NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86301 Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9 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 111,481 services ▲ 1.1% YoY · 56,100 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.3M · $20.37 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
51
Named-group FFS services
18,447
FFS of Medicare
49%
Services YoY
+1.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~39,224 services

18,447 observed fee-for-service (47%) · ~20,777 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 — 86301 (CY2024)
CA 26,564 NJ 17,000 FL 14,187 TX 9,557 NY 7,434

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$375K
Named-group Medicare payments
$375K
Avg charge / svc
$81
Avg allowed / svc
$20
Avg payment / svc
$20
Average charge per group
$21 51 groups · avg submitted charge / service $640
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86301 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 6,167 $462,525 $75 43.5% (239) 561-9622
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,737 $86,850 $50 23.4% (631) 751-3000
3 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 1,566 $98,658 $63 11.0% (260) 484-8830
4 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 917 $113,708 $124 61.6% —
5 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 578 $73,984 $128 6.0% —
6 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 573 $35,772 $62 6.0% (210) 593-5700
7 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 504 $32,760 $65 100.0% —
8 JACKSON ONCOLOGY ASSOCIATES JACKSON MS HEMATOLOGY/ONCOLOGY 11 424 $47,064 $111 94.2% (601) 974-5600
9 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 424 $52,576 $124 56.2% (702) 952-2140
10 BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC BIRMINGHAM AL MEDICAL ONCOLOGY 31 356 $22,784 $64 19.7% (205) 592-5077
11 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 349 $41,880 $120 4.7% (518) 262-6696
12 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 335 $51,590 $154 1.3% (310) 825-7922
13 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 319 $39,556 $124 29.0% (301) 982-9800
14 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 295 $10,307 $35 16.4% (256) 705-4224
15 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 284 $25,546 $90 9.6% (706) 353-2990
16 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 241 $17,554 $73 23.7% (901) 683-0055
17 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 199 $24,676 $124 13.4% (952) 928-2900
18 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 187 $23,188 $124 12.6% (703) 280-5390
19 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 182 $12,886 $71 28.2% (616) 954-9800
20 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 181 $9,593 $53 0.7% (559) 326-1222
21 MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS PA WESTBROOK ME HEMATOLOGY/ONCOLOGY 69 169 $7,089 $42 89.4% (207) 303-3300
22 SOLANO HEMATOLOGY - ONCOLOGY VALLEJO CA HEMATOLOGY/ONCOLOGY 3 168 $6,216 $37 0.6% (707) 551-3300
23 AUGUSTA ONCOLOGY ASSOCIATES PC AUGUSTA GA HEMATOLOGY/ONCOLOGY 36 167 $10,020 $60 5.6% 7067361830213
24 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 151 $11,325 $75 36.4% (803) 461-3000
25 NORTHWEST ONCOLOGY AND HEMATOLOGY SC ROLLING MEADOWS IL HEMATOLOGY/ONCOLOGY 22 142 $28,400 $200 10.4% (847) 870-4100
26 HEMATOLOGY-ONCOLOGY ASSOCIATES OF CNY, PC EAST SYRACUSE NY NURSE PRACTITIONER 61 141 $8,460 $60 1.9% (315) 472-7504
27 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 134 $9,782 $73 0.5% (310) 423-0674
28 UTAH CANCER SPECIALISTS PC SALT LAKE CITY UT MEDICAL ONCOLOGY 48 121 $10,890 $90 35.7% (385) 282-2125
29 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 109 $8,611 $79 26.3% (803) 744-4900
30 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 97 $4,074 $42 6.3% (253) 428-8700
31 CANCER CARE ASSOCIATES OF YORK, INC. YORK PA HEMATOLOGY/ONCOLOGY 15 96 $3,402 $35 4.3% (717) 741-9229
32 BAY PARKWAY PHYSICIANS, PC BROOKLYN NY FAMILY PRACTICE 3 94 $4,293 $46 1.3% (718) 234-6767
33 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 92 $5,520 $60 43.2% (319) 678-8201
34 AMERICAN MEDICAL TODAY PC BROOKLYN NY INTERNAL MEDICINE 10 88 $3,935 $45 1.2% (718) 306-5025
35 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 68 $4,488 $66 2.8% —
36 ANDERSON ONCOLOGY-HEMATOLOGY CLINIC PA ANDERSON SC HEMATOLOGY/ONCOLOGY 4 68 $7,212 $106 16.4% (864) 512-1658
37 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 64 $1,984 $31 0.2% (818) 842-7145
38 STUART ONCOLOGY ASSOCIATES PA STUART FL PHYSICIAN ASSISTANT 9 57 $2,372 $42 0.4% (772) 276-7242
39 CANCER CENTER OF KANSAS PA WICHITA KS HEMATOLOGY/ONCOLOGY 27 54 $6,696 $124 1.9% (316) 262-4467
40 SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC WEST HOLLYWOOD CA INTERNAL MEDICINE 8 52 $3,640 $70 0.2% (323) 525-1111
41 NORTHWEST CANCER SPECIALISTS PC PORTLAND OR PHYSICIAN ASSISTANT 68 50 $6,000 $120 34.7% (503) 280-1223
42 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 50 $5,350 $107 3.7% (630) 469-9200
43 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK NC PHYSICIAN ASSISTANT 123 50 $6,200 $124 1.2% —
44 MASOUD KHORSAND- SAHBAIE MD P A ROSWELL NM HEMATOLOGY/ONCOLOGY 18 49 $1,029 $21 16.1% (575) 627-9500
45 HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA PC DUNMORE PA HEMATOLOGY/ONCOLOGY 7 48 $3,600 $75 2.2% (570) 342-3675
46 BLOOD AND CANCER CENTER INC CANFIELD OH HEMATOLOGY/ONCOLOGY 4 39 $4,043 $104 1.6% (330) 533-3040
47 DANDJ GRACE TEAM LLC FORT WORTH TX INTERNAL MEDICINE 5 36 $2,700 $75 0.4% (817) 449-2555
48 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 35 $4,900 $140 0.1% (415) 600-1020
49 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 34 $4,080 $120 2.2% (503) 280-1223
50 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC DECATUR IL HEMATOLOGY/ONCOLOGY 30 30 $4,620 $154 2.2% (217) 876-4700
51 COASTAL CANCER CENTER LLC MYRTLE BEACH SC RADIATION ONCOLOGY 22 27 $6,453 $239 6.5% (843) 449-9415
52 MERIDIAN ONCOLOGY ASSOCIATES PLLC MERIDIAN MS HEMATOLOGY/ONCOLOGY 4 26 $3,900 $150 5.8% (601) 482-1555
53 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 23 $14,710 $640 1.7% 21722384006209

*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 →