NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88363 Examination of archival tissue for genetic analysis CPT · Molecular Testing
Classification Test › Molecular Testing › Genetic Analysis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 42,073 services ▲ 15.6% YoY · 40,256 beneficiaries (CY2024, Medicare FFS)
Medicare paid $645K · $15.34 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
252
Named-group FFS services
32,056
FFS of Medicare
49%
Services YoY
+15.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~64,956 services

32,056 observed fee-for-service (49%) · ~32,900 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 — 88363 (CY2024)
CA 4,730 TX 4,041 FL 3,183 IL 2,907 GA 2,328

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

Named-group submitted charges
$3.2M
Named-group allowed amount
$614K
Named-group Medicare payments
$487K
Avg charge / svc
$99
Avg allowed / svc
$19
Avg payment / svc
$15
Average charge per group
$24 252 groups · avg submitted charge / service $376
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a taste of the twelve-year trend layer

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 88363 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 2,545 $376,034 $148 63.0% (713) 592-5433
2 DRS CLACK SPENCER WHITE AND MCCORMACK PA SARASOTA FL PATHOLOGY 13 635 $49,784 $78 19.9% (941) 362-8900
3 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 582 $62,994 $108 28.6% (314) 747-3000
4 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 532 $53,200 $100 13.2% (210) 558-6288
5 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 524 $74,408 $142 30.9% (757) 668-3221
6 CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP SAN FRANCISCO CA PATHOLOGY 11 522 $156,600 $300 11.0% (415) 600-6000
7 PATHOLOGY SPECIALIST OF ARIZONA, LLP PHOENIX AZ PATHOLOGY 66 480 $44,463 $93 44.2% (602) 685-5211
8 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 438 $42,924 $98 26.8% (484) 337-4570
9 PATHOLOGY AND LABORATORY MEDICINE, PC ATLANTA GA PATHOLOGY 27 437 $25,346 $58 18.8% (770) 458-6103
10 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 424 $39,039 $92 9.0% (858) 455-9100
11 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 416 $18,799 $45 13.1% (352) 726-9707
12 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 401 $92,631 $231 8.5% (415) 476-4029
13 MONUMENT PATHOLOGISTS INC. RICHMOND VA PATHOLOGY 11 392 $50,568 $129 23.1% —
14 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 368 $31,280 $85 12.7% (847) 723-2210
15 COMPREHENSIVE PATHOLOGY ASSOCIATES, P.A. MIAMI FL PATHOLOGY 20 342 $45,828 $134 10.7% (786) 596-6525
16 ARLINGTON RIDGE PATHOLOGY SC ARLINGTON HEIGHTS IL PATHOLOGY 8 325 $45,825 $141 11.2% (847) 618-6150
17 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 305 $24,598 $81 45.8% —
18 NORTHWEST INDIANA PATHOLOGY CONSULTANTS, P.C. MUNSTER IN PATHOLOGY 11 304 $27,360 $90 32.6% (219) 836-1600
19 PHYSICIANS FOOTCARE, LLC SUMTER NC PODIATRY 31 293 $11,134 $38 20.0% (803) 773-7000
20 GAINESVILLE REGIONAL PATHOLOGY ASSOCIATES, PC GAINESVILLE GA PATHOLOGY 8 280 $19,600 $70 12.0% (770) 219-1553
21 PATHOLOGY SCIENCES MEDICAL GROUP CHICO CA PATHOLOGY 9 280 $21,000 $75 5.9% (530) 891-6244
22 PATHOLOGY MEDICAL SERVICES PC LINCOLN NE PATHOLOGY 12 269 $17,216 $64 37.1% (402) 465-1900
23 TREASURE COAST PATHOLOGY, PA STUART FL PATHOLOGY 11 259 $28,490 $110 8.1% (772) 288-5853
24 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 256 $15,826 $62 5.4% (626) 256-4673
25 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 244 $13,420 $55 35.1% (509) 892-2700
26 PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION BATON ROUGE LA PATHOLOGY 23 244 $20,984 $86 29.3% (225) 766-4999
