NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88381 Preparation of specimen, manual CPT · Anatomic Pathology test
Classification Test › Anatomic Pathology › Surgical Pathology Examination (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 85,017 services ▲ 18.6% YoY · 82,176 beneficiaries (CY2024, Medicare FFS)
Medicare paid $10.9M · $128.70 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
47
Named-group FFS services
17,114
FFS of Medicare
49%
Services YoY
+18.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~35,295 services

17,114 observed fee-for-service (48%) · ~18,181 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 — 88381 (CY2024)
CA 29,939 AZ 21,941 UT 9,061 IL 5,198 MA 4,782

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

Named-group submitted charges
$3.9M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.4M
Avg charge / svc
$229
Avg allowed / svc
$101
Avg payment / svc
$80
Average charge per group
$32 47 groups · avg submitted charge / service $522
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers 88381 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 STOCKDALE PODIATRY GROUP INC BAKERSFIELD CA PODIATRY 14 2,915 $728,750 $250 9.7% (661) 832-1667
2 FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC GLENDALE AZ PODIATRY 14 2,224 $635,400 $286 10.1% (623) 544-9090
3 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,493 $636,233 $426 54.4% (239) 561-9622
4 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 1,332 $242,283 $182 87.9% (615) 221-4400
5 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 1,136 $207,180 $182 41.4% (813) 745-4673
6 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 834 $138,135 $166 2.8% (626) 256-4673
7 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 672 $212,334 $316 2.2% (310) 423-0674
8 FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC GLENDALE UT PODIATRY 14 519 $149,383 $288 5.7% (623) 544-9090
9 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 516 $93,912 $182 10.8% (617) 724-0287
10 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 459 $63,977 $139 27.3% —
11 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 455 $82,810 $182 9.5% (617) 732-5500
12 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 409 $90,419 $221 83.5% (319) 678-8201
13 CELLNETIX PATHOLOGY PLLC SEATTLE WA PATHOLOGY 58 369 $25,570 $69 41.2% (206) 320-2000
14 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 308 $58,434 $190 91.9% (734) 763-5459
15 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 306 $22,890 $75 72.5% (503) 494-8311
16 DAHL CHASE PATHOLOGY ASSOCIATES PA BANGOR ME PATHOLOGY 15 261 $19,650 $75 100.0% 20794182708270
17 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 242 $43,318 $179 4.7% —
18 HOSPITAL PATHOLOGY ASSOCIATES, PA MINNEAPOLIS MN PATHOLOGY 45 192 $38,784 $202 16.6% (612) 767-8370
19 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 190 $6,140 $32 19.1% (713) 394-6450
20 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 187 $32,351 $173 16.2% (507) 284-2511
21 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 180 $63,900 $355 18.1% (254) 724-2663
22 CENTRAL JERSEY PATHOLOGY CONSULTANTS, P.A. EDISON NJ PATHOLOGY 6 170 $15,130 $89 8.6% (732) 321-7680
23 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 155 $31,034 $200 17.3% (206) 364-0500
24 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 147 $27,048 $184 28.2% (919) 684-8111
25 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TX PATHOLOGY 135 141 $3,799 $27 14.1% (615) 221-4400
26 PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC DALLAS TX PATHOLOGY 48 133 $29,260 $220 13.3% —
27 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 100 $8,375 $84 61.7% (720) 777-1234
28 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 81 $9,720 $120 4.8% —
29 RYAN K ANDERSON D P M P C BOUNTIFUL UT PODIATRY 51 73 $31,098 $426 0.8% (801) 292-4425
30 DAHL CHASE PATHOLOGY ASSOCIATES PA BANGOR PA PATHOLOGY 15 62 $4,650 $75 3.7% 20794182708270
31 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH NY DIAGNOSTIC RADIOLOGY 4291 62 $8,556 $138 20.6% —
32 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 58 $7,548 $130 100.0% (402) 559-4000
33 UNMC PHYSICIANS OMAHA TN PHYSICIAN ASSISTANT 1514 57 $7,415 $130 3.8% (402) 559-4000
34 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM MA PHYSICIAN ASSISTANT 3051 56 $10,304 $184 1.2% (919) 684-8111
35 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 53 $7,261 $137 44.9% —
36 PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP HOLLYWOOD FL PATHOLOGY 30 51 $4,855 $95 1.9% (954) 265-2333
37 PATHOLOGY CONSULTANTS, PC SPRINGFIELD OR PATHOLOGY 11 49 $1,960 $40 11.6% (541) 222-6915
38 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM TX PHYSICIAN ASSISTANT 3051 40 $7,360 $184 4.0% (919) 684-8111
39 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 38 $7,382 $194 100.0% (770) 422-2004
40 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 37 $6,734 $182 2.2% (215) 662-2777
41 JAY MUKKER DPM INC FRESNO CA PODIATRY 2 37 $16,280 $440 0.1% (559) 224-5101
42 PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP HOLLYWOOD PA PATHOLOGY 30 32 $2,129 $67 1.9% (954) 265-2333
43 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 31 $6,045 $195 73.8% (203) 688-4242
44 MONONGALIA COUNTY GENERAL HOSPITAL COMPANY MORGANTOWN WV PHYSICIAN ASSISTANT 254 28 $11,876 $424 100.0% (304) 598-1200
45 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK TX PATHOLOGY 46 28 $6,160 $220 2.8% 91226126691205
46 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 26 $13,572 $522 2.6% (214) 633-5555
47 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MA NURSE PRACTITIONER 4339 23 $4,186 $182 0.5% —
48 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 23 $2,990 $130 2.3% (409) 772-2222
49 PATHOLOGY LABORATORY ASSOCIATES, INC. TULSA OK PATHOLOGY 25 22 $9,217 $419 100.0% (918) 388-5720
50 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NJ PATHOLOGY 18 19 $2,280 $120 1.0% (201) 996-2000
51 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH MD DIAGNOSTIC RADIOLOGY 4291 18 $2,484 $138 32.1% —
52 SOUTH TEXAS PATHOLOGY ASSOCIATES LLP SAN ANTONIO TX PATHOLOGY 25 14 $2,100 $150 1.4% (210) 558-6288
53 NORTH SHORE PATHOLOGISTS SC MILWAUKEE WI PATHOLOGY 15 13 $4,706 $362 100.0% (414) 647-7400
54 TOTAL FOOT CARE AND WELLNESS CLINIC, LLC JACKSONVILLE FL PODIATRY 13 13 $3,419 $263 0.5% (904) 323-0954
55 ELLSWORTH FOOT AND ANKLE CLINIC PROVO UT PODIATRY 8 13 $5,538 $426 0.1% (801) 253-6886
56 CHIPPS, CAFFREY AND DUBILIER, P.S.C LEXINGTON KY PATHOLOGY 19 12 $1,100 $92 100.0% (859) 278-9513

*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 →