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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86146 Beta 2 glycoprotein 1 antibody (autoantibody) measurement 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 189,121 services ▲ 10.4% YoY · 65,745 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.7M · $24.73 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
31
Named-group FFS services
10,859
FFS of Medicare
49%
Services YoY
+10.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~22,197 services

10,859 observed fee-for-service (49%) · ~11,338 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 — 86146 (CY2024)

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

Named-group submitted charges
$840K
Named-group allowed amount
$269K
Named-group Medicare payments
$269K
Avg charge / svc
$77
Avg allowed / svc
$25
Avg payment / svc
$25
Average charge per group
$26 31 groups · avg submitted charge / service $200
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 86146 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 86146 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 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,337 $200,550 $150 premium 10.1% (631) 751-3000
2 TEXAS ARTHRITIS AND RHEUMATOLOGY TYLER TX PHYSICIAN ASSISTANT 5 1,275 $71,400 $56 premium 7.9% (903) 561-9255
3 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 991 $75,663 $76 premium 4.0% (850) 215-6400
4 SAMY METYAS M.D. INC COVINA CA RHEUMATOLOGY 3 876 $83,220 $95 premium 1.8% (626) 966-1909
5 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 837 $41,850 $50 premium 33.3% (410) 744-0661
6 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 736 $36,900 $50 premium 1.5% (909) 982-0099
7 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 576 $47,808 $83 premium 1.2%
8 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 561 $35,280 $63 premium 3.5% (210) 265-8851
9 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 540 $16,170 $30 premium 2.2% 94136507701028
10 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 471 $21,195 $45 premium 3.6% (516) 295-4481
11 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 348 $15,698 $45 premium 0.7% (310) 659-7878
12 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 273 $12,285 $45 premium 100.0% (318) 388-5830
13 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 255 $17,850 $70 premium 83.9% (270) 781-4043
14 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 219 $27,594 $126 premium 19.4% (262) 785-0777
15 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 215 $16,415 $76 premium 1.3% (214) 540-0700
16 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT AZ NURSE PRACTITIONER 10 179 $8,458 $47 premium 1.5% (480) 494-2770
17 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 171 $19,152 $112 premium 0.7% (201) 837-7788
18 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 163 $8,297 $51 premium 1.0% (806) 358-8331
19 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 136 $6,922 $51 premium 0.8% (806) 353-7000
20 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 115 $23,000 $200 premium 100.0% (417) 624-0050
21 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 79 $3,950 $50 premium 3.1% (410) 332-9359
22 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 75 $6,675 $89 premium 7.5%
23 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 62 $8,122 $131 premium 1.9% (630) 469-9200
24 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE CA RHEUMATOLOGY 56 60 $5,040 $84 premium 0.1% (301) 942-7600
25 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 54 $6,048 $112 premium 0.4% (201) 837-7788
26 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 48 $4,992 $104 premium 0.2% (908) 273-4300
27 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 47 $2,961 $63 premium 0.3% 2104772626242
28 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 41 $8,054 $196 premium 1.2% 21722384006209
29 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 35 $3,050 $87 premium 1.1%
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 30 $3,000 $100 premium 0.1% (415) 600-1020
31 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 30 $1,800 $60 premium 100.0% (208) 887-9500
32 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 24 $624 $26 premium 22.2% 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 →