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Market snapshot

G0416 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0416 — Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Billing groups
551
Named-group FFS services
77,010
FFS of Medicare
49%
Services YoY
+12.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~155,348 services

77,010 observed fee-for-service (50%) · ~78,338 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; 2 states without payer-mix data excluded. How we scale

Top states — G0416 (CY2024)
CA 13,551 TX 9,804 FL 8,609 NY 8,116 IL 7,920

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

Named-group submitted charges
$78.2M
Named-group allowed amount
$17.7M
Named-group Medicare payments
$13.9M
Avg charge / svc
$1,015
Avg allowed / svc
$230
Avg payment / svc
$181
Average charge per group
$99 551 groups · avg submitted charge / service $6,751
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0416 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 2,487 $1,375,490 $553 31.4% (615) 221-4400
2 ADVANCED UROLOGY INSTITUTE LLC INVERNESS FL UROLOGY 147 1,616 $1,115,260 $690 18.8% (352) 726-9707
3 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 1,316 $1,669,756 $1,269 18.8% (610) 579-3577
4 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS TX UROLOGY 72 1,134 $808,542 $713 11.6% (214) 691-9377
5 VIRGINIA UROLOGY CENTER RICHMOND VA UROLOGY 90 799 $1,757,800 $2,200 19.3% (804) 330-9105
6 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 797 $392,241 $492 22.2% (509) 892-2700
7 CHESAPEAKE UROLOGY ASSOCIATES LLC BALTIMORE MD UROLOGY 160 757 $756,672 $1,000 24.7% (410) 825-5454
8 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 701 $829,590 $1,183 8.6% (212) 305-8559
9 YOSEMITE PATHOLOGY MEDICAL GROUP INC MODESTO CA PATHOLOGY 43 689 $498,493 $724 5.1% (209) 577-1200
10 UROLOGY OF VIRGINIA, PLLC VIRGINIA BEACH VA PHYSICIAN ASSISTANT 75 660 $847,600 $1,284 15.9% (757) 452-3599
11 MICHIGAN INSTITUTE OF UROLOGY PC SAINT CLAIR SHORES MI UROLOGY 84 660 $660,000 $1,000 22.1% (586) 771-4820
12 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 629 $1,419,733 $2,257 10.0% (908) 273-4300
13 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 607 $385,475 $635 15.5% (970) 212-0530
14 CELLNETIX PATHOLOGY PLLC SEATTLE WA PATHOLOGY 58 596 $256,000 $430 16.6% (206) 320-2000
15 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 582 $590,730 $1,015 7.2% (212) 639-2000
16 MINNESOTA UROLOGY, PA WOODBURY MN PHYSICIAN ASSISTANT 81 562 $1,697,240 $3,020 25.3% (651) 999-6800
17 PATHOLOGY ASSOCIATES OF SAN ANTONIO, L.L.P. SAN ANTONIO TX PATHOLOGY 24 546 $242,961 $445 5.6% (210) 892-3700
18 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 536 $808,288 $1,508 5.5% (512) 788-9688
19 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 506 $580,881 $1,148 3.7% (916) 447-6267
20 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 501 $382,125 $763 6.2% (212) 263-9700
21 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 495 $903,301 $1,825 3.7% (310) 534-8400
22 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 494 $993,439 $2,011 6.2% —
23 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 488 $402,573 $825 14.6% (800) 603-0558
24 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI OH UROLOGY 74 458 $517,296 $1,129 9.8% (513) 841-7750
25 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK GA PATHOLOGY 46 454 $714,110 $1,573 14.4% 91226126691205
26 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 453 $413,619 $913 6.5% (215) 662-2777
27 TENNESSEE UROLOGY ASSOCIATES, PLLC KNOXVILLE TN UROLOGY 27 452 $512,707 $1,134 5.7% (865) 691-3061
