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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
88738 Hemoglobin measurement CPT · General Laboratory test
Classification Test General Laboratory (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 9,943 services ▼ 11.2% YoY · 8,937 beneficiaries (CY2024, Medicare FFS)
Medicare paid $49K · $4.90 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
25
Named-group FFS services
7,113
FFS of Medicare
49%
Services YoY
-11.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~15,467 services

7,113 observed fee-for-service (46%) · ~8,354 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 — 88738 (CY2024)

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

Named-group submitted charges
$150K
Named-group allowed amount
$35K
Named-group Medicare payments
$35K
Avg charge / svc
$21
Avg allowed / svc
$5
Avg payment / svc
$5
Average charge per group
$5 25 groups · avg submitted charge / service $54
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 88738 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 88738 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 NORTH SHORE LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC NEW HYDE PARK NY PULMONARY DISEASE 6 1,329 $43,857 $33 premium 64.6% (516) 326-0707
2 BUCKS COUNTY MEDICAL ASSOCIATES, P.C. DOYLESTOWN PA PULMONARY DISEASE 10 1,185 $21,330 $18 premium 96.7% (215) 348-1310
3 TUSCALOOSA LUNG AND SLEEP CONSULTANTS, PC TUSCALOOSA AL PULMONARY DISEASE 5 983 $9,830 $10 premium 92.6% (205) 345-2255
4 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 772 $10,808 $14 premium 79.2%
5 LOUISVILLE PULMONARY CARE PLLC LOUISVILLE KY PULMONARY DISEASE 16 582 $6,984 $12 premium 67.4% (502) 899-7377
6 CALIFORNIA PULMONARY ASSOCIATES INC UPLAND CA PULMONARY DISEASE 7 450 $8,845 $20 premium 34.3% (626) 914-5219
7 FOX VALLEY PULMONARY MEDICINE SC APPLETON WI PULMONARY DISEASE 11 279 $9,486 $34 premium 100.0% (920) 358-1139
8 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 262 $14,148 $54 premium 20.0% (916) 983-7476
9 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 260 $5,460 $21 premium 52.1% (800) 825-5391
10 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 183 $2,928 $16 premium 100.0% (612) 863-4000
11 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 167 $5,853 $35 premium 8.1% (212) 241-4812
12 PULMONARY AND CRITICAL CARE ASSOCIATES PC SHELBY TOWNSHIP MI PULMONARY DISEASE 19 123 $615 $5 premium 62.1% (586) 314-0080
13 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 99 $1,386 $14 premium 100.0%
14 UWH OF THE CAROLINAS PLLC WINSTON SALEM NC OBSTETRICS/GYNECOLOGY 328 66 $990 $15 premium 27.5% (336) 768-3632
15 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 65 $1,027 $16 premium 27.1% (252) 744-1406
16 SELECT REHABILITATION, LLC GLENVIEW MA FAMILY PRACTICE 2028 62 $1,240 $20 premium 100.0%
17 NINTH AVENUE INTERNAL MEDICINE LLC DENVER CO INTERNAL MEDICINE 2 62 $930 $15 premium 13.7% (303) 394-2152
18 CHAMPION PHYSICAL THERAPY LLC HALLS KNOXVILLE TN ORTHOPEDIC SURGERY 277 57 $1,140 $20 premium 100.0% (865) 377-3176
19 COLORADO SPRINGS PULMONARY CONSULTANTS PC COLORADO SPRINGS CO PULMONARY DISEASE 22 43 $1,292 $30 premium 9.5% 7194717064310
20 NARBONNE MULTISPECIALTY MEDICAL GROUP, INC LOMITA CA INTERNAL MEDICINE 2 19 $190 $10 premium 1.4% (310) 325-0600
21 COMPREHENSIVE PRIMARY CARE MEDICAL ASSOCIATES, INC FONTANA CA GENERAL PRACTICE 5 17 $259 $15 premium 1.3% (909) 355-1296
22 CRAIG M RUNDBAKEN DO PLLC SUN CITY WEST AZ NURSE PRACTITIONER 10 13 $130 $10 premium 4.8% (623) 975-0500
23 LINCOLN COUNTY PRIMARY CARE CENTER INC HAMLIN WV FAMILY PRACTICE 39 12 $144 $12 premium 100.0%
24 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 12 $252 $21 premium 2.4% (973) 971-5596
25 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 11 $385 $35 premium 0.5%

*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 →