NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86226 Measurement of dna antibody, single 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 17,625 services ▲ 3.6% YoY · 15,057 beneficiaries (CY2024, Medicare FFS)
Medicare paid $208K · $11.78 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
55
Named-group FFS services
13,600
FFS of Medicare
49%
Services YoY
+3.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~27,466 services

13,600 observed fee-for-service (50%) · ~13,866 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 — 86226 (CY2024)
TX 3,338 CA 2,398 FL 2,010 IL 1,435 MD 934

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

Named-group submitted charges
$681K
Named-group allowed amount
$160K
Named-group Medicare payments
$160K
Avg charge / svc
$50
Avg allowed / svc
$12
Avg payment / svc
$12
Average charge per group
$14 55 groups · avg submitted charge / service $162
Market analyticsPlatform
a taste of the twelve-year trend layer

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86226 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 TEXAS ARTHRITIS AND RHEUMATOLOGY TYLER TX PHYSICIAN ASSISTANT 5 2,093 $62,790 $30 62.7% (903) 561-9255
2 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 1,023 $27,594 $27 30.6% (210) 265-8851
3 RHEUMATOLOGY ASSOCIATES S.C. CHICAGO IL RHEUMATOLOGY 3 882 $142,884 $162 61.5% (312) 226-8228
4 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 670 $36,850 $55 27.9% (818) 996-4077
5 MIDWEST REGIONAL ALLERGY, ASTHMA, ARTHRITIS AND OSTEOPOROSIS CENTER JOPLIN MO NURSE PRACTITIONER 2 661 $27,762 $42 100.0% (417) 624-0050
6 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 605 $27,830 $46 25.2% (909) 982-0099
7 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 419 $10,475 $25 44.9% (301) 345-5600
8 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 408 $14,823 $36 20.3% (850) 215-6400
9 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 401 $6,000 $15 20.0% 94136507701028
10 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 392 $42,132 $107 27.3% —
11 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 377 $54,665 $145 48.5% (770) 284-3150
12 SAMY METYAS M.D. INC COVINA CA RHEUMATOLOGY 3 357 $12,495 $35 14.9% (626) 966-1909
13 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN KY RHEUMATOLOGY 20 349 $12,215 $35 39.0% (606) 802-2300
14 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 308 $20,328 $66 15.3% (813) 651-4441
15 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 301 $7,290 $24 33.6% (270) 408-6100
16 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 291 $11,640 $40 39.5% (252) 321-8474
17 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 277 $12,465 $45 47.7% (843) 572-4840
18 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 277 $6,925 $25 29.7% (410) 744-0661
19 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 267 $17,622 $66 100.0% (208) 234-1300
20 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 252 $7,560 $30 34.2% (910) 762-1182
21 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 200 $10,630 $53 46.5% (201) 837-7788
22 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 198 $7,920 $40 100.0% (952) 893-1959
23 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 191 $9,518 $50 5.7% (979) 696-8000
24 THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA ROCK HILL SC RHEUMATOLOGY 2 186 $10,230 $55 32.0% (803) 329-1660
25 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 170 $4,250 $25 60.9% (804) 288-7901
26 ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC WICHITA KS RHEUMATOLOGY 11 159 $8,745 $55 100.0% 31661248151280
27 JAYASHREE SINHA MD PC CLOVIS NM INTERNAL MEDICINE 2 151 $4,924 $33 68.0% (575) 935-5051
28 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 138 $2,760 $20 6.9% (561) 495-0600
29 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 132 $7,016 $53 26.3% (201) 837-7788
30 ARTHRITIS CENTER OF NEBRASKA LINCOLN NE PHYSICIAN ASSISTANT 8 131 $5,633 $43 51.0% (402) 420-1212
31 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON SC RHEUMATOLOGY 5 118 $3,540 $30 20.3% (910) 762-1182
32 DRS CASSELL AND BOREN PC EUGENE OR RHEUMATOLOGY 3 99 $3,564 $36 78.6% (541) 687-0816
33 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 99 $3,960 $40 11.1% (252) 321-8474
34 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 95 $1,900 $20 100.0% (423) 826-0800
35 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 73 $1,825 $25 100.0% (509) 838-6500
36 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT AZ NURSE PRACTITIONER 10 62 $1,395 $23 61.4% (480) 494-2770
37 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 58 $1,044 $18 100.0% (440) 333-3332
38 WV MEDICAL SERVICES PC NORTHPORT AL RHEUMATOLOGY 7 56 $840 $15 49.6% (205) 750-0030
39 NAZANIN FIROOZ MD INC WOODLAND HILLS CA RHEUMATOLOGY 2 55 $1,680 $31 2.3% (818) 598-0000
40 RHEUMATOLOGY ASSOCIATES, PC BETTENDORF IA RHEUMATOLOGY 6 54 $1,458 $27 47.8% (563) 359-4440
41 MISSISSIPPI ARTHRITIS CLINIC PLLC JACKSON MS NURSE PRACTITIONER 8 52 $3,120 $60 100.0% (601) 362-6900
42 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 50 $2,050 $41 53.8% (317) 844-6444
43 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN IN RHEUMATOLOGY 20 43 $1,505 $35 46.2% (606) 802-2300
44 SUNSHINE RHEUMATOLOGY AND ARTHRITIS CENTER LLC SUN CITY CENTER FL RHEUMATOLOGY 10 41 $2,100 $51 2.0% (813) 333-5080
45 H2 REHABILITATION SERVICES OF KENTUCKY, LLC BEREA KY ORTHOPEDIC SURGERY 194 40 $1,400 $35 4.5% (859) 956-1055
46 ARTHRITIS CARE SPECIALISTS OF MARYLAND, P.A. COLUMBIA MD RHEUMATOLOGY 7 39 $1,462 $38 4.2% (410) 992-7440
47 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE GA RHEUMATOLOGY 47 29 $1,305 $45 3.7% (843) 572-4840
48 PROVIDENCE HEALTH AND SERVICES OREGON HOOD RIVER OR CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 27 $972 $36 21.4% (541) 387-6138
49 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 27 $675 $25 2.9% (410) 332-9359
50 RHEUMATOLOGY CARE OF GEORGIA LLC MARIETTA GA RHEUMATOLOGY 2 26 $3,770 $145 3.3% (470) 357-6226
51 WAKE INTERNAL MEDICINE CONSULTANTS, INC. RALEIGH NC INTERNAL MEDICINE 44 23 $920 $40 3.1% (919) 781-7515
52 FAITH HEALTHCARE INC MONTICELLO KY NURSE PRACTITIONER 17 23 $805 $35 2.6% (606) 425-5768
53 TRIANGLE ARTHRITIS AND RHEUMATOLOGY ASSOCIATES RALEIGH NC RHEUMATOLOGY 3 22 $880 $40 3.0% (919) 881-8272
54 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 21 $294 $14 18.6% (205) 934-3460
55 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 18 $630 $35 2.0% (270) 781-4043
56 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT VA RHEUMATOLOGY 17 17 $425 $25 6.1% (301) 345-5600
57 RHEUMATOLOGY ASSOCIATES, P.C MOUNTAIN BRK AL RHEUMATOLOGY 9 15 $210 $14 13.3% (205) 933-0320
58 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 15 $675 $45 1.9% (770) 531-3711
59 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 13 $1,072 $82 54.2% (337) 436-1370
60 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 12 $600 $50 1.6% (252) 355-4357
61 ORTHOARKANSAS PA LITTLE ROCK AR PHYSICAL THERAPIST IN PRIVATE PRACTICE 145 12 $565 $47 3.2% (501) 500-3500

*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 →