Medicare procedure market data by CPT code & state

Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87556 Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), 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 99,468 services ▲ 63.9% YoY · 77,912 beneficiaries (CY2024, Medicare FFS)

Medicare paid $4.1M · $40.79 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

8,817

FFS of Medicare

49%

Services YoY

+63.9%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~19,076 services

8,817 observed fee-for-service (46%) · ~10,259 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 — 87556 (CY2024)

TX 36,424 PA 20,652 FL 11,860 NY 7,439 AZ 4,721

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

Named-group submitted charges

$707K

Named-group allowed amount

$359K

Named-group Medicare payments

$359K

Avg charge / svc

$80

Avg allowed / svc

$41

Avg payment / svc

$41

Average charge per group

$42–49

$49–56

$56–64

$64–71

$71–79

$79–86

$86–93

$93+

$42 10 groups · avg submitted charge / service $104

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

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.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 87556 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	87556 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	ADVANCED UROLOGY INSTITUTE LLC	INVERNESS	FL	UROLOGY	147	3,560	$296,885	$83	premium	30.0%	(352) 726-9707
2	ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC	SYRACUSE	NY	UROLOGY	60	1,438	$149,552	$104	premium	19.3%	(315) 478-4185
3	GARDEN STATE UROLOGY LLC	WHIPPANY	PA	UROLOGY	2	995	$41,472	$42	premium	4.8%	—
4	THE CENTERS FOR ADVANCED UROLOGY LLP	KING OF PRUSSIA	PA	UROLOGY	145	873	$74,205	$85	premium	4.2%	(610) 579-3577
5	NORTH DFW UROLOGY LLP	GRAPEVINE	TX	UROLOGY	2	657	$32,850	$50	premium	1.8%	(817) 481-7727
6	COLORADO SPRINGS UROLOGICAL ASSOCIATES LLC	COLORADO SPRINGS	CO	UROLOGY	20	574	$47,849	$83	premium	12.6%	(719) 531-7007
7	ROCKFORD UROLOGICAL ASSOCIATES LTD	ROCKFORD	IL	UROLOGY	14	364	$35,308	$97	premium	9.7%	(815) 398-4057
8	UROLOGY CLINICS OF NORTH TEXAS, PLLC	DALLAS	TX	UROLOGY	72	224	$18,592	$83	premium	0.6%	(214) 691-9377
9	MAIDEN LANE MEDICAL PLLC	NEW YORK	NY	OBSTETRICS/GYNECOLOGY	18	101	$7,575	$75	premium	1.4%	(646) 290-9560
10	TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC	NEWPORT NEWS	VA	FAMILY PRACTICE	274	31	$2,584	$83	premium	4.4%	(757) 595-9880

*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 →