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Market snapshot

86787 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86787 — Analysis for antibody to varicella-zoster virus (chicken pox)

Billing groups
5
Named-group FFS services
82
FFS of Medicare
49%
Services YoY
-2.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~159 services

82 observed fee-for-service (52%) · ~77 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 — 86787 (CY2024)

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

Named-group submitted charges
$3K
Named-group allowed amount
$1K
Named-group Medicare payments
$1K
Avg charge / svc
$38
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$13 5 groups · avg submitted charge / service $65
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 86787 services, CY2024
#Physician group City St Specialty Providers 86787 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 27 $1,404 $52 premium 3.4% (617) 421-1000
2 BORO PARK OBSTETRICS AND GYNECOLOGY P.C. BROOKLYN NY OBSTETRICS/GYNECOLOGY 17 16 $480 $30 premium 0.7% 71897227001121
3 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 15 $193 $13 premium 0.7% (914) 241-1050
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13 $848 $65 premium 1.7%
5 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 11 $220 $20 premium 3.3% (856) 424-3323

*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 →