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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
87481 Detection test for candida species (yeast), amplified probe technique CPT · Molecular Testing
Classification Test Molecular Testing Infectious Agent Detection by DNA/RNA (CMS RBCS)
First observed 2013 — start of our 12-year window; the code predates it
National scale 5.96M services · est. ▲ 54.6% YoY · 674,378 FFS beneficiaries (CY2024, all-Medicare estimate) — 2.94M observed fee-for-service services
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Data year CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Market overview
Market Brief 87481
The whole of 87481, written up and sourced.

The Brief is a national document for 87481. Its findings page carries one finding per chapter, each opening the chapter that prints its figure and the table behind it — like these, from the United States, CY2024, the market on this page.

  1. 1Size and growth. The national market for 87481 ran ~5,959,251 all-Medicare services (estimated), 2,935,874 observed fee-for-service in CY2024. The market is up 54.6% year over year. 186 billing groups and 728 clinicians bill it.
  2. 2Payment. Half the field lists between $67 and $104 per service; the median group lists $84. Submitted charges are provider-set list amounts, not payments.
  3. 3Geography. TX, PA, CA and FL lead the state markets — together 63% of state-market volume.
Estimated all-Medicare volume estimate
FFS + estimated MA

~5,959,251 services

2,935,874 observed fee-for-service (49%) · ~3,023,377 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
Average charge
per service, submitted list amounts — not payments · named-group basis, observed FFS
Average payment
per service, Medicare paid amounts — not charges · all disclosed claims, observed FFS basis
Charge-to-payment ratio
average list price vs average Medicare payment per service · named-group basis
What they charge

Half the field lists between $67 and $104

Submitted charges are provider-set list amounts, not payments · median $84 (named groups)
Every group, one dot186 billing groups · median $84

The same field as one dot per billing group: where the cluster sits, and how far the tail reaches

$0$75$150++8 groups list more, to $300 →average submitted charge per service, per billing groupmedian $84
One dot per billing group, 87481 nationwide CY2024 — average submitted charge per service, provider-set list amounts, not payments. The axis caps near the 95th percentile so the cluster is legible; groups beyond it draw at the cap in accent and are counted on the chart.
Where the market isobserved FFS services by state · CY2024
ME: 86MEVTNH: 2587NHWA: 1969WAID: 129IDMTNDMN: 1882MNWI: 3167WIIL: 87004ILMI: 12528MINY: 86311NYMA: 10188MARI: 79RIOR: 1841ORNV: 4590NVWY: 696WYSDIA: 1461IAIN: 47095INOH: 6647OHPA: 337983PANJ: 131642NJCT: 4692CTCA: 324815CAUT: 9727UTCO: 70433CONE: 3406NEMO: 7465MOKY: 946KYWV: 88WVVA: 38194VAMD: 101143MDDE: 6534DEAZ: 100632AZNM: 2077NMKS: 8947KSAR: 104858ARTN: 10028TNNC: 9116NCSC: 324SCDC: 385DCOK: 65266OKLA: 54671LAMS: 88084MSAL: 1503ALGA: 3172GAHI: 44HIAK: 34AKTX: 934470TXFL: 244651FL
Shaded low→high on observed fee-for-service services billed from each state · the /stats tile grid, at national scope. Shading ranks the states rather than spacing them along the range, so neighboring shades mean adjacent RANKS, not equal gaps — the key names the lowest and highest; each tile carries its own figure.
Which states movedservices per 1,000 FFS beneficiaries · CY2021 → CY2024
CY2021CY2024AL: 111 → 4AR: 26 → 322AZ: 27 → 159CO: 11 → 171CT: 0 → 18DE: 4 → 44GA: 95 → 4HI: 0 → 0IA: 3 → 4ID: 1 → 1IL: 11 → 75IN: 32 → 78KS: 16 → 26KY: 18 → 2LA: 13 → 157MA: 4 → 13MD: 45 → 142ME: 1 → 1MI: 22 → 17MN: 6 → 5MO: 24 → 14MS: 23 → 270NC: 23 → 11NH: 0 → 14NJ: 51 → 152NM: 5 → 11NV: 22 → 19NY: 15 → 56OH: 11 → 7OK: 55 → 159OR: 3 → 5RI: 1 → 1SC: 195 → 1TN: 11 → 17UT: 19 → 53VA: 21 → 44WA: 17 → 3WI: 3 → 7WV: 0 → 0WY: 7 → 7CA: 77 → 115FL: 14 → 127PA: 72 → 292TX: 52 → 519CA 77PA 72TX 52FL 14519 TX292 PA127 FL115 CA
One line per state market, 44 drawn; the 4 leading states by volume are in accent, the rest are context lines. Both columns share one scale, so a slope is real change. A RATE against each state’s own fee-for-service population — assumption-free, and no all-Medicare estimate is used or implied. CY2021 is the left period because CY2020 is the pandemic year and a slope off it would read as growth almost everywhere. 4 states with a rate in only one of the two years are not drawn.

Open a state market: TX · PA · CA · FL · NJ · AR · MD · AZ · MS · IL · NY · CO — the group ranking lives in the Provider groups tab. Territories bill too; the tile grid draws the 50 states and DC.

Every group in this market, placed by list charge against volume

This market’s groups, on one chart186 groups · bubble = services
1001,00010,000One billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing groupOne billing group$20$50$100$150$200+Average submitted charge per service — list amounts, not paymentsServices per group — 87481, CY2024
One mark per physician group, 87481 nationwide CY2024 — marks are unnamed here: a mark’s position is its average list charge, and that figure is part of the platform. Submitted charges are provider-set list amounts, not payments.

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