NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

86038 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86038 — Screening test for autoimmune disorder

Billing groups
88
Named-group FFS services
16,497
FFS of Medicare
49%
Services YoY
+0.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~33,594 services

16,497 observed fee-for-service (49%) · ~17,097 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 — 86038 (CY2024)
CA 121,547 NJ 99,159 TX 67,566 FL 64,562 NC 60,107

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

Named-group submitted charges
$876K
Named-group allowed amount
$194K
Named-group Medicare payments
$194K
Avg charge / svc
$53
Avg allowed / svc
$12
Avg payment / svc
$12
Average charge per group
$13 88 groups · avg submitted charge / service $155
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 86038 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,340 $191,250 $143 4.3% (631) 751-3000
2 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,221 $55,170 $45 3.9% (516) 295-4481
3 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 767 $27,819 $36 1.1% (214) 540-0700
4 NAUSHIN SIDDIQUI PHYSICIAN PC EAST MEADOW NY INTERNAL MEDICINE 2 700 $28,000 $40 2.2% (516) 481-2000
5 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 692 $29,064 $42 9.2% —
6 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 687 $37,785 $55 0.6% (818) 996-4077
7 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 455 $15,015 $33 0.7% 2104772626242
8 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 451 $25,129 $56 2.0% —
9 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 399 $24,738 $62 2.4% (630) 469-9200
10 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 395 $11,850 $30 1.4% (480) 443-8400
11 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 378 $54,395 $144 1.6% (770) 284-3150
12 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN KY RHEUMATOLOGY 20 335 $11,725 $35 17.4% (606) 802-2300
13 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 327 $9,966 $30 2.1% (901) 261-0700
14 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 304 $20,064 $66 0.5% (813) 651-4441
15 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 290 $10,150 $35 0.2% (909) 982-0099
16 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 290 $11,600 $40 0.5% (252) 321-8474
17 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 285 $6,891 $24 0.4% (806) 353-7000
18 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 271 $6,504 $24 3.5% (410) 744-0661
19 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 265 $6,408 $24 13.7% (270) 408-6100
20 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 262 $20,960 $80 0.2% (415) 600-1020
21 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 254 $10,160 $40 30.6% (843) 572-4840
22 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 253 $6,118 $24 0.4% (806) 358-8331
23 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 237 $5,925 $25 0.4% (561) 495-0600
24 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 234 $7,956 $34 51.2% (501) 562-4838
25 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 234 $30,420 $130 5.2% (262) 785-0777
26 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 228 $6,612 $29 0.3% (210) 265-8851
27 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 227 $3,390 $15 0.4% 94136507701028
28 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 225 $4,500 $20 1.5% (423) 826-0800
29 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 190 $7,790 $41 1.2% (620) 669-2500
30 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 189 $10,055 $53 0.2% (201) 837-7788
31 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 184 $2,379 $13 0.6% (845) 342-4774
32 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 181 $6,616 $37 0.3% (512) 346-6611
33 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 154 $9,240 $60 0.7% (330) 670-4026
34 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 150 $8,550 $57 16.6% (225) 246-9790
35 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 144 $5,945 $41 9.7% (317) 844-6444
36 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 130 $5,330 $41 0.1% (908) 273-4300
37 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 130 $3,618 $28 1.7% (202) 296-3449
38 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 129 $6,321 $49 1.0% (617) 421-1000
39 SOLAIMAN CHOWDHURY MEDICAL CARE PC EAST ISLIP NY NURSE PRACTITIONER 4 127 $8,890 $70 0.4% (631) 581-0090
40 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 122 $3,050 $25 2.9% (804) 288-7901
41 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 116 $3,480 $30 32.3% (208) 887-9500
42 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 103 $4,120 $40 3.3% (952) 893-1959
43 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 100 $4,000 $40 5.2% (252) 321-8474
44 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 99 $5,148 $52 0.2% (828) 258-9533
45 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 99 $1,782 $18 0.4% (440) 333-3332
46 DRS CASSELL AND BOREN PC EUGENE OR RHEUMATOLOGY 3 97 $3,492 $36 3.8% (541) 687-0816
