NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86335 Immunologic analysis technique on body fluid, other fluids with concentration 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 137,565 services ▼ 0.8% YoY · 113,674 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.2M · $22.93 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
182
Named-group FFS services
45,146
FFS of Medicare
49%
Services YoY
-0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~90,900 services

45,146 observed fee-for-service (50%) · ~45,754 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 — 86335 (CY2024)

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

Named-group submitted charges
$4.1M
Named-group allowed amount
$785K
Named-group Medicare payments
$644K
Avg charge / svc
$91
Avg allowed / svc
$17
Avg payment / svc
$14
Average charge per group
$12 182 groups · avg submitted charge / service $224
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 86335 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 86335 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 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 2,608 $370,912 $142 premium 14.9% (713) 592-5433
2 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES MA PHYSICIAN ASSISTANT 1699 2,319 $299,151 $129 premium 40.7% (310) 423-0674
3 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,730 $138,517 $80 premium 13.7% (858) 455-9100
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,455 $118,396 $81 premium 24.2%
5 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 1,436 $88,992 $62 premium 10.9% (813) 745-4673
6 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 1,321 $51,519 $39 premium 91.9% (501) 686-8000
7 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 1,272 $159,000 $125 premium 79.9% (203) 688-4242
8 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 1,081 $72,427 $67 premium 22.2% (717) 531-5638
9 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,026 $209,304 $204 premium 19.8%
10 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 944 $151,040 $160 premium 15.5% (212) 305-8559
11 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 836 $88,616 $106 premium 29.6% (205) 934-3460
12 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 809 $109,974 $136 premium 15.6% (888) 824-0200
13 MORRISTOWN PATHOLOGY ASSOCIATES PA MORRISTOWN NJ PATHOLOGY 25 779 $42,845 $55 premium 4.0% (973) 971-5600
14 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 737 $44,957 $61 premium 31.8% (757) 668-3221
15 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 716 $54,416 $76 premium 14.7% (215) 662-2777
16 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 642 $65,303 $102 premium 33.8% (913) 588-7743
17 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 634 $100,268 $158 premium 61.7% (720) 777-1234
18 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 598 $62,790 $105 premium 11.5% (847) 723-2210
19 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 562 $45,673 $81 premium 96.7% (802) 847-0000
20 CORPATH LTD COLUMBUS OH PATHOLOGY 26 513 $30,267 $59 premium 8.5% (614) 566-4945
21 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 502 $30,609 $61 premium 12.6% (404) 778-7525
22 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IL PATHOLOGY 11 484 $26,862 $56 premium 9.3% (630) 933-2048
23 SPECTRUM HEALTHCARE PARTNERS PA PORTLAND ME DIAGNOSTIC RADIOLOGY 281 441 $38,808 $88 premium 63.9% (207) 828-2160
24 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 435 $24,969 $57 premium 3.4% (626) 256-4673
25 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 430 $17,461 $41 premium 19.9% (248) 964-1187
26 PRATT PATHOLOGY ASSOCIATES INC BOSTON MA PATHOLOGY 24 425 $49,585 $117 premium 7.5%
27 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 418 $21,736 $52 premium 5.0% (984) 215-5556
