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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88161 Screening examination of specimen cells, preparation, screening and interpretation 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 3,264 services ▲ 17.0% YoY · 2,965 beneficiaries (CY2024, Medicare FFS)
Medicare paid $75K · $23.05 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
19
Named-group FFS services
2,071
FFS of Medicare
49%
Services YoY
+17.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,500 services

2,071 observed fee-for-service (46%) · ~2,429 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 — 88161 (CY2024)

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

Named-group submitted charges
$195K
Named-group allowed amount
$49K
Named-group Medicare payments
$39K
Avg charge / svc
$94
Avg allowed / svc
$23
Avg payment / svc
$19
Average charge per group
$50 19 groups · avg submitted charge / service $334
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 88161 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 88161 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 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 697 $57,137 $82 premium 79.4% (813) 745-4673
2 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 256 $19,712 $77 premium 64.6% (919) 684-8111
3 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM TX PHYSICIAN ASSISTANT 3051 157 $12,089 $77 premium 62.8% (919) 684-8111
4 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM WI PHYSICIAN ASSISTANT 3051 134 $10,318 $77 premium 100.0% (919) 684-8111
5 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM PA PHYSICIAN ASSISTANT 3051 111 $8,547 $77 premium 53.9% (919) 684-8111
6 TEXAS PATHOLOGY CONSULTANTS PA BURLESON TX PATHOLOGY 4 80 $18,000 $225 premium 32.0% (817) 293-4304
7 PREFERRED ANATOMIC PATHOLOGY SERVICES INC LAFAYETTE LA PATHOLOGY 5 62 $4,864 $78 premium 100.0% (337) 289-7679
8 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 61 $7,017 $115 premium 100.0% (913) 588-7743
9 ASSOCIATED PATHOLOGISTS, PA TAMPA FL PATHOLOGY 19 60 $10,920 $182 premium 6.8% (813) 576-3600
10 PINEHURST PATHOLOGY CENTER INC PINEHURST NC PATHOLOGY 6 59 $4,543 $77 premium 14.9% (910) 715-1161
11 PERFECT PATHOLGY MEDICAL P.C. OXNARD CA PATHOLOGY 2 56 $2,800 $50 premium 18.6% (805) 988-2500
12 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 51 $7,140 $140 premium 5.8% (352) 265-8990
13 WEST CENTRAL PATHOLOGY SPECIALISTS SC QUINCY IL PATHOLOGY 4 40 $6,234 $156 premium 28.2% 21722384006209
14 NORTHWEST INDIANA PATHOLOGY CONSULTANTS, P.C. MUNSTER IL PATHOLOGY 11 29 $3,654 $126 premium 20.4% (219) 836-1600
15 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 24 $1,728 $72 premium 100.0%
16 PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP HOLLYWOOD FL PATHOLOGY 30 24 $1,800 $75 premium 2.7% (954) 265-2333
17 UNIV OF MD PATHOLOGY ASSOCIATES P A BALTIMORE MD PATHOLOGY 24 23 $1,814 $79 premium 39.7% (410) 328-5555
18 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 23 $2,440 $106 premium 100.0% (770) 422-2004
19 ALOMERE HEALTH ALEXANDRIA MN PHYSICIAN ASSISTANT 114 22 $1,782 $81 premium 100.0% (320) 762-1511
20 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA MO PHYSICIAN ASSISTANT 1103 21 $1,717 $82 premium 100.0% (813) 745-4673
21 SOUTH COAST PATHOLOGY SERVICES LTD BILOXI MS PATHOLOGY 4 15 $1,650 $110 premium 100.0% (228) 432-1571
22 ALEGENT CREIGHTON CLINIC OMAHA CA PHYSICIAN ASSISTANT 942 15 $1,080 $72 premium 5.0%
23 NORTHWEST INDIANA PATHOLOGY CONSULTANTS, P.C. MUNSTER IN PATHOLOGY 11 15 $1,890 $126 premium 36.6% (219) 836-1600
24 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 13 $4,342 $334 premium 5.2% (512) 579-4000
25 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 12 $960 $80 premium 5.8% (484) 337-4570
26 PREFERRED ANATOMIC PATHOLOGY SERVICES INC LAFAYETTE SC PATHOLOGY 5 11 $858 $78 premium 100.0% (337) 289-7679

*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 →