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Market snapshot

87428 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87428 — Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza

Billing groups
1,626
Named-group FFS services
313,318
FFS of Medicare
49%
Services YoY
+22.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~625,080 services

313,318 observed fee-for-service (50%) · ~311,762 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; 2 states without payer-mix data excluded. How we scale

Top states — 87428 (CY2024)
NY 53,625 TX 48,030 FL 30,225 VA 27,159 NJ 25,947

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

Named-group submitted charges
$43.6M
Named-group allowed amount
$21.0M
Named-group Medicare payments
$21.0M
Avg charge / svc
$139
Avg allowed / svc
$67
Avg payment / svc
$67
Average charge per group
$0 1,626 groups · avg submitted charge / service $555
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 87428 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 34,460 $5,175,380 $150 64.3% (212) 271-4364
2 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 9,858 $1,473,170 $149 38.0% (908) 273-4300
3 PATIENT FIRST RICHMOND MEDICAL GROUP PLLC LEESBURG VA PHYSICIAN ASSISTANT 330 7,571 $782,136 $103 27.9% (703) 840-1396
4 PATIENT FIRST MARYLAND MEDICAL GROUP PLLC BALTIMORE MD PHYSICIAN ASSISTANT 262 6,752 $695,456 $103 43.6% (443) 461-1997
5 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 5,755 $561,215 $98 29.1% (502) 928-1050
6 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 5,106 $682,966 $134 24.8% (770) 422-2004
7 MD NOW MEDICAL CENTERS INC LAKE WORTH FL PHYSICIAN ASSISTANT 324 4,930 $1,005,720 $204 16.3% (561) 963-9881
8 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 4,488 $614,112 $137 42.3% (662) 377-5300
9 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 3,718 $554,216 $149 12.3% (239) 343-9888
10 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 3,274 $390,316 $119 10.8% (941) 255-3535
11 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 2,706 $405,900 $150 10.0% (757) 410-4488
12 PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC HARRISBURG PA PHYSICIAN ASSISTANT 146 2,570 $269,566 $105 28.8% (717) 943-1566
13 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 2,202 $154,700 $70 14.3% (219) 836-4563
14 SHANNON CLINIC SAN ANGELO TX NURSE PRACTITIONER 515 2,114 $317,100 $150 4.4% (325) 747-1511
15 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 1,952 $380,640 $195 13.9% (925) 296-9720
16 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 1,865 $120,372 $65 11.8% (864) 587-3000
17 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 1,824 $244,464 $134 3.8% (817) 281-2977
18 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 1,765 $182,537 $103 27.4% —
19 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 1,669 $373,402 $224 48.7% —
20 TEXAS HEALTH URGENT CARE MCKINNEY TX NURSE PRACTITIONER 129 1,563 $345,843 $221 3.3% (469) 495-9102
21 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 1,516 $119,874 $79 5.0% —
22 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 1,429 $283,532 $198 7.2% (502) 629-2398
23 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NJ PHYSICIAN ASSISTANT 657 1,425 $213,750 $150 5.5% (212) 271-4364
24 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 1,411 $152,388 $108 2.9% (903) 606-5560
25 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,351 $216,160 $160 8.6% —
26 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 1,270 $191,991 $151 4.7% —
27 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 1,228 $407,382 $332 8.0% —
28 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 1,220 $233,020 $191 13.4% —
