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Market snapshot

88321 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

88321 — Surgical pathology consultation and report on referred slides prepared elsewhere

Billing groups
257
Named-group FFS services
100,162
FFS of Medicare
49%
Services YoY
-2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~205,076 services

100,162 observed fee-for-service (49%) · ~104,914 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 — 88321 (CY2024)

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

Named-group submitted charges
$35.1M
Named-group allowed amount
$8.7M
Named-group Medicare payments
$6.7M
Avg charge / svc
$351
Avg allowed / svc
$87
Avg payment / svc
$67
Average charge per group
$52 257 groups · avg submitted charge / service $679
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 88321 services, CY2024
#Physician group City St Specialty Providers 88321 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 10,165 $4,733,485 $466 premium 59.7% (212) 639-2000
2 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 9,571 $3,185,526 $333 premium 81.3% (713) 592-5433
3 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 5,397 $2,253,309 $418 premium 46.6% (813) 745-4673
4 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 3,930 $1,444,198 $367 premium 77.7% (734) 763-5459
5 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 3,754 $1,328,233 $354 premium 40.5% (617) 732-5500
6 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 3,145 $604,698 $192 premium 10.3% (626) 256-4673
7 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 3,069 $1,175,305 $383 premium 10.1% (650) 723-4000
8 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 2,657 $428,220 $161 premium 8.7% (800) 872-2273
9 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 2,489 $653,663 $263 premium 57.6% (206) 364-0500
10 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 2,243 $651,665 $291 premium 37.8% (215) 662-2777
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 2,052 $1,148,304 $560 premium 62.2% (507) 284-2511
12 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 1,604 $511,730 $319 premium 13.9% (305) 689-5437
13 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 1,474 $757,026 $514 premium 52.3% (615) 322-5000
14 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,434 $831,720 $580 premium 68.6% (800) 603-0558
15 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 1,330 $372,400 $280 premium 22.4%
16 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 1,287 $831,485 $646 premium 32.2% (888) 824-0200
17 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 1,216 $409,457 $337 premium 13.1% (617) 724-0287
18 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 1,143 $420,624 $368 premium 42.5% (434) 924-5959
19 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 1,078 $325,556 $302 premium 3.5% (415) 476-4029
20 AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC. RANCHO DOMINGUEZ CA PATHOLOGY 51 916 $306,860 $335 premium 3.0% (310) 225-3244
21 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 824 $289,552 $351 premium 66.2% (319) 678-8201
22 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 802 $162,976 $203 premium 64.6% (913) 588-7743
23 NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC NEWPORT BEACH CA PATHOLOGY 26 787 $134,544 $171 premium 2.6% (949) 891-1297
24 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 764 $203,159 $266 premium 19.1%
25 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 736 $228,160 $310 premium 15.1% (614) 293-5905
26 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 704 $466,857 $663 premium 6.1% (904) 953-2000
27 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 702 $242,892 $346 premium 46.6% (859) 257-1412
28 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 694 $260,088 $375 premium 58.4% (503) 494-8311
29 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 676 $154,804 $229 premium 24.6% (919) 684-8111
30 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 639 $203,268 $318 premium 2.1% (800) 926-8273
31 SOLANO DERMATOLOGY ASSOCIATES INC VALLEJO CA DERMATOLOGY 5 628 $101,108 $161 premium 2.1% 7076435785338
32 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 607 $118,720 $196 premium 48.6%
33 MEMORIAL PATHOLOGY GROUP NEW YORK MA PATHOLOGY 98 592 $275,280 $465 premium 6.4% (212) 639-2000
34 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 569 $308,375 $542 premium 3.3% (716) 845-2300
35 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 543 $260,621 $480 premium 39.3% (843) 792-1414
36 EVERGREEN DERMATOPATHOLOGY PLLC LIBERTY LAKE WA DERMATOLOGY 2 524 $104,800 $200 premium 12.1% (208) 277-9704
37 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 523 $97,130 $186 premium 72.0% (402) 559-4000
38 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 523 $181,285 $347 premium 3.1% (212) 241-4812
39 DERMATOPATHOLOTY NORTHWEST PLLC BELLEVUE WA DERMATOLOGY 5 476 $96,152 $202 premium 11.0% (425) 455-9945
40 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 470 $131,037 $279 premium 9.7%
41 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA MO PHYSICIAN ASSISTANT 1103 466 $194,560 $418 premium 17.4% (813) 745-4673
42 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 463 $234,741 $507 premium 2.7% (212) 263-9700
43 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 449 $174,260 $388 premium 16.7% (804) 828-9000
44 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 421 $144,824 $344 premium 1.4% (310) 423-0674
45 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 420 $111,261 $265 premium 33.7% (801) 581-2121
46 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 419 $159,220 $380 premium 1.4% (877) 827-7463