28 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 404 $21,665 $54 premium 33.7% (206) 364-0500
29 HOSPITAL PATHOLOGY ASSOCIATES, PA MINNEAPOLIS MN PATHOLOGY 45 403 $38,688 $96 premium 38.5% (612) 767-8370
30 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 401 $54,135 $135 premium 2.3% (254) 724-2663
31 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 401 $73,383 $183 premium 17.3% (804) 828-9000
32 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 396 $27,720 $70 premium 4.7% (704) 304-5988
33 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 387 $32,895 $85 premium 6.4% (614) 293-5905
34 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 385 $86,240 $224 premium 18.8% (608) 287-2050
35 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 376 $69,560 $185 premium 17.4% (734) 763-5459
36 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK NY NURSE PRACTITIONER 226 348 $38,280 $110 premium 5.7% (212) 639-2000
37 GREAT LAKES PATHOLOGISTS SC WEST ALLIS WI PATHOLOGY 55 345 $44,154 $128 premium 16.8% (414) 328-7950
38 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD MA DIAGNOSTIC RADIOLOGY 424 316 $17,380 $55 premium 5.5% (781) 395-4909
39 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 315 $24,570 $78 premium 5.2% (212) 746-5454
40 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 313 $23,475 $75 premium 28.2% (314) 747-3000
41 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 313 $25,979 $83 premium 1.8% (214) 633-5555
42 UNIVERSITY PHYSICIAN GROUP DETROIT MI NURSE PRACTITIONER 405 298 $11,482 $39 premium 13.8% (800) 527-6266
43 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 278 $15,290 $55 premium 4.6% (518) 262-3277
44 COMPREHENSIVE PATHOLOGY ASSOCIATES, P.A. MIAMI FL PATHOLOGY 20 272 $28,560 $105 premium 2.1% (786) 596-6525
45 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IA PATHOLOGY 11 260 $14,430 $56 premium 23.1% (630) 933-2048
46 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK KS NURSE PRACTITIONER 1241 258 $10,062 $39 premium 13.6% (501) 686-8000
47 PATHOLOGY CONSULTANTS INC HAMMOND IN PATHOLOGY 21 256 $16,768 $66 premium 36.0% (219) 989-3700
48 DRS CLACK SPENCER WHITE AND MCCORMACK PA SARASOTA FL PATHOLOGY 13 244 $6,978 $29 premium 1.8% (941) 362-8900
49 UTAH PATHOLOGY SERVICES INC MURRAY UT PATHOLOGY 28 230 $16,790 $73 premium 25.1% (801) 266-0055
50 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 211 $27,219 $129 premium 1.7% (310) 423-0674
51 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 209 $16,211 $78 premium 86.4% (843) 792-1414
52 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 207 $8,712 $42 premium 25.1% (402) 559-4000
53 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK MA NURSE PRACTITIONER 226 201 $22,110 $110 premium 3.5% (212) 639-2000
54 PENINSULA PATHOLOGISTS MEDICAL GROUP INC MOUNTAIN VIEW CA PATHOLOGY 16 195 $9,813 $50 premium 1.5% (650) 616-2951
55 UNIVERSITY PATHOLOGISTS LABORATORIES, LLP SYRACUSE NY PATHOLOGY 25 189 $12,250 $65 premium 3.1% (315) 464-4750
56 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 178 $8,722 $49 premium 2.1% (919) 684-8111
57 THE EMORY CLINIC INC ATLANTA MI NURSE PRACTITIONER 3484 175 $10,750 $61 premium 8.1% (404) 778-7525
58 ANALYTICAL PATHOLOGY SERVICES LTD SAINT LOUIS MO PATHOLOGY 10 175 $8,666 $50 premium 15.8% (314) 653-5630
59 ARLINGTON RIDGE PATHOLOGY SC ARLINGTON HEIGHTS IL PATHOLOGY 8 172 $11,352 $66 premium 3.3% (847) 618-6150
60 NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI NEW YORK NY PATHOLOGY 8 169 $18,590 $110 premium 2.8% (212) 606-1224
61 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 166 $16,772 $101 premium 14.7% (319) 678-8201
62 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 164 $2,987 $18 premium 0.9% (713) 394-6450
63 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 163 $9,503 $58 premium 17.8% (801) 581-2121
