NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88121 Cell examination of urine, computer-assisted 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 21,003 services ▼ 1.4% YoY · 18,125 beneficiaries (CY2024, Medicare FFS)
Medicare paid $6.3M · $302.28 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
39
Named-group FFS services
8,558
FFS of Medicare
49%
Services YoY
-1.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,076 services

8,558 observed fee-for-service (47%) · ~9,518 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 — 88121 (CY2024)

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

Named-group submitted charges
$9.8M
Named-group allowed amount
$3.2M
Named-group Medicare payments
$2.5M
Avg charge / svc
$1,150
Avg allowed / svc
$369
Avg payment / svc
$294
Average charge per group
$58 39 groups · avg submitted charge / service $2,250
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 88121 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 88121 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 MICHIGAN INSTITUTE OF UROLOGY PC SAINT CLAIR SHORES MI UROLOGY 84 1,450 $2,175,000 $1,500 premium 78.1% (586) 771-4820
2 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 1,147 $1,099,582 $959 premium 79.1% (615) 221-4400
3 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 844 $1,452,730 $1,721 premium 90.3% (310) 534-8400
4 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI OH UROLOGY 74 797 $478,200 $600 premium 95.6% (513) 841-7750
5 FIRST UROLOGY PSC LOUISVILLE IN UROLOGY 55 740 $741,350 $1,002 premium 89.6% (812) 282-3899
6 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 525 $471,450 $898 premium 20.8% (804) 330-9105
7 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 519 $1,167,669 $2,250 premium 55.4% (410) 825-5454
8 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 492 $524,811 $1,067 premium 16.4% (610) 579-3577
9 CONRAD PEARSON CLINIC PC SOUTHAVEN TN UROLOGY 21 303 $191,390 $632 premium 20.9% (662) 349-1964
10 COMPREHENSIVE GI SOLUTIONS PLLC FARMINGTON HILLS MI GASTROENTEROLOGY 12 291 $243,571 $837 premium 15.7% (248) 557-9650
11 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 260 $582,676 $2,241 premium 9.0% (212) 305-8559
12 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 208 $160,688 $773 premium 56.8% (512) 788-9688
13 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 165 $197,340 $1,196 premium 5.7%
14 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 78 $17,628 $226 premium 100.0% (508) 334-1000
15 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK GA PATHOLOGY 46 74 $9,472 $128 premium 16.9% 91226126691205
16 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 73 $60,918 $834 premium 2.5% (718) 616-5356
17 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 52 $2,998 $58 premium 1.8%
18 WYOMING VALLEY PATHOLOGY ASSOCIATES WILKES BARRE PA PATHOLOGY 5 47 $16,356 $348 premium 1.6% (570) 552-1435
19 PATHOLOGY AND LABORATORY MEDICINE, PC ATLANTA GA PATHOLOGY 27 46 $8,280 $180 premium 10.5% (770) 458-6103
20 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 45 $6,570 $146 premium 1.8% (757) 668-3221
21 NORTH DFW UROLOGY LLP GRAPEVINE TX UROLOGY 2 37 $18,450 $499 premium 10.1% (817) 481-7727
22 TEXAS REGIONAL UROLOGY, PLLC KINGWOOD TX UROLOGY 5 33 $34,511 $1,046 premium 9.0% (281) 570-1391
23 UROLOGY CENTER OF FLORIDA PA POMPANO BEACH FL UROLOGY 2 30 $3,000 $100 premium 3.3% (954) 941-3333
24 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD MD UROLOGY 98 28 $41,798 $1,493 premium 3.0% (516) 520-8080
25 PREMIER MEDICAL ALLIANCE LLC EMERSON NJ ANESTHESIOLOGY 4 26 $4,394 $169 premium 1.6% (201) 261-0821
26 NEW YORK UNIVERSITY NEW YORK CT DIAGNOSTIC RADIOLOGY 5704 26 $10,972 $422 premium 100.0% (212) 263-9700
27 SOUTHEASTERN PATHOLOGY, P.C. ROME GA PATHOLOGY 8 25 $6,725 $269 premium 5.7% (706) 291-8702
28 CELLNETIX PATHOLOGY PLLC SEATTLE WA PATHOLOGY 58 22 $2,200 $100 premium 12.0% (206) 320-2000
29 ALLIED HOSPITAL PATHOLOGISTS PC FORT WAYNE IN PATHOLOGY 11 19 $1,995 $105 premium 2.3% (260) 266-1000
30 ROCKFORD UROLOGICAL ASSOCIATES LTD ROCKFORD IL UROLOGY 14 19 $4,750 $250 premium 1.7% (815) 398-4057
31 TRI-VALLEY UROLOGY MEDICAL GROUP MURRIETA CA UROLOGY 9 19 $15,502 $816 premium 2.0% (951) 698-1901
32 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 19 $1,900 $100 premium 10.3% (206) 364-0500
33 NEW YORK QUEENS MEDICINE AND SURGERY, P.C. FLUSHING NY PHYSICIAN ASSISTANT 408 16 $31,024 $1,939 premium 0.6% (718) 670-2468
34 PATHOLOGY ASSOCIATES OF NE PA LTD DUNMORE NJ PATHOLOGY 4 16 $2,480 $155 premium 1.0% (570) 558-4560
35 AMBOY MEDICAL PRACTICE PC STATEN ISLAND NY INTERNAL MEDICINE 180 15 $1,500 $100 premium 0.5% (718) 818-1058
36 GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE GLENDALE CA PATHOLOGY 7 14 $3,290 $235 premium 1.5% (818) 409-8320
37 ADVANCED UROLOGY, LTD. SKOKIE IL NURSE PRACTITIONER 6 14 $21,000 $1,500 premium 1.3% (847) 410-8416
38 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 13 $24,661 $1,897 premium 1.4% (310) 423-0674
39 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 11 $1,173 $107 premium 0.6% (248) 964-1187

*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 →