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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
95027 Test for allergy using airborne allergenic extract injected into skin CPT · Test - Miscellaneous
Classification Test Test - Miscellaneous (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 73,591 services ▼ 8.3% YoY · 1,975 beneficiaries (CY2024, Medicare FFS)
Medicare paid $282K · $3.83 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
27
Named-group FFS services
45,559
FFS of Medicare
49%
Services YoY
-8.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~80,583 services

45,559 observed fee-for-service (57%) · ~35,024 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 — 95027 (CY2024)

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

Named-group submitted charges
$808K
Named-group allowed amount
$223K
Named-group Medicare payments
$175K
Avg charge / svc
$18
Avg allowed / svc
$5
Avg payment / svc
$4
Average charge per group
$7 27 groups · avg submitted charge / service $26
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 95027 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 95027 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 SOUTH CAROLINA ENT ALLERGY AND SLEEP MEDICINE PA COLUMBIA SC PHYSICIAN ASSISTANT 24 14,626 $219,390 $15 premium 79.9% (803) 408-3277
2 BERNARD J DURANTE MD PC PLYMOUTH MA PHYSICIAN ASSISTANT 16 13,803 $345,075 $25 premium 56.7% (508) 746-8977
3 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 3,356 $50,340 $15 premium 100.0% (703) 437-0001
4 KEITH D. JORGENSEN, MD, PA DERRY NH PHYSICIAN ASSISTANT 3 2,411 $33,783 $14 premium 100.0% (603) 432-8104
5 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 1,701 $22,113 $13 premium 74.9% (305) 595-6200
6 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM AL OTOLARYNGOLOGY 43 1,031 $8,248 $8 premium 59.8% (205) 212-3540
7 CATALYST MEDICAL CENTER PC FARGO ND NURSE PRACTITIONER 8 1,023 $26,598 $26 premium 100.0% (701) 365-8700
8 PRINCETON COMMUNITY HOSPITAL ASSN. INC. PRINCETON WV NURSE PRACTITIONER 176 897 $11,661 $13 premium 100.0% (304) 487-0232
9 DEKALB SPECIALTY CARE FORT PAYNE AL NURSE PRACTITIONER 19 694 $4,858 $7 premium 40.2% (256) 979-1550
10 METROWEST EAR NOSE AND THROAT ASSOC INC FRAMINGHAM MA OTOLARYNGOLOGY 2 667 $12,006 $18 premium 2.7% (508) 875-6124
11 ROCKY MOUNTAIN EAR NOSE AND THROAT CENTER PC MISSOULA MT QUALIFIED AUDIOLOGIST 20 634 $6,657 $10 premium 100.0% (406) 541-3937
12 NY CENTER FOR EAR NOSE THROAT SINUS ALLERGY LLP BROOKLYN NY OTOLARYNGOLOGY 2 630 $12,600 $20 premium 100.0% (718) 646-2500
13 SOUTHEASTERN EAR NOSE THROAT ALLERGY AND SLEEP DISORDERS INSTITUTE COLUMBIA SC NURSE PRACTITIONER 3 552 $6,624 $12 premium 3.0% (803) 509-7200
14 PHYSICIANS CLINIC OF IOWA PC CEDAR RAPIDS IA NURSE PRACTITIONER 132 478 $5,736 $12 premium 20.8% (319) 247-3010
15 OTORHINOLARYNGOLOGY ASSOCIATES PC PALMERTON PA PHYSICIAN ASSISTANT 4 448 $6,720 $15 premium 42.5% (610) 824-5050
16 MICHAEL A FREEDMAN DO PC RIVERVIEW MI OTOLARYNGOLOGY 2 435 $3,806 $9 premium 100.0% (734) 479-7310
17 EAR NOSE THROAT FACIAL PLASTIC SURGERY SPECIALISTS PC WILLOW GROVE PA OTOLARYNGOLOGY 2 378 $6,426 $17 premium 35.9% (215) 659-8805
18 SHEA CLINIC MEMPHIS TN OTOLARYNGOLOGY 8 370 $4,810 $13 premium 40.1% (901) 761-9720
19 EASTERN CAROLINA EAR, NOSE AND THROAT-HEAD AND NECK SURGERY, INC GREENVILLE NC OTOLARYNGOLOGY 17 278 $3,922 $14 premium 100.0% (252) 752-5227
20 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 251 $4,108 $16 premium 20.0% 9854465079110
21 MELISSA SCHWARTZ, D.O. LLC ELKINS PARK PA OTOLARYNGOLOGY 2 228 $5,244 $23 premium 21.6% (215) 887-7380
22 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 153 $1,579 $10 premium 6.7% (239) 291-6970
23 WESTSIDE HEAD AND NECK CULVER CITY CA OTOLARYNGOLOGY 6 151 $1,510 $10 premium 13.5% (310) 204-4111
24 POTTER PLASTIC AND RECONSTRUCTIVE SURGERY PA HAYS KS NURSE PRACTITIONER 3 117 $1,404 $12 premium 40.1% (785) 301-2250
25 DALTON EAR NOSE AND THROAT ASSOCIATES DALTON GA OTOLARYNGOLOGY 8 113 $1,469 $13 premium 100.0% (706) 226-2142
26 ENT ASSOCIATES OF ALABAMA PC BIRMINGHAM OH OTOLARYNGOLOGY 43 64 $512 $8 premium 100.0% (205) 212-3540
27 ENT AND ALLERGY CENTER, PA FAYETTEVILLE AR QUALIFIED AUDIOLOGIST 5 36 $288 $8 premium 51.4%
28 EAR NOSE AND THROAT ASSOCIATES OF MOUNTAIN HOME PA MOUNTAIN HOME AR OTOLARYNGOLOGY 6 34 $340 $10 premium 48.6% 870424420014

*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 →