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Market snapshot

G0472 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0472 — Hepatitis c antibody screening, for individual at high risk and other covered indication(s)

Billing groups
54
Named-group FFS services
10,604
FFS of Medicare
49%
Services YoY
+0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~21,798 services

10,604 observed fee-for-service (49%) · ~11,194 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; 1 state without payer-mix data excluded. How we scale

Top states — G0472 (CY2024)
NC 25,340 CA 22,225 NJ 19,219 TX 16,914 AZ 12,237

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

Named-group submitted charges
$940K
Named-group allowed amount
$478K
Named-group Medicare payments
$478K
Avg charge / svc
$89
Avg allowed / svc
$45
Avg payment / svc
$45
Average charge per group
$30 54 groups · avg submitted charge / service $244
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0472 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUMMIT MEDICAL GROUP, PLLC KNOXVILLE TN FAMILY PRACTICE 622 2,943 $235,440 $80 64.6% (865) 938-3627
2 CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC. COLUMBUS OH INTERNAL MEDICINE 495 2,016 $127,847 $63 19.0% (614) 451-9612
3 ARIZONA COMMUNITY PHYSICIANS PC TUCSON AZ FAMILY PRACTICE 163 1,022 $95,046 $93 8.4% (520) 547-5725
4 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 868 $106,764 $123 14.8% (617) 421-1000
5 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 562 $52,266 $93 3.3% (512) 346-6611
6 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 399 $60,249 $151 13.7% (541) 382-2811
7 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 247 $14,573 $59 10.8% —
8 PRIMARY CARE PARTNERS INC GRAND JUNCTION CO FAMILY PRACTICE 62 208 $24,128 $116 5.0% (970) 241-6011
9 BLACK RIVER HEALTH INC BLACK RIVER FALLS WI DIAGNOSTIC RADIOLOGY 60 169 $41,236 $244 3.6% —
10 THE VANCOUVER CLINIC INC PS VANCOUVER WA PHYSICIAN ASSISTANT 574 161 $20,125 $125 2.1% (360) 882-2778
11 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 137 $7,938 $58 11.1% (515) 239-4400
12 CAPITAL MEDICAL CLINIC, LLP AUSTIN TX INTERNAL MEDICINE 18 128 $7,680 $60 0.8% (512) 454-5171
13 ST MARYS PHYSICIAN SERVICES LLC RUSSELLVILLE AR NURSE PRACTITIONER 48 114 $7,980 $70 45.4% (479) 968-2345
14 INTERNAL MEDICINE OF ARIZONA PC PHOENIX AZ INTERNAL MEDICINE 6 109 $5,061 $46 0.9% (602) 522-1900
15 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 107 $6,420 $60 21.8% (843) 497-5929
16 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 83 $4,980 $60 0.3% (910) 662-6000
17 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 82 $7,601 $93 0.7% (941) 255-3535
18 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 80 $11,120 $139 1.5% (630) 469-9200
19 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 77 $7,508 $98 1.0% (425) 339-5442
20 PROHEALTH PHYSICIANS PC WALLINGFORD CT PHYSICIAN ASSISTANT 215 69 $3,450 $50 24.9% (203) 265-9600
21 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 64 $6,208 $97 0.3% (415) 600-1020
22 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 57 $9,063 $159 1.1% (217) 366-1200
23 COLLOM AND CARNEY CLINIC ASSOCIATION TEXARKANA TX PHYSICIAN ASSISTANT 53 56 $3,248 $58 0.3% (903) 614-3200
24 MANGROVE MEDICAL GROUP CHICO CA NURSE PRACTITIONER 9 52 $3,202 $62 0.2% 5303450064268
