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Market snapshot

95004 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95004 — Test for allergy using allergenic extract

Billing groups
1,110
Named-group FFS services
5,202,571
FFS of Medicare
49%
Services YoY
+3.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,547,973 services

5,202,571 observed fee-for-service (49%) · ~5,345,402 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 — 95004 (CY2024)

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

Named-group submitted charges
$72.9M
Named-group allowed amount
$18.7M
Named-group Medicare payments
$14.4M
Avg charge / svc
$14
Avg allowed / svc
$4
Avg payment / svc
$3
Average charge per group
$3 1,110 groups · avg submitted charge / service $125
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Specialty market — Certified Nurse Midwife (Cnm): 2,841 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Certified Nurse Midwife (Cnm) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 95004 services, CY2024
#Physician group City St Specialty Providers 95004 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 BAY CLINIC COOS BAY FL CERTIFIED NURSE MIDWIFE (CNM) 13 2,841 $40,854 $14 premium 0.4% (541) 269-0333

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →