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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86079 Blood bank physician services with written report CPT · Test - Miscellaneous
Classification Test Test - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 4,195 services ▲ 22.6% YoY · 3,807 beneficiaries (CY2024, Medicare FFS)
Medicare paid $157K · $37.51 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
32
Named-group FFS services
3,320
FFS of Medicare
49%
Services YoY
+22.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,805 services

3,320 observed fee-for-service (49%) · ~3,485 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 — 86079 (CY2024)

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

Named-group submitted charges
$597K
Named-group allowed amount
$160K
Named-group Medicare payments
$125K
Avg charge / svc
$180
Avg allowed / svc
$48
Avg payment / svc
$38
Average charge per group
$50 32 groups · avg submitted charge / service $271
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 86079 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 86079 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 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 816 $101,184 $124 premium 91.2% (215) 662-2777
2 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 729 $156,816 $215 premium 62.7% (713) 592-5433
3 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 217 $48,819 $225 premium 100.0% (319) 678-8201
4 PATHOLOGY ASSOCIATES OF ERIE INC ERIE WV PATHOLOGY 8 208 $30,160 $145 premium 100.0% (814) 452-5386
5 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 171 $46,306 $271 premium 56.8% (310) 267-2625
6 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 155 $32,786 $212 premium 79.5% (305) 689-5437
7 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 152 $23,104 $152 premium 36.4% (757) 668-3221
8 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX VA PATHOLOGY 45 92 $20,240 $220 premium 22.0% (703) 391-3600
9 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 92 $17,388 $189 premium 100.0% (859) 257-1412
10 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 60 $15,360 $256 premium 29.1%
11 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 57 $10,488 $184 premium 27.7% (708) 216-8372
12 CORPATH LTD COLUMBUS OH PATHOLOGY 26 55 $8,030 $146 premium 100.0% (614) 566-4945
13 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 49 $7,987 $163 premium 100.0% (248) 964-1187
14 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 40 $9,240 $231 premium 20.5% (561) 548-3639
15 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 40 $8,280 $207 premium 13.3% (877) 827-7463
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 35 $6,850 $196 premium 11.6% (800) 926-8273
17 IRL PATHOLOGY SERVICES MIDAMERICA LLC OVERLAND PARK MO PATHOLOGY 15 35 $6,370 $182 premium 55.6% (913) 541-5585
18 TORRANCE PATHOLOGY ASSOCIATES MEDICAL GROUP TORRANCE CA PATHOLOGY 5 28 $4,200 $150 premium 9.3% (310) 517-4766
19 ANALYTICAL PATHOLOGY SERVICES LTD SAINT LOUIS MO PATHOLOGY 10 28 $5,040 $180 premium 44.4% (314) 653-5630
20 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 25 $4,420 $177 premium 100.0% (404) 778-7525
21 GENERAL HOSPITAL PATHOLOGISTS LTD VIRGINIA BCH VA PATHOLOGY 3 25 $1,250 $50 premium 6.0% (757) 463-5240
22 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MN PHYSICIAN ASSISTANT 3707 24 $3,816 $159 premium 52.2% (202) 429-2401
23 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 22 $3,300 $150 premium 47.8% (612) 873-6963
24 CLARKE AND COMPANY PATHOLOGY INC. PITTSBURGH PA PATHOLOGY 4 21 $2,625 $125 premium 2.3% (412) 942-3805
25 PATHOLOGY ASSOCIATES OF PRINCETON PLAINSBORO PA PATHOLOGY 8 19 $1,710 $90 premium 2.1% (609) 853-6800
26 MCH PROFESSIONAL CARE HOSPITAL BASED ODESSA TX INTERNAL MEDICINE 82 19 $2,470 $130 premium 1.6% (432) 640-2401
27 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 19 $3,021 $159 premium 100.0% (202) 429-2401
28 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON HOUSTON TX PATHOLOGY 45 17 $1,972 $116 premium 1.5% (713) 566-5100
29 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 17 $3,543 $208 premium 100.0% (843) 792-1414
30 AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. RANCHO DOMINGUEZ CA PATHOLOGY 51 15 $1,408 $94 premium 5.0% (310) 225-3244
31 NORTH DALLAS PATHOLOGY SERVICES PA DALLAS TX PATHOLOGY 11 14 $3,310 $236 premium 1.2% (214) 345-6789
32 WESTERN MASSACHUSETTS PATHOLOGY SERVICES, PC PITTSFIELD MA PATHOLOGY 5 12 $2,448 $204 premium 100.0% (413) 447-2000
33 PATHOLOGY MEDICAL GROUP OF RIVERSIDE RIVERSIDE CA PATHOLOGY 3 12 $2,981 $248 premium 4.0% (951) 788-3243

*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 →