25 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 51 $4,743 $93 1.1% (901) 226-3882
26 CENTRACARE CLINIC SOUTHWEST LLC WILLMAR MN FAMILY PRACTICE 165 50 $5,091 $102 3.4% (320) 231-5000
27 GLENWOOD MEDICAL ASSOCIATES PC GLENWOOD SPRINGS CO FAMILY PRACTICE 16 49 $5,684 $116 1.2% (970) 945-8503
28 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 44 $5,588 $127 0.2% (714) 871-3006
29 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 44 $2,640 $60 9.0% (843) 777-2000
30 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 44 $3,421 $78 0.6% (206) 309-1760
31 THINK AKSARBEN LLC OMAHA NE FAMILY PRACTICE 73 41 $1,927 $47 78.8% (402) 991-7000
32 MARTIN'S POINT HEALTH CARE, INC. BRUNSWICK ME FAMILY PRACTICE 94 29 $2,981 $103 8.9% (207) 798-4050
33 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 28 $1,128 $40 1.9% —
34 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 28 $5,992 $214 0.2% (903) 606-5560
35 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 27 $1,164 $43 1.8% (612) 863-4000
36 HEALTHSTAR PHYSICIANS PC MORRISTOWN TN NURSE PRACTITIONER 90 23 $2,645 $115 0.5% —
37 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 21 $2,920 $139 1.4% (507) 389-8509
38 PREVENTIVE MEDICINE ASSOCIATES LLC CAMILLUS NY NURSE PRACTITIONER 8 21 $735 $35 1.6% (315) 487-8109
39 CENTER FOR FAMILY MEDICINE PA SHERMAN TX FAMILY PRACTICE 11 21 $1,932 $92 0.1% (903) 892-8398
40 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 20 $2,318 $116 0.1% (858) 455-9100
41 LIMB PRESERVATION CENTER OF EAST TENNESSEE PLLC LENOIR CITY TN FAMILY PRACTICE 3 19 $1,520 $80 0.4% (865) 562-3232
42 PRIMARY CARE ASSOCIATES OF APPLETON, LTD APPLETON WI FAMILY PRACTICE 31 19 $2,166 $114 0.4% (920) 996-1000
43 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 18 $2,070 $115 0.1% (241) 823-4800
44 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS VA NURSE PRACTITIONER 549 16 $1,488 $93 0.7% (901) 226-3882
45 WHITE-WILSON MEDICAL CENTER PA FORT WALTON BEACH FL NURSE PRACTITIONER 45 16 $640 $40 0.1% (850) 863-8150
46 DARDANELLE REGIONAL LLC DARDANELLE AR FAMILY PRACTICE 4 16 $1,120 $70 6.4% (479) 229-6191
47 SENECA HEALTHCARE DISTRICT CHESTER CA FAMILY PRACTICE 21 14 $812 $58 0.1% (530) 258-2067
48 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. TUCSON AZ FAMILY PRACTICE 270 14 $657 $47 0.1% (520) 670-3909
49 INTERMED PA SOUTH PORTLAND ME NURSE PRACTITIONER 181 14 $1,932 $138 4.3% (207) 874-1489
50 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 13 $1,209 $93 1.0% (518) 782-3700
51 ATRIUS HEALTH INC BOSTON NY NURSE PRACTITIONER 1196 13 $1,599 $123 1.0% (617) 421-1000
52 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL AE PHYSICIAN ASSISTANT 691 13 $519 $40 100.0% —
53 SALEM CLINIC PC SALEM OR DIAGNOSTIC RADIOLOGY 102 12 $540 $45 0.4% (503) 399-2424
54 MITCHELL FAMILY MEDICINE LLC MARION TN NURSE PRACTITIONER 9 12 $1,020 $85 0.3% (870) 739-8670
55 NORTHEAST KNEE AND JOINT INSTITUTE, LLC WILLIAMSPORT PA INTERNAL MEDICINE 2 11 $1,045 $95 0.4% (570) 213-5221
56 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS MS NURSE PRACTITIONER 549 11 $1,023 $93 100.0% (901) 226-3882
57 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 11 $550 $50 4.0% (203) 739-7118
58 CLAY PLATTE FAMILY MEDICINE CLINIC KANSAS CITY MO FAMILY PRACTICE 25 11 $330 $30 11.0% (816) 994-8787

*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 →