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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative CPT · General Laboratory test
Classification Test General Laboratory Immunoassay (CMS RBCS)
First observed 2020
National scale 6,594 services ▼ 96.9% YoY · 4,399 beneficiaries (CY2024, Medicare FFS)
Medicare paid $290K · $44.04 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
26
Named-group FFS services
2,570
FFS of Medicare
49%
Services YoY
-96.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,348 services

2,570 observed fee-for-service (48%) · ~2,778 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 — 86328 (CY2024)

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

Named-group submitted charges
$208K
Named-group allowed amount
$114K
Named-group Medicare payments
$114K
Avg charge / svc
$81
Avg allowed / svc
$44
Avg payment / svc
$44
Average charge per group
$40 26 groups · avg submitted charge / service $160
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 86328 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 86328 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 NAUSHIN SIDDIQUI PHYSICIAN PC EAST MEADOW NY INTERNAL MEDICINE 2 1,346 $107,680 $80 premium 66.0% (516) 481-2000
2 ATLANTIC MEDICAL, PLLC WINDCREST TX INTERNAL MEDICINE 2 138 $6,900 $50 premium 31.4% (210) 657-3700
3 CORONA MEDICAL PC GREAT NECK NY INTERNAL MEDICINE 3 138 $13,800 $100 premium 6.8% (718) 426-8100
4 TRAUBE MARUSH AND PLAWES M D P C BROOKLYN NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 137 $9,590 $70 premium 6.7% (718) 763-0080
5 ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA LINDEN NJ PHYSICIAN ASSISTANT 47 126 $17,116 $136 premium 92.0%
6 WESTSIDE FAMILY CLINIC LLC RUSSELLVILLE AR NURSE PRACTITIONER 6 113 $10,735 $95 premium 89.7% (479) 968-1245
7 MONTGOMERY FAMILY MEDICINE, PC MONTGOMERY AL FAMILY PRACTICE 6 102 $5,610 $55 premium 61.4% (334) 396-9100
8 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 75 $6,792 $91 premium 11.4% (941) 255-3535
9 WATSON HEALTHCARE LLC JASPER FL NURSE PRACTITIONER 2 52 $2,600 $50 premium 7.9% (386) 792-0700
10 GARY GOTTHELF, M.D., P.A. PENSACOLA FL PHYSICIAN ASSISTANT 7 48 $3,120 $65 premium 7.3% (850) 477-3252
11 BENDER MEDICAL GROUP INC FORT COLLINS CO FAMILY PRACTICE 5 43 $2,150 $50 premium 68.3% (970) 482-8881
12 CLARENDON FAMILY MEDICINE, PLLC CLARENDON TX NURSE PRACTITIONER 4 24 $1,527 $64 premium 5.5% (806) 874-3531
13 URGENT CARE AT THE POINTE PLLC ABERDEEN MS NURSE PRACTITIONER 3 23 $1,150 $50 premium 100.0% (662) 304-5014
14 TRANSMOUNTAIN PRIMARY CARE, PA EL PASO TX FAMILY PRACTICE 4 22 $3,520 $160 premium 5.0%
15 MENDOCINO COMMUNITY HEALTH CLINIC INC UKIAH CA NURSE PRACTITIONER 56 20 $2,320 $116 premium 1.0% (707) 468-1010
16 CHASE MEDICAL CLINIC LLC HUNTSVILLE AL NURSE PRACTITIONER 4 18 $900 $50 premium 10.8% (256) 851-7190
17 HEALTH FACILITIES REHAB SERVICES INC SIKESTON MO NURSE PRACTITIONER 152 16 $640 $40 premium 100.0%
18 HILLSDALE COMMUNITY HEALTH CENTER HILLSDALE MI NURSE PRACTITIONER 62 15 $750 $50 premium 11.3% (517) 439-5411
19 ABDOLREZA VADIEE, INC. CHALMETTE LA GENERAL PRACTICE 2 15 $1,500 $100 premium 14.2% (504) 278-1414
20 COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC CASPER WY NURSE PRACTITIONER 27 14 $784 $56 premium 35.9% (307) 233-6000
21 GRACE HEALTH INC BATTLE CREEK MI FAMILY PRACTICE 27 14 $1,190 $85 premium 10.5%
22 REINHART FAMILY HEALTHCARE PLLC MONTICELLO AR FAMILY PRACTICE 2 13 $715 $55 premium 10.3% (870) 460-9777
23 RELIANCE HEALTHCARE, LLC BEAR DE NURSE PRACTITIONER 7 13 $1,040 $80 premium 11.2% (302) 838-3100
24 MENDOCINO COMMUNITY HEALTH CLINIC INC UKIAH UT NURSE PRACTITIONER 56 12 $1,392 $116 premium 100.0% (707) 468-1010
25 BIGHORN VALLEY HEALTH CENTER INCORPORATED HARDIN MT NURSE PRACTITIONER 82 11 $1,078 $98 premium 100.0% (406) 665-4103
26 RIVERWAY MEDICAL GROUP A MEDICAL CORPORATION VISALIA CA NURSE PRACTITIONER 8 11 $1,265 $115 premium 0.6% (559) 372-7390
27 AZZ MEDICAL ASSOCIATES PC HAMILTON NJ NURSE PRACTITIONER 55 11 $1,650 $150 premium 8.0% (609) 890-1050

*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 →