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Market snapshot

86160 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86160 — Measurement of complement (immune system proteins), antigen,

Billing groups
101
Named-group FFS services
40,460
FFS of Medicare
49%
Services YoY
+4.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~80,984 services

40,460 observed fee-for-service (50%) · ~40,524 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 — 86160 (CY2024)
CA 97,810 NJ 63,374 TX 54,638 FL 47,421 NC 44,828

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

Named-group submitted charges
$1.8M
Named-group allowed amount
$470K
Named-group Medicare payments
$470K
Avg charge / svc
$45
Avg allowed / svc
$12
Avg payment / svc
$12
Average charge per group
$12 101 groups · avg submitted charge / service $152
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 86160 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 2,373 $75,896 $32 13.8% (480) 443-8400
2 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 2,163 $110,313 $51 2.2% (310) 659-7878
3 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 1,798 $64,786 $36 3.3% (214) 540-0700
4 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,610 $64,400 $40 6.5% (516) 295-4481
5 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,497 $92,814 $62 17.7% (630) 469-9200
6 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 1,453 $45,043 $31 80.5% (501) 562-4838
7 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 1,276 $36,944 $29 2.3% (210) 265-8851
8 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 1,221 $57,387 $47 58.4% (417) 624-0050
9 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 1,206 $42,210 $35 4.8% (315) 475-7669
10 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 1,039 $46,530 $45 50.2% (843) 572-4840
11 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 964 $40,488 $42 12.3% (301) 942-7600
12 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 821 $21,346 $26 10.5% (410) 744-0661
13 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 807 $83,743 $104 38.6% (913) 258-2116
14 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 792 $10,005 $13 3.2% (845) 342-4774
15 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 770 $26,950 $35 0.8% (909) 982-0099
16 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 733 $30,786 $42 15.8% —
17 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 705 $16,709 $24 1.3% (806) 358-8331
18 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 698 $55,840 $80 45.0% (318) 388-5830
19 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 650 $21,450 $33 1.2% 2104772626242
20 COLUMBUS ARTHRITIS CENTER, INC. COLUMBUS OH PHYSICIAN ASSISTANT 19 646 $41,524 $64 3.6% —
21 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 622 $35,454 $57 3.5% (770) 284-3150
22 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 536 $22,512 $42 35.3% (319) 247-3010
23 R.S. VENUTURUPALLI, M.D. INC BEVERLY HILLS CA RHEUMATOLOGY 7 532 $26,068 $49 0.5% 3106520010120
24 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA TN NEPHROLOGY 49 512 $37,008 $72 5.4% (423) 698-0927
25 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 512 $20,992 $41 39.9% (317) 844-6444
26 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 479 $30,177 $63 13.0% (262) 785-0777
27 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 470 $31,490 $67 2.6% (330) 670-4026
28 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 468 $15,912 $34 61.9% (270) 781-4043
29 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 447 $14,751 $33 1.8% (845) 703-6999
30 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 430 $10,320 $24 6.3% (509) 838-6500
31 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 429 $22,308 $52 1.0% (828) 258-9533
32 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 428 $7,496 $18 5.1% (847) 800-0998
33 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 386 $26,634 $69 0.4% —
34 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 385 $12,705 $33 2.1% (770) 536-9864
35 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 375 $13,125 $35 0.7% (806) 771-2400
36 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 361 $7,581 $21 2.0% (440) 333-3332
37 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 353 $8,472 $24 0.6% (806) 353-7000
38 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 335 $8,040 $24 4.3% (301) 345-5600
39 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 326 $33,252 $102 0.7% (910) 341-1540
40 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 313 $16,644 $53 0.5% (201) 837-7788
41 ARTHRITIS CENTER OF NEBRASKA LINCOLN NE PHYSICIAN ASSISTANT 8 304 $15,504 $51 27.7% (402) 420-1212
42 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 300 $14,700 $49 0.5% (908) 273-4300
43 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 296 $9,768 $33 2.2% (205) 750-0030
44 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 289 $13,005 $45 1.6% (770) 531-3711
45 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 278 $8,340 $30 6.9% (804) 288-7901
46 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 242 $7,260 $30 70.1% (208) 887-9500
