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Market snapshot

P9604 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

P9604 — Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge

Billing groups
22
Named-group FFS services
3,088
FFS of Medicare
49%
Services YoY
-7.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,713 services

3,088 observed fee-for-service (54%) · ~2,625 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 — P9604 (CY2024)

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

Named-group submitted charges
$45K
Named-group allowed amount
$31K
Named-group Medicare payments
$31K
Avg charge / svc
$15
Avg allowed / svc
$10
Avg payment / svc
$10
Average charge per group
$3 22 groups · avg submitted charge / service $33
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by P9604 services, CY2024
#Physician group City St Specialty Providers P9604 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HOLDREGE MEDICAL CLINIC PC HOLDREGE NE FAMILY PRACTICE 10 495 $1,518 $3 premium 74.2% (308) 995-4431
2 MED INSTITUTE BEVERLY HILLS CA NURSE PRACTITIONER 8 485 $6,777 $14 premium 0.4% (310) 256-2426
3 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NJ ENDOCRINOLOGY 13 475 $4,970 $10 premium 0.6% (732) 845-2200
4 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 248 $4,454 $18 premium 0.2% (855) 434-7763
5 UNIVERSITY OF NORTH DAKOTA BISMARCK ND FAMILY PRACTICE 27 204 $5,100 $25 premium 14.9% (701) 751-6755
6 VILLAGE PRIMARY CARE PROVIDERS LLC PALMYRA WI NURSE PRACTITIONER 2 178 $5,880 $33 premium 17.1% (262) 395-7951
7 ST ALEXIUS MEDICAL CENTER BISMARCK ND NURSE PRACTITIONER 244 160 $4,000 $25 premium 11.7% (701) 530-7000
8 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 140 $1,386 $10 premium 0.4%
9 HANNIBAL REGIONAL HEALTHCARE SYSTEM INC HANNIBAL MO NURSE PRACTITIONER 265 115 $1,725 $15 premium 5.1% (573) 248-1300
10 MERCY SPECIALTY CLINIC CLINTON IA NURSE PRACTITIONER 66 90 $1,384 $15 premium 2.0% (563) 243-2511
11 FRANCES DAVISON FNP-BC LTD YUMA AZ NURSE PRACTITIONER 6 88 $1,760 $20 premium 0.3% (928) 276-4477
12 TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNE PA NURSE PRACTITIONER 383 76 $1,070 $14 premium 0.1%
13 PRIMARY VISITING CLINICIANS PLLC GARLAND TX NURSE PRACTITIONER 3 58 $870 $15 premium 0.1% (972) 979-7408
14 RIPON FAMILY PHYSICIANS RIPON CA FAMILY PRACTICE 8 56 $672 $12 premium 0.0% (209) 599-4221
15 MANALAPAN MEDICAL CENTER PA PC MANALAPAN NY ENDOCRINOLOGY 13 37 $376 $10 premium 0.0% (732) 845-2200
16 MY CHOICE OPERATING COMPANY LLC JACKSONVILLE FL NURSE PRACTITIONER 54 35 $1,050 $30 premium 0.0% (904) 570-9404
17 HOUSECALL DOCTORS MEDICAL GROUP INC LONG BEACH CA NURSE PRACTITIONER 13 26 $364 $14 premium 0.0% (949) 366-1053
18 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 24 $166 $7 premium 0.5% (563) 584-4100
19 J M GEISS DO APC SANTA ANA TX NURSE PRACTITIONER 156 20 $360 $18 premium 0.1% (855) 434-7763
20 REHABILITATION ASSOCIATES INC FAIRFIELD CT ORTHOPEDIC SURGERY 532 19 $196 $10 premium 0.2% (203) 384-8681
21 ADVANCED CARE CONSULTANTS LLC CORAL SPRINGS FL NURSE PRACTITIONER 4 19 $380 $20 premium 0.0% (888) 701-4161
22 WK MOLLER CASSIERE CLINIC SHREVEPORT LA INTERNAL MEDICINE 10 16 $167 $10 premium 0.2% (318) 212-3456
23 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 13 $50 $4 premium 1.0% (701) 323-8300
24 HARMONY AT HOME PROVIDER SERVICES LLC HENRICO VA NURSE PRACTITIONER 22 11 $124 $11 premium 0.5% (804) 210-3103

*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 →