NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88367 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure 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 4,189 services ▲ 17.3% YoY · 3,955 beneficiaries (CY2024, Medicare FFS)
Medicare paid $257K · $61.44 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
17
Named-group FFS services
893
FFS of Medicare
49%
Services YoY
+17.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,784 services

893 observed fee-for-service (50%) · ~891 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 — 88367 (CY2024)

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

Named-group submitted charges
$158K
Named-group allowed amount
$34K
Named-group Medicare payments
$27K
Avg charge / svc
$177
Avg allowed / svc
$38
Avg payment / svc
$31
Average charge per group
$51 17 groups · avg submitted charge / service $354
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 88367 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 88367 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 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 130 $11,700 $90 premium 16.5% (520) 694-0111
2 PATHOLOGY SPECIALIST OF ARIZONA, LLP PHOENIX AZ PATHOLOGY 66 112 $11,014 $98 premium 14.2% (602) 685-5211
3 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 111 $23,088 $208 premium 100.0% (501) 686-8000
4 CLIN-PATH PATHOLOGY PHOENIX AZ PATHOLOGY 29 84 $29,707 $354 premium 10.7% (602) 685-5166
5 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 70 $11,685 $167 premium 100.0%
6 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 64 $11,520 $180 premium 100.0% (205) 934-3460
7 PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD SPRINGFIELD IL PATHOLOGY 14 59 $13,711 $232 premium 100.0% (217) 788-3000
8 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 53 $7,663 $145 premium 100.0% (202) 429-2401
9 PENINSULA PATHOLOGISTS MEDICAL GROUP INC MOUNTAIN VIEW CA PATHOLOGY 16 39 $6,825 $175 premium 15.2% (650) 616-2951
10 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 35 $9,590 $274 premium 44.9% (713) 592-5433
11 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 24 $4,800 $200 premium 30.8% (210) 558-6288
12 PATHOLOGY ASSOCIATES CLOVIS CA PATHOLOGY 16 22 $6,248 $284 premium 8.6% (559) 326-2800
13 PAN PACIFIC PATHOLOGISTS LLC HILO HI PATHOLOGY 19 20 $1,684 $84 premium 100.0% (808) 974-6898
14 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 17 $2,975 $175 premium 6.6%
15 ALTA EAST BAY PATHOLOGY, INC. OAKLAND CA PATHOLOGY 6 15 $2,625 $175 premium 5.8% (510) 869-6567
16 PAN PACIFIC PATHOLOGISTS LLC HILO AZ PATHOLOGY 19 15 $1,263 $84 premium 1.9% (808) 974-6898
17 ACLA PC NASHVILLE TN PATHOLOGY 12 12 $1,800 $150 premium 52.2% (615) 284-5229
18 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 11 $561 $51 premium 47.8% (615) 385-3751

*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 →