27 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 244 $18,300 $75 14.1% (614) 293-5905
28 NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC NEWPORT BEACH CA PATHOLOGY 26 239 $19,837 $83 5.1% (949) 891-1297
29 PATHOLOGY GROUP PC OKLAHOMA CITY OK PATHOLOGY 9 234 $24,544 $105 51.9% (405) 272-7065
30 PATHOLOGY MEDICAL GROUP OF SAINT JOHNS SANTA MONICA CA PATHOLOGY 8 230 $12,696 $55 4.9% (310) 829-8101
31 CAPITAL DISTRICT PATHOLOGY ASSOCIATES PLLC ALBANY NY PATHOLOGY 11 228 $10,260 $45 22.8% (518) 525-1477
32 OHIO VALLEY PATHOLOGISTS PC EVANSVILLE IN PATHOLOGY 12 228 $20,926 $92 24.5% (812) 450-5000
33 PATHOLOGY ASSOCIATES CLOVIS CA PATHOLOGY 16 227 $19,749 $87 4.8% (559) 326-2800
34 ARKANSAS PATHOLOGY ASSOCIATES PA LITTLE ROCK AR PATHOLOGY 11 223 $11,150 $50 29.9% (501) 663-4116
35 PATHOLOGY ASSOCIATES OF CENTRAL PENNSYLVANIA PC HARRISBURG PA PATHOLOGY 11 217 $20,615 $95 13.3% (800) 475-6236
36 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 216 $10,800 $50 5.3% (512) 579-4000
37 WILMINGTON PATHOLOGY ASSOCIATES PA WILMINGTON NC PATHOLOGY 9 216 $18,282 $85 14.7% (910) 362-9511
38 NORTHWEST PATHOLOGY PLLC BELLINGHAM WA PATHOLOGY 7 214 $20,330 $95 30.7% (360) 734-2800
39 PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA PATHOLOGY 5 213 $25,347 $119 12.5% (757) 594-2000
40 ADL INC ANCHORAGE AK PATHOLOGY 6 212 $55,913 $264 100.0% (907) 261-5806
41 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 211 $8,651 $41 12.9% (215) 662-2777
42 PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD SPRINGFIELD IL PATHOLOGY 14 210 $28,224 $134 7.2% (217) 788-3000
43 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 207 $7,659 $37 37.9% (205) 934-3460
44 ATHENS REGIONAL PATHOLOGY ASSOCIATES, LLP ATHENS GA PATHOLOGY 5 206 $19,555 $95 8.8% (706) 475-3398
45 GREATER CINCINNATI PATHOLOGISTS INC CINCINNATI OH PATHOLOGY 21 203 $15,225 $75 11.7% (513) 585-2000
46 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 198 $23,760 $120 19.8% (212) 746-5454
47 ST LOUIS PATHOLOGY ASSOC INC SAINT LOUIS MO PATHOLOGY 16 195 $23,790 $122 9.6% (314) 991-8015
48 IRL PATHOLOGY SERVICES MIDAMERICA LLC OVERLAND PARK MO PATHOLOGY 15 191 $15,280 $80 9.4% (913) 541-5585
49 CLEARWATER PATHOLOGY ASSOCIATES CLEARWATER FL PATHOLOGY 9 190 $15,200 $80 6.0% (727) 462-7000
50 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE SC PATHOLOGY 50 186 $13,020 $70 28.7% (704) 304-5988
51 PATHOLOGY CONSULTANTS LLC YOUNGSTOWN OH PATHOLOGY 9 185 $18,500 $100 10.7% (330) 480-3768
52 UTAH PATHOLOGY SERVICES INC MURRAY UT PATHOLOGY 28 184 $6,256 $34 52.6% (801) 266-0055
53 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 175 $20,412 $117 27.0% (843) 792-1414
54 GREAT LAKES PATHOLOGISTS SC WEST ALLIS WI PATHOLOGY 55 173 $23,527 $136 27.0% (414) 328-7950
55 AM RYWLIN MD AND ASSOC PA MIAMI FL PATHOLOGY 9 171 $40,986 $240 5.4% (305) 674-2277
56 FREDERICK PATHOLOGY CONSULTANTS PA FREDERICK MD PATHOLOGY 5 171 $15,561 $91 13.0% (240) 566-3415
57 CHATHAM PATHOLOGY ASSOCIATES PC SAVANNAH GA PATHOLOGY 7 166 $16,600 $100 7.1% (912) 927-5426
58 REX PATHOLOGY ASSOCIATES PA RALEIGH NC PATHOLOGY 10 164 $22,222 $136 11.2% (919) 784-3063
59 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 163 $10,782 $66 8.0% —
60 CEDAR VALLEY PATHOLOGISTS PC CEDAR RAPIDS IA PATHOLOGY 7 159 $10,812 $68 31.1% (319) 369-7002
61 ASSOCIATED PATHOLOGISTS LTD SPRINGFIELD IL PATHOLOGY 10 159 $21,370 $134 5.5% 217544646448225
62 GREATER CINCINNATI PATHOLOGISTS INC CINCINNATI IN PATHOLOGY 21 157 $11,775 $75 16.8% (513) 585-2000
63 NORTHWEST INDIANA PATHOLOGY CONSULTANTS, P.C. MUNSTER IL PATHOLOGY 11 153 $13,770 $90 5.3% (219) 836-1600
64 PENINSULA PATHOLOGY ASSOCIATES, P.A. SALISBURY MD PATHOLOGY 5 147 $9,261 $63 11.2% (410) 543-7389
65 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 147 $7,276 $49 3.1% (916) 447-6267
66 PREFERRED ANATOMIC PATHOLOGY SERVICES INC LAFAYETTE LA PATHOLOGY 5 146 $8,030 $55 17.5% (337) 289-7679
67 SOUTHERN OHIO PATHOLOGY CONSULTANTS, INC. CINCINNATI OH PATHOLOGY 18 143 $21,307 $149 8.3% (513) 865-1111
68 GRAND JUNCTION PATHOLOGISTS, P.C. GRAND JUNCTION CO PATHOLOGY 4 135 $9,450 $70 43.0% (970) 244-2069
69 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK GA PATHOLOGY 46 133 $11,970 $90 5.7% 91226126691205
70 GRAND TRAVERSE PATHOLOGY, PLLC TRAVERSE CITY MI PATHOLOGY 12 133 $6,517 $49 15.4% (231) 935-6100
71 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 129 $10,320 $80 51.0% (201) 996-2000
72 DRS. PALERMO, BREITENECKER, SIEGEL AND LUDWIG, P.A. BALTIMORE MD PATHOLOGY 5 125 $7,500 $60 9.5% (443) 849-2233
73 TUPELO PATHOLOGY GROUP, P.A. TUPELO MS PATHOLOGY 5 124 $7,440 $60 35.0% (662) 377-3073
74 LOUISVILLE PATHOLOGY ASSOCIATES, PSC LOUISVILLE KY PATHOLOGY 5 119 $9,520 $80 24.6% (502) 897-8226
75 MOUNTAIN AREA PATHOLOGY PA ASHEVILLE NC PATHOLOGY 13 119 $4,522 $38 8.1% (828) 213-1111
76 LONG BEACH MEMORIAL PATHOLOGY MEDICAL GROUP, INC. LONG BEACH CA PATHOLOGY 12 118 $6,372 $54 2.5% (562) 933-0716
77 BOISE PATHOLOGY GROUP P.A. BOISE ID PATHOLOGY 10 118 $5,074 $43 89.4% (208) 381-2378
78 PATHOLOGY ASSOCIATES PA ST PETERSBURG FL PATHOLOGY 6 113 $11,639 $103 3.6% (727) 328-7800
79 DOMINION PATHOLOGY ASSOCIATES PC ROANOKE VA PATHOLOGY 9 112 $6,327 $56 6.6% (540) 581-0148
80 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 112 $14,016 $125 31.2% (218) 576-0680
81 MICHIGAN HEALTH CLINICS PC SAGINAW MI PATHOLOGY 3 110 $7,361 $67 12.7% (989) 341-5078
82 UVA COMMUNITY HEALTH MEDICAL GROUP LLC MANASSAS VA NURSE PRACTITIONER 345 110 $16,094 $146 6.5% (703) 396-5292
83 ST VINCENTS PATHOLOGY ASSOCIATES PA JACKSONVILLE FL PATHOLOGY 6 106 $10,600 $100 3.3% (904) 308-7300
84 SANTA FE PATHOLOGY SERVICES PA SANTA FE NM PATHOLOGY 4 103 $10,300 $100 71.5% (505) 986-8620
85 LANGHORNE PATHOLOGY ASSOCIATES PC LANGHORNE PA PATHOLOGY 2 102 $4,590 $45 6.2% (215) 750-2161
86 DOCTORS' ANATOMIC PATHOLOGY SERVICES, PA JONESBORO AR PATHOLOGY 6 99 $5,742 $58 13.3% (870) 930-3518
87 DRS CLACK SPENCER WHITE AND MCCORMACK PA SARASOTA TN PATHOLOGY 13 99 $7,762 $78 22.6% (941) 362-8900
88 PALM BEACH PATHOLOGY, PA WEST PALM BCH CA PATHOLOGY 8 97 $9,616 $99 2.1% (561) 642-2998
89 PATHOLOGY CONSULTANTS OF NEW LONDON PC NEW LONDON CT PATHOLOGY 5 97 $4,850 $50 56.1% (860) 444-5100
90 PATHOLOGY ASSOCIATES PC SAINT LOUIS MO PATHOLOGY 8 96 $11,040 $115 4.7% (314) 525-4768
91 CHARLOTTESVILLE PATHOLOGY ASSOCIATES PLC CHARLOTTESVILLE VA PATHOLOGY 3 95 $6,270 $66 5.6% (434) 654-7188
92 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 95 $7,854 $83 6.5% (910) 296-0941
93 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 94 $7,520 $80 3.0% (561) 548-3639
94 FOX VALLEY PATHOLOGISTS SC NEENAH WI PATHOLOGY 9 94 $8,250 $88 14.7% (920) 729-3000
95 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IL PATHOLOGY 11 90 $12,951 $144 3.1% (630) 933-2048
96 POTOMAC HIGHLANDS PATHOLOGY ASSOCIATES PA CUMBERLAND MD PATHOLOGY 4 90 $4,510 $50 6.8% (240) 964-2500
97 CONSULTANTS IN LABORATORY MEDICINE OF GREATER TOLEDO TOLEDO OH PATHOLOGY 22 88 $5,896 $67 5.1% (419) 534-3500
98 ST JOSEPHS PATHOLOGY PHOENIX AZ PATHOLOGY 12 87 $5,307 $61 8.0% (602) 406-3000
99 CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP SAN FRANCISCO PA PATHOLOGY 11 87 $26,100 $300 5.3% (415) 600-6000
100 EAST COAST PATHOLOGY OF FLORIDA, PA DAYTONA BEACH FL PATHOLOGY 12 87 $11,571 $133 2.7% (386) 231-3523

Showing the top 100 of 252 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 →