NEVVI Medicare utilization intelligence
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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
G0452 Molecular pathology procedure; physician interpretation and report HCPCS · Molecular Testing
Classification Test › Molecular Testing › Genetic Analysis (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 160,307 services ▲ 5.0% YoY · 114,957 beneficiaries (CY2024, Medicare FFS)
Medicare paid $5.7M · $35.68 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
120
Named-group FFS services
119,265
FFS of Medicare
49%
Services YoY
+5.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~245,335 services

119,265 observed fee-for-service (49%) · ~126,070 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 — G0452 (CY2024)
TX 22,259 NY 18,763 CA 14,902 AZ 14,825 PA 12,789

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

Named-group submitted charges
$19.1M
Named-group allowed amount
$5.5M
Named-group Medicare payments
$4.3M
Avg charge / svc
$160
Avg allowed / svc
$46
Avg payment / svc
$36
Average charge per group
$30 120 groups · avg submitted charge / service $333
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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City St Specialty Providers G0452 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 11,092 $3,673,120 $331 49.8% (713) 592-5433
2 MEMORIAL PATHOLOGY GROUP NEW YORK NY PATHOLOGY 98 9,686 $2,131,030 $220 51.6% (212) 639-2000
3 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 7,019 $781,350 $111 85.1% (615) 221-4400
4 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 6,378 $1,231,887 $193 49.9% (215) 662-2777
5 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 5,319 $361,517 $68 73.3% (813) 745-4673
6 STOCKDALE PODIATRY GROUP INC BAKERSFIELD CA PODIATRY 14 4,833 $273,870 $57 32.4% (661) 832-1667
7 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 3,909 $676,090 $173 26.2% (626) 256-4673
8 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 3,524 $695,216 $197 36.3% (617) 732-5500
9 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 2,776 $327,568 $118 12.5% (409) 772-2222
10 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 2,101 $240,811 $115 47.9% (734) 763-5459
11 MIDWEST DIAGNOSTIC PATHOLOGY, S.C. PARK RIDGE IL PATHOLOGY 45 1,980 $153,548 $78 25.1% (847) 723-2210
12 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,933 $239,351 $124 24.6% —
13 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 1,808 $227,475 $126 14.1% —
14 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 1,738 $238,106 $137 29.9% (984) 215-5556
15 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE NC PATHOLOGY 50 1,699 $127,425 $75 29.3% (704) 304-5988
16 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 1,692 $383,145 $226 7.6% (214) 633-5555
17 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 1,679 $345,986 $206 87.7% (503) 494-8311
18 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,634 $281,000 $172 11.0% (310) 423-0674
19 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 1,628 $198,520 $122 8.7% (212) 746-5454
20 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,558 $205,958 $132 10.5% (650) 723-4000
21 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 1,470 $311,236 $212 25.3% (919) 684-8111
22 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,415 $145,745 $103 18.0% —
23 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 1,409 $126,810 $90 38.7% (203) 688-4242
24 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,293 $139,536 $108 6.9% (212) 263-9700
25 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 1,283 $254,137 $198 10.0% —
26 ADVANCED UROLOGY ASSOCIATES ENTERPRISES SHREWSBURY NJ UROLOGY 18 1,226 $124,746 $102 19.1% (732) 741-5923
