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Market snapshot

88387 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

88387 — Pathologist examination, dissection, and preparation of tissue

Billing groups
5
Named-group FFS services
1,317
FFS of Medicare
49%
Services YoY
-82.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,427 services

1,317 observed fee-for-service (54%) · ~1,110 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 — 88387 (CY2024)

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

Named-group submitted charges
$290K
Named-group allowed amount
$35K
Named-group Medicare payments
$28K
Avg charge / svc
$220
Avg allowed / svc
$27
Avg payment / svc
$21
Average charge per group
$70 5 groups · avg submitted charge / service $282
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 88387 services, CY2024
#Physician group City St Specialty Providers 88387 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 363 $54,813 $151 premium 69.7%
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 358 $100,956 $282 premium 100.0% (212) 263-9700
3 NEW YORK UNIVERSITY NEW YORK MA DIAGNOSTIC RADIOLOGY 5704 267 $75,294 $282 premium 82.4% (212) 263-9700
4 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 158 $23,858 $151 premium 30.3% (847) 723-2210
5 NEW YORK UNIVERSITY NEW YORK CT DIAGNOSTIC RADIOLOGY 5704 81 $22,842 $282 premium 100.0% (212) 263-9700
6 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO MA NURSE PRACTITIONER 4339 40 $6,040 $151 premium 12.3%
7 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 35 $4,970 $142 premium 100.0% (214) 633-5555
8 CLARKE AND COMPANY PATHOLOGY INC. PITTSBURGH PA PATHOLOGY 4 15 $1,050 $70 premium 100.0% (412) 942-3805

*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 →