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Market snapshot

86705 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86705 — Hepatitis b core antibody (igm) measurement

Billing groups
19
Named-group FFS services
4,753
FFS of Medicare
49%
Services YoY
+11.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,893 services

4,753 observed fee-for-service (48%) · ~5,140 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 — 86705 (CY2024)

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

Named-group submitted charges
$183K
Named-group allowed amount
$55K
Named-group Medicare payments
$55K
Avg charge / svc
$39
Avg allowed / svc
$11
Avg payment / svc
$11
Average charge per group
$30 19 groups · avg submitted charge / service $220
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 86705 services, CY2024
#Physician group City St Specialty Providers 86705 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 2,429 $85,015 $35 premium 61.9% (480) 443-8400
2 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 608 $24,320 $40 premium 16.9% (239) 561-9622
3 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 571 $23,411 $41 premium 14.6% (241) 823-4800
4 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 432 $15,552 $36 premium 12.0% (260) 484-8830
5 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 149 $7,003 $47 premium 3.7% (910) 341-1540
6 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 133 $4,389 $33 premium 2.0% (201) 837-7788
7 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 80 $2,400 $30 premium 2.9% (315) 475-7669
8 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 60 $4,353 $73 premium 8.7% (202) 296-3449
9 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 42 $2,058 $49 premium 2.6%
10 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 41 $1,353 $33 premium 1.5% (201) 837-7788
11 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 32 $1,024 $32 premium 5.1% (360) 882-2778
12 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 28 $980 $35 premium 0.7% (602) 445-0751
13 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 27 $1,836 $68 premium 0.7%
14 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 24 $864 $36 premium 0.2% (818) 842-7145
15 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 23 $1,104 $48 premium 4.2% (617) 421-1000
16 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 17 $1,105 $65 premium 0.2% (213) 699-7013
17 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 15 $480 $32 premium 0.4% (850) 863-8150
18 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 15 $2,200 $147 premium 1.6% (251) 665-8000
19 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 15 $3,300 $220 premium 0.6% (718) 875-4848
20 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 12 $516 $43 premium 0.3% (903) 614-3200

*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 →