NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

86430 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86430 — Rheumatoid factor analysis

Billing groups
33
Named-group FFS services
4,057
FFS of Medicare
49%
Services YoY
+0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,496 services

4,057 observed fee-for-service (48%) · ~4,439 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 — 86430 (CY2024)
CA 37,052 NY 12,046 TX 3,863 FL 2,647 IL 2,618

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

Named-group submitted charges
$133K
Named-group allowed amount
$24K
Named-group Medicare payments
$24K
Avg charge / svc
$33
Avg allowed / svc
$6
Avg payment / svc
$6
Average charge per group
$10 33 groups · avg submitted charge / service $91
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 86430 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 1,140 $51,345 $45 9.5% (516) 295-4481
2 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 412 $7,004 $17 1.1% (818) 842-7145
3 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 280 $7,560 $27 2.3% (631) 628-5000
4 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 254 $3,119 $12 6.6% (806) 358-8331
5 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION WHITESBURG KY NURSE PRACTITIONER 83 238 $8,330 $35 100.0% (606) 633-4871
6 HUTCHINSON CLINIC PA INC HUTCHINSON KS PHYSICIAN ASSISTANT 131 165 $4,125 $25 25.9% (620) 669-2500
7 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 158 $8,532 $54 15.7% (828) 258-9533
8 MISSISSIPPI ARTHRITIS CLINIC PLLC JACKSON MS NURSE PRACTITIONER 8 131 $5,240 $40 56.0% (601) 362-6900
9 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 121 $1,331 $11 24.4% (440) 333-3332
10 PARDO FORSTOT BACA AND ALBOUKREK PA BOCA RATON FL RHEUMATOLOGY 6 110 $1,622 $15 4.2% (561) 955-7100
11 ELAYNE K GARBER MD A MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 2 104 $2,288 $22 0.3% (310) 854-3539
12 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 98 $8,892 $91 19.3% (251) 665-8000
13 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 86 $1,376 $16 3.2% (941) 366-1888
14 KEN C ARAKAWA M D INC HONOLULU HI PHYSICIAN ASSISTANT 4 83 $5,750 $69 100.0% (808) 528-3888
15 RHEUMATOLOGY CLINIC LLC MEDFORD PA RHEUMATOLOGY 3 81 $891 $11 18.0% (541) 773-2233
16 ALLERGY ARTS LLP AMARILLO TX RHEUMATOLOGY 6 77 $946 $12 2.0% (806) 353-7000
17 CLINICS OF NORTH TEXAS LLP WICHITA FALLS TX FAMILY PRACTICE 33 74 $2,960 $40 1.9% (940) 766-3551
18 MEDICAL GROUP OF INDIANA LLC MUNCIE IN NURSE PRACTITIONER 11 73 $2,555 $35 23.3% (765) 717-5399
19 RHEUMATOLOGY CLINIC LLC MEDFORD OR RHEUMATOLOGY 3 68 $748 $11 39.8% (541) 773-2233
20 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 38 $494 $13 2.6% (248) 477-0552
21 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 37 $532 $14 1.4% (305) 689-5437
22 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 34 $2,176 $64 6.9% (740) 446-5050
23 MANGROVE MEDICAL GROUP CHICO CA NURSE PRACTITIONER 9 28 $825 $29 0.1% 5303450064268
24 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 23 $253 $11 100.0% (253) 428-2200
25 CLIFFSIDE MEDICAL LLC CLIFFSIDE PARK NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 23 $805 $35 3.3% —
26 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 17 $1,207 $71 100.0% (608) 831-1766
27 CLINTON MEDICAL CLINIC, INC. CLINTON NC FAMILY PRACTICE 14 16 $384 $24 1.6% (910) 592-6011
28 MEDICAL ASSOCIATES OF THE SHOALS, P.C. SHEFFIELD AL NURSE PRACTITIONER 24 15 $270 $18 3.0% 2563834447104
29 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 14 $471 $34 100.0% (507) 389-8509
30 WILLIAM GARNICA A MEDICAL CORPORATION FRESNO CA GENERAL PRACTICE 2 13 $130 $10 0.0% (559) 233-0335
31 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 12 $348 $29 3.8% (574) 234-8161
32 PARIS FAMILY PHYSICIANS,PA PARIS TX NURSE PRACTITIONER 6 12 $360 $30 0.3% (903) 669-0800
33 THE PHYSICIANS GROUP, LLC OKLAHOMA CITY OK NURSE PRACTITIONER 103 11 $385 $35 44.0% (405) 692-9300
34 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 11 $110 $10 0.1% (631) 751-3000

*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 →