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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87102 Fungal culture (mold or yeast) CPT · General Laboratory test
Classification Test General Laboratory (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 33,762 services ▼ 3.4% YoY · 28,309 beneficiaries (CY2024, Medicare FFS)
Medicare paid $278K · $8.23 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
423
FFS of Medicare
49%
Services YoY
-3.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~854 services

423 observed fee-for-service (50%) · ~431 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 — 87102 (CY2024)

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

Named-group submitted charges
$19K
Named-group allowed amount
$3K
Named-group Medicare payments
$3K
Avg charge / svc
$45
Avg allowed / svc
$8
Avg payment / svc
$8
Average charge per group
$30 7 groups · avg submitted charge / service $179
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87102 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 87102 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 INTEGRATED PATHOLOGY SERVICES, PLLC PHOENIX AZ PATHOLOGY 2 267 $9,812 $37 premium 16.7% (623) 889-0100
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 41 $2,624 $64 premium 0.6% (415) 600-1020
3 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 31 $1,054 $34 premium 3.5% (617) 421-1000
4 ADVANCED OB GYN PLLC SYRACUSE NY OBSTETRICS/GYNECOLOGY 4 30 $900 $30 premium 2.4% (315) 492-5915
5 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 24 $744 $31 premium 3.9%
6 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 18 $3,222 $179 premium 12.9% (251) 665-8000
7 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 12 $519 $43 premium 3.2%

*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 →