NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88368 Microscopic genetic analysis of tissue, manual, 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 15,665 services ▲ 3.5% YoY · 13,388 beneficiaries (CY2024, Medicare FFS)
Medicare paid $1.0M · $66.52 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
49
Named-group FFS services
8,103
FFS of Medicare
49%
Services YoY
+3.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~15,751 services

8,103 observed fee-for-service (51%) · ~7,648 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 — 88368 (CY2024)
NY 2,703 CA 2,137 TX 1,929 NJ 1,570 MA 980

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

Named-group submitted charges
$2.5M
Named-group allowed amount
$498K
Named-group Medicare payments
$395K
Avg charge / svc
$307
Avg allowed / svc
$61
Avg payment / svc
$49
Average charge per group
$101 49 groups · avg submitted charge / service $648
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 88368 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 772 $380,332 $493 36.1% (310) 267-2625
2 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 723 $159,783 $221 73.8% (617) 724-0287
3 PATHOLOGY SCIENCES MEDICAL GROUP PC NORFOLK VA PATHOLOGY 26 707 $192,304 $272 76.2% (757) 668-3221
4 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 596 $132,487 $222 93.3% (913) 588-7743
5 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 594 $148,500 $250 22.0% (631) 751-3000
6 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 477 $205,040 $430 22.3% (310) 423-0674
7 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 332 $65,072 $196 100.0% (615) 322-5000
8 PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP HOLLYWOOD FL PATHOLOGY 30 317 $95,717 $302 94.6% (954) 265-2333
9 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 305 $91,500 $300 11.3% (212) 639-2000
10 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 298 $193,110 $648 11.0% (212) 746-5454
11 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 290 $142,029 $490 100.0% (612) 672-7422
12 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 284 $75,100 $264 85.0% (314) 747-3000
13 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 188 $20,492 $109 81.4% (520) 694-0111
14 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 138 $24,289 $176 18.6% (404) 778-7525
15 GENERAL HOSPITAL PATHOLOGISTS LTD VIRGINIA BCH VA PATHOLOGY 3 121 $30,250 $250 13.0% (757) 463-5240
16 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 112 $54,480 $486 5.2% (800) 954-8000
17 COREPATH LABORATORIES, P.A. SAN ANTONIO TX PATHOLOGY 8 110 $29,120 $265 5.7% (210) 617-4445
18 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 109 $19,935 $183 45.6% (503) 494-8311
19 PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC DALLAS TX PATHOLOGY 48 107 $34,240 $320 5.5% —
20 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK MI PATHOLOGY 18 91 $20,930 $230 100.0% (201) 996-2000
21 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 90 $54,000 $600 18.6% —
22 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 82 $24,375 $297 16.9% (888) 824-0200
23 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 72 $14,244 $198 3.7% (713) 394-6450
24 MEMORIAL PATHOLOGY GROUP NEW YORK MA PATHOLOGY 98 67 $20,100 $300 6.8% (212) 639-2000
25 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 66 $19,778 $300 8.9% (770) 422-2004
26 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 62 $10,726 $173 12.8% (847) 723-2210
27 DAHL CHASE PATHOLOGY ASSOCIATES PA BANGOR ME PATHOLOGY 15 58 $6,844 $118 100.0% 20794182708270
