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Market snapshot

87511 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87511 — Detection test for gardnerella vaginalis (bacteria), amplified probe technique

Billing groups
30
Named-group FFS services
8,598
FFS of Medicare
49%
Services YoY
+30.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~17,752 services

8,598 observed fee-for-service (48%) · ~9,154 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 — 87511 (CY2024)

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

Named-group submitted charges
$709K
Named-group allowed amount
$295K
Named-group Medicare payments
$295K
Avg charge / svc
$83
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$40 30 groups · avg submitted charge / service $160
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87511 services, CY2024
#Physician group City St Specialty Providers 87511 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 2,102 $147,989 $70 premium 8.5% (352) 726-9707
2 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 1,416 $139,818 $99 premium 90.7% (615) 221-4400
3 NORMAN UROLOGY ASSOCIATES PC NORMAN OK PHYSICIAN ASSISTANT 10 977 $101,293 $104 premium 17.0% (405) 360-9966
4 PATHADVANTAGE, PA DALLAS TX PATHOLOGY 2 823 $53,495 $65 premium 4.3% (214) 219-5880
5 GARDEN STATE UROLOGY LLC WHIPPANY PA UROLOGY 2 454 $18,023 $40 premium 17.7%
6 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 445 $30,928 $70 premium 86.6% (509) 892-2700
7 PHOENIX UROLOGY OF ST JOSEPH INC SAINT JOSEPH MO UROLOGY 5 422 $31,650 $75 premium 15.5% (816) 232-8877
8 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 358 $34,825 $97 premium 20.9% (408) 871-3400
9 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 222 $23,310 $105 premium 5.3% (631) 751-3000
10 CONSULTANTS IN UROLOGY STATEN ISLAND NY UROLOGY 2 210 $33,600 $160 premium 5.0% (718) 233-1300
11 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 185 $12,950 $70 premium 1.0% (214) 691-9377
12 ROCKFORD UROLOGICAL ASSOCIATES LTD ROCKFORD IL UROLOGY 14 179 $11,277 $63 premium 8.0% (815) 398-4057
13 NORTH SHORE UROGYNECOLOGY LTD LAKE FOREST IL UROLOGY 2 135 $13,500 $100 premium 6.0% (847) 234-1100
14 COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC COLORADO SPRINGS CO UROLOGY 20 125 $10,965 $88 premium 20.3% (719) 531-7007
15 ARIZONA STATE UROLOGY LLC GLENDALE AZ UROLOGY 3 94 $4,982 $53 premium 0.9% (602) 337-8500
16 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 60 $4,080 $68 premium 13.1% (402) 354-8163
17 ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES PC ANDOVER MA OBSTETRICS/GYNECOLOGY 12 58 $7,656 $132 premium 58.6% (978) 475-2731
18 MAIDEN LANE MEDICAL PLLC NEW YORK NY OBSTETRICS/GYNECOLOGY 18 41 $3,075 $75 premium 1.0% (646) 290-9560
19 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 38 $5,434 $143 premium 0.2% (713) 512-7500
20 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 37 $3,219 $87 premium 2.2% (949) 791-3370
21 OPTIMAL HEALTH ASSOCIATES LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 11 32 $2,560 $80 premium 0.6% (405) 715-4496
22 DISTRICT MEDICAL GROUP INC PHOENIX AZ PSYCHIATRY 466 31 $1,643 $53 premium 0.3% (602) 914-1520
23 CLS HEALTH PLLC WEBSTER TX NURSE PRACTITIONER 172 31 $3,256 $105 premium 0.2% (281) 724-1860
24 VARIETY CARE, INC. OKLAHOMA CITY OK NURSE PRACTITIONER 104 27 $3,159 $117 premium 0.5% (405) 632-6688
25 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 26 $1,274 $49 premium 0.2% (908) 273-4300
26 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 20 $1,700 $85 premium 60.6%
27 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 13 $912 $70 premium 0.1% (239) 449-7979
28 SARATOGA HOSPITAL SARATOGA SPRINGS NY PHYSICIAN ASSISTANT 353 13 $923 $71 premium 0.3% (518) 583-8421
29 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 13 $1,170 $90 premium 13.1%
30 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 11 $781 $71 premium 0.3% (518) 782-3700

*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 →