NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87486 Detection test by nucleic acid for chlamydia pneumoniae, 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 271,351 services ▲ 67.0% YoY · 210,071 beneficiaries (CY2024, Medicare FFS)
Medicare paid $9.3M · $34.36 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
24
Named-group FFS services
2,284
FFS of Medicare
49%
Services YoY
+67.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,520 services

2,284 observed fee-for-service (51%) · ~2,236 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 — 87486 (CY2024)

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

Named-group submitted charges
$158K
Named-group allowed amount
$78K
Named-group Medicare payments
$78K
Avg charge / svc
$69
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$39 24 groups · avg submitted charge / service $140
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87486 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 87486 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 FRIENDSHIP MEDICAL CLINIC LLC ECRU MS NURSE PRACTITIONER 9 395 $29,625 $75 premium 16.6% (662) 488-8799
2 PHYSICIAN SERVICES OF THE GULF COAST LLC BILOXI MS NURSE PRACTITIONER 25 370 $16,228 $44 premium 15.6% (228) 396-3945
3 ICM MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 3 315 $23,625 $75 premium 0.4% (310) 855-0556
4 TEXAS FAITH LLC ARLINGTON TX FAMILY PRACTICE 10 152 $9,070 $60 premium 0.1% (972) 734-5400
5 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 142 $14,200 $100 premium 0.1% (817) 920-0484
6 HEALTH FIRST URGENT CARE, PLLC RICHLAND WA PHYSICIAN ASSISTANT 13 129 $6,450 $50 premium 54.2% (509) 300-1500
7 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 124 $5,985 $48 premium 1.0% (352) 351-4634
8 NEXUS HEALTH PRIMARY CARE LLC SANTA FE NM INTERNAL MEDICINE 7 76 $9,500 $125 premium 20.2% (505) 395-3000
9 ABRAHAM ISHAAYA M D A PROFESSIONAL CORPORATION LOS ANGELES CA INTERNAL MEDICINE 2 72 $10,100 $140 premium 0.1%
10 LINCOLN INTERNAL MEDICINE ASSOCIATES, PC LINCOLN NE INTERNAL MEDICINE 11 68 $4,951 $73 premium 49.3% (402) 421-3240
11 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 58 $3,053 $53 premium 0.5% (352) 693-3378
12 PROFESSIONAL RESOURCE MANAGMENT OF WIREGRASS, LLC DOTHAN AL FAMILY PRACTICE 10 56 $2,800 $50 premium 3.6% (334) 712-1170
13 DYNAMIC HEALTHCARE LLC CLOVIS NM NURSE PRACTITIONER 8 49 $3,675 $75 premium 13.0% (575) 935-9000
14 D.H. MEDICAL, LLC ORMOND BEACH FL NURSE PRACTITIONER 21 41 $2,870 $70 premium 0.3% (888) 808-0488
15 NORTHWEST PATHOLOGY PLLC BELLINGHAM WA PATHOLOGY 7 41 $2,158 $53 premium 17.2% (360) 734-2800
16 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 36 $2,520 $70 premium 69.2% (313) 861-4400
17 LOUISIANA FAMILY MEDICINE CLINIC 1 JONESBORO LA FAMILY PRACTICE 6 34 $2,720 $80 premium 2.6% (318) 259-1569
18 MEADOWCREST PHYSICIANS PARTNERS LLC CRYSTAL RIVER FL FAMILY PRACTICE 7 26 $1,300 $50 premium 0.2% (352) 795-0644
19 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 23 $1,150 $50 premium 9.7% (509) 946-4611
20 PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP PLLC DALLAS TX NURSE PRACTITIONER 33 22 $2,316 $105 premium 0.0% (214) 238-3074
21 DOCTORS HOUSE CALLS OF FLORIDA LLC STUART FL NURSE PRACTITIONER 15 17 $656 $39 premium 0.1% (772) 781-2207
22 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 15 $900 $60 premium 38.5%
23 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 12 $900 $75 premium 0.5% (662) 377-3258
24 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 11 $825 $75 premium 0.1% (631) 751-3000

*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 →