47 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 237 $25,017 $106 2.5% (913) 258-2116
48 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 230 $11,573 $50 1.3% —
49 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 224 $16,872 $75 0.5% (704) 838-8210
50 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 210 $16,676 $79 0.2% (415) 600-1020
51 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 209 $7,106 $34 3.0% (206) 309-1760
52 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 204 $3,264 $16 5.4% (952) 893-1959
53 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTE NC NEPHROLOGY 87 189 $7,182 $38 0.4% (704) 731-6451
54 RHEUMATOLOGY ASSOCIATES PC SPRINGFIELD MA RHEUMATOLOGY 4 184 $10,120 $55 2.7% —
55 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 182 $8,918 $49 2.7% (617) 421-1000
56 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 182 $7,098 $39 100.0% (603) 929-1195
57 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 180 $10,206 $57 4.8% (612) 863-4000
58 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 172 $5,676 $33 11.3% (515) 270-7222
59 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 160 $8,800 $55 0.4% (910) 762-1182
60 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON SC RHEUMATOLOGY 5 159 $8,745 $55 7.7% (910) 762-1182
61 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 152 $9,120 $60 1.6% (731) 664-0002
62 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 151 $5,134 $34 9.7% (225) 246-9790
63 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 150 $4,950 $33 1.1% —
64 ALABAMA MEDICAL GROUP PC MOBILE AL PHYSICIAN ASSISTANT 40 145 $2,610 $18 1.1% (251) 414-5900
65 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 145 $4,350 $30 0.3% (561) 495-0600
66 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE GA RHEUMATOLOGY 47 144 $6,480 $45 0.8% (843) 572-4840
67 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 144 $12,528 $87 0.3% (910) 295-5511
68 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 140 $7,374 $53 0.6% (201) 837-7788
69 RHG OF TEXAS PA BEAUMONT TX NURSE PRACTITIONER 32 136 $5,984 $44 0.2% (409) 833-9797
70 PARDO FORSTOT BACA AND ALBOUKREK PA BOCA RATON FL RHEUMATOLOGY 6 134 $7,938 $59 0.3% (561) 955-7100
71 MEDICAL GROUP OF INDIANA LLC MUNCIE IN NURSE PRACTITIONER 11 129 $4,515 $35 10.1% (765) 717-5399
72 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 120 $12,120 $101 3.2% (414) 351-4009
73 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 114 $2,280 $20 7.6% (541) 773-2233
74 MACON MEDICAL GROUP PC MACON GA NEPHROLOGY 6 111 $7,104 $64 0.6% —
75 RHEUMATOLOGY CLINIC LLC MEDFORD PA RHEUMATOLOGY 3 106 $2,120 $20 1.3% (541) 773-2233
76 THE NEPHROLOGY GROUP INC FRESNO CA NEPHROLOGY 51 93 $4,557 $49 0.1% (559) 228-9660
77 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE CA RHEUMATOLOGY 56 92 $3,864 $42 0.1% (301) 942-7600
78 ARTHRITIS CENTERS OF TEXAS, P.A. DALLAS TX RHEUMATOLOGY 4 87 $1,080 $12 0.2% (214) 823-6503
79 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 86 $13,072 $152 1.0% (814) 693-0300
80 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE DC RHEUMATOLOGY 56 86 $3,612 $42 27.2% (301) 942-7600
81 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 82 $7,544 $92 4.0% (843) 497-5929
82 CASS COUNTY MEMORIAL HOSPITAL ATLANTIC IA NURSE PRACTITIONER 65 76 $2,508 $33 5.0% (712) 243-3250
83 NOVANT HEALTH THOMASVILLE MEDICAL CENTER LLC THOMASVILLE NC PHYSICIAN ASSISTANT 101 75 $6,525 $87 0.2% (336) 474-8921
84 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 74 $1,924 $26 0.9% (410) 332-9359
85 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK LUBBOCK UT CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 374 74 $2,590 $35 9.5% (806) 743-2800
86 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 74 $4,662 $63 0.4% (614) 451-9612
87 SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC DURHAM NC RHEUMATOLOGY 5 72 $6,264 $87 0.2% (919) 405-2040
88 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 72 $1,440 $20 1.0% (253) 428-2200
89 YIUM, SHENOUDA AND MILLER PTRSHP CHATTANOOGA NC NEPHROLOGY 49 69 $4,968 $72 0.2% (423) 698-0927
90 HEALTHSTAR PHYSICIANS PC MORRISTOWN TN NURSE PRACTITIONER 90 65 $1,820 $28 0.7% —
91 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 60 $1,500 $25 4.7% (574) 647-7275
92 RHEUMATOLOGY CARE OF GEORGIA LLC MARIETTA GA RHEUMATOLOGY 2 56 $3,192 $57 0.3% (470) 357-6226
93 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 56 $2,094 $37 1.5% —
94 NC IMMUNOLOGY PC MOORESVILLE NC ALLERGY/IMMUNOLOGY 2 53 $4,028 $76 0.1% (704) 873-5055
95 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN IN RHEUMATOLOGY 20 52 $2,236 $43 4.1% (606) 802-2300
96 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 51 $2,193 $43 3.4% (515) 343-1000
97 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 48 $2,844 $59 0.1% (305) 689-5437
98 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 47 $1,034 $22 0.5% (423) 926-8181
99 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 43 $1,419 $33 0.2% (518) 782-3700
100 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 43 $1,603 $37 1.1% (612) 672-7422

Showing the top 100 of 101 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →