NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87276 Detection test by immunofluorescent technique for influenza a virus CPT · General Laboratory test
Classification Test General Laboratory Immunoassay (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 3,423 services ▼ 2.1% YoY · 2,979 beneficiaries (CY2024, Medicare FFS)
Medicare paid $53K · $15.50 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
8
Named-group FFS services
534
FFS of Medicare
49%
Services YoY
-2.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~936 services

534 observed fee-for-service (57%) · ~402 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 — 87276 (CY2024)

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

Named-group submitted charges
$23K
Named-group allowed amount
$8K
Named-group Medicare payments
$8K
Avg charge / svc
$42
Avg allowed / svc
$16
Avg payment / svc
$16
Average charge per group
$20 8 groups · avg submitted charge / service $129
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87276 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 87276 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 AMC URGENT CARE PLUS LLC PONCA CITY OK PHYSICIAN ASSISTANT 13 233 $6,990 $30 premium 45.5% (580) 762-2366
2 DAVID P ELLENT PLLC KINGWOOD TX FAMILY PRACTICE 53 58 $7,456 $129 premium 28.3% (281) 440-5300
3 WILLIAMS MEDICAL GROUP PRACTICE, LLC ENID OK NURSE PRACTITIONER 200 54 $1,620 $30 premium 10.5% (580) 234-9355
4 ON DEMAND URGENT CARE, LLC OWASSO OK NURSE PRACTITIONER 4 48 $1,655 $34 premium 9.4% (918) 727-2273
5 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 44 $1,320 $30 premium 8.6%
6 ALLIANCE HEALTHCARE SYSTEM, INC HOLLY SPRINGS MS EMERGENCY MEDICINE 5 42 $1,806 $43 premium 100.0% (662) 252-1212
7 AMC URGENT CARE PLUS LLC PONCA CITY KS PHYSICIAN ASSISTANT 13 28 $840 $30 premium 100.0% (580) 762-2366
8 THOMAS W. CONWAY NEWPORT TN FAMILY PRACTICE 3 15 $750 $50 premium 3.5% (423) 623-0640
9 COOPER GREEN MERCY HEALTH SERVICES AUTHORITY AN AFFILIATE OF UAB BIRMINGHAM AL DIAGNOSTIC RADIOLOGY 90 12 $240 $20 premium 100.0% (205) 930-3200

*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 →