28 GREATER BOSTON UROLOGY LLC FRAMINGHAM MA UROLOGY 42 448 $873,600 $1,950 8.5% —
29 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE SC PATHOLOGY 50 438 $390,039 $890 15.9% (704) 304-5988
30 UCLA PATHOLOGY AND LABORATORY MEDICINE GROUP LOS ANGELES CA PATHOLOGY 65 434 $412,300 $950 3.2% (310) 267-2625
31 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 415 $369,558 $890 10.6% (704) 304-5988
32 MORRISTOWN PATHOLOGY ASSOCIATES PA MORRISTOWN NJ PATHOLOGY 25 406 $602,231 $1,483 6.4% (973) 971-5600
33 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 397 $770,390 $1,941 4.0% (713) 592-5433
34 HOUSTON METRO UROLOGY HOUSTON TX UROLOGY 31 393 $145,938 $371 4.0% (713) 634-4441
35 UNMC PHYSICIANS OMAHA KY PHYSICIAN ASSISTANT 1514 388 $175,576 $453 29.4% (402) 559-4000
36 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 387 $260,477 $673 7.3% —
37 WICHITA UROLOGY GROUP PA WICHITA KS UROLOGY 30 380 $608,000 $1,600 18.1% (316) 636-6100
38 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 369 $461,702 $1,251 2.7% (310) 423-0674
39 UROLOGY CENTERS OF ALABAMA, PC HOMEWOOD AL UROLOGY 61 361 $1,732,800 $4,800 29.0% (205) 930-0920
40 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 356 $937,704 $2,634 2.6% (650) 723-4000
41 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 353 $444,800 $1,260 4.3% (315) 478-4185
42 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 352 $134,451 $382 9.8% (206) 364-0500
43 THE DELTA PATHOLOGY GROUP LLC SHREVEPORT LA PATHOLOGY 28 348 $206,533 $593 16.9% (318) 364-2000
44 PATHOLOGY LABORATORY ASSOCIATES, INC. TULSA OK PATHOLOGY 25 343 $156,876 $457 7.7% (918) 388-5720
45 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD MD UROLOGY 98 341 $425,108 $1,247 11.1% (516) 520-8080
46 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 340 $463,760 $1,364 2.5% (415) 476-4029
47 SOUTHERN UROLOGY LLC OPELOUSAS LA UROLOGY 28 337 $386,202 $1,146 16.3% (337) 594-4025
48 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 330 $355,403 $1,077 4.2% (615) 322-5000
49 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 329 $199,045 $605 7.1% (614) 293-5905
50 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 326 $244,500 $750 4.0% (631) 751-3000
51 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 323 $238,021 $737 6.1% (617) 724-0287
52 INOVA HEALTH CARE SERVICES - PATHOLOGY FAIRFAX VA PATHOLOGY 45 316 $223,728 $708 7.6% (703) 391-3600
53 PENINSULA PATHOLOGISTS MEDICAL GROUP INC MOUNTAIN VIEW CA PATHOLOGY 16 316 $174,404 $552 2.3% (650) 616-2951
54 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 306 $195,408 $639 9.7% (770) 422-2004
55 PATHOLOGY ASSOCIATES OF CENTRAL PENNSYLVANIA PC HARRISBURG PA PATHOLOGY 11 303 $165,741 $547 4.3% (800) 475-6236
56 BOYCE AND BYNUM PATHOLOGY PROFESSIONAL SERVICES INC SEDALIA MO PATHOLOGY 16 301 $224,383 $745 11.1% 57388646004608
57 PATHOLOGY MEDICAL SERVICES PC LINCOLN NE PATHOLOGY 12 300 $272,652 $909 38.8% (402) 465-1900
58 PATHOLOGY ASSOCIATES OF GREENVILLE GREENVILLE SC PATHOLOGY 34 298 $290,305 $974 10.8% (864) 295-3492
59 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 298 $175,608 $589 2.2% (800) 872-2273
60 DRS CLACK SPENCER WHITE AND MCCORMACK PA SARASOTA FL PATHOLOGY 13 297 $240,314 $809 3.4% (941) 362-8900
61 GREAT LAKES PATHOLOGISTS SC WEST ALLIS WI PATHOLOGY 55 292 $350,400 $1,200 12.5% (414) 328-7950
62 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 291 $158,642 $545 2.1% (626) 256-4673
63 TRI STATE UROLOGIC SERVICES PSC INC CINCINNATI MI UROLOGY 74 290 $327,143 $1,128 9.7% (513) 841-7750
64 CORPATH LTD COLUMBUS OH PATHOLOGY 26 287 $750,218 $2,614 6.2% (614) 566-4945
