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Market snapshot

86803 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

86803 — Hepatitis c antibody measurement

Billing groups
124
Named-group FFS services
18,056
FFS of Medicare
49%
Services YoY
-0.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~36,442 services

18,056 observed fee-for-service (50%) · ~18,386 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 — 86803 (CY2024)
CA 94,878 NJ 74,212 TX 48,612 NC 38,447 FL 31,165

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

Named-group submitted charges
$959K
Named-group allowed amount
$251K
Named-group Medicare payments
$251K
Avg charge / svc
$53
Avg allowed / svc
$14
Avg payment / svc
$14
Average charge per group
$14 124 groups · avg submitted charge / service $332
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 86803 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ARIZONA ARTHRITIS AND RHEUMATOLOGY ASSOCIATES P C PHOENIX AZ RHEUMATOLOGY 41 2,435 $133,925 $55 15.0% (480) 443-8400
2 VILLAGEMD OF SOUTHEAST TEXAS PA HOUSTON TX NURSE PRACTITIONER 227 1,135 $32,915 $29 2.3% (346) 646-4218
3 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,039 $51,950 $50 3.3% (239) 561-9622
4 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 968 $28,688 $30 67.6% (574) 647-7275
5 OKLAHOMA ARTHRITIS CENTER, P.C. EDMOND OK PHYSICIAN ASSISTANT 45 758 $39,364 $52 22.9% —
6 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 665 $26,600 $40 53.9% (225) 246-9790
7 RHEUMATOLOGY ASSOCIATES AND SUBSIDIARY DALLAS TX RHEUMATOLOGY 23 658 $28,144 $43 1.4% (214) 540-0700
8 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 640 $29,290 $46 2.7% (914) 241-1050
9 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 629 $25,160 $40 2.6% (845) 703-6999
10 MEDICAL CLINIC OF NORTH TEXAS, PLLC HURST TX FAMILY PRACTICE 218 515 $20,600 $40 1.1% (817) 514-4000
11 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 398 $35,880 $90 5.1% (202) 296-3449
12 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 392 $16,856 $43 0.8% (210) 450-7044
13 ALLIED MEDICAL ASSOCIATES PC BROOKLYN NY INTERNAL MEDICINE 3 332 $16,600 $50 1.4% (718) 251-7191
14 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 328 $16,400 $50 0.9% (910) 341-1540
15 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 295 $17,110 $58 2.7% (617) 421-1000
16 ARTHRITIS HEALTH ASSOCIATES PLLC SYRACUSE NY RHEUMATOLOGY 5 256 $8,960 $35 1.1% (315) 475-7669
17 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 250 $16,500 $66 1.4% (423) 643-2500
18 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 247 $12,103 $49 21.1% (515) 343-1000
19 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 238 $10,234 $43 84.4% (603) 929-1195
20 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 234 $11,466 $49 0.5% (241) 823-4800
21 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 223 $26,983 $121 15.6% (317) 338-2345
22 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 174 $7,482 $43 0.6% (260) 484-8830
23 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 166 $8,964 $54 14.2% (515) 239-4400
24 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 164 $24,108 $147 0.3% (254) 724-2663
25 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 145 $6,525 $45 1.9% (410) 757-7600
26 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NJ RHEUMATOLOGY 7 145 $6,525 $45 0.2% (201) 837-7788
27 INLAND RHEUMATOLOGY AND OSTEOPOROSIS MEDICAL GROUP INC UPLAND CA RHEUMATOLOGY 4 144 $3,600 $25 0.2% (909) 982-0099
