NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

86039 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86039 — Measurement of antibody for assessment of autoimmune disorder, titer

Billing groups
21
Named-group FFS services
3,294
FFS of Medicare
49%
Services YoY
+2.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,990 services

3,294 observed fee-for-service (47%) · ~3,696 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 — 86039 (CY2024)

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

Named-group submitted charges
$119K
Named-group allowed amount
$36K
Named-group Medicare payments
$36K
Avg charge / svc
$36
Avg allowed / svc
$11
Avg payment / svc
$11
Average charge per group
$24 21 groups · avg submitted charge / service $82
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 groups ranked by 86039 services, CY2024
#Physician group City St Specialty Providers 86039 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 735 $25,725 $35 premium 11.7% (516) 295-4481
2 RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC HUNTSVILLE AL RHEUMATOLOGY 10 691 $16,584 $24 premium 93.1% (256) 551-6510
3 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 595 $14,875 $25 premium 2.2% (310) 659-7878
4 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 353 $19,415 $55 premium 5.6% (315) 475-7669
5 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 171 $4,788 $28 premium 1.1% 2104772626242
6 THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA ROCK HILL SC RHEUMATOLOGY 2 157 $8,635 $55 premium 51.5% (803) 329-1660
7 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 102 $3,264 $32 premium 58.3% (501) 562-4838
8 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 79 $5,135 $65 premium 5.4%
9 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 78 $3,120 $40 premium 21.4% (319) 247-3010
10 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 68 $2,584 $38 premium 0.4% (908) 273-4300
11 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 50 $3,500 $70 premium 1.5% (814) 693-0300
12 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 49 $2,499 $51 premium 3.3% (330) 670-4026
13 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 47 $3,854 $82 premium 0.2% (415) 600-1020
14 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 28 $1,372 $49 premium 16.1% (828) 258-9533
15 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 15 $675 $45 premium 0.4% (617) 421-1000
16 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 15 $750 $50 premium 0.1% (512) 346-6611
17 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 14 $504 $36 premium 100.0% (603) 929-1195
18 PARDO FORSTOT BACA AND ALBOUKREK PA BOCA RATON FL RHEUMATOLOGY 6 14 $420 $30 premium 0.1% (561) 955-7100
19 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 11 $368 $33 premium 0.1% (214) 540-0700
20 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 11 $418 $38 premium 3.5% (317) 844-6444
21 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 11 $462 $42 premium 3.5% 57429632003973

*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 →