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Market snapshot

G0476 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0476 — Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test

Billing groups
24
Named-group FFS services
4,173
FFS of Medicare
49%
Services YoY
-0.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,819 services

4,173 observed fee-for-service (47%) · ~4,646 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 — G0476 (CY2024)

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

Named-group submitted charges
$408K
Named-group allowed amount
$143K
Named-group Medicare payments
$143K
Avg charge / svc
$98
Avg allowed / svc
$34
Avg payment / svc
$34
Average charge per group
$45 24 groups · avg submitted charge / service $130
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0476 services, CY2024
#Physician group City St Specialty Providers G0476 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE TN PATHOLOGY 135 1,032 $113,520 $110 premium 89.7% (615) 221-4400
2 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 653 $62,035 $95 premium 81.2% (203) 730-8789
3 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO CA PATHOLOGY 32 365 $31,157 $85 premium 14.9% (916) 447-6267
4 YOSEMITE PATHOLOGY MEDICAL GROUP INC MODESTO CA PATHOLOGY 43 355 $25,560 $72 premium 14.5% (209) 577-1200
5 PATHOLOGY SCIENCES MEDICAL GROUP CHICO CA PATHOLOGY 9 237 $23,700 $100 premium 9.7% (530) 891-6244
6 FLORIDA WOMAN CARE LLC ORLANDO FL OBSTETRICS/GYNECOLOGY 604 234 $27,378 $117 premium 17.4% (407) 857-2502
7 UWH OF THE CAROLINAS PLLC WINSTON SALEM NC OBSTETRICS/GYNECOLOGY 328 203 $23,751 $117 premium 28.2% (336) 768-3632
8 WOMENS CARE FLORIDA LLC TAMPA FL OBSTETRICS/GYNECOLOGY 334 186 $20,106 $108 premium 13.9% (813) 961-7440
9 INCYTE PATHOLOGY PS SPOKANE VALLEY WA PATHOLOGY 45 115 $8,165 $71 premium 37.0% (509) 892-2700
10 CONTRA COSTA PATHOLOGY ASSOCIATES CONCORD CA PATHOLOGY 8 103 $4,626 $45 premium 4.2% (925) 682-8200
11 FLORIDA WOMAN CARE LLC ORLANDO PA OBSTETRICS/GYNECOLOGY 604 94 $10,998 $117 premium 62.7% (407) 857-2502
12 VITALMD GROUP HOLDING LLC MIAMI FL OBSTETRICS/GYNECOLOGY 531 83 $8,798 $106 premium 6.2% (305) 273-4641
13 SUMMIT PATHOLOGY LOVELAND CO PATHOLOGY 26 74 $4,440 $60 premium 54.0% (970) 212-0530
14 VISTA PATHOLOGY LABORATORY LLC MEDFORD AZ PATHOLOGY 12 65 $5,395 $83 premium 11.8% (541) 770-4559
15 WPM PATHOLOGY LABORATORY CHARTERED SALINA KS PATHOLOGY 5 64 $5,056 $79 premium 17.4% (785) 452-7000
16 PATHOLOGY SERVICES OF SPRINGFIELD PC SPRINGFIELD MO PATHOLOGY 8 48 $4,560 $95 premium 100.0% (417) 269-4646
17 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 46 $5,618 $122 premium 64.8% (515) 239-4400
18 LAKELAND PATHOLOGISTS, PA LAKELAND FL PATHOLOGY 6 37 $3,959 $107 premium 2.8% (863) 683-7171
19 OPTUM CARE WASHINGTON PLLC EVERETT TN PHYSICIAN ASSISTANT 695 25 $3,250 $130 premium 2.2% (425) 339-5442
20 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 25 $2,629 $105 premium 35.2% (515) 343-1000
21 HIGHLANDS PATHOLOGY CONSULTANTS, P.C. KINGSPORT TN PATHOLOGY 6 25 $2,250 $90 premium 2.2% (423) 224-6700
22 FLORIDA WOMAN CARE LLC ORLANDO IN OBSTETRICS/GYNECOLOGY 604 22 $2,574 $117 premium 26.5% (407) 857-2502
23 SOUTHEASTERN PATHOLOGY, P.C. ROME GA PATHOLOGY 8 22 $2,442 $111 premium 24.2% (706) 291-8702
24 DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC SACRAMENTO KS PATHOLOGY 32 20 $1,708 $85 premium 5.4% (916) 447-6267
25 PATHOLOGY CONSULTANTS, PC SPRINGFIELD OR PATHOLOGY 11 14 $1,456 $104 premium 31.1% (541) 222-6915
26 DOCTORS PATHOLOGY SERVICES PA DOVER DE PATHOLOGY 2 14 $1,685 $120 premium 100.0% (302) 677-0000
27 DERMATOPATHOLOGY PARTNERS PC KNOXVILLE TN PATHOLOGY 8 12 $1,296 $108 premium 1.0%

*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 →