29 OPTUM URGENT CARE PLLC JERICHO NY PHYSICIAN ASSISTANT 67 1,215 $266,655 $219 2.3% (516) 597-5070
30 FMC MEDICAL FOUNDATION, INC. AMARILLO TX NURSE PRACTITIONER 40 1,169 $144,540 $124 2.4% (806) 350-3000
31 OGDEN CLINIC PC OGDEN UT PHYSICIAN ASSISTANT 104 1,135 $113,500 $100 43.5% (801) 475-3100
32 LEGACY URGENT CARE PA FRISCO TX EMERGENCY MEDICINE 156 1,133 $150,964 $133 2.4% (972) 625-6020
33 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE IN NURSE PRACTITIONER 2448 1,120 $109,098 $97 7.3% (502) 928-1050
34 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 1,111 $179,506 $162 7.0% (803) 744-4900
35 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 1,087 $182,682 $168 14.0% (618) 236-8000
36 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NJ INTERNAL MEDICINE 550 1,054 $231,745 $220 4.1% (201) 894-3158
37 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 1,049 $166,791 $159 3.5% (727) 725-5060
38 ADVENTIST HEALTH SYSTEM GEORGIA INC CALHOUN GA NURSE PRACTITIONER 229 1,032 $228,072 $221 5.0% —
39 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,028 $133,562 $130 13.3% (847) 459-1160
40 INOVA PHYSICIAN PARTNERS LLC CHANTILLY VA FAMILY PRACTICE 334 1,023 $178,002 $174 3.8% (703) 435-1223
41 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,007 $70,490 $70 2.1% —
42 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 973 $269,138 $277 25.0% (508) 973-5919
43 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 952 $213,963 $225 6.8% (916) 983-7476
44 URGENT CARE NEVADA LLC LAS VEGAS NV PHYSICIAN ASSISTANT 101 936 $190,944 $204 44.1% (702) 901-8320
45 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 923 $147,680 $160 5.9% (803) 749-5101
46 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 906 $148,087 $163 5.7% —
47 PHYSICIANS EAST PA GREENVILLE NC NURSE PRACTITIONER 104 892 $151,238 $170 4.4% (252) 355-4357
48 MERCY CLINIC OKLAHOMA COMMUNITIES OKLAHOMA CITY OK PHYSICIAN ASSISTANT 642 865 $91,352 $106 16.5% (405) 254-9690
49 ST MARYS MEDICAL GROUP LLC EVANSVILLE IN NURSE PRACTITIONER 226 857 $64,275 $75 5.6% (812) 491-3236
50 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 833 $67,473 $81 3.2% (973) 971-5596
51 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 824 $98,880 $120 4.1% (910) 341-1540
52 PINEHURST MEDICAL CLINIC INC PINEHURST NC PHYSICIAN ASSISTANT 156 821 $127,171 $155 4.0% (910) 295-5511
53 MAINLINE HEALTH SYSTEMS INC MONTICELLO AR NURSE PRACTITIONER 59 814 $59,821 $73 8.2% (870) 367-6246
54 COASTAL MEDICAL PHYSICIANS INC EAST PROVIDENCE RI INTERNAL MEDICINE 228 814 $130,240 $160 31.4% (800) 508-4908
55 ANDERSON MEDICAL PC DBA EMERGENCY ONE KINGSTON NY PHYSICIAN ASSISTANT 22 806 $100,750 $125 1.5% (845) 338-5600
56 DOCTORS ON DUTY MEDICAL GROUP, INC SALINAS CA PHYSICIAN ASSISTANT 69 763 $83,930 $110 5.4% (831) 422-7777
57 CAPE REGIONAL URGENT CARE LLC CAPE MAY COURT HOUSE NJ PHYSICIAN ASSISTANT 32 756 $75,684 $100 2.9% (609) 465-6364
58 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 754 $105,560 $140 3.7% (704) 838-8210
59 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 752 $52,640 $70 3.7% (919) 350-7270
60 TRIHEALTH G LLC CINCINNATI OH FAMILY PRACTICE 298 747 $93,399 $125 8.5% (513) 246-7000
61 HOUSTON CARENOW URGENT CARE PLLC HOUSTON TX PHYSICIAN ASSISTANT 106 745 $151,980 $204 1.6% (346) 207-9730
62 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 745 $413,475 $555 2.5% (561) 747-2234
63 BSA PHYSICIANS GROUP INC AMARILLO TX HOSPITALIST 118 734 $118,908 $162 1.5% (806) 359-4673
64 COOPERATIVE HEALTHCARE SERVICES INC BRUNSWICK GA NURSE PRACTITIONER 228 732 $95,448 $130 3.6% (912) 466-5400
65 BOONE PHYSICIAN SERVICES LLC COLUMBIA MO PHYSICIAN ASSISTANT 236 708 $45,732 $65 7.8% (573) 815-8000
66 CUMBERLAND FAMILY MEDICAL CENTER INC BURKESVILLE KY NURSE PRACTITIONER 125 704 $70,400 $100 3.6% (270) 864-2889
67 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 701 $103,986 $148 35.5% (302) 744-4700
68 PREMIER MEDICAL GROUP OF MISSISSIPPI LLC KOSCIUSKO MS NURSE PRACTITIONER 32 693 $45,585 $66 6.5% (662) 289-3588
69 ARCARE AUGUSTA AR NURSE PRACTITIONER 239 692 $73,234 $106 7.0% (870) 347-2534
70 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 688 $85,843 $125 7.9% (419) 291-2003
71 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 682 $94,798 $139 10.4% (318) 966-6500
72 ORLANDO CARENOW URGENT CARE LLC ORLANDO FL PHYSICIAN ASSISTANT 41 682 $139,128 $204 2.3% (407) 226-1906
73 THE LITTLE CLINIC OF TENNESSEE LLC SMYRNA TN NURSE PRACTITIONER 140 675 $106,650 $158 6.5% (615) 768-4258
74 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 661 $125,590 $190 23.5% (603) 577-2045
75 MARYLAND PRIMARY CARE PHYSICIANS, LLC ARNOLD MD NURSE PRACTITIONER 100 659 $100,423 $152 4.3% (410) 757-7600
76 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS NY INTERNAL MEDICINE 409 656 $101,796 $155 1.2% (914) 682-0700
77 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 655 $49,845 $76 4.2% (317) 338-2345
78 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 649 $130,298 $201 19.0% (515) 343-1000
79 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 647 $68,582 $106 6.5% (479) 314-5175
80 PATIENT FIRST NEW JERSEY PHYSICIANS GROUP LLC WOODBURY NJ PHYSICIAN ASSISTANT 44 635 $65,405 $103 2.4% (856) 812-2220
81 SOUTH AUSTIN FAMILY PRACTICE CLINIC, PLLC AUSTIN TX PHYSICIAN ASSISTANT 61 634 $88,472 $140 1.3% —
82 METHODIST CARENOW URGENT CARE PLLC SAN ANTONIO TX PHYSICIAN ASSISTANT 65 630 $128,520 $204 1.3% (210) 998-6677
83 THE LITTLE CLINIC OF OHIO LLC CINCINNATI OH NURSE PRACTITIONER 229 627 $98,619 $157 7.2% (513) 488-8077
84 CHARLESTON CARENOW URGENT CARE LLC MYRTLE BEACH SC PHYSICIAN ASSISTANT 42 624 $127,296 $204 4.0% (843) 626-2273
85 HUDSON HEADWATERS HEALTH NETWORK GLENS FALLS NY PHYSICIAN ASSISTANT 207 619 $96,564 $156 1.2% (518) 792-2223
86 MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA FAYETTEVILLE AR FAMILY PRACTICE 106 618 $71,442 $116 6.2% (479) 521-0200
87 HILLCREST FAMILY HEALTH CENTER WACO TX FAMILY PRACTICE 62 616 $61,446 $100 1.3% (254) 202-7800
88 CLEARCHOICEMD, PLLC LEBANON NH PHYSICIAN ASSISTANT 89 609 $106,750 $175 21.6% (603) 276-3260
89 MICHUMI PLLC NEWPORT NEWS VA PHYSICIAN ASSISTANT 40 608 $60,775 $100 2.2% (757) 369-9446
90 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 608 $48,676 $80 9.3% (225) 246-9790
91 MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. BRYAN OH NURSE PRACTITIONER 97 603 $129,211 $214 6.9% (260) 266-8210
92 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 600 $95,400 $159 3.0% (859) 578-5880
93 PRIMARY HEALTH PHYSICIANS PLLC FORT WORTH TX PHYSICIAN ASSISTANT 234 588 $117,305 $199 1.2% (817) 294-1651
94 NORTHSIDE MEDICAL PROFESSIONALS, P.C. COLUMBIA TN NURSE PRACTITIONER 20 574 $51,660 $90 5.5% (931) 540-4210
95 FOUR RIVERS INTERNAL MEDICINE PLLC PADUCAH KY NURSE PRACTITIONER 4 570 $37,040 $65 2.9% (270) 444-8000
96 KANSAS CARENOW URGENT CARE LLC OVERLAND PARK MO NURSE PRACTITIONER 71 563 $109,483 $194 6.2% (913) 227-4631
97 ST DAVIDS CARENOW URGENT CARE PLLC AUSTIN TX PHYSICIAN ASSISTANT 100 563 $114,852 $204 1.2% (512) 265-8980
98 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 560 $67,810 $121 2.1% (703) 562-2110
99 AMERICAN HEALTH NETWORK OF INDIANA LLC FISHERS IN FAMILY PRACTICE 204 559 $53,105 $95 3.6% (317) 842-7928
100 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 557 $97,050 $174 2.8% (270) 781-4043

Showing the top 100 of 1,626 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →