Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

87900 Infectious agent drug susceptibility analysis 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 22,274 services ▲ 0.1% YoY · 15,562 beneficiaries (CY2024, Medicare FFS)

Medicare paid $2.8M · $127.42 avg / service, national

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

Billing groups

Named-group FFS services

3,474

FFS of Medicare

49%

Services YoY

+0.1%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~6,535 services

3,474 observed fee-for-service (53%) · ~3,061 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 — 87900 (CY2024)

MD 9,931 TX 5,580 OK 1,853 TN 1,405 CA 883

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

Named-group submitted charges

$1.0M

Named-group allowed amount

$439K

Named-group Medicare payments

$439K

Avg charge / svc

$289

Avg allowed / svc

$126

Avg payment / svc

$126

Average charge per group

$131–155

$155–180

$180–204

$204–228

$228–253

$253–277

$277–302

$302–326

$131 5 groups · avg submitted charge / service $326

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 87900 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	87900 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	NORMAN UROLOGY ASSOCIATES PC	NORMAN	OK	PHYSICIAN ASSISTANT	10	1,788	$484,398	$271	premium	96.5%	(405) 360-9966
2	CONRAD PEARSON CLINIC PC	SOUTHAVEN	TN	UROLOGY	21	1,353	$441,078	$326	premium	96.3%	(662) 349-1964
3	SOUTHVIEW MEDICAL GROUP, PC	BIRMINGHAM	AL	INTERNAL MEDICINE	39	127	$16,637	$131	premium	47.7%	(205) 933-4640
4	CONRAD PEARSON CLINIC PC	SOUTHAVEN	MS	UROLOGY	21	102	$33,252	$326	premium	100.0%	(662) 349-1964
5	VARIETY CARE, INC.	OKLAHOMA CITY	OK	NURSE PRACTITIONER	104	65	$21,190	$326	premium	3.5%	(405) 632-6688
6	CLINICAL UROLOGY ASSOCIATES, P.C.	GADSDEN	AL	UROLOGY	11	39	$6,084	$156	premium	14.7%	(256) 492-4040

*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 →