47 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 91 $3,913 $43 7.8% (319) 247-3010
48 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 82 $3,444 $42 1.1% (301) 942-7600
49 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 80 $3,680 $46 5.4% 57429632003973
50 PARDO FORSTOT BACA AND ALBOUKREK PA BOCA RATON FL RHEUMATOLOGY 6 79 $1,676 $21 0.1% (561) 955-7100
51 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE GA RHEUMATOLOGY 47 78 $3,120 $40 0.3% (843) 572-4840
52 PRIMARY CARE GROUP, LLC MEMPHIS TN NURSE PRACTITIONER 109 77 $2,849 $37 0.5% (901) 387-2900
53 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 76 $6,270 $82 8.4% (337) 436-1370
54 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 74 $3,937 $53 0.2% (201) 837-7788
55 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 57 $4,784 $84 0.6% (814) 693-0300
56 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 56 $840 $15 28.4% (913) 258-2116
57 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT AZ NURSE PRACTITIONER 10 56 $1,258 $22 0.2% (480) 494-2770
58 ARTHRITIS CARE SPECIALISTS OF MARYLAND, P.A. COLUMBIA MD RHEUMATOLOGY 7 53 $2,332 $44 0.7% (410) 992-7440
59 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 52 $1,248 $24 0.7% (301) 345-5600
60 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 49 $1,960 $40 0.2% (520) 547-5725
61 NAZANIN FIROOZ MD INC WOODLAND HILLS CA RHEUMATOLOGY 2 48 $1,440 $30 0.0% (818) 598-0000
62 DOTHAN MEDICAL ASSOCIATES, P.C. DOTHAN AL NURSE PRACTITIONER 19 46 $947 $21 0.2% (334) 794-1148
63 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 46 $1,755 $38 2.4% (270) 781-4043
64 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 44 $880 $20 0.6% (509) 838-6500
65 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 44 $2,288 $52 0.2% (614) 451-9612
66 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 44 $4,400 $100 1.0% (414) 351-4009
67 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 43 $860 $20 1.7% (541) 773-2233
68 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN IN RHEUMATOLOGY 20 43 $1,505 $35 2.9% (606) 802-2300
69 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 41 $1,392 $34 1.3% —
70 MISSISSIPPI ARTHRITIS CLINIC PLLC JACKSON MS NURSE PRACTITIONER 8 38 $2,470 $65 4.6% (601) 362-6900
71 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE CA RHEUMATOLOGY 56 38 $1,596 $42 0.0% (301) 942-7600
72 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN OH RHEUMATOLOGY 6 36 $1,080 $30 0.2% (208) 887-9500
73 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 35 $525 $15 0.2% (913) 258-2116
74 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 34 $5,270 $155 0.2% (740) 446-5050
75 H2 REHABILITATION SERVICES OF KENTUCKY, LLC BEREA KY ORTHOPEDIC SURGERY 194 34 $1,190 $35 1.8% (859) 956-1055
76 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 33 $1,386 $42 0.4% (405) 632-6688
77 RHEUMATOLOGY CARE OF GEORGIA LLC MARIETTA GA RHEUMATOLOGY 2 29 $4,205 $145 0.1% (470) 357-6226
78 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN MO NURSE PRACTITIONER 462 28 $4,200 $150 14.2% (631) 751-3000
79 CLIFFSIDE MEDICAL LLC CLIFFSIDE PARK NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 28 $2,100 $75 0.0% —
80 PROVIDENCE HEALTH AND SERVICES OREGON HOOD RIVER OR CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 27 $972 $36 1.1% (541) 387-6138
81 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 27 $927 $34 0.9% (651) 406-8860
82 FAMILYCARE MEDICAL GROUP PC SYRACUSE NY FAMILY PRACTICE 106 27 $669 $25 0.1% (315) 472-1488
83 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 27 $648 $24 0.3% (410) 332-9359
84 ARTHRITIS CENTER OF NEBRASKA LINCOLN NE PHYSICIAN ASSISTANT 8 27 $1,296 $48 6.4% (402) 420-1212
85 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 26 $664 $26 0.0% (305) 689-5437
86 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 22 $1,408 $64 0.0% (252) 355-4357
87 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 21 $273 $13 0.1% (205) 934-3460
88 FAITH HEALTHCARE INC MONTICELLO KY NURSE PRACTITIONER 17 18 $630 $35 0.9% (606) 425-5768
89 GWINNETT CLINIC, LTD LAWRENCEVILLE GA INTERNAL MEDICINE 40 17 $1,037 $61 0.1% (770) 972-9000
90 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 15 $600 $40 0.2% (410) 757-7600
91 FAIRVIEW EXPRESS CARE MINNEAPOLIS CO PHYSICIAN ASSISTANT 2007 15 $519 $35 0.4% (612) 672-7422
92 ARTHRITIS AND OSTEOPOROSIS CONSULTANTS OF THE CAROLINAS PA CHARLOTTE NC RHEUMATOLOGY 13 14 $910 $65 0.0% (704) 342-0252
93 GENESIS HEALTHCARE, INC DARLINGTON SC NURSE PRACTITIONER 32 14 $795 $57 1.7% (843) 393-7452
94 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 12 $680 $57 0.4% (612) 863-4000
95 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE AR PHYSICIAN ASSISTANT 2360 12 $408 $34 2.6% (704) 667-1000
96 AMERICAN MULTISPECIALTY GROUP INC SAINT LOUIS MO FAMILY PRACTICE 119 12 $792 $66 6.1% (314) 645-3743
97 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT OK NURSE PRACTITIONER 10 11 $462 $42 0.1% (480) 494-2770
98 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN AL NURSE PRACTITIONER 462 11 $1,650 $150 0.1% (631) 751-3000

*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 →