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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
86706 Hepatitis b surface antibody measurement 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 179,628 services ▼ 7.1% YoY · 171,068 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.9M · $10.51 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
8,095
FFS of Medicare
49%
Services YoY
-7.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~14,293 services

8,095 observed fee-for-service (57%) · ~6,198 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 — 86706 (CY2024)
CA 34,716 NJ 28,136 TX 20,496 NC 17,677 FL 14,096

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

Named-group submitted charges
$335K
Named-group allowed amount
$85K
Named-group Medicare payments
$85K
Avg charge / svc
$41
Avg allowed / svc
$11
Avg payment / svc
$11
Average charge per group
$21 39 groups · avg submitted charge / service $220
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 86706 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 4,349 $187,007 $43 55.0% (617) 421-1000
2 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 673 $25,574 $38 26.4% —
3 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 613 $19,732 $32 3.0% (214) 540-0700
4 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 247 $9,139 $37 1.2% (241) 823-4800
5 CANCER AND HEMATOLOGY CENTERS OF WESTERN MI, P.C. GRAND RAPIDS MI HEMATOLOGY/ONCOLOGY 112 233 $7,434 $32 22.5% (616) 954-9800
6 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 231 $7,054 $31 5.0% (914) 241-1050
7 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 174 $4,723 $27 0.5% (619) 515-2454
8 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 149 $8,791 $59 3.2% (518) 262-6696
9 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 114 $2,398 $21 3.3% (253) 428-8700
10 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 87 $3,654 $42 1.9% —
11 ATRIUS HEALTH INC BOSTON NY NURSE PRACTITIONER 1196 86 $3,698 $43 1.9% (617) 421-1000
12 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 84 $2,940 $35 0.5% (910) 341-1540
13 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 68 $2,380 $35 1.5% (845) 703-6999
14 ATRIUS HEALTH INC BOSTON NJ NURSE PRACTITIONER 1196 57 $2,451 $43 0.2% (617) 421-1000
15 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 56 $3,976 $71 0.2% (415) 600-1020
16 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 55 $3,135 $57 5.1% (541) 683-5001
17 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 45 $4,006 $89 0.9% (251) 665-8000
18 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 44 $1,760 $40 39.6% (515) 239-4400
19 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 43 $1,376 $32 0.2% (210) 450-7044
20 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 41 $902 $22 2.1% (253) 428-8700
21 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 41 $1,353 $33 0.1% (201) 837-7788
22 PERMANENTE MEDICAL GROUP INC SANTA CLARA MA INTERNAL MEDICINE 10890 39 $1,677 $43 0.5% (408) 851-1000
23 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 37 $1,192 $32 0.2% (210) 593-5700
24 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 36 $1,656 $46 0.3% (850) 863-8150
25 OPTUM MEDICAL CARE PC MOUNT KISCO ME INTERNAL MEDICINE 1040 33 $703 $21 100.0% (914) 241-1050
26 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 33 $4,719 $143 0.1% (213) 699-7013
27 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 31 $1,085 $35 100.0% (603) 929-1195
28 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 31 $2,883 $93 8.3% (843) 497-5929
29 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 28 $672 $24 0.8% (425) 339-5442
30 ANTHONY MARTIN MILLS M D A MEDICAL CORPORATION WEST HOLLYWOOD CA PHYSICIAN ASSISTANT 12 27 $945 $35 0.1% (310) 550-1010
31 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 26 $1,118 $43 2.7% (804) 828-9000
32 PRESIDENT AND FELLOWS OF HARVARD COLLEGE CAMBRIDGE MA INTERNAL MEDICINE 98 26 $1,118 $43 0.3% (617) 495-4414
33 LOWN MEDICAL GROUP PLLC CHESTNUT HILL MA CARDIOVASCULAR DISEASE (CARDIOLOGY) 12 24 $1,032 $43 0.3% (617) 732-1318
34 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA IL HEMATOLOGY/ONCOLOGY 39 21 $462 $22 0.3% (253) 428-8700
35 NORTHWEST CANCER SPECIALISTS PC PORTLAND WA PHYSICIAN ASSISTANT 68 20 $1,140 $57 0.6% (503) 280-1223
36 ATRIUS HEALTH INC BOSTON DE NURSE PRACTITIONER 1196 20 $860 $43 34.5% (617) 421-1000
37 WELLESLEY PRIMARY CARE MEDICINE, PC WELLESLEY MA INTERNAL MEDICINE 6 18 $774 $43 0.2% (781) 431-2345
38 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT OK NURSE PRACTITIONER 10 18 $684 $38 0.7% (480) 494-2770
39 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 17 $646 $38 0.7% (405) 632-6688
40 ATRIUS HEALTH INC BOSTON PA NURSE PRACTITIONER 1196 16 $688 $43 0.5% (617) 421-1000
41 ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP GRAND RAPIDS MI PHYSICIAN ASSISTANT 495 14 $451 $32 1.4% (616) 685-5050
42 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 14 $462 $33 0.3% (201) 837-7788
43 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 14 $602 $43 0.2% —
44 ATRIUS HEALTH INC BOSTON NC NURSE PRACTITIONER 1196 13 $559 $43 0.1% (617) 421-1000
45 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 13 $1,417 $109 3.8% (608) 831-1766
46 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 13 $403 $31 0.4% (206) 309-1760
47 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 12 $2,640 $220 0.3% (718) 875-4848
48 BAY PARKWAY PHYSICIANS, PC BROOKLYN NY FAMILY PRACTICE 3 11 $528 $48 0.2% (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 →