NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87084 Screening test for pathogenic organisms with colony count CPT · General Laboratory test
Classification Test General Laboratory Bacterial Culture (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 8,926 services ▲ 6.7% YoY · 4,466 beneficiaries (CY2024, Medicare FFS)
Medicare paid $236K · $26.42 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
4,893
FFS of Medicare
49%
Services YoY
+6.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,658 services

4,893 observed fee-for-service (46%) · ~5,765 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 — 87084 (CY2024)

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

Named-group submitted charges
$214K
Named-group allowed amount
$129K
Named-group Medicare payments
$129K
Avg charge / svc
$44
Avg allowed / svc
$26
Avg payment / svc
$26
Average charge per group
$33 8 groups · avg submitted charge / service $45
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87084 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 87084 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 SOUTHERN UROLOGY LLC OPELOUSAS LA UROLOGY 28 3,725 $167,625 $45 premium 95.5% (337) 594-4025
2 MAIMONIDES UROLOGY FPP BROOKLYN NY UROLOGY 17 447 $17,880 $40 premium 41.2% (718) 765-2560
3 BELOIT MEDICAL CENTER, P.A. BELOIT KS FAMILY PRACTICE 9 227 $7,491 $33 premium 34.4% (785) 738-2246
4 ENDWELL FAMILY PHYSICIANS LLP ENDWELL NY FAMILY PRACTICE 26 209 $9,405 $45 premium 19.3% (607) 754-3863
5 OTTAWA FAMILY PHYSICIANS, CHARTERED OTTAWA KS FAMILY PRACTICE 11 132 $5,280 $40 premium 20.0% (785) 242-1620
6 FAMILY MEDICAL CENTER OF HART CO MUNFORDVILLE KY NURSE PRACTITIONER 7 69 $2,901 $42 premium 100.0% (270) 524-7231
7 PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC ZANESVILLE OH FAMILY PRACTICE 61 54 $2,430 $45 premium 25.8% (740) 455-3304
8 OTTAWA FAMILY PHYSICIANS, CHARTERED OTTAWA MO FAMILY PRACTICE 11 15 $600 $40 premium 100.0% (785) 242-1620
9 J RICHARD LILLY MD ABFP CHTD HYATTSVILLE MD NURSE PRACTITIONER 9 15 $555 $37 premium 100.0% (301) 927-7800

*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 →