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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87529 Detection test by nucleic acid for herpes simplex virus, amplified probe technique 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 219,064 services ▲ 10.3% YoY · 96,088 beneficiaries (CY2024, Medicare FFS)
Medicare paid $7.5M · $34.33 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
28
Named-group FFS services
6,668
FFS of Medicare
49%
Services YoY
+10.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,420 services

6,668 observed fee-for-service (50%) · ~6,752 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 — 87529 (CY2024)

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

Named-group submitted charges
$932K
Named-group allowed amount
$229K
Named-group Medicare payments
$229K
Avg charge / svc
$140
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$35 28 groups · avg submitted charge / service $216
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87529 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 87529 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 UROLOGY PARTNERS OF NORTH TEXAS, PLLC ARLINGTON TX UROLOGY 89 2,350 $506,957 $216 premium 2.4%
2 ADVANCED UROLOGY ASSOCIATES ENTERPRISES SHREWSBURY NJ UROLOGY 18 890 $103,240 $116 premium 13.0% (732) 741-5923
3 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 491 $48,391 $99 premium 52.6% (615) 221-4400
4 UROLOGICAL ASSOCIATES PC MOLINE IA UROLOGY 16 487 $34,577 $71 premium 87.9% (563) 359-2997
5 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 443 $46,515 $105 premium 16.8% (631) 751-3000
6 NORTH SHORE UROGYNECOLOGY LTD LAKE FOREST IL UROLOGY 2 270 $27,000 $100 premium 9.6% (847) 234-1100
7 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES PA OBSTETRICS/GYNECOLOGY 352 255 $20,400 $80 premium 0.6% (856) 424-3323
8 FLORIDA WOMAN CARE LLC ORLANDO FL OBSTETRICS/GYNECOLOGY 604 222 $25,974 $117 premium 1.4% (407) 857-2502
9 PHYSICIANS FOOTCARE, LLC SUMTER NC PODIATRY 31 198 $9,900 $50 premium 6.8% (803) 773-7000
10 SANDR WE CARE MEDICAL PC BROOKLYN NY OBSTETRICS/GYNECOLOGY 2 106 $21,100 $199 premium 4.0% (718) 743-5300
11 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 95 $10,450 $110 premium 0.1% (512) 788-9688
12 PATHADVANTAGE, PA DALLAS TX PATHOLOGY 2 90 $6,750 $75 premium 0.1% (214) 219-5880
13 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 76 $8,412 $111 premium 0.5% (305) 273-4641
14 UROLOGICAL ASSOCIATES PC MOLINE CA UROLOGY 16 75 $5,325 $71 premium 0.4% (563) 359-2997
15 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 72 $4,896 $68 premium 32.9% (509) 892-2700
16 FLORIDA WOMAN CARE LLC ORLANDO PA OBSTETRICS/GYNECOLOGY 604 66 $7,722 $117 premium 0.2% (407) 857-2502
17 CLS HEALTH PLLC WEBSTER TX NURSE PRACTITIONER 172 64 $6,723 $105 premium 0.1% (281) 724-1860
18 OPTIMAL HEALTH ASSOCIATES LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 11 64 $5,120 $80 premium 0.7% (405) 715-4496
19 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 62 $4,836 $78 premium 0.1% (610) 579-3577
20 COMPREHENSIVE UROLOGY MEDICAL GROUP LOS ANGELES CA UROLOGY 6 37 $5,217 $141 premium 0.2% (310) 278-8330
21 PROVIDEA HEALTH PARTNERS LLC EVERGREEN PARK IL OBSTETRICS/GYNECOLOGY 7 33 $1,980 $60 premium 1.2% (708) 425-1907
22 FOOT DOC LLC INDIANAPOLIS IN PODIATRY 2 31 $3,875 $125 premium 5.5% (317) 241-9565
23 OPTUM CARE WASHINGTON PLLC EVERETT TN PHYSICIAN ASSISTANT 695 28 $1,960 $70 premium 3.0% (425) 339-5442
24 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 28 $1,960 $70 premium 4.0%
25 DAVID P ELLENT PLLC KINGWOOD TX FAMILY PRACTICE 53 26 $3,431 $132 premium 0.0% (281) 440-5300
26 JOSEPH GAUTA MD PA NAPLES FL OBSTETRICS/GYNECOLOGY 4 25 $1,754 $70 premium 0.2% (239) 449-7979
27 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 25 $2,250 $90 premium 2.7%
28 CONTRA COSTA PATHOLOGY ASSOCIATES CONCORD CA PATHOLOGY 8 22 $772 $35 premium 0.1% (925) 682-8200
29 JALIL A KHAN MD PA LEWISVILLE TX INTERNAL MEDICINE 2 20 $1,400 $70 premium 0.0% (972) 353-8616
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 17 $3,451 $203 premium 0.1% (415) 600-1020

*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 →