NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87150 Identification of organisms by genetic analysis, amplified probe technique CPT · Molecular Testing
Classification Test Molecular Testing Infectious Agent Detection by DNA/RNA (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 1.46M services ▼ 5.3% YoY · 120,137 beneficiaries (CY2024, Medicare FFS)
Medicare paid $49.9M · $34.30 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
154,172
FFS of Medicare
49%
Services YoY
-5.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~332,479 services

154,172 observed fee-for-service (46%) · ~178,307 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 — 87150 (CY2024)

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

Named-group submitted charges
$14.1M
Named-group allowed amount
$5.3M
Named-group Medicare payments
$5.3M
Avg charge / svc
$91
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$50 19 groups · avg submitted charge / service $176
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87150 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 87150 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 SPRING CREEK UROLOGY SPECIALISTS LLC CONROE TX UROLOGY 4 76,393 $6,721,616 $88 premium 21.9%
2 WOODLANDS MEDICAL SPECIALISTS P A PENSACOLA FL PHYSICIAN ASSISTANT 51 17,928 $2,796,768 $156 premium 8.2% (850) 696-4000
3 AGAPE FOOT CARE PA GARLAND TX PODIATRY 7 13,932 $724,680 $52 premium 4.0% (214) 210-2911
4 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 13,105 $917,350 $70 premium 6.0% (850) 474-8000
5 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 10,656 $937,728 $88 premium 55.1% (315) 478-4185
6 ATLANTIC COAST UROLOGY,PA NEPTUNE NJ NURSE PRACTITIONER 3 5,988 $598,800 $100 premium 9.4% (732) 775-8444
7 TOTAL FOOT CARE AND WELLNESS CLINIC, LLC JACKSONVILLE FL PODIATRY 13 3,360 $352,800 $105 premium 1.5% (904) 323-0954
8 FLORIDA PHYSICIAN SPECIALISTS LLC JACKSONVILLE FL UROLOGY 36 2,904 $203,440 $70 premium 1.3% (904) 483-2310
9 D.H. MEDICAL, LLC ORMOND BEACH FL NURSE PRACTITIONER 21 2,883 $201,810 $70 premium 1.3% (888) 808-0488
10 NORTH IDAHO UROLOGY PLLC COEUR D ALENE ID UROLOGY 9 1,937 $106,535 $55 premium 89.3% (208) 667-0621
11 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 1,500 $101,040 $67 premium 1.1% (610) 579-3577
12 ABSOLUTE OBGYN LLC GULF BREEZE FL NURSE PRACTITIONER 5 1,356 $211,536 $156 premium 0.6% (850) 916-7766
13 TOTAL FOOT CARE AND WELLNESS CLINIC, LLC JACKSONVILLE NY PODIATRY 13 648 $68,040 $105 premium 3.3% (904) 323-0954
14 PHYSICIANS FOOTCARE, LLC SUMTER NC PODIATRY 31 604 $30,200 $50 premium 37.5% (803) 773-7000
15 SOUTHERN ILLINOIS MEDICAL SERVICES NFP CARBONDALE IL NURSE PRACTITIONER 347 288 $30,240 $105 premium 1.5% (618) 457-3006
16 SOUTHWEST UROLOGY, LLC MIDDLEBURG HEIGHTS OH UROLOGY 14 217 $38,192 $176 premium 28.4% (440) 845-0900
17 TOTAL FOOT CARE AND WELLNESS CLINIC, LLC JACKSONVILLE NJ PODIATRY 13 180 $18,900 $105 premium 0.3% (904) 323-0954
18 PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP PLLC DALLAS TX NURSE PRACTITIONER 33 139 $14,675 $106 premium 0.0% (214) 238-3074
19 NICHOLAS R HALPER MD PC ROCKVILLE CENTRE NY FAMILY PRACTICE 7 56 $5,600 $100 premium 0.3% (516) 536-2221
20 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 52 $7,436 $143 premium 0.0% (713) 512-7500
21 JACKSON UROLOGICAL ASSOCIATES, P.C. JACKSON TN UROLOGY 5 46 $2,300 $50 premium 100.0% (731) 427-9971

*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 →