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Market snapshot

87581 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87581 — Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique

Billing groups
28
Named-group FFS services
2,918
FFS of Medicare
49%
Services YoY
+64.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,741 services

2,918 observed fee-for-service (51%) · ~2,823 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 — 87581 (CY2024)

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

Named-group submitted charges
$231K
Named-group allowed amount
$100K
Named-group Medicare payments
$100K
Avg charge / svc
$79
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$39 28 groups · avg submitted charge / service $160
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 87581 services, CY2024
#Physician group City St Specialty Providers 87581 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FRIENDSHIP MEDICAL CLINIC LLC ECRU MS NURSE PRACTITIONER 9 396 $29,700 $75 premium 15.0% (662) 488-8799
2 PHYSICIAN SERVICES OF THE GULF COAST LLC BILOXI MS NURSE PRACTITIONER 25 372 $16,316 $44 premium 14.1% (228) 396-3945
3 ICM MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 3 315 $23,625 $75 premium 0.4% (310) 855-0556
4 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 208 $27,456 $132 premium 82.5% (515) 239-4400
5 TEXAS FAITH LLC ARLINGTON TX FAMILY PRACTICE 10 202 $12,253 $61 premium 0.2% (972) 734-5400
6 DAVID P ELLENT PLLC KINGWOOD TX FAMILY PRACTICE 53 190 $30,490 $160 premium 0.2% (281) 440-5300
7 TEXAS HEALTH CARE PLLC FORT WORTH TX NURSE PRACTITIONER 364 142 $14,200 $100 premium 0.1% (817) 920-0484
8 HEALTH FIRST URGENT CARE, PLLC RICHLAND WA PHYSICIAN ASSISTANT 13 129 $6,450 $50 premium 54.4% (509) 300-1500
9 SOUTHWEST MEDICAL CENTER, INC BENTLEYVILLE PA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 125 $7,500 $60 premium 1.7% (724) 239-4700
10 AMERICAN FAMILY MEDICAL, LLC OCALA FL FAMILY PRACTICE 5 123 $5,940 $48 premium 0.9% (352) 351-4634
11 HIGH FIELD IMAGING PC PITTSBURGH PA DIAGNOSTIC RADIOLOGY 2 90 $6,750 $75 premium 1.2% (877) 677-3828
12 NEXUS HEALTH PRIMARY CARE LLC SANTA FE NM INTERNAL MEDICINE 7 76 $9,500 $125 premium 20.8% (505) 395-3000
13 ABRAHAM ISHAAYA M D A PROFESSIONAL CORPORATION LOS ANGELES CA INTERNAL MEDICINE 2 71 $9,950 $140 premium 0.1%
14 LINCOLN INTERNAL MEDICINE ASSOCIATES, PC LINCOLN NE INTERNAL MEDICINE 11 68 $4,951 $73 premium 49.3% (402) 421-3240
15 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 58 $3,053 $53 premium 0.4% (352) 693-3378
16 DYNAMIC HEALTHCARE LLC CLOVIS NM NURSE PRACTITIONER 8 44 $2,640 $60 premium 12.1% (575) 935-9000
17 D.H. MEDICAL, LLC ORMOND BEACH FL NURSE PRACTITIONER 21 41 $2,870 $70 premium 0.3% (888) 808-0488
18 NORTHWEST PATHOLOGY PLLC BELLINGHAM WA PATHOLOGY 7 41 $2,158 $53 premium 17.3% (360) 734-2800
19 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 36 $2,520 $70 premium 69.2% (313) 861-4400
20 LOUISIANA FAMILY MEDICINE CLINIC 1 JONESBORO LA FAMILY PRACTICE 6 34 $2,720 $80 premium 2.3% (318) 259-1569
21 UPMC WASHINGTON WASHINGTON PA FAMILY PRACTICE 20 31 $1,860 $60 premium 0.4%
22 MEADOWCREST PHYSICIANS PARTNERS LLC CRYSTAL RIVER FL FAMILY PRACTICE 7 26 $1,300 $50 premium 0.2% (352) 795-0644
23 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 23 $1,150 $50 premium 9.7% (509) 946-4611
24 PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP PLLC DALLAS TX NURSE PRACTITIONER 33 22 $2,316 $105 premium 0.0% (214) 238-3074
25 DOCTORS HOUSE CALLS OF FLORIDA LLC STUART FL NURSE PRACTITIONER 15 17 $656 $39 premium 0.1% (772) 781-2207
26 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 15 $900 $60 premium 38.5%
27 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELO MS CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 12 $900 $75 premium 0.5% (662) 377-3258
28 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 11 $825 $75 premium 0.1% (631) 751-3000

*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 →