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Market snapshot

87081 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87081 — Screening test for pathogenic organisms

Billing groups
31
Named-group FFS services
4,583
FFS of Medicare
49%
Services YoY
+1.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,435 services

4,583 observed fee-for-service (54%) · ~3,852 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 — 87081 (CY2024)

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

Named-group submitted charges
$98K
Named-group allowed amount
$30K
Named-group Medicare payments
$30K
Avg charge / svc
$21
Avg allowed / svc
$6
Avg payment / svc
$6
Average charge per group
$8 31 groups · avg submitted charge / service $106
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87081 services, CY2024
#Physician group City St Specialty Providers 87081 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 1,021 $9,288 $9 premium 11.8% (631) 751-3000
2 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 734 $12,478 $17 premium 31.4% (410) 825-5454
3 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 428 $9,844 $23 premium 5.0% (315) 478-4185
4 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 417 $11,259 $27 premium 10.3% (617) 421-1000
5 ARIZONA DIGESTIVE HEALTH PC GLENDALE AZ GASTROENTEROLOGY 132 299 $5,681 $19 premium 13.8% (602) 843-1265
6 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 223 $6,682 $30 premium 2.6% (914) 682-0700
7 CORE PHYSICIANS LLC EXETER NH PHYSICIAN ASSISTANT 292 196 $4,116 $21 premium 100.0% (603) 929-1195
8 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 192 $2,880 $15 premium 44.1% (801) 475-3100
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 133 $5,719 $43 premium 0.8% (415) 600-1020
10 SOUTH SHORE MEDICAL CENTER, INC. NORWELL MA NURSE PRACTITIONER 176 122 $3,172 $26 premium 3.0% (781) 878-5200
11 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 103 $1,957 $19 premium 39.6% (225) 246-9790
12 HSHS MEDICAL GROUP INC DECATUR IL NURSE PRACTITIONER 202 92 $2,116 $23 premium 1.2% (217) 423-2889
13 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 64 $6,080 $95 premium 4.8% (608) 831-1766
14 KELLY S SEGARS MD PC IUKA MS FAMILY PRACTICE 5 57 $1,710 $30 premium 12.7% (662) 423-1000
15 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE MD RHEUMATOLOGY 56 47 $1,128 $24 premium 2.0% (301) 942-7600
16 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 35 $945 $27 premium 0.8% (903) 614-3200
17 HEALTHSTAR PHYSICIANS OF HOT SPRINGS PLLC HOT SPRINGS AR NURSE PRACTITIONER 57 34 $884 $26 premium 36.2% (501) 651-4500
18 VIDA Y SALUD - HEALTH SYSTEMS, INC. CRYSTAL CITY TX PHYSICIAN ASSISTANT 5 32 $256 $8 premium 0.7% (830) 374-2301
19 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 31 $620 $20 premium 0.4% (252) 634-3278
20 MAYER J SAAD MD PC WESTBURY NY PHYSICIAN ASSISTANT 42 29 $1,015 $35 premium 0.3% (516) 333-1444
21 J RICHARD LILLY MD ABFP CHTD HYATTSVILLE MD NURSE PRACTITIONER 9 27 $918 $34 premium 1.2% (301) 927-7800
22 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 26 $468 $18 premium 0.6% (360) 882-2778
23 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. TUCSON AZ FAMILY PRACTICE 270 19 $570 $30 premium 0.9% (520) 670-3909
24 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE DC RHEUMATOLOGY 56 18 $432 $24 premium 100.0% (301) 942-7600
25 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 18 $1,912 $106 premium 0.8% (251) 665-8000
26 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 17 $459 $27 premium 0.4% (617) 523-7900
27 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO VA INTERNAL MEDICINE 1965 17 $459 $27 premium 0.3% (301) 618-5700
28 COLONIAL FAMILY PRACTICE LLC SUMTER SC DIAGNOSTIC RADIOLOGY 57 16 $318 $20 premium 21.1% (803) 773-5227
29 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 16 $318 $20 premium 21.1% (803) 395-3400
30 ARTHRITIS AND RHEUMATISM ASSOCIATES PC ROCKVILLE CA RHEUMATOLOGY 56 16 $384 $24 premium 0.1% (301) 942-7600
31 ATRIUS HEALTH INC BOSTON AZ NURSE PRACTITIONER 1196 15 $405 $27 premium 0.7% (617) 421-1000
32 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO MA INTERNAL MEDICINE 1965 15 $390 $26 premium 0.4% (301) 618-5700
33 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS CT INTERNAL MEDICINE 409 14 $420 $30 premium 35.9% (914) 682-0700
34 ATRIUS HEALTH INC BOSTON AR NURSE PRACTITIONER 1196 13 $351 $27 premium 13.8% (617) 421-1000
35 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES IA PHYSICIAN ASSISTANT 104 13 $325 $25 premium 2.3% (515) 343-1000
36 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON IL DIAGNOSTIC RADIOLOGY 229 12 $1,140 $95 premium 0.2% (608) 831-1766
37 SAGIS PLLC HOUSTON TN PATHOLOGY 28 11 $330 $30 premium 1.1% (877) 697-2447
38 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 11 $275 $25 premium 1.9% (515) 239-4400

*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 →