NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88365 Genetic sequencing localization, initial procedure 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 53,545 services ▲ 7.7% YoY · 45,280 beneficiaries (CY2024, Medicare FFS)
Medicare paid $3.5M · $64.60 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
270
Named-group FFS services
27,182
FFS of Medicare
49%
Services YoY
+7.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~55,310 services

27,182 observed fee-for-service (49%) · ~28,128 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 — 88365 (CY2024)
CA 13,449 FL 4,678 TX 3,986 NY 3,637 AZ 2,925

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

Named-group submitted charges
$6.5M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.1M
Avg charge / svc
$239
Avg allowed / svc
$51
Avg payment / svc
$41
Average charge per group
$78 270 groups · avg submitted charge / service $650
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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 88365 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 982 $590,674 $602 7.3% (650) 723-4000
2 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 676 $124,384 $184 37.5% (757) 668-3221
3 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 543 $149,325 $275 14.9% (212) 639-2000
4 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 504 $95,760 $190 25.3% (617) 732-5500
5 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 491 $178,693 $364 12.3% (713) 592-5433
6 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 483 $77,763 $161 10.3% (305) 689-5437
7 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 474 $68,256 $144 26.3% (434) 924-5959
8 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 438 $162,357 $371 3.3% (310) 267-2625
9 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 377 $161,826 $429 8.1% (239) 561-9622
10 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 364 $55,077 $151 45.3% (509) 892-2700
11 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 361 $57,760 $160 14.8% (614) 293-5905
12 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 351 $67,233 $192 7.5% (813) 745-4673
13 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 329 $54,285 $165 13.5% —
14 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 320 $66,468 $208 2.4% (916) 447-6267
15 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 318 $97,812 $308 27.7% —
16 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 315 $82,215 $261 31.8% (734) 763-5459
17 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 301 $90,008 $299 8.3% —
18 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 262 $106,980 $408 7.2% (212) 305-8559
19 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 255 $29,940 $117 10.0% (215) 662-2777
20 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 253 $33,396 $132 59.0% (501) 686-8000
21 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 250 $46,530 $186 70.4% (503) 494-8311
22 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 249 $62,972 $253 6.8% (212) 263-9700
23 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 241 $67,962 $282 6.0% (214) 633-5555
24 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR PA PATHOLOGY 10 238 $69,020 $290 9.4% (484) 337-4570
25 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 238 $80,206 $337 1.8% (415) 476-4029
26 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 235 $56,111 $239 56.1% (720) 777-1234
27 VALLEY PATHOLOGISTS, INC DAYTON OH PATHOLOGY 12 228 $36,708 $161 9.3% (937) 208-2978
28 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 227 $124,074 $547 4.9% (260) 484-8830
29 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 222 $51,425 $232 1.7% (310) 423-0674
30 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 214 $68,541 $320 33.2% (843) 792-1414
31 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 210 $22,996 $110 5.3% (713) 394-6450
32 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 210 $49,720 $237 17.3% (704) 304-5988
33 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 209 $39,710 $190 10.5% (617) 724-0287
34 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 207 $36,657 $177 1.5% (858) 455-9100
35 CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP SAN FRANCISCO CA PATHOLOGY 11 206 $64,890 $315 1.5% (415) 600-6000
36 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 205 $38,950 $190 7.0% (800) 603-0558
37 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 205 $51,250 $250 5.1% (210) 558-6288
38 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 192 $29,952 $156 16.7% (847) 723-2210
39 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 189 $38,745 $205 1.4% (800) 926-8273
40 DRS CLACK SPENCER WHITE AND MCCORMACK PA SARASOTA FL PATHOLOGY 13 188 $31,068 $165 4.0% (941) 362-8900
41 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 185 $16,499 $89 35.7% (615) 221-4400
42 PATHOLOGY AND LABORATORY CONSULTANTS OF LONG ISLAND PLLC WEST ISLIP NY PATHOLOGY 20 175 $21,875 $125 4.8% (631) 376-3990
43 GREATER CINCINNATI PATHOLOGISTS INC CINCINNATI OH PATHOLOGY 21 170 $20,400 $120 7.0% (513) 585-2000
44 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 165 $93,087 $564 4.5% (212) 746-5454
45 COMPREHENSIVE PATHOLOGY ASSOCIATES, P.A. MIAMI FL PATHOLOGY 20 164 $65,600 $400 3.5% (786) 596-6525
