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Market snapshot

86704 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86704 — Hepatitis b core antibody measurement

Billing groups
42
Named-group FFS services
14,508
FFS of Medicare
49%
Services YoY
-2.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~28,771 services

14,508 observed fee-for-service (50%) · ~14,263 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 — 86704 (CY2024)
NJ 29,866 CA 27,369 TX 26,110 FL 23,023 NC 16,078

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

Named-group submitted charges
$645K
Named-group allowed amount
$171K
Named-group Medicare payments
$171K
Avg charge / svc
$44
Avg allowed / svc
$12
Avg payment / svc
$12
Average charge per group
$20 42 groups · avg submitted charge / service $220
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 86704 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 6,011 $246,451 $41 26.1% (239) 561-9622
2 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 3,978 $194,922 $49 45.2% (617) 421-1000
3 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 719 $30,156 $42 27.6% —
4 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 614 $22,175 $36 2.4% (214) 540-0700
5 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 433 $16,021 $37 1.9% (260) 484-8830
6 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 397 $29,469 $74 16.3% (202) 296-3449
7 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 252 $9,027 $36 23.5% (616) 954-9800
8 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 168 $5,533 $33 4.3% (914) 241-1050
9 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 163 $10,106 $62 2.3% (630) 469-9200
10 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 148 $10,952 $74 3.8% (518) 262-6696
11 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 146 $2,920 $20 0.5% (909) 982-0099
12 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 142 $4,303 $30 0.5% (619) 515-2454
13 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 126 $2,520 $20 0.8% (828) 258-9533
14 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 109 $2,675 $25 2.3% (253) 428-8700
15 ATRIUS HEALTH INC BOSTON NY NURSE PRACTITIONER 1196 83 $4,067 $49 2.1% (617) 421-1000
16 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 76 $2,964 $39 100.0% (603) 929-1195
17 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 66 $2,772 $42 1.4% —
18 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 59 $2,133 $36 0.2% (210) 593-5700
19 ATRIUS HEALTH INC BOSTON NJ NURSE PRACTITIONER 1196 56 $2,744 $49 0.2% (617) 421-1000
20 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 55 $1,980 $36 0.2% (210) 450-7044
21 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 54 $3,888 $72 4.6% (541) 683-5001
22 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 46 $6,425 $140 1.1% (251) 665-8000
23 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 43 $3,784 $88 0.2% (415) 600-1020
24 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 41 $1,025 $25 1.8% (253) 428-8700
25 PERMANENTE MEDICAL GROUP INC SANTA CLARA MA INTERNAL MEDICINE 10890 38 $1,862 $49 0.4% (408) 851-1000
26 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 37 $1,184 $32 0.8% (330) 670-4026
27 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 37 $1,536 $42 0.2% (850) 863-8150
28 PRESIDENT AND FELLOWS OF HARVARD COLLEGE CAMBRIDGE MA INTERNAL MEDICINE 98 36 $1,764 $49 0.4% (617) 495-4414
29 OPTUM MEDICAL CARE PC MOUNT KISCO ME INTERNAL MEDICINE 1040 31 $763 $25 100.0% (914) 241-1050
30 LOWN MEDICAL GROUP PLLC CHESTNUT HILL MA CARDIOVASCULAR DISEASE (CARDIOLOGY) 12 27 $1,323 $49 0.3% (617) 732-1318
31 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 26 $1,274 $49 2.4% (804) 828-9000
32 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 23 $1,656 $72 0.5% (503) 280-1223
33 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 22 $748 $34 64.7% (573) 556-5771
34 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA IL HEMATOLOGY/ONCOLOGY 39 21 $525 $25 0.3% (253) 428-8700
35 ATRIUS HEALTH INC BOSTON DE NURSE PRACTITIONER 1196 20 $980 $49 100.0% (617) 421-1000
36 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 17 $1,391 $82 25.8% (337) 436-1370
37 ATRIUS HEALTH INC BOSTON PA NURSE PRACTITIONER 1196 17 $833 $49 0.6% (617) 421-1000
38 WELLESLEY PRIMARY CARE MEDICINE, PC WELLESLEY MA INTERNAL MEDICINE 6 15 $735 $49 0.2% (781) 431-2345
39 GASTROINTESTINAL ASSOCIATES PA FLOWOOD MS GASTROENTEROLOGY 46 15 $450 $30 55.6% 6013551234562
40 ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP GRAND RAPIDS MI PHYSICIAN ASSISTANT 495 15 $542 $36 1.4% (616) 685-5050
41 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 15 $630 $42 0.6% (405) 632-6688
42 ATRIUS HEALTH INC BOSTON NC NURSE PRACTITIONER 1196 14 $686 $49 0.1% (617) 421-1000
43 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 14 $686 $49 0.2% —
44 NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA INTERNAL MEDICINE 144 13 $533 $41 0.0% (415) 391-9686
45 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 13 $1,703 $131 6.2% (608) 831-1766
46 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 12 $396 $33 0.3% (360) 882-2778
47 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 12 $2,640 $220 0.3% (718) 875-4848
48 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 11 $473 $43 0.0% (241) 823-4800
49 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 11 $385 $35 0.2% (206) 309-1760
50 BAY PARKWAY PHYSICIANS, PC BROOKLYN NY FAMILY PRACTICE 3 11 $517 $47 0.3% (718) 234-6767

*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 →