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Market snapshot

86431 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86431 — Rheumatoid factor level

Billing groups
203
Named-group FFS services
35,833
FFS of Medicare
49%
Services YoY
-1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~73,460 services

35,833 observed fee-for-service (49%) · ~37,627 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 — 86431 (CY2024)

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

Named-group submitted charges
$918K
Named-group allowed amount
$198K
Named-group Medicare payments
$198K
Avg charge / svc
$26
Avg allowed / svc
$6
Avg payment / svc
$6
Average charge per group
$6 203 groups · avg submitted charge / service $223
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 86431 services, CY2024
#Physician group City St Specialty Providers 86431 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 TEXAS ARTHRITIS AND RHEUMATOLOGY TYLER TX PHYSICIAN ASSISTANT 5 2,080 $41,600 $20 premium 4.0% (903) 561-9255
2 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,226 $35,445 $29 premium 5.4% (631) 751-3000
3 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 1,040 $17,690 $17 premium 2.0% (214) 540-0700
4 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 1,012 $20,240 $20 premium 17.9%
5 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,007 $20,140 $20 premium 2.4% (239) 561-9622
6 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 844 $14,205 $17 premium 2.0% (850) 215-6400
7 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 777 $14,763 $19 premium 4.6% (480) 443-8400
8 RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS, PLLC SAN ANTONIO TX NURSE PRACTITIONER 17 729 $10,920 $15 premium 1.4% (210) 265-8851
9 BORIS D RATINER, MD, INC TARZANA CA RHEUMATOLOGY 6 712 $24,920 $35 premium 0.7% (818) 996-4077
10 NAUSHIN SIDDIQUI PHYSICIAN PC EAST MEADOW NY INTERNAL MEDICINE 2 700 $70,000 $100 premium 3.1% (516) 481-2000
11 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 651 $16,854 $26 premium 27.1% (270) 781-4043
12 RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC HUNTSVILLE AL RHEUMATOLOGY 10 640 $10,880 $17 premium 4.3% (256) 551-6510
13 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 515 $8,180 $16 premium 4.2% (901) 261-0700
14 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 485 $8,740 $18 premium 2.2% (914) 241-1050
15 ARTHRITIS AND RHEUMATOLOGY CENTER PC ROSWELL GA RHEUMATOLOGY 22 476 $22,487 $47 premium 3.8% (770) 284-3150
16 WEST SUBURBAN CTR FOR ARTHRITIS WAUKESHA WI RHEUMATOLOGY 5 472 $19,352 $41 premium 12.5% (262) 785-0777
17 CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION LOS ANGELES CA RHEUMATOLOGY 9 458 $6,412 $14 premium 0.4% (310) 659-7878
18 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 448 $7,168 $16 premium 0.9% 2104772626242
19 CAREMED PRIMARY AND URGENT CARE PC PATCHOGUE NY NURSE PRACTITIONER 21 443 $8,860 $20 premium 2.0% (631) 475-3900
20 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 441 $8,820 $20 premium 17.6% (843) 572-4840
21 SAMY METYAS M.D. INC COVINA CA RHEUMATOLOGY 3 427 $6,405 $15 premium 0.4% (626) 966-1909
22 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 406 $18,270 $45 premium 3.6%
23 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 397 $11,513 $29 premium 3.6% (630) 469-9200
24 THE ARTHRITIS AND DIABETES CLINIC INC MONROE LA NURSE PRACTITIONER 4 380 $11,400 $30 premium 21.1% (318) 388-5830
25 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 368 $2,987 $8 premium 3.3% (847) 800-0998
26 WEITZNER YONKER AND KAINE MD PA SARASOTA FL RHEUMATOLOGY 17 355 $3,540 $10 premium 0.8% 94136507701028
27 LAKE CUMBERLAND RHEUMATOLOGY PLLC BOWLING GREEN KY RHEUMATOLOGY 20 346 $6,920 $20 premium 14.4% (606) 802-2300
