NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86200 Measurement of antibody for rheumatoid arthritis assessment 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 296,383 services ▲ 2.0% YoY · 275,086 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.7M · $12.64 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
123
Named-group FFS services
25,871
FFS of Medicare
49%
Services YoY
+2.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~52,006 services

25,871 observed fee-for-service (50%) · ~26,135 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 — 86200 (CY2024)
CA 45,137 NJ 42,039 TX 31,323 FL 29,305 NC 26,252

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$326K
Named-group Medicare payments
$326K
Avg charge / svc
$52
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$13 123 groups · avg submitted charge / service $417
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86200 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ARTHRITIS AND RHEUMATOLOGY TYLER TX PHYSICIAN ASSISTANT 5 2,079 $114,345 $55 6.6% (903) 561-9255
2 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,108 $83,625 $75 7.8% (516) 295-4481
3 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 1,025 $39,821 $39 3.3% (214) 540-0700
4 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 995 $44,775 $45 26.6% —
5 RHEUMATOLOGY ASSOCIATES S.C. CHICAGO IL RHEUMATOLOGY 3 883 $83,885 $95 11.9% (312) 226-8228
6 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 864 $33,566 $39 2.9% (850) 215-6400
7 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 823 $49,380 $60 6.1% (480) 443-8400
8 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 665 $21,247 $32 2.1% (210) 265-8851
9 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 651 $58,590 $90 1.4% (818) 996-4077
10 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 577 $14,425 $25 1.3% (909) 982-0099
11 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 453 $17,667 $39 1.0% (310) 659-7878
12 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 452 $69,687 $154 4.1% (770) 284-3150
13 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 442 $19,890 $45 51.1% (843) 572-4840
14 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 430 $19,290 $45 24.5% (270) 781-4043
15 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 428 $15,408 $36 1.4% 2104772626242
16 SAMY METYAS M.D. INC COVINA CA RHEUMATOLOGY 3 427 $10,675 $25 0.9% (626) 966-1909
17 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 423 $37,647 $89 5.7% —
18 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 417 $16,680 $40 51.7% (417) 624-0050
19 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 394 $12,494 $32 7.4% (901) 261-0700
20 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN KY RHEUMATOLOGY 20 355 $14,200 $40 20.2% (606) 802-2300
21 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 334 $10,354 $31 7.6% (410) 744-0661
22 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 331 $4,950 $15 1.1% 94136507701028
23 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 327 $21,909 $67 4.4% (630) 469-9200
24 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 321 $11,235 $35 2.3% (315) 475-7669
25 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 313 $13,772 $44 7.1% (301) 942-7600
26 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 295 $11,800 $40 1.1% (252) 321-8474
27 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 277 $24,352 $88 34.3% (913) 258-2116
28 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 269 $15,279 $57 0.6% (201) 837-7788
29 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 255 $17,340 $68 11.5% (262) 785-0777
30 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 244 $10,736 $44 28.0% (317) 844-6444
31 ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC WICHITA KS RHEUMATOLOGY 11 243 $12,150 $50 3.5% 31661248151280
32 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 242 $3,267 $14 1.7% (845) 342-4774
33 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 235 $9,400 $40 1.7% (845) 703-6999
34 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 234 $22,464 $96 56.1% (208) 234-1300
35 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 230 $5,957 $26 13.1% (270) 408-6100
36 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 226 $5,650 $25 0.8% (561) 495-0600
37 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 221 $7,956 $36 41.5% (501) 562-4838
38 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 191 $7,640 $40 26.8% (318) 388-5830
39 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 189 $8,505 $45 0.4% —
40 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 188 $6,956 $37 0.6% (512) 346-6611
41 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 187 $4,675 $25 2.1% (330) 670-4026
42 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 183 $9,512 $52 0.4% (908) 273-4300
43 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 181 $4,706 $26 4.1% (301) 345-5600
44 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 180 $5,939 $33 0.6% (806) 358-8331
45 THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA ROCK HILL SC RHEUMATOLOGY 2 177 $9,735 $55 20.5% (803) 329-1660
46 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 177 $7,611 $43 4.6% (952) 893-1959
47 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 177 $9,431 $53 0.6% (979) 696-8000
48 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 168 $4,200 $25 3.2% (423) 826-0800
49 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 160 $11,680 $73 0.6% (828) 258-9533
50 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 156 $5,772 $37 21.8% (225) 246-9790
51 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 153 $7,344 $48 0.6% (910) 341-1540
52 ALBERTO, ALBERTO, GABRIEL AND JIMENEZ MEDICAL ASSOCIATES, P.A. TOMS RIVER NJ INTERNAL MEDICINE 3 153 $1,981 $13 0.4% (732) 240-0404
53 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 150 $6,900 $46 13.7% (319) 247-3010
54 JAYASHREE SINHA MD PC CLOVIS NM INTERNAL MEDICINE 2 147 $5,292 $36 17.1% (575) 935-5051
55 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 147 $4,116 $28 0.6% (910) 762-1182
56 LOUISIANA FAMILY MEDICINE CLINIC 1 JONESBORO LA FAMILY PRACTICE 6 143 $4,290 $30 20.0% (318) 259-1569
57 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 142 $6,390 $45 1.3% (770) 531-3711
58 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 137 $3,699 $27 7.1% (804) 288-7901
59 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 137 $9,590 $70 12.5% (515) 270-7222
60 ARTHRITIS CARE SPECIALISTS OF MARYLAND, P.A. COLUMBIA MD RHEUMATOLOGY 7 134 $3,584 $27 3.0% (410) 992-7440
61 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 130 $7,384 $57 0.9% (201) 837-7788
62 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 121 $4,840 $40 29.0% (208) 887-9500
63 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 120 $16,080 $134 1.6% (217) 366-1200
64 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 120 $4,800 $40 6.8% (252) 321-8474
65 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 117 $2,925 $25 3.2% (509) 838-6500
66 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 117 $8,998 $77 0.4% (813) 651-4441
67 RHEUMATOLOGY ASSOCIATES, PC BETTENDORF IA RHEUMATOLOGY 6 109 $3,052 $28 9.9% (563) 359-4440
68 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 103 $1,957 $19 1.2% (440) 333-3332
69 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 99 $8,784 $89 1.4% (913) 258-2116
70 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 95 $3,420 $36 1.1% (614) 451-9612
71 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 93 $9,638 $104 1.1% —
72 RHEUMATOLOGY CLINIC LLC MEDFORD PA RHEUMATOLOGY 3 86 $1,806 $21 2.0% (541) 773-2233
73 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 75 $7,650 $102 0.2% (415) 600-1020
74 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON SC RHEUMATOLOGY 5 73 $2,044 $28 8.4% (910) 762-1182
75 DOTHAN MEDICAL ASSOCIATES, P.C. DOTHAN AL NURSE PRACTITIONER 19 69 $1,518 $22 0.9% (334) 794-1148
76 CASS COUNTY MEMORIAL HOSPITAL ATLANTIC IA NURSE PRACTITIONER 65 68 $4,760 $70 6.2% (712) 243-3250
77 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 68 $2,856 $42 82.9% (603) 929-1195
78 MISSISSIPPI ARTHRITIS CLINIC PLLC JACKSON MS NURSE PRACTITIONER 8 66 $9,045 $137 11.3% (601) 362-6900
79 NAZANIN FIROOZ MD INC WOODLAND HILLS CA RHEUMATOLOGY 2 63 $2,016 $32 0.1% (818) 598-0000
80 KEOWEE PRIMARY CARE AND INTERNAL MEDICINE PC SENECA SC NURSE PRACTITIONER 11 62 $2,628 $42 7.2% (864) 885-0058
81 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE CA RHEUMATOLOGY 56 61 $2,684 $44 0.1% (301) 942-7600
82 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN IN RHEUMATOLOGY 20 60 $2,400 $40 6.9% (606) 802-2300
83 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT AZ NURSE PRACTITIONER 10 59 $1,403 $24 0.4% (480) 494-2770
84 DRS CASSELL AND BOREN PC EUGENE OR RHEUMATOLOGY 3 58 $2,523 $44 5.5% (541) 687-0816
85 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 58 $1,218 $21 5.5% (541) 773-2233
86 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 57 $1,539 $27 9.8% —
87 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 57 $2,964 $52 1.0% (617) 421-1000
88 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 54 $7,290 $135 0.2% (252) 355-4357
89 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 53 $1,484 $28 0.7% (205) 750-0030
90 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 51 $2,601 $51 5.9% 57429632003973
91 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 50 $1,250 $25 8.6% (801) 773-4840
92 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 45 $14,189 $315 0.6% 21722384006209
93 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 45 $1,575 $35 1.2% (360) 882-2778
94 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 44 $7,040 $160 2.0% (414) 351-4009
95 H2 REHABILITATION SERVICES OF KENTUCKY, LLC BEREA KY ORTHOPEDIC SURGERY 194 43 $1,720 $40 2.4% (859) 956-1055
96 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE DC RHEUMATOLOGY 56 42 $1,848 $44 50.0% (301) 942-7600
97 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 41 $5,494 $134 1.0% (814) 693-0300
98 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 40 $1,600 $40 0.3% (520) 547-5725
99 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 39 $1,010 $26 0.1% (806) 353-7000
100 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE GA RHEUMATOLOGY 47 37 $1,665 $45 0.3% (843) 572-4840

Showing the top 100 of 123 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 →