NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86304 Immunologic analysis for detection of tumor antigen, quantitative; ca 125 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 130,451 services ▼ 0.8% YoY · 62,313 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.7M · $20.36 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
68
Named-group FFS services
27,598
FFS of Medicare
49%
Services YoY
-0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~57,411 services

27,598 observed fee-for-service (48%) · ~29,813 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 — 86304 (CY2024)
CA 24,444 NJ 16,377 FL 16,002 TX 12,843 NY 7,618

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

Named-group submitted charges
$2.6M
Named-group allowed amount
$561K
Named-group Medicare payments
$561K
Avg charge / svc
$94
Avg allowed / svc
$20
Avg payment / svc
$20
Average charge per group
$21 68 groups · avg submitted charge / service $562
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86304 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 6,723 $504,225 $75 42.0% (239) 561-9622
2 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 5,150 $659,200 $128 40.1% —
3 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,157 $104,970 $49 28.3% (631) 751-3000
4 SOUTH CAROLINA ONCOLOGY ASSOC PA COLUMBIA SC HEMATOLOGY/ONCOLOGY 18 1,210 $94,380 $78 90.8% (803) 461-3000
5 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 1,098 $69,174 $63 6.9% (260) 484-8830
6 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 1,032 $127,968 $124 41.0% (301) 982-9800
7 MINNESOTA ONCOLOGY HEMATOLOGY PA EDINA MN PHYSICIAN ASSISTANT 135 870 $107,880 $124 46.0% (952) 928-2900
8 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 711 $88,164 $124 32.7% —
9 NORTHWEST CANCER SPECIALISTS PC PORTLAND OR PHYSICIAN ASSISTANT 68 627 $75,240 $120 37.3% (503) 280-1223
10 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 573 $71,052 $124 34.1% (541) 683-5001
11 OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC TULSA OK NURSE PRACTITIONER 47 518 $36,778 $71 42.3% (918) 505-3200
12 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 497 $89,460 $180 7.6% (800) 603-0558
13 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 485 $25,705 $53 2.0% (559) 326-1222
14 HIGHLANDS ONCOLOGY GROUP PA FAYETTEVILLE AR NURSE PRACTITIONER 79 466 $30,290 $65 46.7% (479) 361-2585
15 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 446 $28,990 $65 44.7% —
16 RAVI PATEL M D INC BAKERSFIELD CA HEMATOLOGY/ONCOLOGY 20 427 $32,025 $75 1.7% (661) 322-2206
17 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 273 $32,760 $120 12.5% (503) 280-1223
18 NORTHWEST ONCOLOGY AND HEMATOLOGY SC ROLLING MEADOWS IL HEMATOLOGY/ONCOLOGY 22 239 $32,026 $134 9.9% (847) 870-4100
19 NORTHWEST CANCER CENTERS PC DYER IN HEMATOLOGY/ONCOLOGY 26 238 $29,512 $124 58.2% (812) 220-4476
20 UTAH CANCER SPECIALISTS PC SALT LAKE CITY UT MEDICAL ONCOLOGY 48 221 $25,636 $116 84.7% (385) 282-2125
21 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 220 $13,735 $62 1.7% (210) 593-5700
22 UNIVERSITY CANCER AND BLOOD CENTER LLC ATHENS GA NURSE PRACTITIONER 56 208 $18,710 $90 15.6% (706) 353-2990
23 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 201 $14,673 $73 0.8% (310) 423-0674
24 SOLANO HEMATOLOGY - ONCOLOGY VALLEJO CA HEMATOLOGY/ONCOLOGY 3 173 $13,840 $80 0.7% (707) 551-3300
25 ALLISON CURTIS KINGSLEY MEOZ MICHAEL AND SANCHEZ PC LAS VEGAS NV NURSE PRACTITIONER 71 172 $21,328 $124 19.9% (702) 952-2140
26 ONCOLOGY SPECIALTIES, P.C. HUNTSVILLE AL NURSE PRACTITIONER 93 169 $5,915 $35 8.5% (256) 705-4224
27 HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA PC DUNMORE PA HEMATOLOGY/ONCOLOGY 7 148 $11,100 $75 5.4% (570) 342-3675
28 ROCKY MOUNTAIN ONCOLOGY CENTER LLC CASPER WY PHYSICIAN ASSISTANT 8 127 $22,316 $176 100.0% —
29 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 126 $17,514 $139 0.5% (415) 600-1020
30 VIRGINIA CANCER SPECIALISTS, P.C. FAIRFAX VA HEMATOLOGY/ONCOLOGY 76 123 $15,252 $124 5.7% (703) 280-5390