28 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY MO RHEUMATOLOGY 16 144 $15,673 $109 45.4% (913) 258-2116
29 NEW YORK ONCOLOGY HEMATOLOGY PC ALBANY NY NURSE PRACTITIONER 83 142 $12,070 $85 0.6% (518) 262-6696
30 ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA ASHEVILLE NC RHEUMATOLOGY 11 142 $6,106 $43 0.4% (828) 258-9533
31 GWINNETT CLINIC, LTD LAWRENCEVILLE GA INTERNAL MEDICINE 40 138 $8,418 $61 1.1% (770) 972-9000
32 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 137 $6,576 $48 1.3% —
33 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 120 $6,240 $52 10.2% (319) 247-3010
34 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 114 $7,068 $62 1.0% —
35 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA WA HEMATOLOGY/ONCOLOGY 39 112 $3,103 $28 1.5% (253) 428-8700
36 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 108 $13,709 $127 1.1% (251) 665-8000
37 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 105 $11,550 $110 4.2% (843) 497-5929
38 KELSEY-SEYBOLD MEDICAL GROUP, PLLC HOUSTON TX FAMILY PRACTICE 923 101 $2,929 $29 0.2% (713) 442-0000
39 ANTHONY MARTIN MILLS M D A MEDICAL CORPORATION WEST HOLLYWOOD CA PHYSICIAN ASSISTANT 12 94 $3,760 $40 0.1% (310) 550-1010
40 BAY PARKWAY PHYSICIANS, PC BROOKLYN NY FAMILY PRACTICE 3 90 $4,500 $50 0.4% (718) 234-6767
41 NORTH EAST MEDICAL SERVICES SAN FRANCISCO CA INTERNAL MEDICINE 144 86 $3,784 $44 0.1% (415) 391-9686
42 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 86 $6,364 $74 0.2% (910) 662-6000
43 SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY IA FAMILY PRACTICE 10 85 $7,140 $84 7.3% (712) 252-2477
44 BATON ROUGE GENERAL PHYSICIANS INC BATON ROUGE LA INTERNAL MEDICINE 182 82 $6,880 $84 6.7% —
45 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 77 $3,157 $41 0.2% (512) 346-6611
46 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 75 $5,579 $74 4.4% (507) 389-8509
47 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 75 $2,850 $38 0.8% —
48 ORTHOALASKA LLC ANCHORAGE AK PHYSICIAN ASSISTANT 159 69 $8,349 $121 85.2% —
49 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 68 $4,079 $60 0.3% (914) 682-0700
50 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 63 $4,095 $65 0.9% (856) 424-3323
51 BETHANY MEDICAL CENTER HIGH POINT NC PHYSICIAN ASSISTANT 63 60 $3,300 $55 0.2% (336) 883-0029
52 DAVID P ELLENT PLLC KINGWOOD TX FAMILY PRACTICE 53 58 $7,354 $127 0.1% (281) 440-5300
53 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 58 $2,958 $51 4.0% (574) 234-8161
54 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 58 $1,972 $34 0.3% (865) 938-3627
55 ONCOLOGY ASSOCIATES OF OREGON P C EUGENE OR PHYSICIAN ASSISTANT 47 54 $4,482 $83 2.2% (541) 683-5001
56 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 54 $4,032 $75 0.2% (850) 863-8150
57 RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY TEANECK NY RHEUMATOLOGY 7 52 $2,340 $45 0.2% (201) 837-7788
58 CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC. OKLAHOMA CITY OK MENTAL HEALTH COUNSELOR 58 51 $7,080 $139 1.5% (405) 948-4900
59 INTERMED PA SOUTH PORTLAND ME NURSE PRACTITIONER 181 50 $2,010 $40 8.0% (207) 874-1489
60 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 47 $2,726 $58 0.1% (903) 614-3200
61 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 44 $1,232 $28 15.1% —
62 INFINITE HEALTH COLLABORATIVE, PA MINNEAPOLIS MN PHYSICIAN ASSISTANT 813 44 $1,100 $25 2.6% (612) 863-6960
63 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 43 $1,677 $39 0.6% (360) 882-2778
64 IMPERIAL HEALTH LLP LAKE CHARLES LA NURSE PRACTITIONER 75 42 $4,095 $98 3.4% (337) 436-1370
