NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

87536 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87536 — Detection test by nucleic acid for hiv-1 virus, quantification

Billing groups
12
Named-group FFS services
657
FFS of Medicare
49%
Services YoY
-6.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,357 services

657 observed fee-for-service (48%) · ~700 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 — 87536 (CY2024)
CA 14,488 NJ 11,588 NC 10,961 FL 10,956 TX 6,846

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

Named-group submitted charges
$188K
Named-group allowed amount
$55K
Named-group Medicare payments
$55K
Avg charge / svc
$286
Avg allowed / svc
$83
Avg payment / svc
$83
Average charge per group
$151 12 groups · avg submitted charge / service $585
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 87536 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA FAMILY PRACTICE 293 139 $20,920 $151 1.0% (619) 515-2454
2 ANTHONY MARTIN MILLS M D A MEDICAL CORPORATION WEST HOLLYWOOD CA PHYSICIAN ASSISTANT 12 125 $37,500 $300 0.9% (310) 550-1010
3 LONG'S DRUGS OF SANDERSVILLE GEORGIA INC ATLANTA GA NURSE PRACTITIONER 13 96 $27,230 $284 3.5% (404) 231-4431
4 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 50 $11,200 $224 2.9% —
5 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 47 $16,027 $341 2.4% (617) 421-1000
6 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 47 $21,855 $465 0.3% (213) 699-7013
7 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 38 $13,553 $357 5.2% (615) 221-4400
8 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 28 $4,900 $175 0.4% (512) 346-6611
9 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 27 $8,100 $300 0.2% (800) 954-8000
10 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 25 $14,625 $585 0.2% (415) 600-1020
11 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 24 $9,502 $396 6.3% (612) 863-4000
12 PRIMARY CARE GROUP, LLC MEMPHIS TN NURSE PRACTITIONER 109 11 $2,816 $256 1.5% (901) 387-2900

*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 →