46 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 159 $32,754 $206 24.1% (507) 284-2511
47 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 156 $32,133 $206 19.4% (206) 364-0500
48 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS FL PATHOLOGY 133 148 $51,722 $349 3.2% (561) 548-3639
49 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 147 $29,275 $199 16.5% (314) 747-3000
50 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 143 $20,237 $142 11.8% (919) 684-8111
51 PATHOLOGY ASSOCIATES OF SOUTH MIAMI MIAMI FL PATHOLOGY 5 142 $50,126 $353 3.0% (786) 662-8168
52 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 133 $15,840 $119 36.9% (402) 559-4000
53 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 130 $18,070 $139 10.7% (984) 215-5556
54 MAIN LINE PATHOLOGY ASSOCIATES, PC BRYN MAWR IA PATHOLOGY 10 128 $37,120 $290 33.2% (484) 337-4570
55 PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION BATON ROUGE LA PATHOLOGY 23 127 $37,304 $294 39.8% (225) 766-4999
56 PATHOLOGY ASSOCIATES CLOVIS CA PATHOLOGY 16 123 $33,702 $274 0.9% (559) 326-2800
57 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 121 $16,937 $140 4.8% —
58 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 121 $17,061 $141 0.9% (626) 256-4673
59 PATHOLOGY ASSOCIATES OF GREENVILLE GREENVILLE SC PATHOLOGY 34 117 $29,250 $250 18.1% (864) 295-3492
60 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM WI PHYSICIAN ASSISTANT 3051 115 $16,330 $142 23.9% (919) 684-8111
61 HEARTLAND REGIONAL MEDICAL CENTER SAINT JOSEPH MO NURSE PRACTITIONER 387 112 $21,571 $193 12.6% (816) 271-6870
62 MONUMENT PATHOLOGISTS INC. RICHMOND VA PATHOLOGY 11 112 $25,536 $228 6.2% —
63 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 110 $13,225 $120 4.3% —
64 PATHOLOGY MEDICAL SERVICES PC LINCOLN NE PATHOLOGY 12 110 $26,181 $238 30.6% (402) 465-1900
65 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE SC PATHOLOGY 50 109 $24,336 $223 16.9% (704) 304-5988
66 NTX PATHOLOGY PROGRAM, PLLC PLANO TX PATHOLOGY 26 109 $34,008 $312 2.7% (972) 519-1585
67 IRL PATHOLOGY SERVICES MIDAMERICA LLC OVERLAND PARK MO PATHOLOGY 15 109 $34,008 $312 12.2% (913) 541-5585
68 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 106 $30,746 $290 10.7% (248) 964-1187
69 PRESBYTERIAN PATHOLOGY GROUP PLLC CHARLOTTE NC PATHOLOGY 22 99 $18,810 $190 8.2% (704) 384-4814
70 PATHOLOGY ASSOCIATES OF CENTRAL PENNSYLVANIA PC HARRISBURG PA PATHOLOGY 11 99 $13,563 $137 3.9% (800) 475-6236
71 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 95 $23,750 $250 3.7% —
72 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA PATHOLOGY 38 95 $17,856 $188 0.7% (714) 456-7004
73 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK MI PATHOLOGY 18 94 $19,740 $210 9.5% (201) 996-2000
74 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 94 $10,433 $111 3.7% (267) 857-7751
75 GAINESVILLE REGIONAL PATHOLOGY ASSOCIATES, PC GAINESVILLE GA PATHOLOGY 8 93 $20,832 $224 24.7% (770) 219-1553
76 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 93 $22,860 $246 0.7% (800) 872-2273
77 CABARRUS PATHOLOGY ASSOCIATES PA CONCORD NC PATHOLOGY 7 92 $21,896 $238 7.6% (704) 403-3040
78 EPIPHANY DERMATOLOGY PA WACO TX DERMATOLOGY 106 92 $43,675 $475 2.3% (254) 537-1265
79 GREENSBORO PATHOLOGY, LLC GREENSBORO NC PATHOLOGY 20 92 $9,660 $105 7.6% (336) 832-8074
80 NORTH DALLAS PATHOLOGY SERVICES PA DALLAS TX PATHOLOGY 11 91 $20,035 $220 2.3% (214) 345-6789
81 PATHOLOGY SCIENCES MEDICAL GROUP CHICO CA PATHOLOGY 9 91 $9,445 $104 0.7% (530) 891-6244
82 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 91 $27,519 $302 73.4% (302) 744-4700
83 CLEARWATER PATHOLOGY ASSOCIATES CLEARWATER FL PATHOLOGY 9 90 $23,400 $260 1.9% (727) 462-7000
84 CAPITAL DISTRICT PATHOLOGY ASSOCIATES PLLC ALBANY NY PATHOLOGY 11 89 $8,900 $100 2.4% (518) 525-1477
85 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 89 $17,864 $201 3.6% —
86 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 88 $17,280 $196 4.4% —
87 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 88 $14,662 $167 7.3% (252) 744-1406
88 MICHIGAN PATHOLOGY SPECIALISTS PC GRAND RAPIDS MI PATHOLOGY 32 87 $16,265 $187 8.8% (616) 267-2350
89 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 84 $9,660 $115 26.3% (504) 842-3000
90 WILMINGTON PATHOLOGY ASSOCIATES PA WILMINGTON NC PATHOLOGY 9 82 $19,024 $232 6.8% (910) 362-9511
91 NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC NEWPORT BEACH CA PATHOLOGY 26 81 $15,390 $190 0.6% (949) 891-1297
92 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 80 $30,592 $382 20.2% (913) 588-7743
93 COOPER PATHOLOGY PC CAMDEN NJ PATHOLOGY 32 80 $27,080 $338 4.4% (856) 342-2506
94 MERIDIAN LABORATORY PHYSICIANS, PA RED BANK NJ PATHOLOGY 18 79 $10,253 $130 4.3% (732) 741-2700
95 CLINICAL ASSOCIATES LLC LOUISVILLE KY PATHOLOGY 28 79 $10,191 $129 27.9% (502) 897-9594
96 AMERIPATH INDIANAPOLIS PC INDIANAPOLIS MI PATHOLOGY 35 79 $10,502 $133 8.0% (317) 275-8072
97 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 78 $9,984 $128 8.8% —
98 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 77 $16,722 $217 4.2% (201) 996-2000
99 CHIPPS, CAFFREY AND DUBILIER, P.S.C LEXINGTON KY PATHOLOGY 19 75 $10,050 $134 26.5% (859) 278-9513
100 ACLA PC NASHVILLE TN PATHOLOGY 12 74 $11,200 $151 14.3% (615) 284-5229

Showing the top 100 of 270 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 →