NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86225 Measurement of dna antibody, native or double stranded 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 278,610 services ▲ 3.2% YoY · 235,546 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.7M · $13.43 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
118
Named-group FFS services
27,050
FFS of Medicare
49%
Services YoY
+3.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~54,657 services

27,050 observed fee-for-service (49%) · ~27,607 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 — 86225 (CY2024)
CA 45,167 NJ 44,740 TX 28,749 NC 25,406 FL 22,119

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

Named-group submitted charges
$1.4M
Named-group allowed amount
$361K
Named-group Medicare payments
$361K
Avg charge / svc
$53
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$14 118 groups · avg submitted charge / service $856
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86225 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ARTHRITIS AND RHEUMATOLOGY TYLER TX PHYSICIAN ASSISTANT 5 2,093 $125,580 $60 7.3% (903) 561-9255
2 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 1,231 $31,994 $26 9.1% (480) 443-8400
3 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 1,077 $37,659 $35 3.7% (210) 265-8851
4 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 1,008 $42,336 $42 2.2% (310) 659-7878
5 RHEUMATOLOGY ASSOCIATES S.C. CHICAGO IL RHEUMATOLOGY 3 883 $150,110 $170 15.5% (312) 226-8228
6 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 795 $39,800 $50 5.3% (516) 295-4481
7 NAUSHIN SIDDIQUI PHYSICIAN PC EAST MEADOW NY INTERNAL MEDICINE 2 708 $42,480 $60 4.7% (516) 481-2000
8 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 691 $35,179 $51 25.1% —
9 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 680 $24,480 $36 56.3% (501) 562-4838
10 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 670 $33,500 $50 1.5% (818) 996-4077
11 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 661 $24,457 $37 81.2% (417) 624-0050
12 RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC HUNTSVILLE AL RHEUMATOLOGY 10 630 $18,900 $30 6.6% (256) 551-6510
13 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 623 $21,805 $35 4.1% (315) 475-7669
14 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 605 $27,225 $45 1.3% (909) 982-0099
15 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 595 $22,610 $38 2.1% 2104772626242
16 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 551 $16,590 $30 19.9% (410) 744-0661
17 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 446 $14,758 $33 7.3% (901) 261-0700
18 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 410 $16,900 $41 1.9% (850) 215-6400
19 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 397 $5,751 $14 2.6% (845) 342-4774
20 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 392 $55,736 $142 6.9% —
21 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 386 $5,775 $15 1.7% 94136507701028
22 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 380 $65,057 $171 3.8% (770) 284-3150
23 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 362 $10,136 $28 13.0% (301) 345-5600
24 SAMY METYAS M.D. INC COVINA CA RHEUMATOLOGY 3 357 $16,065 $45 0.8% (626) 966-1909
25 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 348 $26,100 $75 46.3% (318) 388-5830
26 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 345 $6,745 $20 6.1% (847) 800-0998
27 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN KY RHEUMATOLOGY 20 338 $11,830 $35 26.3% (606) 802-2300
28 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 304 $23,408 $77 1.4% (813) 651-4441
29 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 302 $8,299 $27 23.5% (270) 408-6100
30 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 291 $12,915 $44 22.6% (270) 781-4043
31 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 291 $11,640 $40 1.1% (252) 321-8474
32 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 280 $7,694 $27 1.0% (806) 353-7000
33 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 276 $13,800 $50 40.8% (843) 572-4840
34 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 268 $17,688 $66 50.4% (208) 234-1300
35 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 255 $7,007 $27 0.9% (806) 358-8331
36 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 252 $7,560 $30 1.0% (910) 762-1182
37 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 233 $17,242 $74 12.8% (262) 785-0777
38 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 230 $13,874 $60 0.5% (201) 837-7788
39 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 198 $9,108 $46 12.4% (952) 893-1959
40 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 192 $16,704 $87 0.4% —
41 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 191 $10,801 $57 0.7% (979) 696-8000
42 THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA ROCK HILL SC RHEUMATOLOGY 2 185 $12,210 $66 27.3% (803) 329-1660
43 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 170 $4,930 $29 8.2% (804) 288-7901
44 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 157 $10,676 $68 1.6% (330) 670-4026
45 ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC WICHITA KS RHEUMATOLOGY 11 156 $11,700 $75 3.4% 31661248151280