47 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 397 $86,149 $217 premium 57.6% (501) 686-8000
48 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 397 $121,482 $306 premium 6.7% (717) 531-5638
49 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 389 $252,415 $649 premium 37.2% (414) 955-4263
50 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 383 $116,566 $304 premium 4.1% (781) 983-9088
51 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 378 $170,100 $450 premium 2.2%
52 WESTERN PATHOLOGY INC IRVINE CA PATHOLOGY 3 375 $81,000 $216 premium 1.2% (805) 543-5000
53 MARK AND KAMBOUR MD PA MIAMI LAKES FL PATHOLOGY 10 360 $39,240 $109 premium 3.1% (866) 825-4422
54 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 319 $82,365 $258 premium 23.9% (970) 212-0530
55 STRATA PATHOLOGY SERVICES, INC LEXINGTON MA PATHOLOGY 14 305 $52,326 $172 premium 3.3% (800) 325-7284
56 DARTMOUTH-HITCHCOCK CLINIC LEBANON NH PHYSICIAN ASSISTANT 1441 303 $167,634 $553 premium 78.1% (603) 650-5000
57 PATHOLOGY MEDICAL GROUP OF SAINT JOHNS SANTA MONICA CA PATHOLOGY 8 297 $58,140 $196 premium 1.0% (310) 829-8101
58 RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NY PATHOLOGY 151 297 $186,813 $629 premium 1.7% (732) 937-8651
59 UNIVERSITY PATHOLOGY DIAGNOSTICS SC CHICAGO IL PATHOLOGY 19 293 $73,736 $252 premium 7.3%
60 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 285 $89,130 $313 premium 10.4% (984) 215-5556
61 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 278 $50,953 $183 premium 70.4% (205) 934-3460
62 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK FL PATHOLOGY 46 272 $71,808 $264 premium 2.3% 91226126691205
63 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 260 $175,890 $676 premium 24.9% (608) 287-2050
64 CITY OF HOPE MEDICAL GROUP OF ILLINOIS PLLC ZION IL PHYSICIAN ASSISTANT 126 247 $108,186 $438 premium 6.2% (847) 872-4561
65 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 237 $81,332 $343 premium 0.8% (858) 455-9100
66 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 231 $68,607 $297 premium 8.4% (704) 304-5988
67 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM TN PHYSICIAN ASSISTANT 3051 225 $109,475 $487 premium 8.0% (919) 684-8111
68 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 223 $35,680 $160 premium 5.2% (509) 892-2700
69 DRS. PALERMO, BREITENECKER, SIEGEL AND LUDWIG, P.A. BALTIMORE MD PATHOLOGY 5 217 $48,825 $225 premium 4.0% (443) 849-2233
70 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE FL PATHOLOGY 50 217 $77,922 $359 premium 1.9% (704) 304-5988
71 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 206 $102,092 $496 premium 0.7% (310) 267-2625
72 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON KY PHYSICIAN ASSISTANT 2942 197 $69,773 $354 premium 13.1% (617) 732-5500
73 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 196 $43,316 $221 premium 100.0% (304) 598-4865
74 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 191 $39,907 $209 premium 2.1%
75 REGIONAL LABORATORY CONSULTANTS PC DES MOINES KS PATHOLOGY 12 188 $37,814 $201 premium 15.1% (515) 241-8861
76 COMPREHENSIVE PATHOLOGY ASSOCIATES, P.A. MIAMI FL PATHOLOGY 20 187 $63,237 $338 premium 1.6% (786) 596-6525
77 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 182 $72,005 $396 premium 17.1% (404) 778-7525
78 UNIVERSITY PATHOLOGISTS LABORATORIES, LLP SYRACUSE NY PATHOLOGY 25 182 $54,600 $300 premium 1.1% (315) 464-4750
79 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM PA PHYSICIAN ASSISTANT 3051 180 $46,020 $256 premium 3.0% (919) 684-8111
80 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX VA PATHOLOGY 45 176 $71,456 $406 premium 6.6% (703) 391-3600
81 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 176 $58,518 $332 premium 5.3% (612) 672-7422
82 UNIVERSITY PATHOLOGISTS, P.C. KNOXVILLE TN PATHOLOGY 11 173 $42,385 $245 premium 6.1% (931) 858-6303
83 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 170 $75,235 $443 premium 73.6% (802) 847-0000
84 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 166 $67,035 $404 premium 1.0% (212) 305-8559
85 DERMATOPATHOLOGY PARTNERS PC KNOXVILLE TN PATHOLOGY 8 164 $32,800 $200 premium 5.8%
86 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 163 $40,750 $250 premium 6.1% (573) 882-2667
87 CHESTER COUNTY HOSPITAL WEST CHESTER PA PATHOLOGY 5 162 $35,374 $218 premium 2.7% (610) 431-5018
88 AM RYWLIN MD AND ASSOC PA MIAMI FL PATHOLOGY 9 161 $37,191 $231 premium 1.4% (305) 674-2277
89 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 158 $34,918 $221 premium 3.2%
90 COOPER PATHOLOGY PC CAMDEN NJ PATHOLOGY 32 158 $44,714 $283 premium 16.5% (856) 342-2506
91 PHYSICIANS LABORATORY LTD SIOUX FALLS SD PATHOLOGY 15 153 $53,550 $350 premium 36.8% (605) 322-7200
92 MEMORIAL PATHOLOGY GROUP NEW YORK ZZ PATHOLOGY 98 153 $71,145 $465 premium 66.8% (212) 639-2000
93 UNMC PHYSICIANS OMAHA KY PHYSICIAN ASSISTANT 1514 151 $31,115 $206 premium 10.0% (402) 559-4000
94 CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP SAN FRANCISCO CA PATHOLOGY 11 151 $34,889 $231 premium 0.5% (415) 600-6000
95 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 150 $48,514 $323 premium 15.7% (201) 996-2000
96 UNMC PHYSICIANS OMAHA NY PHYSICIAN ASSISTANT 1514 149 $31,435 $211 premium 0.9% (402) 559-4000
97 MEMORIAL PATHOLOGY GROUP NEW YORK CA PATHOLOGY 98 149 $69,285 $465 premium 0.5% (212) 639-2000
98 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 148 $47,590 $322 premium 0.9% (212) 746-5454
99 PATHOLOGY AND LABORATORY CONSULTANTS OF LONG ISLAND PLLC WEST ISLIP NY PATHOLOGY 20 148 $42,180 $285 premium 0.9% (631) 376-3990
100 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 143 $41,945 $293 premium 5.2% (336) 713-9800

Showing the top 100 of 257 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 →