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Market snapshot

95867 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95867 — Needle measurement of electrical activity in muscles on side of body

Billing groups
8
Named-group FFS services
249
FFS of Medicare
49%
Services YoY
+17.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~505 services

249 observed fee-for-service (49%) · ~256 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 — 95867 (CY2024)

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

Named-group submitted charges
$48K
Named-group allowed amount
$10K
Named-group Medicare payments
$8K
Avg charge / svc
$191
Avg allowed / svc
$41
Avg payment / svc
$33
Average charge per group
$78 8 groups · avg submitted charge / service $697
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 95867 services, CY2024
#Physician group City St Specialty Providers 95867 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 83 $6,474 $78 premium 88.3% (215) 662-2777
2 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 45 $7,852 $174 premium 100.0% (617) 732-5500
3 UNIVERSITY HEAD AND NECK SURGEONS ORANGE CA OTOLARYNGOLOGY 27 31 $5,859 $189 premium 31.0% (714) 456-5731
4 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 30 $6,840 $228 premium 100.0% (800) 603-0558
5 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 18 $4,842 $269 premium 62.1% (904) 396-1725
6 CAROLINA EAR AND HEARING CLINIC PC RALEIGH NC OTOLARYNGOLOGY 5 17 $11,849 $697 premium 54.8% 9198764327204
7 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 14 $2,548 $182 premium 45.2% (919) 684-8111
8 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 11 $1,265 $115 premium 37.9% (561) 391-3333

*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 →