NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87389 Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies 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 187,818 services ▲ 3.7% YoY · 177,323 beneficiaries (CY2024, Medicare FFS)
Medicare paid $4.4M · $23.57 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
30
Named-group FFS services
1,690
FFS of Medicare
49%
Services YoY
+3.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,438 services

1,690 observed fee-for-service (49%) · ~1,748 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 — 87389 (CY2024)

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

Named-group submitted charges
$157K
Named-group allowed amount
$40K
Named-group Medicare payments
$40K
Avg charge / svc
$93
Avg allowed / svc
$23
Avg payment / svc
$23
Average charge per group
$26 30 groups · avg submitted charge / service $333
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87389 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 87389 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 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 449 $43,104 $96 premium 11.2% (631) 751-3000
2 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 149 $8,065 $54 premium 0.4% (619) 515-2454
3 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 122 $6,416 $53 premium 3.0% (914) 241-1050
4 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 120 $11,880 $99 premium 1.8% (617) 421-1000
5 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 85 $28,310 $333 premium 1.3% 21722384006209
6 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 76 $1,952 $26 premium 1.9% (845) 342-4774
7 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 69 $4,071 $59 premium 3.0% (856) 424-3323
8 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 61 $2,989 $49 premium 34.7% (574) 647-7275
9 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 53 $3,021 $57 premium 1.2% (865) 938-3627
10 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 49 $2,989 $61 premium 17.7% (203) 730-8789
11 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 43 $1,695 $39 premium 0.1% (908) 273-4300
12 UNIVERSITY OF SOUTH ALABAMA MOBILE AL GYNECOLOGICAL ONCOLOGY 4 41 $5,374 $131 premium 0.9% (251) 665-8000
13 SIMEDHEALTH LLC GAINESVILLE FL NURSE PRACTITIONER 91 36 $1,440 $40 premium 0.3% (352) 416-1082
14 PROHEALTH PHYSICIANS PC WALLINGFORD CT PHYSICIAN ASSISTANT 215 32 $3,456 $108 premium 11.6% (203) 265-9600
15 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 31 $1,736 $56 premium 0.5%
16 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON NY PHYSICIAN ASSISTANT 1692 29 $2,784 $96 premium 0.7% (843) 792-1414
17 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 28 $7,840 $280 premium 0.4% (630) 469-9200
18 BORO PARK OBSTETRICS AND GYNECOLOGY P.C. BROOKLYN NY OBSTETRICS/GYNECOLOGY 17 28 $2,240 $80 premium 0.7% 71897227001121
19 ATRIUS HEALTH INC BOSTON NY NURSE PRACTITIONER 1196 20 $1,980 $99 premium 0.5% (617) 421-1000
20 COMMUNITY HEALTH CENTERS OF BURLINGTON INC BURLINGTON VT NURSE PRACTITIONER 89 20 $1,080 $54 premium 54.1% (802) 864-6309
21 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 18 $1,818 $101 premium 0.1% (910) 662-6000
22 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 15 $615 $41 premium 13.9% (801) 475-3800
23 NORTHWEST MEDICAL SPECIALTIES PLLC TACOMA NV HEMATOLOGY/ONCOLOGY 39 14 $650 $46 premium 0.6% (253) 428-8700
24 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 14 $2,310 $165 premium 0.1% (903) 614-3200
25 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 5 14 $3,500 $250 premium 0.3% (718) 875-4848
26 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 13 $806 $62 premium 0.7% (313) 861-4400
27 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 13 $1,243 $96 premium 3.1% (612) 863-4000
28 NEWSOUTH NEUROSPINE, LLC FLOWOOD MS NEUROSURGERY 22 13 $780 $60 premium 1.5% (601) 983-2859
29 SOUTH TEXAS ONCOLOGY AND HEMATOLOGY, PLLC SAN ANTONIO TX HEMATOLOGY/ONCOLOGY 39 12 $867 $72 premium 0.1% (210) 593-5700
30 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 12 $1,164 $97 premium 0.3% (423) 643-2500
31 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 11 $918 $83 premium 0.3% (914) 682-0700

*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 →