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Market snapshot

87506 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87506 — Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets

Billing groups
10
Named-group FFS services
5,781
FFS of Medicare
49%
Services YoY
+5.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,286 services

5,781 observed fee-for-service (62%) · ~3,505 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 — 87506 (CY2024)

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

Named-group submitted charges
$3.5M
Named-group allowed amount
$1.5M
Named-group Medicare payments
$1.5M
Avg charge / svc
$610
Avg allowed / svc
$257
Avg payment / svc
$257
Average charge per group
$350 10 groups · avg submitted charge / service $1,200
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87506 services, CY2024
#Physician group City St Specialty Providers 87506 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 EMES PROFESSIONAL ASSOCIATES INC EDISON NJ PATHOLOGY 4 3,779 $2,484,617 $657 premium 19.1%
2 CAPITAL DIGESTIVE CARE LLC WASHINGTON MD GASTROENTEROLOGY 238 1,587 $816,550 $515 premium 78.6% (202) 296-3449
3 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 90 $47,340 $526 premium 7.1% (561) 295-6962
4 DIGESTIVE CARE P A PINE BLUFF AR GASTROENTEROLOGY 4 89 $31,150 $350 premium 1.5%
5 TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA TEXARKANA TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 18 85 $55,845 $657 premium 7.8% 90379280302080
6 JACKSON SIEGELBAUM GASTROENTEROLOGY LTD CAMP HILL PA PHYSICIAN ASSISTANT 10 76 $45,600 $600 premium 8.5% (717) 761-0930
7 GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC FORT MYERS FL GASTROENTEROLOGY 59 26 $13,676 $526 premium 2.0% (239) 275-8882
8 NORTHWEST PATHOLOGY PLLC BELLINGHAM WA PATHOLOGY 7 22 $8,679 $394 premium 100.0% (360) 734-2800
9 BATON ROUGE CLINIC, A MEDICAL CORPORATION BATON ROUGE LA INTERNAL MEDICINE 289 14 $5,292 $378 premium 23.7% (225) 246-9790
10 PREMIER GASTROENTEROLOGY ASSOCIATES PLLC LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 28 13 $15,600 $1,200 premium 0.2% (501) 747-2828

*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 →