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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87497 Detection test by nucleic acid for cytomegalovirus, quantification 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 185,426 services · est. ▲ 13.2% YoY · 23,387 FFS beneficiaries (CY2024, all-Medicare estimate) — 91,684 observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview

Nationally, 3 billing groups and 11 clinicians bill 87497 — ~185,426 all-Medicare services · est. (91,684 observed FFS), and volume is up 13.2% year over year.

NJ, CA, FL and NC lead the state markets — together 56% of state-market volume.

Market Brief 87497
The whole of 87497, written up and sourced.

The Brief is a national document for 87497. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 87497 ran ~185,426 all-Medicare services (estimated), 91,684 observed fee-for-service in CY2024. The market is up 13.2% year over year. 3 billing groups and 11 clinicians bill it.
  2. 2Payment. Half the field lists between $115 and $184 per service; the median group lists $115. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. NJ, CA, FL and NC lead the state markets — together 56% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~185,426 services

91,684 observed fee-for-service (49%) · ~93,742 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
Average charge

$147

per service, submitted list amounts — not payments · observed FFS basis
Charge-to-payment ratio

3.6×

average list $147 vs average Medicare payment $41 per service · basis-independent
Billing groups

3

3 at the ≥11-service disclosure floor
What they charge

Half the field lists between $115 and $184

Submitted charges are provider-set list amounts, not payments · median $115 (named groups)
Every group, one dot3 billing groups · median $115

Each dot is one billing group — 3 of them list this code

$0$150$300average submitted charge per service, per billing groupmedian $115
One dot per billing group, 87497 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
ME: 122MEVTNHWA: 1414WAIDMTNDMN: 2090MNWI: 1770WIIL: 1087ILMI: 88MINY: 3782NYMA: 2614MARIOR: 381ORNV: 843NVWYSD: 112SDIA: 128IAIN: 39INOH: 2146OHPA: 1687PANJ: 15106NJCTCA: 14485CAUT: 87UTCO: 325CONEMOKY: 62KYWVVA: 1367VAMD: 1055MDDEAZ: 4533AZNM: 234NMKS: 2583KSARTN: 445TNNC: 9863NCSCDCOK: 563OKLAMSAL: 1798ALGA: 1457GAHI: 613HIAKTX: 7023TXFL: 11782FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighbouring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AL: 3 → 5AZ: 5 → 7CO: 1 → 1GA: 2 → 2HI: 4 → 6IA: 0 → 0IL: 1 → 1IN: 0 → 0KS: 7 → 7MA: 2 → 3MD: 11 → 1ME: 1 → 1MI: 0 → 0MN: 6 → 5NM: 2 → 1NV: 2 → 4NY: 1 → 2OH: 2 → 2OK: 1 → 1OR: 1 → 1PA: 3 → 1SD: 1 → 1TN: 1 → 1TX: 4 → 4UT: 0 → 0VA: 1 → 2WA: 2 → 2WI: 2 → 4CA: 4 → 5FL: 5 → 6NC: 13 → 12NJ: 12 → 17NC 13NJ 12FL 5CA 417 NJ12 NC6 FL5 CA
One line per state market, 32 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 1 state with a rate in only one of the two years is not drawn.

Open a state market: NJ · CA · FL · NC · TX · AZ · NY · MA · KS · OH · MN · AL — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

The whole field, one canvas3 groups · bubble = services
100One billing groupOne billing groupOne billing group$50$125$250$375$500+Average submitted charge per service — list amounts, not paymentsServices per group — 87497, CY2024
One mark per physician group, 87497 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.