NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88325 Surgical pathology consultation and report, comprehensive 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 8,843 services ▼ 13.1% YoY · 7,679 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.0M · $117.79 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
23
Named-group FFS services
3,899
FFS of Medicare
49%
Services YoY
-13.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,440 services

3,899 observed fee-for-service (46%) · ~4,541 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 — 88325 (CY2024)
CA 3,176 MN 1,293 NY 951 NC 523 TX 522

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

Named-group submitted charges
$2.4M
Named-group allowed amount
$560K
Named-group Medicare payments
$439K
Avg charge / svc
$607
Avg allowed / svc
$144
Avg payment / svc
$113
Average charge per group
$290 23 groups · avg submitted charge / service $1,003
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 88325 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 831 $581,033 $699 64.3% (507) 284-2511
2 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 483 $289,317 $599 92.4% (984) 215-5556
3 BARE DERM GROUP INC ROCKWALL TX DERMATOLOGY 16 436 $130,800 $300 83.5% (972) 483-9228
4 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 323 $303,620 $940 34.0% (212) 639-2000
5 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 310 $263,500 $850 74.7% (800) 603-0558
6 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 268 $162,408 $606 67.0% (617) 732-5500
7 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 209 $65,787 $315 100.0% —
8 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 180 $109,539 $609 100.0% —
9 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 158 $68,794 $435 84.0% (734) 763-5459
10 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 143 $79,103 $553 90.5% (813) 745-4673
11 SOLANO DERMATOLOGY ASSOCIATES INC VALLEJO CA DERMATOLOGY 5 96 $27,840 $290 3.0% 7076435785338
12 MEMORIAL PATHOLOGY GROUP NEW YORK PA PATHOLOGY 98 95 $89,300 $940 87.2% (212) 639-2000
13 SAGIS PLLC HOUSTON TX PATHOLOGY 28 49 $27,783 $567 9.4% (877) 697-2447
14 OCHSNER CLINIC LLC NEW ORLEANS OH NURSE PRACTITIONER 2839 47 $17,484 $372 20.4% (504) 842-3000
15 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 45 $18,270 $406 100.0% (205) 934-3460
16 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 40 $22,926 $573 7.6% (919) 684-8111
17 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 22 $13,332 $606 5.5% (617) 724-0287
18 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 20 $9,976 $499 100.0% (202) 429-2401
19 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 19 $17,860 $940 3.6% (512) 579-4000
20 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 17 $6,324 $372 100.0% (504) 842-3000
21 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON RI PHYSICIAN ASSISTANT 2942 17 $10,302 $606 100.0% (617) 732-5500
22 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 15 $10,470 $698 9.5% (904) 953-2000
23 RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NY PATHOLOGY 151 14 $14,042 $1,003 1.5% (732) 937-8651
24 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 14 $5,644 $403 12.8% (267) 857-7751
25 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 13 $5,349 $411 0.4% (310) 267-2625
26 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MD NURSE PRACTITIONER 4339 12 $6,354 $530 6.2% —
27 CLINICAL ASSOCIATES LLC LOUISVILLE KY PATHOLOGY 28 12 $4,380 $365 100.0% (502) 897-9594
28 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO NY NURSE PRACTITIONER 4339 11 $4,569 $415 1.2% —

*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 →