28 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK MA INTERNAL MEDICINE 2053 56 $36,400 $650 5.7% (212) 746-5454
29 THE EMORY CLINIC INC ATLANTA NY NURSE PRACTITIONER 3484 54 $9,576 $177 2.0% (404) 778-7525
30 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NY PATHOLOGY 18 53 $12,190 $230 2.0% (201) 996-2000
31 THE EMORY CLINIC INC ATLANTA MO NURSE PRACTITIONER 3484 50 $8,788 $176 15.0% (404) 778-7525
32 PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC DALLAS SC PATHOLOGY 48 44 $14,080 $320 46.8% —
33 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA PATHOLOGY 38 43 $7,462 $174 2.0% (714) 456-7004
34 THE EMORY CLINIC INC ATLANTA MA NURSE PRACTITIONER 3484 39 $6,842 $175 4.0% (404) 778-7525
35 THE EMORY CLINIC INC ATLANTA SC NURSE PRACTITIONER 3484 35 $6,064 $173 37.2% (404) 778-7525
36 CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP SAN FRANCISCO CA PATHOLOGY 11 35 $11,375 $325 1.6% (415) 600-6000
37 SIERRA PATHOLOGY ASSOCIATES, INC RENO NV PATHOLOGY 10 35 $8,750 $250 64.8% (775) 334-3450
38 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IN PATHOLOGY 45 33 $5,709 $173 100.0% (847) 723-2210
39 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 33 $7,590 $230 2.1% (201) 996-2000
40 CLINICAL ASSOCIATES LLC LOUISVILLE KY PATHOLOGY 28 30 $4,290 $143 53.6% (502) 897-9594
41 PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA PATHOLOGY 5 30 $8,010 $267 3.2% (757) 594-2000
42 GREAT LAKES PATHOLOGISTS SC WEST ALLIS WI PATHOLOGY 55 25 $7,186 $287 45.5% (414) 328-7950
43 DAHL CHASE PATHOLOGY ASSOCIATES PA BANGOR PA PATHOLOGY 15 22 $2,596 $118 100.0% 20794182708270
44 SIERRA PATHOLOGY ASSOCIATES, INC RENO MD PATHOLOGY 10 22 $5,500 $250 100.0% (775) 334-3450
45 AUSTIN PATHOLOGY ASSOCIATES TYLER TX PATHOLOGY 72 21 $4,599 $219 1.1% (903) 593-8441
46 CENTRAL ILLINOIS PATHOLOGY, SC PEORIA IL PATHOLOGY 13 18 $3,312 $184 3.7% (309) 624-9011
47 VIVID PATHOLOGY PA PENSACOLA FL PATHOLOGY 12 18 $5,184 $288 5.4% (448) 227-5201
48 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 18 $1,872 $104 56.2% —
49 PATHOLOGY SPECIALIST OF ARIZONA, LLP PHOENIX LA PATHOLOGY 66 18 $1,822 $101 100.0% (602) 685-5211
50 VALLEY PATHOLOGY ASSOCIATES PLLC TWIN FALLS NM PATHOLOGY 3 17 $1,819 $107 54.8% (208) 814-0361
51 CLIN-PATH PATHOLOGY PHOENIX AZ PATHOLOGY 29 16 $6,020 $376 6.9% (602) 685-5166
52 SAGIS PLLC HOUSTON TX PATHOLOGY 28 16 $2,346 $147 0.8% (877) 697-2447
53 MCLAREN HEALTH MANAGEMENT GROUP FLINT KY PATHOLOGY 21 15 $4,110 $274 26.8% (810) 396-5747
54 CENTRAL ILLINOIS PATHOLOGY, SC PEORIA TX PATHOLOGY 13 14 $2,576 $184 0.7% (309) 624-9011
55 CHARLOTTESVILLE PATHOLOGY ASSOCIATES PLC CHARLOTTESVILLE VA PATHOLOGY 3 14 $1,918 $137 1.5% (434) 654-7188
56 CONSULTING PATHOLOGISTS CORP TOLEDO AZ PATHOLOGY 7 14 $2,100 $150 6.1% (419) 251-3232
57 CANTON PATHOLOGY ASSOCIATES, INC. CANTON OH PATHOLOGY 4 14 $2,520 $180 43.8% (330) 438-6258
58 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY NE NURSE PRACTITIONER 243 13 $2,874 $221 100.0% (913) 588-7743
59 BOISE PATHOLOGY GROUP P.A. BOISE ID PATHOLOGY 10 13 $1,495 $115 100.0% (208) 381-2378
60 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND IL NURSE PRACTITIONER 2232 12 $1,248 $104 2.5% —
61 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 12 $2,940 $245 100.0% (704) 304-5988
62 ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS GREEN BAY WI PHYSICIAN ASSISTANT 604 11 $4,232 $385 20.0% (920) 496-4700
63 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 11 $3,014 $274 19.6% (859) 257-1412
64 UNIVERSITY PATHOLOGY DIAGNOSTICS SC CHICAGO IL PATHOLOGY 19 11 $2,112 $192 2.3% —

*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 →