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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87652 Detection test by nucleic acid for strep (streptococcus, group a), quantification CPT · Molecular Testing
Classification Test Molecular Testing Infectious Agent Detection by DNA/RNA (CMS RBCS)
First observed 2017
National scale 52,840 services ▼ 2.8% YoY · 38,471 beneficiaries (CY2024, Medicare FFS)
Medicare paid $2.2M · $40.89 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
5
Named-group FFS services
3,354
FFS of Medicare
49%
Services YoY
-2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,580 services

3,354 observed fee-for-service (60%) · ~2,226 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 — 87652 (CY2024)

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

Named-group submitted charges
$307K
Named-group allowed amount
$137K
Named-group Medicare payments
$137K
Avg charge / svc
$92
Avg allowed / svc
$41
Avg payment / svc
$41
Average charge per group
$75 5 groups · avg submitted charge / service $114
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87652 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 87652 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 ANNE ARUNDEL UROLOGY, PA ANNAPOLIS MD UROLOGY 31 1,404 $105,300 $75 premium 10.9% (410) 266-8049
2 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 1,353 $140,712 $104 premium 96.3% (662) 349-1964
3 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 436 $44,180 $101 premium 3.4% (410) 825-5454
4 CONRAD PEARSON CLINIC PC SOUTHAVEN MS UROLOGY 21 102 $10,608 $104 premium 100.0% (662) 349-1964
5 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 38 $4,332 $114 premium 100.0% (313) 861-4400
6 RIO GRANDE UROLOGY PA EL PASO NM UROLOGY 28 21 $1,785 $85 premium 100.0% (915) 532-8823

*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 →