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Market snapshot

87496 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87496 — Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique

Billing groups
10
Named-group FFS services
3,858
FFS of Medicare
49%
Services YoY
+62.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,675 services

3,858 observed fee-for-service (50%) · ~3,817 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 — 87496 (CY2024)

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

Named-group submitted charges
$492K
Named-group allowed amount
$133K
Named-group Medicare payments
$133K
Avg charge / svc
$127
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$35 10 groups · avg submitted charge / service $216
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87496 services, CY2024
#Physician group City St Specialty Providers 87496 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 1,175 $253,479 $216 premium 2.7%
2 ADVANCED UROLOGY ASSOCIATES ENTERPRISES SHREWSBURY NJ UROLOGY 18 890 $103,240 $116 premium 32.4% (732) 741-5923
3 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 769 $54,146 $70 premium 7.7% (352) 726-9707
4 UROLOGICAL ASSOCIATES PC MOLINE IA UROLOGY 16 487 $34,577 $71 premium 100.0% (563) 359-2997
5 GARDEN STATE UROLOGY LLC WHIPPANY PA UROLOGY 2 153 $5,369 $35 premium 39.3%
6 CONSULTANTS IN UROLOGY STATEN ISLAND NY UROLOGY 2 103 $16,480 $160 premium 15.4% (718) 233-1300
7 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 95 $10,450 $110 premium 0.2% (512) 788-9688
8 UROLOGICAL ASSOCIATES PC MOLINE CA UROLOGY 16 75 $5,325 $71 premium 16.1% (563) 359-2997
9 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 59 $4,130 $70 premium 0.1% (214) 691-9377
10 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 31 $2,418 $78 premium 8.0% (610) 579-3577
11 PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP PLLC DALLAS TX NURSE PRACTITIONER 33 21 $2,211 $105 premium 0.0% (214) 238-3074

*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 →