64 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 161 $5,549 $34 premium 15.4% (612) 672-7422
65 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA PATHOLOGY 38 154 $11,439 $74 premium 1.2% (714) 456-7004
66 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM PA PHYSICIAN ASSISTANT 3051 151 $7,399 $49 premium 3.1% (919) 684-8111
67 UNIVERSITY PATHOLOGY DIAGNOSTICS SC CHICAGO IL PATHOLOGY 19 149 $9,529 $64 premium 2.9%
68 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 143 $6,048 $42 premium 2.5%
69 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 143 $10,192 $71 premium 2.3% (716) 845-2300
70 PATHOLOGY SERVICES OF SPRINGFIELD PC SPRINGFIELD MO PATHOLOGY 8 140 $5,600 $40 premium 12.6% (417) 269-4646
71 POTOMAC HIGHLANDS PATHOLOGY ASSOCIATES PA CUMBERLAND MD PATHOLOGY 4 137 $6,850 $50 premium 6.0% (240) 964-2500
72 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 135 $10,935 $81 premium 2.6% (708) 216-8372
73 UNIVERSITY PATHOLOGISTS, LLC FALL RIVER RI PATHOLOGY 19 132 $7,932 $60 premium 49.4% (508) 679-7168
74 GREAT LAKES PATHOLOGISTS SC WEST ALLIS MI PATHOLOGY 55 129 $16,511 $128 premium 6.0% (414) 328-7950
75 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 129 $14,420 $112 premium 3.2% (770) 422-2004
76 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 129 $7,353 $57 premium 5.6% (202) 429-2401
77 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 128 $6,400 $50 premium 10.7% (206) 223-6600
78 ASSOCIATED PATHOLOGY CONSULTANTS-ELMHURST SC ELMHURST IL PATHOLOGY 8 127 $11,074 $87 premium 2.4% (630) 833-1400
79 HAWAII PATHOLOGISTS LABORATORY HONOLULU HI PATHOLOGY 16 127 $4,953 $39 premium 27.3% (808) 691-4271
80 WELLSTAR MEDICAL GROUP LLC MARIETTA IA NURSE PRACTITIONER 3060 126 $8,202 $65 premium 11.2% (770) 422-2004
81 PATHOLOGY CONSULTANTS LLC YOUNGSTOWN OH PATHOLOGY 9 126 $8,316 $66 premium 2.1% (330) 480-3768
82 RUFFOLO HOOPER AND ASSOCIATES MD PA TAMPA FL PATHOLOGY 44 126 $7,686 $61 premium 1.0% (813) 971-6000
83 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 124 $10,598 $85 premium 100.0%
84 PINEHURST PATHOLOGY CENTER INC PINEHURST NC PATHOLOGY 6 124 $4,595 $37 premium 1.5% (910) 715-1161
85 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 123 $8,364 $68 premium 2.5% (484) 337-4570
86 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 122 $12,490 $102 premium 2.1%
87 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 120 $10,334 $86 premium 0.9% (561) 548-3639
88 ALLIED HOSPITAL PATHOLOGISTS PC FORT WAYNE IN PATHOLOGY 11 118 $6,830 $58 premium 16.6% (260) 266-1000
89 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 117 $12,753 $109 premium 2.1% (617) 732-5500
90 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK FL PATHOLOGY 46 115 $8,165 $71 premium 0.9% 91226126691205
91 CAPE COD PATHOLOGY CONSULTANTS PC HYANNIS MA PATHOLOGY 6 114 $11,514 $101 premium 2.0% (508) 862-5267
92 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 105 $7,980 $76 premium 0.8% (877) 827-7463
93 BOISE PATHOLOGY GROUP P.A. BOISE ID PATHOLOGY 10 104 $3,640 $35 premium 100.0% (208) 381-2378
94 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 102 $20,310 $199 premium 53.7% (603) 650-5000
95 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 101 $6,565 $65 premium 2.1%
96 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PA PHYSICIAN ASSISTANT 3707 101 $5,757 $57 premium 2.1% (202) 429-2401
97 ASSOCIATED PATHOLOGISTS LTD SPRINGFIELD IL PATHOLOGY 10 100 $4,870 $49 premium 1.9% 217544646448225
98 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 99 $6,534 $66 premium 1.2% (336) 713-9800
99 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE MS PATHOLOGY 135 96 $8,160 $85 premium 47.5% (615) 221-4400
100 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM WI PHYSICIAN ASSISTANT 3051 94 $4,606 $49 premium 4.6% (919) 684-8111

Showing the top 100 of 182 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →