NEVVI Medicare utilization intelligence
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Market snapshot

87101 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87101 — Fungal culture (mold or yeast) of skin, hair, or nail

Billing groups
29
Named-group FFS services
1,159
FFS of Medicare
49%
Services YoY
+18.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,199 services

1,159 observed fee-for-service (53%) · ~1,040 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 — 87101 (CY2024)

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

Named-group submitted charges
$40K
Named-group allowed amount
$9K
Named-group Medicare payments
$9K
Avg charge / svc
$34
Avg allowed / svc
$7
Avg payment / svc
$7
Average charge per group
$8 29 groups · avg submitted charge / service $129
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87101 services, CY2024
#Physician group City St Specialty Providers 87101 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CHEYENNE SKIN CLINIC LLP CHEYENNE WY DERMATOLOGY 11 165 $11,385 $69 premium 100.0% (307) 635-0226
2 HOSPITAL PLAZA FOOT AND ANKLE SC DOWNERS GROVE IL PODIATRY 2 127 $3,175 $25 premium 14.0% (630) 810-9966
3 THE DERMATOLOGY CLINIC PA WICHITA KS DERMATOLOGY 6 93 $2,790 $30 premium 58.9%
4 UNIVERSITY PHYSICIAN GROUP DETROIT MI NURSE PRACTITIONER 405 87 $1,108 $13 premium 77.0% (800) 527-6266
5 DIGNITY HEALTH REDDING CA FAMILY PRACTICE 87 67 $1,675 $25 premium 1.1% (530) 245-2900
6 RHEUMATOLOGY AND DERMATOLOGY ASSOCIATES, P.C. CORDOVA TN DERMATOLOGY 2 58 $885 $15 premium 18.8% (901) 753-0168
7 PAUL D. REICHERTER, MD, PC REEDSPORT OR PHYSICIAN ASSISTANT 15 44 $1,320 $30 premium 17.0% (844) 209-4499
8 SKIN SPECIALISTS P C OMAHA NE PHYSICIAN ASSISTANT 5 43 $2,838 $66 premium 44.3% (402) 334-7546
9 GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC MACON GA PHYSICIAN ASSISTANT 52 43 $355 $8 premium 1.3% (478) 745-8581
10 ADVANCED DERMATOLOGY SKIN CANCER AND LASER SURGERY CENTER P.C. AURORA CO DERMATOLOGY 16 43 $516 $12 premium 13.7% (303) 368-8611
11 CHRISTOPHER G NELSON MD PA ST PETERSBURG FL DERMATOLOGY 4 40 $526 $13 premium 0.2% 72789581311
12 CENTER FOR EXCELLENCE IN DERMATOLOGY PLLC KENNEWICK WA NURSE PRACTITIONER 8 33 $758 $23 premium 4.4% (509) 735-1100
13 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 30 $900 $30 premium 46.9% (225) 246-9790
14 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 29 $1,479 $51 premium 0.5% (415) 600-1020
15 DERMATOLOGY AND LASER ASSOC. OF MEDFORD MEDFORD OR DERMATOLOGY 10 24 $480 $20 premium 9.3% (541) 773-3636
16 WILLIAM E. FREEMAN, MD WARNER ROBINS GA NURSE PRACTITIONER 5 24 $840 $35 premium 0.7% (478) 953-1020
17 CENTER FOR FOOT AND ANKLE SURGERY LTD YORKVILLE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 24 $600 $25 premium 2.7% (630) 553-9300
18 ADULT AND PEDIATRIC DERMATOLOGY SPECIALISTS, P.C. TRUMBULL CT PHYSICIAN ASSISTANT 11 23 $690 $30 premium 100.0% (203) 377-0639
19 GLENDALE FOOT AND ANKLE PODIATRY CENTER, INC. GLENDALE CA PODIATRY 2 21 $1,365 $65 premium 0.3% (818) 242-4426
20 TRIDENT DERMATOLOGY PA CHARLESTON SC DERMATOLOGY 8 19 $437 $23 premium 100.0% (843) 797-3960
21 SODERSTROM DERMATOLOGY CENTER S C PEORIA IL PHYSICIAN ASSISTANT 34 18 $1,170 $65 premium 2.0%
22 KENTUCKY SKIN CANCER CENTER PLLC BOWLING GREEN IL DERMATOLOGY 12 17 $255 $15 premium 1.9% (270) 842-1999
23 GARDEN CITY DERMATOLOGY, P.C. GARDEN CITY NY DERMATOLOGY 4 14 $902 $64 premium 3.8% (516) 227-3377
24 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 13 $195 $15 premium 100.0% (801) 475-3100
25 SCOTT SANDERS MD PLLC NEW CITY NY PHYSICIAN ASSISTANT 6 13 $650 $50 premium 3.5% (845) 499-2017
26 DERMATOLOGY CONSULTANTS PC ATLANTA GA DERMATOLOGY 6 13 $494 $38 premium 0.4% (404) 351-7546
27 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 12 $428 $36 premium 12.5% (612) 863-4000
28 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 11 $1,419 $129 premium 100.0% (319) 678-8201
29 EDWARD H. SCHLAM M.D., P.A. PLANTATION FL DERMATOLOGY 4 11 $275 $25 premium 0.0% (954) 741-5600

*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 →