NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88120 Cell examination of urine, manual CPT · Anatomic Pathology test
Classification Test › Anatomic Pathology › Surgical Pathology Examination (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 53,969 services ▼ 9.4% YoY · 42,189 beneficiaries (CY2024, Medicare FFS)
Medicare paid $19.9M · $368.66 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
64
Named-group FFS services
15,197
FFS of Medicare
49%
Services YoY
-9.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~29,353 services

15,197 observed fee-for-service (52%) · ~14,156 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 — 88120 (CY2024)
NJ 9,037 NY 6,234 CA 5,367 PA 4,913 MA 4,456

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

Named-group submitted charges
$20.3M
Named-group allowed amount
$7.4M
Named-group Medicare payments
$5.9M
Avg charge / svc
$1,336
Avg allowed / svc
$489
Avg payment / svc
$391
Average charge per group
$69 64 groups · avg submitted charge / service $3,100
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 88120 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 2,808 $5,970,284 $2,126 57.2% (610) 579-3577
2 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 1,739 $1,989,382 $1,144 54.6% (352) 726-9707
3 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NJ NURSE PRACTITIONER 462 1,148 $1,737,236 $1,513 12.7% (631) 751-3000
4 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD MD UROLOGY 98 1,034 $2,202,482 $2,130 42.3% (516) 520-8080
5 SAINT FRANCIS CARE MEDICAL GROUP PC HARTFORD MA PATHOLOGY 19 740 $94,102 $127 16.6% (860) 714-4280
6 CONSULTANTS IN UROLOGY STATEN ISLAND NY UROLOGY 2 698 $1,048,500 $1,502 11.2% (718) 233-1300
7 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 671 $794,310 $1,184 15.1% —
8 ILLINOIS UROLOGIC HEALTH SURGEONS SC PERU IL UROLOGY 10 653 $529,400 $811 30.6% (815) 664-5367
9 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 494 $1,265,010 $2,561 9.2% (310) 534-8400
10 PHOENIX UROLOGY OF ST JOSEPH INC SAINT JOSEPH MO UROLOGY 5 414 $295,800 $714 24.8% (816) 232-8877
11 UROLOGY CARE OF CENTRAL FLORIDA, PA OCALA FL PATHOLOGY 2 348 $130,500 $375 10.9% (352) 351-0029
12 HOUSTON METRO UROLOGY HOUSTON TX UROLOGY 31 337 $196,359 $583 9.4% (713) 634-4441
13 GARDEN STATE UROLOGY LLC WHIPPANY PA UROLOGY 2 285 $351,848 $1,235 5.8% —
14 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 278 $98,894 $356 5.2% (916) 447-6267
15 UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C. SPRINGFIELD MA UROLOGY 11 259 $414,400 $1,600 5.8% (413) 785-5321
16 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 210 $75,600 $360 3.9% (310) 267-2625
17 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 206 $297,934 $1,446 10.1% (865) 691-3061
18 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 198 $555,390 $2,805 8.1% (410) 825-5454
19 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 190 $220,012 $1,158 24.5% (757) 452-3599
20 ARIZONA STATE UROLOGY LLC GLENDALE AZ UROLOGY 3 171 $218,025 $1,275 8.9% (602) 337-8500
21 UROLOGY ASSOCIATES OF DELAWARE PA DOVER DE UROLOGY 7 127 $91,440 $720 82.5% 3027361320103
22 UROLOGY OF ST LOUIS INC SAINT LOUIS MO UROLOGY 112 123 $104,550 $850 7.4% (314) 567-6071
23 PREMIER MEDICAL ALLIANCE LLC EMERSON NJ ANESTHESIOLOGY 4 111 $21,812 $196 1.2% (201) 261-0821
24 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 106 $23,150 $218 21.4% (419) 874-3246
25 NORTH HOUSTON PATHOLOGY ASSOCIATES LLP HOUSTON TX PATHOLOGY 5 106 $19,610 $185 3.0% (281) 440-2829
26 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 105 $294,065 $2,801 1.7% (212) 305-8559
27 MERIDIAN LABORATORY PHYSICIANS, PA RED BANK MD PATHOLOGY 18 99 $14,345 $145 4.0% (732) 741-2700
28 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 90 $11,070 $123 1.8% (215) 662-2777