28 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 341 $4,433 $13 premium 5.6% (410) 744-0661
29 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 318 $11,130 $35 premium 1.4% (315) 475-7669
30 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 313 $6,260 $20 premium 5.2% (301) 942-7600
31 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 295 $5,900 $20 premium 0.7% (252) 321-8474
32 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 293 $10,548 $36 premium 0.3% (909) 982-0099
33 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 284 $16,660 $59 premium 27.4% (913) 258-2116
34 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 280 $4,480 $16 premium 1.2% (845) 703-6999
35 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 269 $6,698 $25 premium 0.4% (201) 837-7788
36 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 246 $3,198 $13 premium 19.9%
37 RHEUMATOLOGY SPECIALISTS OF PADUCAH PLLC PADUCAH KY PHYSICIAN ASSISTANT 3 246 $2,790 $11 premium 10.3% (270) 408-6100
38 ARTHRITIS SPECIALTY CENTER,INC POCATELLO ID PHYSICIAN ASSISTANT 6 244 $8,784 $36 premium 53.9% (208) 234-1300
39 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 244 $6,100 $25 premium 15.8% (317) 844-6444
40 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 241 $6,025 $25 premium 1.1% (516) 295-4481
41 INTERVENTIONAL PAIN CONSULTANTS CLEVELAND TN NURSE PRACTITIONER 16 240 $3,840 $16 premium 2.0% (423) 339-9581
42 BETHANY MEDICAL CENTER HIGH POINT NC PHYSICIAN ASSISTANT 63 234 $2,808 $12 premium 0.6% (336) 883-0029
43 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 226 $3,842 $17 premium 0.4% (512) 346-6611
44 ARTHRITIS ASSOCIATES OF S FLORIDA DELRAY BEACH FL RHEUMATOLOGY 6 226 $5,650 $25 premium 0.5% (561) 495-0600
45 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 220 $3,520 $16 premium 17.8% (501) 562-4838
46 THE CAROLINA CENTER FOR RHEUMATOLOGY AND ARTHRITIS CARE, PA ROCK HILL SC RHEUMATOLOGY 2 219 $14,454 $66 premium 8.7% (803) 329-1660
47 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 216 $5,832 $27 premium 1.8% (901) 226-3882
48 PRIMARY CARE GROUP, LLC MEMPHIS TN NURSE PRACTITIONER 109 203 $4,266 $21 premium 1.7% (901) 387-2900
49 CONSULTANTS IN PAIN MANAGEMENT, P.C. CHATTANOOGA TN NURSE PRACTITIONER 11 203 $3,248 $16 premium 1.7% (423) 648-8480
50 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 202 $8,939 $44 premium 1.3%
51 ARTHRITIS AND RHEUMATOLOGY CLINICS OF KANSAS LLC WICHITA KS RHEUMATOLOGY 11 199 $4,975 $25 premium 1.9% 31661248151280
52 TEAMWORK HEALTH PLLC FAYETTEVILLE NC NURSE PRACTITIONER 7 193 $8,878 $46 premium 0.5% (910) 491-6793
53 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 190 $3,610 $19 premium 7.3% (952) 893-1959
54 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 190 $12,160 $64 premium 0.2%
55 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 189 $8,694 $46 premium 7.5% (843) 497-5929
56 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 188 $1,145 $6 premium 0.8% (845) 342-4774
57 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 180 $11,520 $64 premium 1.6% (217) 366-1200
58 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 180 $2,520 $14 premium 11.7% (574) 647-7275
59 ARTHRITIS AND OSTEOPOROSIS CLINIC OF BRAZOS VALLEY COLLEGE STATION TX PHYSICIAN ASSISTANT 3 180 $4,201 $23 premium 0.3% (979) 696-8000
60 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 179 $2,030 $11 premium 0.4% (941) 255-3535
61 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 179 $4,296 $24 premium 13.6% (319) 247-3010
62 ASSOCIATED PAIN SPECIALISTS, PC KNOXVILLE TN PHYSICIAN ASSISTANT 12 176 $2,496 $14 premium 1.4% (865) 558-3476
63 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 176 $6,336 $36 premium 1.1% (330) 670-4026
64 PREMIER HEALTHCARE ASSOCIATES, INC. RICHMOND VA RHEUMATOLOGY 6 175 $2,100 $12 premium 4.8% (804) 288-7901
65 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON NC RHEUMATOLOGY 5 174 $2,088 $12 premium 0.4% (910) 762-1182
66 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 174 $2,610 $15 premium 38.4% (208) 887-9500
67 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 168 $4,032 $24 premium 0.2% (908) 273-4300
68 ARTHRITIS AND OSTEOPOROSIS ASSOCIATES, LLP LUBBOCK TX PHYSICIAN ASSISTANT 6 165 $3,300 $20 premium 0.3% (806) 771-2400
69 RONALD C FAGAN MD PC FARMINGDALE NY INTERNAL MEDICINE 4 165 $2,475 $15 premium 0.7% (516) 752-7000
70 MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA FAYETTEVILLE AR FAMILY PRACTICE 106 162 $3,888 $24 premium 13.1% (479) 521-0200
71 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 161 $8,050 $50 premium 1.3% (423) 826-0800
72 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 160 $2,880 $18 premium 0.4% (260) 484-8830
73 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 156 $2,184 $14 premium 1.3% (865) 938-3627
74 CAROLINAEAST PHYSICIANS NEW BERN NC NURSE PRACTITIONER 203 154 $6,776 $44 premium 0.4% (252) 635-6777
75 IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC MOBILE AL INTERNAL MEDICINE 167 149 $1,639 $11 premium 1.0%
76 HERITAGE MEDICAL ASSOCIATES PC NASHVILLE TN INTERNAL MEDICINE 166 143 $1,287 $9 premium 1.2% (629) 255-2115
77 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 140 $2,240 $16 premium 0.6% (518) 782-3700
78 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 139 $2,780 $20 premium 1.1% (770) 531-3711
79 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 138 $6,486 $47 premium 0.3% (910) 341-1540
80 RHEUMATOLOGY ASSOCIATES PC SPRINGFIELD MA RHEUMATOLOGY 4 137 $4,384 $32 premium 1.7%
81 OPTUM MEDICAL CARE PC MOUNT KISCO ME INTERNAL MEDICINE 1040 133 $1,046 $8 premium 34.3% (914) 241-1050
82 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 133 $5,054 $38 premium 0.1% (415) 600-1020
83 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 133 $3,857 $29 premium 10.1% (515) 270-7222
84 ARTHRITIS CLINIC, PLLC JACKSON TN RHEUMATOLOGY 2 132 $3,168 $24 premium 1.1% (731) 664-0002
85 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 128 $2,432 $19 premium 1.0% (770) 536-9864
86 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 127 $1,905 $15 premium 5.9% (541) 382-2811
87 SOLAIMAN CHOWDHURY MEDICAL CARE PC EAST ISLIP NY NURSE PRACTITIONER 4 126 $4,410 $35 premium 0.6% (631) 581-0090
88 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 124 $1,984 $16 premium 0.3% (850) 863-8150
89 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 124 $3,088 $25 premium 0.6% (201) 837-7788
90 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 124 $2,728 $22 premium 8.0% 57429632003973
91 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 124 $9,920 $80 premium 1.0% (762) 235-3340
92 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 120 $1,800 $15 premium 1.7% (509) 838-6500
93 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 119 $2,380 $20 premium 5.0% (252) 321-8474
94 ARTHRITIS CARE SPECIALISTS OF MARYLAND, P.A. COLUMBIA MD RHEUMATOLOGY 7 117 $2,129 $18 premium 1.9% (410) 992-7440
95 THE WEST CLINIC P.C. GERMANTOWN TN NURSE PRACTITIONER 113 109 $2,164 $20 premium 0.9% (901) 683-0055
96 RHEUMATOLOGY ASSOCIATES, PC BETTENDORF IA RHEUMATOLOGY 6 108 $1,296 $12 premium 8.2% (563) 359-4440
97 VIPUL JOSHI, MD PA BRANDON FL NURSE PRACTITIONER 7 104 $4,056 $39 premium 0.2% (813) 651-4441
98 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 103 $5,665 $55 premium 0.2%
99 CAROLINA ARTHRITIS ASSOCIATES PA WILMINGTON SC RHEUMATOLOGY 5 103 $1,236 $12 premium 4.1% (910) 762-1182
100 MARYLAND ONCOLOGY HEMATOLOGY PA LAUREL MD HEMATOLOGY/ONCOLOGY 99 103 $3,605 $35 premium 1.7% (301) 982-9800

Showing the top 100 of 203 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 →