NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86480 Tuberculosis test, gamma interferon 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 277,370 services ▲ 8.4% YoY · 264,995 beneficiaries (CY2024, Medicare FFS)
Medicare paid $16.8M · $60.59 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
47
Named-group FFS services
11,497
FFS of Medicare
49%
Services YoY
+8.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~22,492 services

11,497 observed fee-for-service (51%) · ~10,995 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 — 86480 (CY2024)
NJ 41,095 NC 39,563 CA 35,471 TX 28,740 FL 25,771

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

Named-group submitted charges
$1.9M
Named-group allowed amount
$684K
Named-group Medicare payments
$684K
Avg charge / svc
$166
Avg allowed / svc
$59
Avg payment / svc
$59
Average charge per group
$45 47 groups · avg submitted charge / service $403
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86480 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 1,892 $420,024 $222 42.5% —
2 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 1,767 $282,720 $160 14.6% (480) 443-8400
3 RHEUMATOLOGY ASSOCIATES, P.C. INDIANAPOLIS IN RHEUMATOLOGY 7 641 $101,278 $158 49.2% (317) 844-6444
4 COLUMBUS ARTHRITIS CENTER, INC. COLUMBUS OH PHYSICIAN ASSISTANT 19 571 $87,826 $154 5.0% —
5 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE SC RHEUMATOLOGY 47 554 $83,100 $150 78.4% (843) 572-4840
6 NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA INTERNAL MEDICINE 144 519 $23,355 $45 1.5% (415) 391-9686
7 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 394 $66,980 $170 5.3% —
8 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 354 $61,596 $174 1.2% (512) 346-6611
9 EMERALD COAST RHEUMATOLOGY LLC LYNN HAVEN FL NURSE PRACTITIONER 10 353 $65,637 $186 1.4% (850) 215-6400
10 CAROLINA ARTHRITIS CENTER PA GREENVILLE NC NURSE PRACTITIONER 5 353 $48,008 $136 0.9% (252) 321-8474
11 ARTHRITIS ASSOCIATES, P.A. SAN ANTONIO TX RHEUMATOLOGY 6 336 $51,408 $153 1.2% 2104772626242
12 NASSERI CLINIC OF ARTHRITIC AND RHEUMATIC DISEASES LLC CATONSVILLE MD NURSE PRACTITIONER 8 311 $37,320 $120 9.2% (410) 744-0661
13 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 224 $25,156 $112 1.9% —
14 RHEUMATOLOGY CONSULTANTS, LLP HEWLETT NY RHEUMATOLOGY 10 219 $30,660 $140 2.4% (516) 295-4481
15 SOUTHEASTERN RHEUMATOLOGY ALLIANCE GAINESVILLE GA RHEUMATOLOGY 23 216 $32,400 $150 24.6% (770) 531-3711
16 ARTHRITIS NORTHWEST PLLC SPOKANE WA PHYSICIAN ASSISTANT 9 188 $18,800 $100 2.9% (509) 838-6500
17 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN ID RHEUMATOLOGY 6 181 $36,200 $200 65.3% (208) 887-9500
18 IOWA ARTHRITIS AND OSTEOPOROSIS CENTER PC URBANDALE IA RHEUMATOLOGY 15 173 $18,545 $107 31.9% (515) 270-7222
19 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC HURRICANE UT NURSE PRACTITIONER 41 161 $16,100 $100 36.3% (435) 635-0174
20 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 151 $52,246 $346 4.5% (202) 296-3449
21 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 145 $21,750 $150 1.6% (845) 703-6999
22 CAROLINA ARTHRITIS CENTER PA GREENVILLE KY NURSE PRACTITIONER 5 109 $14,824 $136 14.4% (252) 321-8474
23 PRIVIA MEDICAL GROUP INDIANA LLC ELKHART IN NURSE PRACTITIONER 40 103 $8,240 $80 7.9% 57429632003973
24 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 96 $27,725 $289 4.3% (612) 863-4000
25 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 94 $20,210 $215 0.2% (252) 355-4357
26 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 91 $23,114 $254 0.2% (908) 273-4300
27 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 87 $6,525 $75 69.0% (913) 258-2116
28 ARTHRITIS AND RHEUMATOLOGY CONSULTANTS PA EDINA MN RHEUMATOLOGY 12 87 $17,574 $202 3.9% (952) 893-1959
29 SAMY METYAS M.D. INC COVINA CA RHEUMATOLOGY 3 86 $20,640 $240 0.2% (626) 966-1909
30 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT OK NURSE PRACTITIONER 10 85 $18,870 $222 1.9% (480) 494-2770
31 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 84 $22,848 $272 0.2% (201) 837-7788
32 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 77 $8,278 $108 0.2% (619) 515-2454
33 ARTHRITIS ASSOCIATES HIXSON TN RHEUMATOLOGY 4 75 $5,625 $75 1.5% (423) 826-0800
34 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 72 $14,050 $195 0.8% (251) 665-8000
35 RHEUMATIC DISEASE CENTER GLENDALE WI RHEUMATOLOGY 8 62 $13,330 $215 2.6% (414) 351-4009
36 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 58 $19,662 $339 0.2% (213) 699-7013
37 ALAN J KIVITZ MD PC DUNCANSVILLE PA RHEUMATOLOGY 7 57 $9,118 $160 1.4% (814) 693-0300
38 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 57 $22,985 $403 0.8% 21722384006209
39 TRIANGLE ARTHRITIS AND RHEUMATOLOGY ASSOCIATES RALEIGH NC RHEUMATOLOGY 3 49 $6,370 $130 0.1% (919) 881-8272
40 ARTICULARIS HEALTHCARE GROUP INC SUMMERVILLE GA RHEUMATOLOGY 47 40 $6,000 $150 4.6% (843) 572-4840
41 ARTHRITIS NORTHWEST PLLC SPOKANE TX PHYSICIAN ASSISTANT 9 39 $3,900 $100 0.1% (509) 838-6500
42 MARYLAND FAMILY CARE INC BALTIMORE MD INTERNAL MEDICINE 153 37 $4,440 $120 1.1% (410) 332-9359
43 NORTH EAST MEDICAL SERVICES SAN FRANCISCO NY INTERNAL MEDICINE 144 37 $1,665 $45 0.4% (415) 391-9686
44 IDAHO ARTHRITIS AND OSTEOPOROSIS CENTER PC MERIDIAN OH RHEUMATOLOGY 6 35 $7,000 $200 0.3% (208) 887-9500
45 SUNSHINE RHEUMATOLOGY AND ARTHRITIS CENTER LLC SUN CITY CENTER FL RHEUMATOLOGY 10 32 $3,200 $100 0.1% (813) 333-5080
46 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 27 $3,348 $124 0.3% (518) 782-3700
47 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 26 $4,160 $160 0.2% (602) 445-0751
48 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 16 $1,200 $75 0.2% (913) 258-2116
49 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 15 $3,330 $222 0.3% (405) 632-6688
50 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 14 $630 $45 0.0% (415) 476-1000
51 CAROLINA RHEUMATOLOGY AND NEUROLOGY MYRTLE BEACH SC RHEUMATOLOGY 6 13 $1,950 $150 1.8% (843) 692-0968
52 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 12 $3,264 $272 0.1% (201) 837-7788
53 RELIANT MEDICAL GROUP INC WORCESTER MA NURSE PRACTITIONER 634 11 $2,607 $237 0.2% (508) 363-5000
54 CASS COUNTY MEMORIAL HOSPITAL ATLANTIC IA NURSE PRACTITIONER 65 11 $1,205 $110 2.0% (712) 243-3250

*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 →