31 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 115 $3,524 $31 1.5% (914) 241-1050
32 NEBRASKA HEMATOLOGY-ONCOLOGY PC LINCOLN NE PHYSICIAN ASSISTANT 19 111 $8,085 $73 21.9% (402) 484-4900
33 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 100 $12,000 $120 1.3% (518) 262-6696
34 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 97 $10,379 $107 4.0% (630) 469-9200
35 CANCER CARE SPECIALISTS OF CENTRAL ILLINOIS SC DECATUR IL HEMATOLOGY/ONCOLOGY 30 96 $14,784 $154 4.0% (217) 876-4700
36 ROCKY MOUNTAIN CANCER CENTERS LLP COLORADO SPRINGS CO NURSE PRACTITIONER 129 95 $11,780 $124 13.9% (719) 577-2555
37 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 90 $5,400 $60 12.4% (319) 678-8201
38 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 89 $6,301 $71 15.4% (616) 954-9800
39 ONCOLOGY HEMATOLOGY CARE INC CINCINNATI OH NURSE PRACTITIONER 66 87 $10,788 $124 3.2% (513) 751-2273
40 BAPTIST HEALTH LITTLE ROCK AR NURSE PRACTITIONER 106 63 $4,095 $65 6.3% (501) 227-7596
41 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 60 $5,640 $94 0.2% (310) 829-6789
42 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES MD PHYSICIAN ASSISTANT 1699 54 $3,942 $73 2.1% (310) 423-0674
43 SAN JUAN ONCOLOGY ASSOCIATES PC FARMINGTON NM HEMATOLOGY/ONCOLOGY 3 53 $5,042 $95 7.0% (505) 564-6850
44 AMERICAN MEDICAL TODAY PC BROOKLYN NY INTERNAL MEDICINE 10 52 $2,405 $46 0.7% (718) 306-5025
45 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 51 $2,703 $53 26.8% (203) 730-8789
46 CANCER PARTNERS OF NEBRASKA PC LINCOLN NE MEDICAL ONCOLOGY 30 50 $2,940 $59 9.9% (402) 420-6090
47 FAMILYCARE MEDICAL GROUP PC SYRACUSE NY FAMILY PRACTICE 106 49 $2,048 $42 0.6% (315) 472-1488
48 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 48 $1,728 $36 1.9% (615) 385-3751
49 BAY PARKWAY PHYSICIANS, PC BROOKLYN NY FAMILY PRACTICE 3 46 $1,908 $41 0.6% (718) 234-6767
50 UT REGIONAL ONE PHYSICIANS INC MEMPHIS TN NURSE PRACTITIONER 328 44 $3,205 $73 1.7% (901) 545-8336
51 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 42 $3,192 $76 1.6% —
52 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 41 $2,460 $60 0.2% (818) 842-7145
53 MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD NORMAL IL HEMATOLOGY/ONCOLOGY 4 38 $2,850 $75 1.6% (309) 452-9701
54 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 37 $2,220 $60 0.5% (845) 703-6999
55 ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C PEORIA IL NURSE PRACTITIONER 62 36 $5,829 $162 1.5% (309) 243-3000
56 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 35 $19,674 $562 1.4% 21722384006209
57 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 31 $2,258 $73 1.2% (901) 683-0055
58 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 28 $1,260 $45 1.0% (856) 424-3323
59 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 25 $2,525 $101 0.1% (925) 296-9720
60 BLOOD AND CANCER CENTER INC CANFIELD OH HEMATOLOGY/ONCOLOGY 4 25 $1,500 $60 0.9% (330) 533-3040
61 MASOUD KHORSAND- SAHBAIE MD P A ROSWELL NM HEMATOLOGY/ONCOLOGY 18 24 $504 $21 3.2% (575) 627-9500
62 SHENANDOAH ONCOLOGY PC WINCHESTER VA NURSE PRACTITIONER 22 23 $2,944 $128 1.1% (540) 662-1108
63 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY AR PHYSICIAN ASSISTANT 559 22 $1,430 $65 2.2% (605) 755-7200
64 LUDMILA B BESS MD A PROFESSIONAL CORPORATION LOS ANGELES CA OBSTETRICS/GYNECOLOGY 2 20 $1,700 $85 0.1% 3239348877228
65 DANDJ GRACE TEAM LLC FORT WORTH TX INTERNAL MEDICINE 5 18 $1,350 $75 0.1% (817) 449-2555
66 PATHADVANTAGE, PA DALLAS TX PATHOLOGY 2 17 $901 $53 0.1% (214) 219-5880
67 CAROLINA ONCOLOGY SPECIALIST PA CHARLOTTE NC HEMATOLOGY/ONCOLOGY 16 16 $928 $58 0.3% (704) 342-9577
68 AUGUSTA ONCOLOGY ASSOCIATES PC AUGUSTA GA HEMATOLOGY/ONCOLOGY 36 15 $900 $60 1.1% 7067361830213
69 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 14 $874 $62 0.8% (541) 706-7715
70 COASTAL CANCER CENTER LLC MYRTLE BEACH SC RADIATION ONCOLOGY 22 13 $2,821 $217 1.0% (843) 449-9415

*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 →