65 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 287 $129,426 $451 12.9% (507) 284-2511
66 MOUNTAIN AREA PATHOLOGY PA ASHEVILLE NC PATHOLOGY 13 286 $91,520 $320 7.3% (828) 213-1111
67 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 285 $668,610 $2,346 3.3% (305) 689-5437
68 AMARILLO UROLOGY ASSOCIATES LLP AMARILLO TX UROLOGY 15 271 $292,195 $1,078 2.8% (806) 355-9447
69 NEWPORT HARBOR PATHOLOGY MEDICAL GROUP INC NEWPORT BEACH CA PATHOLOGY 26 270 $331,450 $1,228 2.0% (949) 891-1297
70 RUFFOLO HOOPER AND ASSOCIATES MD PA TAMPA FL PATHOLOGY 44 269 $236,720 $880 3.1% (813) 971-6000
71 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 266 $171,969 $646 3.1% (813) 745-4673
72 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 261 $192,318 $737 4.9% (617) 732-5500
73 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 257 $191,072 $743 6.6% (720) 777-1234
74 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NY NURSE PRACTITIONER 131 256 $230,912 $902 3.2% —
75 CHARLESTON PATHOLOGY PA CHARLESTON SC PATHOLOGY 12 248 $49,500 $200 9.0% (843) 724-2260
76 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 247 $342,589 $1,387 10.6% (608) 287-2050
77 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 246 $549,037 $2,232 2.5% (512) 579-4000
78 CONTRA COSTA PATHOLOGY ASSOCIATES CONCORD CA PATHOLOGY 8 243 $461,633 $1,900 1.8% (925) 682-8200
79 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 236 $187,582 $795 4.5% (508) 334-1000
80 SAINT FRANCIS CARE MEDICAL GROUP PC HARTFORD MA PATHOLOGY 19 235 $122,484 $521 4.5% (860) 714-4280
81 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 230 $263,332 $1,145 2.9% (888) 824-0200
82 WPM PATHOLOGY LABORATORY CHARTERED SALINA KS PATHOLOGY 5 229 $65,454 $286 10.9% (785) 452-7000
83 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NJ NURSE PRACTITIONER 462 227 $196,175 $864 3.6% (631) 751-3000
84 PATHOLOGY AND LABORATORY MEDICINE, PC ATLANTA GA PATHOLOGY 27 224 $537,600 $2,400 7.1% (770) 458-6103
85 NORTHWEST PATHOLOGY PLLC BELLINGHAM WA PATHOLOGY 7 223 $186,420 $836 6.2% (360) 734-2800
86 AMARILLO PATHOLOGY GROUP LLP AMARILLO TX PATHOLOGY 8 220 $544,074 $2,473 2.2% (806) 212-5942
87 PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA PATHOLOGY 5 220 $112,149 $510 5.3% (757) 594-2000
88 MARIN MEDICAL LABORATORIES GREENBRAE CA PATHOLOGY 9 217 $130,188 $600 1.6% (415) 925-7174
89 SPECTRUM HEALTHCARE PARTNERS PA PORTLAND ME DIAGNOSTIC RADIOLOGY 281 215 $122,334 $569 48.6% (207) 828-2160
90 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 212 $108,544 $512 5.4% (984) 215-5556
91 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 211 $120,481 $571 1.6% (760) 340-3911
92 SAGIS PLLC HOUSTON TX PATHOLOGY 28 211 $253,200 $1,200 2.2% (877) 697-2447
93 RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ PATHOLOGY 151 210 $232,260 $1,106 3.3% (732) 937-8651
94 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 209 $242,704 $1,161 5.4% (919) 684-8111
95 GRAND TRAVERSE PATHOLOGY, PLLC TRAVERSE CITY MI PATHOLOGY 12 209 $91,124 $436 7.0% (231) 935-6100
96 CENTRAL FLORIDA PATHOLOGY ASSOCIATES PA ORLANDO FL PATHOLOGY 23 204 $154,020 $755 2.4% (407) 363-6611
97 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 204 $390,684 $1,915 87.2% (802) 847-0000
98 METRO SOUTH PATHOLOGY, INC. SOUTH WEYMOUTH MA PATHOLOGY 5 203 $366,009 $1,803 3.8% (781) 340-8397
99 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 201 $245,984 $1,224 2.3% (904) 953-2000
100 WILMINGTON PATHOLOGY ASSOCIATES PA WILMINGTON NC PATHOLOGY 9 201 $105,971 $527 5.1% (910) 362-9511

Showing the top 100 of 551 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*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 →