NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88300 Pathology examination of tissue using a microscope, limited examination 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 132,297 services ▼ 4.6% YoY · 121,265 beneficiaries (CY2024, Medicare FFS)
Medicare paid $507K · $3.83 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
561
Named-group FFS services
97,568
FFS of Medicare
49%
Services YoY
-4.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~197,691 services

97,568 observed fee-for-service (49%) · ~100,123 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; 1 state without payer-mix data excluded. How we scale

Top states — 88300 (CY2024)
CA 22,627 FL 13,566 NY 12,630 TX 9,381 PA 8,360

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

Named-group submitted charges
$4.3M
Named-group allowed amount
$449K
Named-group Medicare payments
$351K
Avg charge / svc
$44
Avg allowed / svc
$5
Avg payment / svc
$4
Average charge per group
$6 561 groups · avg submitted charge / service $419
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 88300 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC. BOSTON MA PHYSICIAN ASSISTANT 81 2,117 $38,914 $18 36.0% (617) 754-5800
2 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 1,407 $41,879 $30 6.2% (916) 447-6267
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,353 $30,850 $23 10.7% —
4 PENINSULA PATHOLOGISTS MEDICAL GROUP INC MOUNTAIN VIEW CA PATHOLOGY 16 1,239 $32,007 $26 5.5% (650) 616-2951
5 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 1,192 $49,114 $41 5.3% (310) 267-2625
6 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,185 $25,545 $22 5.2% (858) 455-9100
7 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 1,185 $46,139 $39 12.6% (512) 579-4000
8 COMPREHENSIVE PATHOLOGY ASSOCIATES, P.A. MIAMI FL PATHOLOGY 20 1,146 $140,958 $123 8.4% (786) 596-6525
9 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 1,078 $85,692 $79 7.9% (561) 548-3639
10 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 1,065 $47,925 $45 12.7% —
11 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 1,018 $28,602 $28 12.2% —
12 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 879 $5,602 $6 9.4% (713) 394-6450
13 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 877 $24,885 $28 3.9% (310) 423-0674
14 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 867 $45,084 $52 29.6% (734) 763-5459
15 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 841 $19,298 $23 3.7% (800) 872-2273
16 OHIO VALLEY PATHOLOGISTS PC EVANSVILLE IN PATHOLOGY 12 826 $45,430 $55 19.3% (812) 450-5000
17 CHIPPS, CAFFREY AND DUBILIER, P.S.C LEXINGTON KY PATHOLOGY 19 781 $23,455 $30 32.9% (859) 278-9513
18 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 768 $21,547 $28 6.1% (212) 305-8559
19 RUFFOLO HOOPER AND ASSOCIATES MD PA TAMPA FL PATHOLOGY 44 749 $34,039 $45 5.5% (813) 971-6000
20 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 748 $74,268 $99 8.0% (713) 592-5433
21 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 748 $40,640 $54 5.9% (212) 639-2000
22 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 724 $21,848 $30 3.2% (760) 340-3911
23 CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP SAN FRANCISCO CA PATHOLOGY 11 706 $40,242 $57 3.1% (415) 600-6000
24 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 698 $26,836 $38 3.1% (626) 256-4673
25 NAPLES PATHOLOGY ASSOCIATES PA NAPLES FL PATHOLOGY 12 685 $20,910 $31 5.0% (239) 624-3570
26 YOSEMITE PATHOLOGY MEDICAL GROUP INC MODESTO CA PATHOLOGY 43 671 $30,690 $46 3.0% (209) 577-1200
27 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 660 $42,640 $65 4.9% (904) 953-2000
