NEVVI Medicare utilization intelligence
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Market snapshot

86317 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86317 — Detection of infectious agent antibody, quantitative

Billing groups
16
Named-group FFS services
8,867
FFS of Medicare
49%
Services YoY
+16.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~19,373 services

8,867 observed fee-for-service (46%) · ~10,506 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 — 86317 (CY2024)

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

Named-group submitted charges
$389K
Named-group allowed amount
$130K
Named-group Medicare payments
$130K
Avg charge / svc
$44
Avg allowed / svc
$15
Avg payment / svc
$15
Average charge per group
$14 16 groups · avg submitted charge / service $117
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 86317 services, CY2024
#Physician group City St Specialty Providers 86317 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 6,774 $257,412 $38 premium 46.7% (239) 561-9622
2 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 477 $44,051 $92 premium 23.5% (202) 296-3449
3 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 422 $6,646 $16 premium 12.7% (845) 342-4774
4 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 326 $13,692 $42 premium 20.5% (423) 643-2500
5 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 318 $27,563 $87 premium 8.9%
6 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 191 $16,235 $85 premium 0.5%
7 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 120 $9,240 $77 premium 5.1% (630) 469-9200
8 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 71 $8,307 $117 premium 86.6%
9 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 52 $2,340 $45 premium 0.2% (210) 450-7044
10 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 24 $900 $37 premium 0.7% (914) 241-1050
11 DOBBS EMERGENCY GROUP, LLC CALHOUN CITY MS EMERGENCY MEDICINE 11 20 $700 $35 premium 100.0% (662) 628-6611
12 NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA INTERNAL MEDICINE 144 19 $260 $14 premium 0.0% (415) 391-9686
13 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 16 $640 $40 premium 0.9% (360) 882-2778
14 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 14 $490 $35 premium 0.9% (865) 938-3627
15 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 12 $540 $45 premium 0.4% (845) 703-6999
16 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 11 $462 $42 premium 7.7% (573) 556-5771

*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 →