 IK MEDICAL PC BROOKLYN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 9,504 $80,400 $8 premium 7.4% (718) 759-0105
3 NORTHAMPTON INTEGRATIVE MEDICINE, LLC NORTHAMPTON MA NURSE PRACTITIONER 5 7,646 $152,920 $20 premium 16.0% (413) 584-7787
4 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 5,820 $139,680 $24 premium 1.2% (910) 295-5511
5 PREMIER HEALTH MANAGEMENT INC MOBILE AL OTOLARYNGOLOGY 55 5,558 $55,580 $10 premium 18.5% (251) 473-1900
6 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 4,242 $63,630 $15 premium 17.3% 9854465079110
7 TEAMWORK HEALTH PLLC FAYETTEVILLE NC NURSE PRACTITIONER 7 4,160 $99,840 $24 premium 0.9% (910) 491-6793
8 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 3,504 $73,584 $21 premium 7.3% (617) 421-1000
9 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT MS OTOLARYNGOLOGY 9 3,478 $97,384 $28 premium 70.5% (228) 539-3824
10 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 3,071 $49,136 $16 premium 2.4% (516) 536-2221
11 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 2,339 $35,085 $15 premium 32.5% (270) 781-4043
12 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 1,890 $28,350 $15 premium 0.4% (910) 341-1540
13 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,727 $72,534 $42 premium 6.2% (847) 459-1160
14 DAVID L. SCHNEIDER, MD APMC METAIRIE LA NURSE PRACTITIONER 10 1,284 $11,556 $9 premium 5.2% (504) 889-0550
15 ROSS D. NOCHIMSON, M.D.,P.A. LAUDERHILL FL INTERNAL MEDICINE 4 1,260 $12,600 $10 premium 0.9%
16 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 1,026 $14,364 $14 premium 3.4% (360) 882-2778
17 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 833 $12,495 $15 premium 17.4% (864) 885-0058
18 ICM MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 3 806 $12,187 $15 premium 0.2% (310) 855-0556
19 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 732 $41,067 $56 premium 2.0%
20 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 728 $15,288 $21 premium 11.5% 57429632003973
21 AMERICAN MEDICAL TODAY PC BROOKLYN NY INTERNAL MEDICINE 10 691 $8,640 $13 premium 0.5% (718) 306-5025
22 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 686 $16,601 $24 premium 6.9% (612) 863-4000
23 ELI WERCBERGER DO PLLC BROOKLYN NJ INTERNAL MEDICINE 2 671 $6,710 $10 premium 0.3% (917) 627-2130
24 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 575 $24,965 $43 premium 2.1% 21722384006209
25 SOUTHWEST MISSISSIPPI EAR NOSE AND THROAT CLINIC PA MCCOMB MS NURSE PRACTITIONER 4 552 $4,968 $9 premium 11.2% (601) 684-1250
26 COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC GULFPORT AL OTOLARYNGOLOGY 9 537 $15,036 $28 premium 1.8% (228) 539-3824
27 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 532 $8,512 $16 premium 0.2% (908) 273-4300
28 VIRGIN ISLANDS EAR NOSE AND THROAT PC ST THOMAS VI OTOLARYNGOLOGY 3 532 $4,171 $8 premium 100.0% (340) 774-8881
29 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 486 $3,602 $7 premium 6.6% (801) 773-4840
30 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 469 $7,167 $15 premium 4.7% (612) 672-7422
31 FAMILYCARE MEDICAL GROUP PC SYRACUSE NY FAMILY PRACTICE 106 466 $5,036 $11 premium 0.4% (315) 472-1488
32 SANDHILLS FUNCTIONAL MEDICINE PLLC CARTHAGE NC NURSE PRACTITIONER 6 372 $8,928 $24 premium 0.1% (910) 773-3889
33 SLIIIP MEDICAL GROUP P A BYRON NC SLEEP MEDICINE 11 340 $8,160 $24 premium 0.1% (478) 238-3552
34 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 326 $11,736 $36 premium 0.1% (415) 600-1020
35 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 294 $4,419 $15 premium 2.9%
36 ALLERGY ASSOCIATES HOLDINGS, LTD ONALASKA WI NURSE PRACTITIONER 5 208 $5,630 $27 premium 1.5% 6087822027214
37 ALLERGY AND ASTHMA ASSOCIATES OF MAINE PORTLAND ME ALLERGY/IMMUNOLOGY 9 170 $3,570 $21 premium 27.9% (207) 774-9839
38 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 108 $7,128 $66 premium 0.3% (740) 446-5050
39 ATRIUS HEALTH INC BOSTON FL NURSE PRACTITIONER 1196 101 $2,121 $21 premium 0.1% (617) 421-1000
40 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 20 $240 $12 premium 0.0% (512) 346-6611

*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 →