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Market snapshot

87070 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87070 — Bacterial culture, any other source except urine, blood or stool, aerobic

Billing groups
46
Named-group FFS services
4,416
FFS of Medicare
49%
Services YoY
-2.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,850 services

4,416 observed fee-for-service (50%) · ~4,434 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 — 87070 (CY2024)
NJ 80,775 CA 67,073 FL 61,723 NC 42,757 TX 40,536

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

Named-group submitted charges
$170K
Named-group allowed amount
$37K
Named-group Medicare payments
$37K
Avg charge / svc
$39
Avg allowed / svc
$8
Avg payment / svc
$8
Average charge per group
$9 46 groups · avg submitted charge / service $118
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 87070 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 923 $33,228 $36 1.1% (908) 273-4300
2 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 535 $24,610 $46 3.5% —
3 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 280 $15,960 $57 0.4% (415) 600-1020
4 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 250 $11,000 $44 9.3% (225) 246-9790
5 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 163 $5,705 $35 11.4% (270) 781-4043
6 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 155 $3,458 $22 0.2% (619) 515-2454
7 SHAPIRO AND BORENSTEIN DERMATOLOGY LLP PALM BEACH GARDENS FL DERMATOLOGY 9 152 $3,040 $20 0.2% (561) 776-7041
8 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 145 $4,640 $32 8.5% (515) 239-4400
9 THE SOUTH BEND CLINIC LLC SOUTH BEND IN NURSE PRACTITIONER 166 135 $4,725 $35 8.6% (574) 234-8161
10 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 126 $2,426 $19 1.1% (425) 339-5442
11 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 100 $3,950 $40 0.2% (903) 614-3200
12 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 94 $3,290 $35 0.6% (617) 421-1000
13 SOUTHVIEW MEDICAL GROUP, PC BIRMINGHAM AL INTERNAL MEDICINE 39 89 $2,047 $23 0.6% (205) 933-4640
14 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 85 $2,040 $24 0.8% (731) 422-0213
15 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 81 $2,268 $28 0.4% (518) 782-3700
16 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 79 $3,160 $40 0.4% (762) 235-3340
17 ST MARYS PHYSICIAN SERVICES LLC RUSSELLVILLE AR NURSE PRACTITIONER 48 72 $2,160 $30 6.9% (479) 968-2345
18 PRIVIA MEDICAL GROUP WEST TEXAS, PLLC ABILENE TX NURSE PRACTITIONER 55 70 $2,660 $38 0.2% (325) 793-5100
19 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 66 $5,280 $80 0.2% (252) 355-4357
20 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 63 $2,457 $39 0.2% (512) 346-6611
21 GOSHEN HEALTH SYSTEM INC GOSHEN IN NURSE PRACTITIONER 146 49 $1,715 $35 3.1% (574) 537-0219
22 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 48 $1,488 $31 0.6% —
23 OTTAWA FAMILY PHYSICIANS, CHARTERED OTTAWA KS FAMILY PRACTICE 11 45 $1,800 $40 0.4% (785) 242-1620
24 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 43 $1,716 $40 1.9% (612) 863-4000
25 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 40 $840 $21 0.7% —
26 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 34 $952 $28 2.2% (801) 475-3800
27 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 33 $1,221 $37 0.1% —
28 HOLZER CLINIC LLC GALLIPOLIS OH NURSE PRACTITIONER 267 31 $3,565 $115 0.2% (740) 446-5050
29 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 30 $3,015 $100 0.2% (251) 665-8000
30 FAMILY CARE NETWORK, PLLC BELLINGHAM WA FAMILY PRACTICE 125 30 $780 $26 0.3% (360) 671-3900
31 LSUHN BILLING LLC LAFAYETTE LA GASTROENTEROLOGY 205 29 $1,276 $44 1.1% (337) 261-6000
32 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NY PHYSICIAN ASSISTANT 1183 28 $1,008 $36 0.2% (908) 273-4300
33 OPTUM MEDICAL CARE PC MOUNT KISCO CT INTERNAL MEDICINE 1040 25 $216 $9 9.8% (914) 241-1050
34 SANTA BARBARA DOCTORS PC SANTA BARBARA CA INTERNAL MEDICINE 3 23 $1,840 $80 0.0% (805) 898-0500
35 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 22 $616 $28 1.4% (801) 475-3100
36 ST. LUKE'S HOSPITAL -MONROE CAMPUS BRODHEADSVILLE NJ PHYSICIAN ASSISTANT 58 22 $792 $36 0.0% (272) 212-0420
37 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 20 $600 $30 0.0% 3108549898159
38 ATRIUS HEALTH INC BOSTON UT NURSE PRACTITIONER 1196 20 $700 $35 1.3% (617) 421-1000
39 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 19 $665 $35 0.0% (713) 512-7500
40 THE MEDICAL GROUP OF NEW JERSEY HACKETTSTOWN NJ PHYSICIAN ASSISTANT 274 18 $648 $36 0.0% (908) 979-1621
41 PROFESSIONAL RESOURCE MANAGMENT OF WIREGRASS, LLC DOTHAN AL FAMILY PRACTICE 10 17 $850 $50 0.1% (334) 712-1170
42 SOUTHWESTERN VERMONT MEDICAL CENTER, INC BENNINGTON VT NURSE PRACTITIONER 178 17 $612 $36 100.0% (802) 440-4077
43 THE SOUTH BEND CLINIC LLC SOUTH BEND MI NURSE PRACTITIONER 166 16 $560 $35 0.9% (574) 234-8161
44 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 15 $1,770 $118 0.3% (608) 831-1766
45 AMERIWOUND PHYSICIANS NJ LLC BRIDGETON NJ GENERAL SURGERY 3 15 $540 $36 0.0% (856) 455-2100
46 DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER SALT LAKE CITY UT DERMATOLOGY 73 14 $494 $35 0.9% (801) 587-6340
47 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 14 $350 $25 0.1% (845) 703-6999
48 ATRIUS HEALTH INC BOSTON NC NURSE PRACTITIONER 1196 13 $455 $35 0.0% (617) 421-1000
49 BLACK HILLS SURGICAL HOSPITAL LLC RAPID CITY SD CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 75 12 $960 $80 0.9% (605) 721-4700
50 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 11 $275 $25 0.1% (520) 547-5725

*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 →