27 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 1,146 $122,979 $107 26.2% (248) 964-1187
28 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON RI PHYSICIAN ASSISTANT 2942 1,095 $215,997 $197 75.9% (617) 732-5500
29 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 1,071 $156,574 $146 77.2% (319) 678-8201
30 UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES LITTLE ROCK AR NURSE PRACTITIONER 1241 1,001 $90,090 $90 68.3% (501) 686-8000
31 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 996 $63,024 $63 6.7% (800) 926-8273
32 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 961 $189,532 $197 9.9% (617) 724-0287
33 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 943 $131,176 $139 59.1% (434) 924-5959
34 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 936 $120,744 $129 4.2% (254) 724-2663
35 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 901 $122,642 $136 11.4% (888) 824-0200
36 METHODIST PATHOLOGY ASSOCIATES PLLC HOUSTON TX PATHOLOGY 80 852 $47,148 $55 3.8% (713) 394-6450
37 MEMORIAL PATHOLOGY GROUP NEW YORK MA PATHOLOGY 98 846 $186,120 $220 8.7% (212) 639-2000
38 AMERICAN ONCOLOGY PARTNERS PA FORT WAYNE FL HEMATOLOGY/ONCOLOGY 333 834 $115,926 $139 11.5% (260) 484-8830
39 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 729 $137,234 $188 3.9% (631) 751-3000
40 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 717 $58,086 $81 71.1% (205) 934-3460
41 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 693 $132,363 $191 4.7% (415) 476-4029
42 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 611 $52,414 $86 6.3% —
43 OSU PATHOLOGY SERVICES, LLC COLUMBUS OH PATHOLOGY 63 608 $106,400 $175 28.4% (614) 293-5905
44 RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK NJ PATHOLOGY 151 579 $171,384 $296 9.0% (732) 937-8651
45 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 575 $148,925 $259 3.1% —
46 UNIVERSITY OF KANSAS HOSPITAL AUTHORITY KANSAS CITY KS NURSE PRACTITIONER 243 572 $66,460 $116 100.0% (913) 588-7743
47 MEMORIAL HEMATOLOGY LYMPHOMA GROUP NEW YORK NY NURSE PRACTITIONER 226 555 $122,100 $220 3.0% (212) 639-2000
48 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 533 $25,051 $47 24.9% —
49 PHYSICIANS REFERRAL SERVICE HOUSTON MA NURSE PRACTITIONER 2696 518 $171,058 $330 5.3% (713) 592-5433
50 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TX PATHOLOGY 135 509 $27,474 $54 2.3% (615) 221-4400
51 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 502 $21,773 $43 100.0% (402) 559-4000
52 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 488 $92,461 $189 66.7% (720) 777-1234
53 EAST POST ROAD MEDICAL SERVICES PC WHITE PLAINS PA PHYSICIAN ASSISTANT 406 487 $90,095 $185 3.8% (914) 681-0600
54 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 457 $61,238 $134 4.7% (508) 334-1000
55 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM AR PHYSICIAN ASSISTANT 2609 451 $31,283 $69 30.8% (336) 713-9800
56 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND NC NURSE PRACTITIONER 2232 431 $20,210 $47 7.4% —
57 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 429 $47,555 $111 43.9% (206) 364-0500
58 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND PA NURSE PRACTITIONER 2232 412 $19,364 $47 3.2% —
59 UNMC PHYSICIANS OMAHA TN PHYSICIAN ASSISTANT 1514 379 $16,277 $43 4.6% (402) 559-4000
60 PHYSICIANS REFERRAL SERVICE HOUSTON NY NURSE PRACTITIONER 2696 371 $111,065 $299 2.0% (713) 592-5433
61 MCV ASSOCIATED PHYSICIANS RICHMOND MO NURSE PRACTITIONER 1791 369 $30,627 $83 22.0% (804) 828-9000
62 PATHOLOGISTS BIO-MEDICAL LABORATORIES PLLC DALLAS TX PATHOLOGY 48 349 $52,350 $150 1.6% —
63 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO TX DIAGNOSTIC RADIOLOGY 1842 347 $66,277 $191 1.6% (415) 476-4029
64 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM TX PHYSICIAN ASSISTANT 3051 341 $72,036 $211 1.5% (919) 684-8111
65 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON HOUSTON TX PATHOLOGY 45 337 $97,586 $290 1.5% (713) 566-5100
66 UNIVERSITY OF TOLEDO PHYSICIANS LLC TOLEDO OH PHYSICIAN ASSISTANT 405 324 $56,700 $175 15.1% (419) 383-5550
67 HOSPITAL PATHOLOGY ASSOCIATES, PA MINNEAPOLIS MN PATHOLOGY 45 322 $58,142 $181 13.8% (612) 767-8370
68 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 315 $57,153 $181 57.3% (404) 778-7525
69 NEW YORK UNIVERSITY NEW YORK CT DIAGNOSTIC RADIOLOGY 5704 315 $34,020 $108 8.6% (212) 263-9700
70 HURT, JACKNOW, MOORE, CONNOR, WELLS, MICHELS, YURCO, LISTROM AND HUANG AUSTIN TX PATHOLOGY 47 299 $65,780 $220 1.3% (512) 579-4000
71 THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS CHICAGO IL NURSE PRACTITIONER 1170 295 $79,425 $269 3.7% —
72 CELLNETIX PATHOLOGY PLLC SEATTLE WA PATHOLOGY 58 293 $9,310 $32 30.0% (206) 320-2000
73 PHYSICIANS FOOTCARE, LLC SUMTER NC PODIATRY 31 290 $19,741 $68 5.0% (803) 773-7000
74 UNIVERSITY PHYSICIAN GROUP DETROIT CA NURSE PRACTITIONER 405 288 $24,466 $85 1.9% (800) 527-6266
75 NEW YORK UNIVERSITY NEW YORK MA DIAGNOSTIC RADIOLOGY 5704 288 $31,104 $108 3.0% (212) 263-9700
76 DAHL CHASE PATHOLOGY ASSOCIATES PA BANGOR ME PATHOLOGY 15 265 $12,190 $46 72.2% 20794182708270
77 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK MA INTERNAL MEDICINE 2053 258 $27,172 $105 2.7% (212) 746-5454
78 ASSOCIATED PATHOLOGISTS, PA TAMPA FL PATHOLOGY 19 254 $20,828 $82 3.5% (813) 576-3600
79 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA MO PHYSICIAN ASSISTANT 1103 236 $16,080 $68 14.1% (813) 745-4673
80 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 224 $26,101 $117 80.6% (202) 429-2401
81 AEGIS HEALTH SERVICES LLC SANDY SPRINGS TX PATHOLOGY 2 217 $31,194 $144 1.0% (410) 834-8110
82 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 217 $39,619 $183 59.6% (843) 792-1414
83 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 217 $15,190 $70 2.6% (615) 322-5000
84 UNIVERSITY OF CHICAGO CHICAGO NY NURSE PRACTITIONER 1662 209 $28,430 $136 1.1% (888) 824-0200
85 WINFIELD PATHOLOGY CONSULTANTS, S.C. WINFIELD IL PATHOLOGY 11 203 $6,800 $34 2.6% (630) 933-2048
86 PHYSICIANS REFERRAL SERVICE HOUSTON NJ NURSE PRACTITIONER 2696 198 $104,022 $525 3.1% (713) 592-5433
87 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 196 $15,680 $80 11.7% (314) 747-3000
88 UNIVERSITY PATHOLOGISTS LABORATORIES, LLP SYRACUSE NY PATHOLOGY 25 193 $19,300 $100 1.0% (315) 464-4750
89 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK MI PATHOLOGY 18 189 $37,800 $200 4.3% (201) 996-2000
90 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM MA PHYSICIAN ASSISTANT 3051 184 $39,008 $212 1.9% (919) 684-8111
91 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 180 $23,760 $132 2.5% (239) 561-9622
92 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON MN PHYSICIAN ASSISTANT 2523 171 $27,873 $163 7.3% (608) 287-2050
93 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 160 $12,000 $75 2.5% —
94 HACKENSACK PATHOLOGY ASSOCIATES, LLC HACKENSACK NY PATHOLOGY 18 156 $31,200 $200 0.8% (201) 996-2000
95 RIDGEWOOD PATHOLOGY GROUP,PA RIDGEWOOD NJ PATHOLOGY 8 153 $22,950 $150 2.4% (201) 447-8242
96 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 149 $13,173 $88 91.4% (801) 581-2121
97 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 138 $16,008 $116 100.0% (601) 815-4775
98 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 133 $21,239 $160 5.7% (612) 672-7422
99 UNIVERSITY PATHOLOGISTS LABORATORIES, LLP SYRACUSE IA PATHOLOGY 25 132 $13,200 $100 9.5% (315) 464-4750
100 CLINICAL ASSOCIATES LLC LOUISVILLE KY PATHOLOGY 28 131 $3,930 $30 100.0% (502) 897-9594

Showing the top 100 of 120 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 →