28 AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. RANCHO DOMINGUEZ CA PATHOLOGY 51 645 $11,790 $18 2.9% (310) 225-3244
29 ST VINCENTS PATHOLOGY ASSOCIATES PA JACKSONVILLE FL PATHOLOGY 6 640 $30,720 $48 4.7% (904) 308-7300
30 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 573 $11,811 $21 4.5% (212) 241-4812
31 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 546 $10,719 $20 4.0% (305) 689-5437
32 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 530 $52,638 $99 18.1% (248) 964-1187
33 NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINI NEW YORK NY PATHOLOGY 8 526 $38,924 $74 4.2% (212) 606-1224
34 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 519 $34,616 $67 11.7% —
35 GABINO S CUEVAS MD PA BOYNTON BEACH FL PATHOLOGY 5 498 $50,000 $100 3.7% 561737773384826
36 CORPATH LTD COLUMBUS OH PATHOLOGY 26 489 $23,961 $49 11.0% (614) 566-4945
37 PATHOLOGY ASSOCIATES OF CENTRAL IOWA PLC DES MOINES IA PATHOLOGY 8 476 $13,328 $28 22.9% —
38 GARDEN STATE PHYSICIAN ASSOCIATES LLC VINELAND NJ PATHOLOGY 6 457 $27,877 $61 8.8% (856) 641-8000
39 ALLIED HOSPITAL PATHOLOGISTS PC FORT WAYNE IN PATHOLOGY 11 457 $27,420 $60 10.7% (260) 266-1000
40 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK IL PHYSICIAN ASSISTANT 2818 440 $7,573 $17 7.7% (212) 241-4812
41 MARIN MEDICAL LABORATORIES GREENBRAE CA PATHOLOGY 9 438 $6,514 $15 1.9% (415) 925-7174
42 VALLEY PATHOLOGY MEDICAL ASSOCIATES INC ESCONDIDO CA PATHOLOGY 5 432 $24,624 $57 1.9% (442) 281-5000
43 PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC DALLAS TX PATHOLOGY 48 420 $24,360 $58 4.5% —
44 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 409 $10,675 $26 15.7% (202) 429-2401
45 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 397 $17,865 $45 7.6% (201) 996-2000
46 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 394 $26,186 $66 3.1% (212) 263-9700
47 ORANGE PATHOLOGY ASSOCIATES, PC PORT JERVIS NY PATHOLOGY 13 383 $19,086 $50 3.0% (201) 661-7280
48 PATHOLOGY CONSULTANTS INC HAMMOND IN PATHOLOGY 21 381 $20,464 $54 8.9% (219) 989-3700
49 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 378 $9,786 $26 16.8% (615) 322-5000
50 ASSOCIATED PATHOLOGY CONSULTANTS-ELMHURST SC ELMHURST IL PATHOLOGY 8 376 $31,622 $84 6.6% (630) 833-1400
51 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 375 $12,000 $32 6.5% (847) 723-2210
52 BARTON MEDICAL FOUNDATION SOUTH LAKE TAHOE CA PHYSICIAN ASSISTANT 95 375 $11,250 $30 1.7% (530) 539-6620
53 AM RYWLIN MD AND ASSOC PA MIAMI FL PATHOLOGY 9 373 $40,284 $108 2.7% (305) 674-2277
54 LABORATORY MEDICINE CONSULTANTS LTD LAS VEGAS NV PATHOLOGY 29 371 $26,048 $70 39.7% (702) 731-8000
55 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE NY PATHOLOGY 38 368 $7,765 $21 2.9% (714) 456-7004
56 ASSOCIATED PATHOLOGISTS, PA TAMPA FL PATHOLOGY 19 364 $14,523 $40 2.7% (813) 576-3600
57 MEMORIAL PATHOLOGY CONSULTANTS PA HOUSTON TX PATHOLOGY 21 362 $39,346 $109 3.9% (713) 456-5000
58 CLEVELAND CLINIC CLEVELAND MD PHYSICIAN ASSISTANT 6828 359 $24,053 $67 13.7% —
59 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 356 $6,500 $18 2.8% —
60 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 341 $5,548 $16 15.1% (615) 221-4400
61 TRI-STATE PATHOLOGY ASSOCIATES, LLP EVANSVILLE IN PATHOLOGY 6 340 $10,200 $30 8.0% (812) 485-4347
62 PATHOLOGY ASSOCIATES OF CENTRAL PENNSYLVANIA PC HARRISBURG PA PATHOLOGY 11 336 $11,424 $34 4.0% (800) 475-6236
63 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 334 $5,344 $16 16.6% (336) 713-9800
64 BOYCE AND BYNUM PATHOLOGY PROFESSIONAL SERVICES INC SEDALIA MO PATHOLOGY 16 333 $13,220 $40 15.0% 57388646004608
