Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

88356 Microscopic genetic analysis of nerve tissue CPT · Anatomic Pathology test

Classification Test › Anatomic Pathology › Immunohistochemistry (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 30,853 services ▲ 26.8% YoY · 11,439 beneficiaries (CY2024, Medicare FFS)

Medicare paid $4.8M · $156.20 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named-group FFS services

3,010

FFS of Medicare

49%

Services YoY

+26.8%

FFS enrollment -2.2%

Estimated all-Medicare volume FFS + estimated MA estimate

~6,422 services

3,010 observed fee-for-service (47%) · ~3,412 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 — 88356 (CY2024)

AZ 22,069 TX 3,177 GA 1,751 NY 1,685 CA 649

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

Named-group submitted charges

$1.3M

Named-group allowed amount

$654K

Named-group Medicare payments

$520K

Avg charge / svc

$418

Avg allowed / svc

$217

Avg payment / svc

$173

Average charge per group

$152–252

$252–352

$352–453

$453–553

$553–653

$653–754

$754–854

$854+

$152 13 groups · avg submitted charge / service $1,392

Market analyticsPlatform

a taste of the twelve-year trend layer

Market position — where this market sits on volume and growth among all state markets, and its rank.
Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
National benchmarks — where each group's volume sits nationally and within its specialty.
Market structure — how concentrated this market is, and who owns the volume.
Medicare-wide scaling — the payer split, and this market total scaled to all of Medicare, labeled as an estimate.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 88356 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	88356 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	BAKOTIC PATHOLOGY ASSOCIATES, LLC	ALPHARETTA	GA	PATHOLOGY	9	1,604	$528,008	$329	premium	91.6%	(855) 245-2256
2	FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC	GLENDALE	AZ	PODIATRY	14	538	$184,347	$343	premium	2.4%	(623) 544-9090
3	UT PHYSICIANS	HOUSTON	TX	NEUROLOGY	202	161	$224,112	$1,392	premium	5.1%	(713) 486-8000
4	DANIEL TAHERI MD PC	LAS VEGAS	GA	PHYSICIAN ASSISTANT	16	125	$82,841	$663	premium	7.1%	(725) 465-2040
5	ASSOCIATES IN MEDICINE AND SURGERY LLC	FORT MYERS	FL	PODIATRY	17	111	$16,840	$152	premium	32.0%	(239) 481-7000
6	SAGIS PLLC	HOUSTON	MA	PATHOLOGY	28	78	$48,360	$620	premium	60.0%	(877) 697-2447
7	PHYSICIANS FOOTCARE, LLC	SUMTER	NC	PODIATRY	31	71	$26,128	$368	premium	100.0%	(803) 773-7000
8	SAGIS PLLC	HOUSTON	TX	PATHOLOGY	28	60	$37,200	$620	premium	1.9%	(877) 697-2447
9	HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC	BOSTON	MA	INTERNAL MEDICINE	1689	52	$21,996	$423	premium	40.0%	(781) 983-9088
10	FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC	GLENDALE	UT	PODIATRY	14	50	$17,096	$342	premium	19.2%	(623) 544-9090
11	UNIVERSITY OF ROCHESTER	ROCHESTER	NY	NURSE PRACTITIONER	954	48	$19,248	$401	premium	2.8%	(585) 341-7200
12	UNIVERSITY OF UTAH ADULT SERVICES	SALT LAKE CITY	UT	PHYSICIAN ASSISTANT	1783	38	$24,493	$645	premium	14.6%	(801) 581-2121
13	RYAN K ANDERSON D P M P C	BOUNTIFUL	UT	PODIATRY	51	30	$9,090	$303	premium	11.5%	(801) 292-4425
14	NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING	NEW YORK	NY	PHYSICIAN ASSISTANT	174	24	$8,736	$364	premium	1.4%	(516) 240-2700
15	JOHNS HOPKINS UNIVERSITY	BALTIMORE	MD	NURSE PRACTITIONER	2900	20	$10,520	$526	premium	43.5%	(410) 502-4340

*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 →