46 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 154 $21,098 $137 2.7% (217) 366-1200
47 JAYASHREE SINHA MD PC CLOVIS NM INTERNAL MEDICINE 2 149 $5,991 $40 17.9% (575) 935-5051
48 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 143 $7,145 $50 0.6% (828) 258-9533
49 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 140 $8,540 $61 3.0% (620) 669-2500
50 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 138 $4,140 $30 0.6% (561) 495-0600
51 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 137 $2,329 $17 16.8% (913) 258-2116
52 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 132 $4,142 $31 4.8% (202) 296-3449
53 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 132 $7,962 $60 0.9% (201) 837-7788
54 ARTHRITIS CENTER OF NEBRASKA LINCOLN NE PHYSICIAN ASSISTANT 8 131 $8,122 $62 43.0% (402) 420-1212
55 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 131 $6,288 $48 17.4% (225) 246-9790
56 SOLAIMAN CHOWDHURY MEDICAL CARE PC EAST ISLIP NY NURSE PRACTITIONER 4 127 $8,890 $70 0.8% (631) 581-0090
57 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 124 $7,812 $63 1.3% —
58 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 120 $4,500 $37 0.8% (631) 751-3000
59 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON SC RHEUMATOLOGY 5 118 $3,540 $30 17.4% (910) 762-1182
60 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 115 $8,165 $71 2.0% (630) 469-9200
61 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 115 $4,830 $42 0.3% (908) 273-4300
62 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 105 $1,785 $17 2.3% (913) 258-2116
63 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 103 $4,120 $40 19.4% (208) 887-9500
64 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 100 $4,000 $40 7.8% (252) 321-8474
65 DRS CASSELL AND BOREN PC EUGENE OR RHEUMATOLOGY 3 99 $4,752 $48 19.4% (541) 687-0816
66 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 98 $7,938 $81 2.2% (814) 693-0300
67 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 96 $9,120 $95 5.3% (414) 351-4009
68 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 95 $1,900 $20 1.5% (423) 826-0800
69 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 90 $3,600 $40 0.3% (806) 771-2400
70 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 85 $8,670 $102 0.2% (415) 600-1020
71 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 83 $3,154 $38 0.3% (512) 346-6611
72 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 80 $6,160 $77 0.3% (910) 341-1540
73 RHEUMATOLOGY CLINIC LLC MEDFORD PA RHEUMATOLOGY 3 78 $1,802 $23 1.8% (541) 773-2233
74 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 75 $3,600 $48 11.5% (319) 247-3010
75 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 73 $1,971 $27 2.5% (509) 838-6500
76 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 71 $3,124 $44 100.0% (603) 929-1195
77 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN IN RHEUMATOLOGY 20 69 $3,090 $45 5.9% (606) 802-2300
78 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 62 $1,798 $29 13.3% (801) 773-4840
79 CASS COUNTY MEMORIAL HOSPITAL ATLANTIC IA NURSE PRACTITIONER 65 61 $1,525 $25 9.4% (712) 243-3250
80 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT AZ NURSE PRACTITIONER 10 59 $1,509 $26 0.4% (480) 494-2770
81 MISSISSIPPI ARTHRITIS CLINIC PLLC JACKSON MS NURSE PRACTITIONER 8 58 $3,480 $60 55.2% (601) 362-6900
82 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 58 $1,218 $21 0.6% (440) 333-3332
83 NAZANIN FIROOZ MD INC WOODLAND HILLS CA RHEUMATOLOGY 2 57 $2,030 $36 0.1% (818) 598-0000
84 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 57 $1,710 $30 2.1% (410) 332-9359
85 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 55 $1,925 $35 0.6% (205) 750-0030
86 RHEUMATOLOGY ASSOCIATES, PC BETTENDORF IA RHEUMATOLOGY 6 54 $1,566 $29 8.3% (563) 359-4440
87 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 52 $2,912 $56 1.8% (617) 421-1000
88 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 51 $1,275 $25 7.8% (515) 270-7222
89 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 50 $2,350 $47 4.3% (317) 844-6444
90 DOTHAN MEDICAL ASSOCIATES, P.C. DOTHAN AL NURSE PRACTITIONER 19 44 $1,029 $23 0.5% (334) 794-1148
91 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 44 $2,820 $64 2.8% (612) 863-4000
92 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 43 $1,000 $23 8.4% (541) 773-2233
93 SUNSHINE RHEUMATOLOGY AND ARTHRITIS CENTER LLC SUN CITY CENTER FL RHEUMATOLOGY 10 41 $4,100 $100 0.2% (813) 333-5080
94 H2 REHABILITATION SERVICES OF KENTUCKY, LLC BEREA KY ORTHOPEDIC SURGERY 194 40 $1,400 $35 3.1% (859) 956-1055
95 ARTHRITIS CARE SPECIALISTS OF MARYLAND, P.A. COLUMBIA MD RHEUMATOLOGY 7 39 $2,925 $75 1.4% (410) 992-7440
96 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 33 $1,680 $51 1.2% (405) 632-6688
97 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE GA RHEUMATOLOGY 47 29 $1,450 $50 0.3% (843) 572-4840
98 ARTHRITIS AND OSTEOPOROSIS CONSULTANTS OF THE CAROLINAS PA CHARLOTTE NC RHEUMATOLOGY 13 29 $2,146 $74 0.1% (704) 342-0252
99 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 29 $1,566 $54 2.5% 57429632003973
100 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 28 $1,158 $41 1.8% —

Showing the top 100 of 118 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 →