65 THE DELTA PATHOLOGY GROUP LLC SHREVEPORT LA PATHOLOGY 28 330 $7,180 $22 22.7% (318) 364-2000
66 RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ PATHOLOGY 151 328 $9,254 $28 6.3% (732) 937-8651
67 TREASURE COAST PATHOLOGY, PA STUART FL PATHOLOGY 11 314 $28,888 $92 2.3% (772) 288-5853
68 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 311 $10,641 $34 1.4% (800) 926-8273
69 CHARLESTON PATHOLOGY PA CHARLESTON SC PATHOLOGY 12 307 $9,210 $30 17.3% (843) 724-2260
70 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK GA PATHOLOGY 46 306 $7,765 $25 25.9% 91226126691205
71 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 305 $32,974 $108 3.3% (210) 558-6288
72 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 304 $10,640 $35 19.2% (203) 688-4242
73 PATHOLOGY AND LABORATORY CONSULTANTS OF LONG ISLAND PLLC WEST ISLIP NY PATHOLOGY 20 302 $7,550 $25 2.4% (631) 376-3990
74 PATHOLOGY GROUP PC OKLAHOMA CITY OK PATHOLOGY 9 300 $15,000 $50 31.1% (405) 272-7065
75 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD MA DIAGNOSTIC RADIOLOGY 424 299 $12,531 $42 5.1% (781) 395-4909
76 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX VA PATHOLOGY 45 296 $13,616 $46 13.7% (703) 391-3600
77 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 296 $5,762 $19 26.3% (720) 777-1234
78 STAMFORD PATHOLOGY GROUP PC STAMFORD CT PATHOLOGY 5 294 $11,760 $40 18.5% (800) 887-7338
79 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 293 $9,898 $34 26.0% (970) 212-0530
80 PRECISION PATHOLOGY ASSOCIATES INC FORT MYERS FL PATHOLOGY 11 292 $4,476 $15 2.2% (239) 343-6770
81 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 291 $6,519 $22 11.1% (410) 663-8100
82 CAPE COD PATHOLOGY CONSULTANTS PC HYANNIS MA PATHOLOGY 6 291 $6,693 $23 4.9% (508) 862-5267
83 PATHOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA BURBANK CA PATHOLOGY 9 289 $21,675 $75 1.3% (818) 847-6022
84 WILMINGTON PATHOLOGY ASSOCIATES PA WILMINGTON NC PATHOLOGY 9 289 $16,198 $56 14.3% (910) 362-9511
85 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 285 $13,680 $48 3.4% (215) 662-2777
86 PALM BEACH PATHOLOGY, PA WEST PALM BCH CA PATHOLOGY 8 284 $26,618 $94 1.3% (561) 642-2998
87 PATHOLOGY SPECIALIST OF ARIZONA, LLP PHOENIX AZ PATHOLOGY 66 279 $2,790 $10 16.8% (602) 685-5211
88 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 274 $14,796 $54 13.6% (919) 684-8111
89 WILLIAMS TROTTER AND ASSOCIATES ABILENE TX PATHOLOGY 3 273 $9,555 $35 2.9% (325) 670-6500
90 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE SC PATHOLOGY 50 271 $11,003 $41 15.3% (704) 304-5988
91 GULF REGIONAL PATHOLOGISTS PA MOBILE AL PATHOLOGY 7 268 $7,772 $29 28.3% (251) 435-2400
92 LANGHORNE PATHOLOGY ASSOCIATES PC LANGHORNE PA PATHOLOGY 2 265 $5,301 $20 3.2% (215) 750-2161
93 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 265 $18,154 $69 61.9% (302) 744-4700
94 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 258 $4,693 $18 4.4% —
95 UNIVERSITY PATHOLOGISTS, LLC FALL RIVER MA PATHOLOGY 19 258 $6,146 $24 4.4% (508) 679-7168
96 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 256 $14,159 $55 4.5% (708) 216-8372
97 ACLA PC NASHVILLE TN PATHOLOGY 12 250 $12,650 $51 11.1% (615) 284-5229
98 KETCHUM WOOD AND BURGERT CHARTERED DRS KETCHUM WOOD AND BURGERT TALLAHASSEE FL PATHOLOGY 10 247 $3,458 $14 1.8% (850) 878-5143
99 TORRANCE PATHOLOGY ASSOCIATES MEDICAL GROUP TORRANCE CA PATHOLOGY 5 239 $8,253 $35 1.1% (310) 517-4766
100 PATHOLOGY CONSULTANTS LLC YOUNGSTOWN OH PATHOLOGY 9 232 $11,136 $48 5.2% (330) 480-3768

Showing the top 100 of 561 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →