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Market snapshot

86078 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86078 — Blood bank physician services for investigation of transfusion reaction with written report

Billing groups
68
Named-group FFS services
2,474
FFS of Medicare
49%
Services YoY
-10.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,903 services

2,474 observed fee-for-service (50%) · ~2,429 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 — 86078 (CY2024)
TX 439 PA 298 CA 250 NY 236 VA 202

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

Named-group submitted charges
$523K
Named-group allowed amount
$121K
Named-group Medicare payments
$95K
Avg charge / svc
$211
Avg allowed / svc
$49
Avg payment / svc
$39
Average charge per group
$55 68 groups · avg submitted charge / service $477
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 86078 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 219 $85,392 $390 49.9% (713) 592-5433
2 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 133 $19,999 $150 82.6% (206) 364-0500
3 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK NY NURSE PRACTITIONER 226 124 $32,860 $265 52.5% (212) 639-2000
4 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 103 $40,256 $391 52.6% (305) 689-5437
5 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 88 $16,808 $191 29.5% (215) 662-2777
6 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 87 $13,224 $152 43.1% (757) 668-3221
7 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 69 $7,560 $110 41.8% —
8 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 66 $7,926 $120 100.0% (913) 588-7743
9 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 62 $7,316 $118 100.0% (402) 559-4000
10 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 55 $11,440 $208 22.0% (877) 827-7463
11 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 53 $7,396 $140 21.2% (626) 256-4673
12 CENTRAL FLORIDA PATHOLOGY ASSOCIATES PA ORLANDO FL PATHOLOGY 23 48 $9,600 $200 24.5% (407) 363-6611
13 SPECTRUM HEALTHCARE PARTNERS PA PORTLAND ME DIAGNOSTIC RADIOLOGY 281 48 $5,790 $121 100.0% (207) 828-2160
14 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 48 $12,288 $256 46.2% —
15 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 47 $9,165 $195 34.8% (704) 304-5988
16 PATHOLOGY SPECIALIST OF ARIZONA, LLP PHOENIX AZ PATHOLOGY 66 46 $3,745 $81 45.5% (602) 685-5211
17 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 45 $8,055 $179 46.4% (410) 502-4340
18 PATHOLOGY AND LABORATORY CONSULTANTS OF LONG ISLAND PLLC WEST ISLIP NY PATHOLOGY 20 44 $6,820 $155 18.6% (631) 376-3990
19 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 43 $9,460 $220 42.6% (800) 603-0558
20 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 41 $9,307 $227 20.3% (804) 828-9000
21 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 40 $8,000 $200 100.0% (203) 688-4242
22 SCRIPPS HEALTH LA JOLLA PA PHYSICIAN ASSISTANT 1431 40 $8,021 $201 13.4% (858) 455-9100
23 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 36 $6,660 $185 100.0% (314) 747-3000
24 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 36 $6,480 $180 26.7% (919) 684-8111
25 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 34 $5,372 $158 14.4% (212) 746-5454
26 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 33 $5,115 $155 24.4% (984) 215-5556
27 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 32 $3,776 $118 47.1% (248) 964-1187
28 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 28 $5,260 $188 11.2% (800) 926-8273
29 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 27 $5,778 $214 10.8% (310) 423-0674
30 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 26 $3,718 $143 12.9% (434) 924-5959
31 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 26 $5,368 $206 15.8% (617) 732-5500
32 HOSPITAL PATHOLOGY ASSOCIATES, PA MINNEAPOLIS MN PATHOLOGY 45 24 $4,320 $180 33.8% (612) 767-8370
33 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 24 $4,704 $196 30.8% —
34 CLEVELAND CLINIC CLEVELAND MD PHYSICIAN ASSISTANT 6828 24 $4,704 $196 24.7% —
35 BAYLOR COLLEGE OF MEDICINE HOUSTON TX PATHOLOGY 51 22 $2,392 $109 5.0% (713) 481-3513
36 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK CA NURSE PRACTITIONER 226 22 $5,830 $265 8.8% (212) 639-2000
37 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 20 $5,270 $264 62.5% (843) 792-1414
38 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 20 $3,360 $168 19.2% —
39 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 20 $3,600 $180 4.6% (214) 633-5555
40 CORPATH LTD COLUMBUS OH PATHOLOGY 26 19 $2,774 $146 24.4% (614) 566-4945
41 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 19 $3,439 $181 14.1% (336) 713-9800
42 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MN PHYSICIAN ASSISTANT 3707 19 $3,021 $159 26.8% (202) 429-2401
43 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX VA PATHOLOGY 45 17 $3,774 $222 8.4% (703) 391-3600
44 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 17 $2,842 $167 8.7% (813) 745-4673
45 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 16 $2,928 $183 5.4% (484) 337-4570
46 NORTH SHORE-LIJ MEDICAL PC MANHASSET MA PHYSICIAN ASSISTANT 6294 16 $4,128 $258 9.7% —
47 ALLIED HOSPITAL PATHOLOGISTS PC FORT WAYNE IN PATHOLOGY 11 15 $1,950 $130 24.6% (260) 266-1000
48 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 15 $3,098 $207 9.1% (617) 724-0287
49 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 15 $4,134 $276 7.7% (352) 265-8990
50 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IA PATHOLOGY 11 14 $5,320 $380 100.0% (630) 933-2048
51 UNIV OF MD PATHOLOGY ASSOCIATES P A BALTIMORE MD PATHOLOGY 24 14 $2,358 $168 14.4% (410) 328-5555
52 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 14 $6,132 $438 5.6% (415) 476-4029
53 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 14 $2,226 $159 14.4% (202) 429-2401
54 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 14 $3,346 $239 5.6% (800) 872-2273
55 PRATT PATHOLOGY ASSOCIATES INC BOSTON MA PATHOLOGY 24 14 $3,276 $234 8.5% —
56 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 13 $5,590 $430 6.6% (904) 953-2000
57 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 13 $3,510 $270 5.2% (310) 267-2625
58 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 13 $2,470 $190 19.1% (734) 763-5459
59 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 13 $2,349 $181 18.3% (612) 672-7422
60 COOPER PATHOLOGY PC CAMDEN KY PATHOLOGY 32 13 $2,119 $163 100.0% (856) 342-2506
61 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD MA DIAGNOSTIC RADIOLOGY 424 13 $1,885 $145 7.9% (781) 395-4909
62 GREATER CINCINNATI PATHOLOGISTS INC CINCINNATI OH PATHOLOGY 21 12 $1,320 $110 15.4% (513) 585-2000
63 METRO SOUTH PATHOLOGY, INC. SOUTH WEYMOUTH MA PATHOLOGY 5 12 $1,764 $147 7.3% (781) 340-8397
64 MERIDIAN LABORATORY PHYSICIANS, PA RED BANK NJ PATHOLOGY 18 12 $1,620 $135 100.0% (732) 741-2700
65 GENERAL HOSPITAL PATHOLOGISTS LTD VIRGINIA BCH VA PATHOLOGY 3 12 $660 $55 5.9% (757) 463-5240
66 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 12 $5,720 $477 100.0% (603) 650-5000
67 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 12 $3,096 $258 5.1% —
68 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE SC PATHOLOGY 50 12 $2,340 $195 37.5% (704) 304-5988
69 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 12 $1,341 $112 4.0% (267) 857-7751
70 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY AZ PHYSICIAN ASSISTANT 1783 12 $816 $68 11.9% (801) 581-2121
71 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 11 $2,530 $230 4.7% (212) 305-8559
72 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 11 $4,466 $406 18.0% (765) 962-8551
73 KINGS PHYSICIAN SERVICES PC BROOKLYN NY PHYSICIAN ASSISTANT 664 11 $2,442 $222 4.7% —

*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 →