NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87799 Detection test by nucleic acid for organism, quantification 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 202,781 services ▼ 3.8% YoY · 65,464 beneficiaries (CY2024, Medicare FFS)
Medicare paid $8.5M · $41.86 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
17,033
FFS of Medicare
49%
Services YoY
-3.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~32,529 services

17,033 observed fee-for-service (52%) · ~15,496 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 — 87799 (CY2024)

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

Named-group submitted charges
$1.5M
Named-group allowed amount
$714K
Named-group Medicare payments
$714K
Avg charge / svc
$91
Avg allowed / svc
$42
Avg payment / svc
$42
Average charge per group
$43 21 groups · avg submitted charge / service $195
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 87799 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 87799 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 STOCKDALE PODIATRY GROUP INC BAKERSFIELD CA PODIATRY 14 8,696 $655,575 $75 premium 33.9% (661) 832-1667
2 ARKANSAS UROLOGY, P.A. RUSSELLVILLE AR UROLOGY 37 1,505 $198,660 $132 premium 36.6% (501) 219-8900
3 ANNE ARUNDEL UROLOGY, PA ANNAPOLIS MD UROLOGY 31 1,406 $105,450 $75 premium 4.1% (410) 266-8049
4 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 1,359 $145,413 $107 premium 56.2% (662) 349-1964
5 OXFORD UROLOGY ASSOCIATES PLLC OXFORD MS UROLOGY 17 1,318 $124,260 $94 premium 92.8%
6 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 970 $104,124 $107 premium 2.9% (410) 825-5454
7 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 246 $29,874 $121 premium 6.5% (651) 406-8860
8 ST. AUGUSTINE FOOT AND ANKLE, INC SAINT AUGUSTINE FL PHYSICAL THERAPIST IN PRIVATE PRACTICE 2 208 $13,336 $64 premium 2.1% (904) 824-0869
9 RYAN K ANDERSON D P M P C BOUNTIFUL UT PODIATRY 51 200 $30,000 $150 premium 9.6% (801) 292-4425
10 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 198 $26,136 $132 premium 4.8%
11 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 146 $13,814 $95 premium 32.5% (313) 861-4400
12 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 131 $15,995 $122 premium 3.4% (612) 672-7422
13 CONRAD PEARSON CLINIC PC SOUTHAVEN MS UROLOGY 21 102 $10,914 $107 premium 7.2% (662) 349-1964
14 RYAN K ANDERSON D P M P C BOUNTIFUL OR PODIATRY 51 90 $13,500 $150 premium 10.4% (801) 292-4425
15 UROLOGY ASSOCIATES, INC. OKLAHOMA CITY OK UROLOGY 15 87 $3,727 $43 premium 7.0% (405) 749-9655
16 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 84 $14,448 $172 premium 0.3% (415) 600-1020
17 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 67 $13,071 $195 premium 2.4%
18 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 58 $10,414 $180 premium 2.4% (615) 221-4400
19 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 39 $5,148 $132 premium 0.9% (501) 686-8000
20 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 39 $4,779 $123 premium 1.0%
21 ELLSWORTH FOOT AND ANKLE CLINIC PROVO UT PODIATRY 8 37 $5,550 $150 premium 1.8% (801) 253-6886
22 YOUR TOTAL FOOT CARE SPECIALIST, PA KATY TX PODIATRY 3 26 $2,730 $105 premium 0.1% (281) 395-3338
23 RIO GRANDE UROLOGY PA EL PASO NM UROLOGY 28 21 $1,785 $85 premium 5.6% (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 →