65 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 41 $1,189 $29 1.2% (253) 428-8700
66 SOUTH ROUTT MEDICAL CENTER HEALTH SERVICE DISTRICT OAK CREEK CO FAMILY PRACTICE 4 41 $1,025 $25 1.4% —
67 CRYSTAL ARTHRITIS CENTER, INC. AKRON OH RHEUMATOLOGY 5 41 $4,346 $106 0.4% (330) 670-4026
68 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 40 $1,440 $36 11.7% (203) 730-8789
69 AMERICAN MULTISPECIALTY GROUP INC SAINT LOUIS MO FAMILY PRACTICE 119 39 $1,716 $44 12.3% (314) 645-3743
70 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 38 $3,610 $95 0.0% (415) 600-1020
71 AULT MCINNIS PLLC JACKSONVILLE TX FAMILY PRACTICE 5 36 $1,548 $43 0.1% (903) 284-6105
72 ACTON MEDICAL ASSOCIATES PC ACTON MA INTERNAL MEDICINE 35 36 $1,188 $33 0.3% (978) 635-8700
73 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 36 $1,580 $44 0.0% (619) 515-2454
74 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 35 $1,365 $39 0.2% (731) 422-0213
75 WELLSPAN MEDICAL GROUP YORK MD PHYSICIAN ASSISTANT 2312 35 $1,575 $45 0.4% —
76 HILLCREST FAMILY HEALTH CENTER WACO TX FAMILY PRACTICE 62 34 $2,071 $61 0.1% (254) 202-7800
77 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 33 $2,805 $85 0.1% —
78 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 31 $2,914 $94 0.1% (910) 295-5511
79 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 31 $1,705 $55 0.1% (252) 355-4357
80 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 28 $810 $29 28.3% (302) 645-3525
81 OPTUM MEDICAL CARE PC MOUNT KISCO ME INTERNAL MEDICINE 1040 27 $879 $33 4.3% (914) 241-1050
82 SU CLINICA FAMILIAR HARLINGEN TX FAMILY PRACTICE 24 27 $2,187 $81 0.1% (956) 365-6000
83 KANSAS CITY PHYSICIAN PARTNERS INC KANSAS CITY KS RHEUMATOLOGY 16 26 $3,043 $117 0.3% (913) 258-2116
84 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 26 $1,430 $55 0.2% (602) 445-0751
85 POCAHONTAS MEDICAL CLINIC PA POCAHONTAS AR FAMILY PRACTICE 8 26 $1,352 $52 22.0% (870) 892-4467
86 PREMIERE MEDICAL CENTER OF BURBANK, INC TOLUCA LAKE CA INTERNAL MEDICINE 5 24 $1,008 $42 0.0% (818) 842-7145
87 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 24 $1,392 $58 0.0% (903) 606-5560
88 CUYUNA REGIONAL MEDICAL CENTER CROSBY MN PHYSICIAN ASSISTANT 129 23 $6,522 $284 1.4% (218) 546-7000
89 NORTHEAST KNEE AND JOINT INSTITUTE, LLC WILLIAMSPORT PA INTERNAL MEDICINE 2 22 $1,980 $90 0.3% (570) 213-5221
90 THE PRACTICE COLUMBIA SC FAMILY PRACTICE 4 22 $1,323 $60 0.9% (803) 779-5959
91 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA IL HEMATOLOGY/ONCOLOGY 39 21 $609 $29 0.1% (253) 428-8700
92 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO TX NURSE PRACTITIONER 37 21 $1,260 $60 0.0% (806) 358-8331
93 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 20 $856 $43 0.0% (210) 593-5700
94 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 19 $551 $29 0.0% (713) 266-9955
95 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE FL INTERNAL MEDICINE 289 19 $760 $40 0.1% (225) 246-9790
96 BONHOEFFER RHEUMATOLOGY INSTITUTE LLC GILBERT OK NURSE PRACTITIONER 10 18 $936 $52 0.5% (480) 494-2770
97 SIOUXLAND COMMUNITY HEALTH CENTER SIOUX CITY NE FAMILY PRACTICE 10 17 $1,428 $84 3.8% (712) 252-2477
98 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 17 $731 $43 0.0% (252) 634-3278
99 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 16 $3,232 $202 0.1% (740) 446-5050
100 BORO PARK OBSTETRICS AND GYNECOLOGY P.C. BROOKLYN NY OBSTETRICS/GYNECOLOGY 17 16 $960 $60 0.1% 71897227001121

Showing the top 100 of 124 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →