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Market snapshot

87493 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87493 — Detection test by nucleic acid for clostridium difficile, amplified probe technique

Billing groups
19
Named-group FFS services
1,627
FFS of Medicare
49%
Services YoY
-5.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,100 services

1,627 observed fee-for-service (52%) · ~1,473 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 — 87493 (CY2024)

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

Named-group submitted charges
$219K
Named-group allowed amount
$59K
Named-group Medicare payments
$59K
Avg charge / svc
$135
Avg allowed / svc
$36
Avg payment / svc
$36
Average charge per group
$46 19 groups · avg submitted charge / service $225
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87493 services, CY2024
#Physician group City St Specialty Providers 87493 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 289 $52,020 $180 premium 10.7% (630) 469-9200
2 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 198 $19,800 $100 premium 17.2% (202) 296-3449
3 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 169 $22,308 $132 premium 6.3% (847) 459-1160
4 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 163 $24,582 $151 premium 7.6% (615) 221-4400
5 GALEN MEDICAL GROUP, PC CHATTANOOGA TN NURSE PRACTITIONER 123 146 $16,790 $115 premium 6.8% (423) 643-2500
6 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 129 $25,480 $198 premium 4.2%
7 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 91 $6,823 $75 premium 1.3% (561) 295-6962
8 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 78 $4,134 $53 premium 32.4% (801) 475-3800
9 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 65 $10,530 $162 premium 1.0% (415) 600-1020
10 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 59 $8,909 $151 premium 2.3% (617) 421-1000
11 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 52 $7,540 $145 premium 1.4% (914) 241-1050
12 JEFFERSON CITY MEDICAL GROUP PC JEFFERSON CITY MO NURSE PRACTITIONER 115 35 $3,465 $99 premium 5.2% (573) 556-5771
13 TANNER MEMORIAL CLINIC LAYTON UT PHYSICIAN ASSISTANT 249 27 $1,231 $46 premium 11.2% (801) 773-4840
14 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 26 $1,949 $75 premium 0.4% (239) 275-8882
15 HUDSON PHYSICIANS SC HUDSON WI FAMILY PRACTICE 61 26 $5,036 $194 premium 1.3% (715) 531-6800
16 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 23 $5,175 $225 premium 0.9% (217) 366-1200
17 MANGROVE MEDICAL GROUP CHICO CA NURSE PRACTITIONER 9 22 $1,136 $52 premium 0.3% 5303450064268
18 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 16 $1,024 $64 premium 6.6%
19 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 13 $1,144 $88 premium 1.3% (541) 382-2811

*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 →