29 ADVANCED UROLOGY ASSOCIATES OF FLORIDA PL VERO BEACH FL OBSTETRICS/GYNECOLOGY 6 86 $81,700 $950 2.7% (772) 562-7220
30 PATHLINK OF NEW JERSEY DENVILLE NY PATHOLOGY 15 84 $5,830 $69 1.3% (407) 422-9831
31 ADVANCED PHYSICIANS P C FOREST HILLS NY OBSTETRICS/GYNECOLOGY 7 78 $241,800 $3,100 1.3% (718) 360-9550
32 WESTWATER DIAGNOSTICS PLLC HOUSTON TX PATHOLOGY 2 69 $12,420 $180 1.9% (832) 303-0810
33 UROLOGY ASSOCIATES OF CAPE COD, P.C. YARMOUTH PORT MA UROLOGY 8 69 $10,995 $159 1.5% (508) 771-9550
34 UNIVERSITY PATHOLOGISTS, LLC FALL RIVER MA PATHOLOGY 19 63 $7,560 $120 1.4% (508) 679-7168
35 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 62 $9,424 $152 32.0% (970) 212-0530
36 EMES PROFESSIONAL ASSOCIATES INC EDISON NJ PATHOLOGY 4 58 $95,497 $1,646 0.6% —
37 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 58 $11,066 $191 1.8% (954) 772-2136
38 YOSEMITE PATHOLOGY MEDICAL GROUP INC MODESTO CA PATHOLOGY 43 57 $19,095 $335 1.1% (209) 577-1200
39 FAIRVIEW EXPRESS CARE MINNEAPOLIS WI PHYSICIAN ASSISTANT 2007 54 $10,485 $194 100.0% (612) 672-7422
40 MINNESOTA UROLOGY, PA WOODBURY MN PHYSICIAN ASSISTANT 81 50 $102,500 $2,050 23.0% (651) 999-6800
41 FREDERICK PATHOLOGY CONSULTANTS PA FREDERICK MD PATHOLOGY 5 46 $9,752 $212 1.9% (240) 566-3415
42 STAMFORD PATHOLOGY GROUP PC STAMFORD CT PATHOLOGY 5 43 $13,061 $304 2.0% (800) 887-7338
43 COMPREHENSIVE UROLOGY MEDICAL GROUP LOS ANGELES CA UROLOGY 6 34 $13,361 $393 0.6% (310) 278-8330
44 UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C. SPRINGFIELD NY UROLOGY 11 33 $52,800 $1,600 0.5% (413) 785-5321
45 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 33 $49,500 $1,500 42.3% (318) 675-8700
46 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 32 $48,416 $1,513 0.5% (718) 616-5356
47 EASTERN CONNECTICUT PATHOLOGY CONSULTANTS, PC MANCHESTER CT PATHOLOGY 19 31 $4,650 $150 1.5% (860) 647-6487
48 EAST VALLEY UROLOGY CENTER PLC MESA AZ UROLOGY 9 30 $36,000 $1,200 1.6% (480) 219-1010
49 ALBANY UROLOGY CLINIC ALBANY GA NURSE PRACTITIONER 8 30 $26,640 $888 46.9% (229) 883-1503
50 ROCKFORD UROLOGICAL ASSOCIATES LTD ROCKFORD IL UROLOGY 14 28 $26,600 $950 1.3% (815) 398-4057
51 HOSPITAL PATHOLOGY ASSOCIATES, PA MINNEAPOLIS MN PATHOLOGY 45 28 $6,916 $247 12.9% (612) 767-8370
52 GREEN DERMATOLOGY LLC MILFORD DE NURSE PRACTITIONER 3 27 $35,737 $1,324 17.5% (302) 459-5010
53 CONSULTING PATHOLOGISTS CORP TOLEDO OH PATHOLOGY 7 26 $5,408 $208 5.2% (419) 251-3232
54 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 25 $56,175 $2,247 0.3% (908) 273-4300
55 ADVANCED SOUTHERN WESTCHESTER MEDICAL, PC YONKERS NY PATHOLOGY 2 25 $50,000 $2,000 0.4% (914) 375-5700
56 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 24 $20,995 $875 0.7% (512) 788-9688
57 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TX PATHOLOGY 135 24 $29,697 $1,237 0.7% (615) 221-4400
58 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 21 $3,997 $190 0.7% (561) 548-3639
59 MICHIGAN HEALTH CLINICS PC SAGINAW MI PATHOLOGY 3 20 $34,413 $1,721 48.8% (989) 341-5078
60 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 19 $31,597 $1,663 0.3% —
61 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 14 $2,754 $197 6.5% (612) 672-7422
62 NORTH CENTRAL OHIO FAMILY CARE CENTER INC ONTARIO OH NURSE PRACTITIONER 190 13 $2,210 $170 2.6% (419) 468-0505
63 COREPATH LABORATORIES, P.A. SAN ANTONIO TX PATHOLOGY 8 11 $19,327 $1,757 0.3% (210) 617-4445
64 ST CLOUD PATHOLOGISTS PA SAINT CLOUD IA PATHOLOGY 8 11 $2,504 $228 45.8% 320251270057309
65 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NY PHYSICIAN ASSISTANT 1183 11 $24,717 $2,247 0.2% (908) 273-4300
66 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 11 $18,546 $1,686 0.2% (716) 845-2300
67 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 11 $2,882 $262 0.3% (214) 633-5555

*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 →