NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87207 Special stain for inclusion bodies or parasites CPT · Test - Miscellaneous
Classification Test Test - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 6,496 services ▲ 0.4% YoY · 5,831 beneficiaries (CY2024, Medicare FFS)
Medicare paid $47K · $7.30 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
9
Named-group FFS services
1,592
FFS of Medicare
49%
Services YoY
+0.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,857 services

1,592 observed fee-for-service (56%) · ~1,265 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 — 87207 (CY2024)

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

Named-group submitted charges
$71K
Named-group allowed amount
$21K
Named-group Medicare payments
$17K
Avg charge / svc
$45
Avg allowed / svc
$13
Avg payment / svc
$11
Average charge per group
$15 9 groups · avg submitted charge / service $98
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87207 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 87207 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 EMES PROFESSIONAL ASSOCIATES INC EDISON NJ PATHOLOGY 4 612 $9,168 $15 premium 22.8%
2 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 320 $16,000 $50 premium 56.2% (214) 633-5555
3 METRO SOUTH PATHOLOGY, INC. SOUTH WEYMOUTH MA PATHOLOGY 5 267 $13,083 $49 premium 33.3% (781) 340-8397
4 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 165 $16,170 $98 premium 50.9% (484) 337-4570
5 MERIDIAN LABORATORY PHYSICIANS, PA RED BANK NJ PATHOLOGY 18 120 $7,800 $65 premium 4.5% (732) 741-2700
6 WESTERN MASSACHUSETTS PATHOLOGY SERVICES, PC PITTSFIELD MA PATHOLOGY 5 65 $5,395 $83 premium 8.1% (413) 447-2000
7 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 16 $1,024 $64 premium 33.3% (757) 668-3221
8 PATHWAYS PROFESSIONAL ASSOCIATION CONCORD CT PATHOLOGY 4 14 $1,050 $75 premium 100.0% (603) 225-2711
9 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 13 $1,196 $92 premium 27.1% (703) 396-5292

*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 →