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Market snapshot

69990 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

69990 — Use of operating microscope

Billing groups
104
Named-group FFS services
3,329
FFS of Medicare
49%
Services YoY
-6.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,734 services

3,329 observed fee-for-service (49%) · ~3,405 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 — 69990 (CY2024)
CA 665 TX 367 AZ 279 FL 272 NY 228

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

Named-group submitted charges
$4.6M
Named-group allowed amount
$678K
Named-group Medicare payments
$542K
Avg charge / svc
$1,374
Avg allowed / svc
$204
Avg payment / svc
$163
Average charge per group
$129 104 groups · avg submitted charge / service $6,814
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 69990 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NEUROSURGICAL ASSOCIATES LTD PHOENIX AZ NEUROSURGERY 74 182 $152,325 $837 65.2% (602) 406-3181
2 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 144 $152,307 $1,058 21.7% (650) 723-4000
3 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 120 $136,440 $1,137 69.4% (617) 732-5500
4 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 114 $141,944 $1,245 17.1% (310) 423-3277
5 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 96 $69,600 $725 43.2% (215) 662-2777
6 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 95 $261,482 $2,752 67.9% —
7 INDIANAPOLIS NEUROSURGICAL GROUP PC CARMEL IN NEUROSURGERY 50 86 $59,757 $695 100.0% (317) 396-1451
8 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 81 $88,776 $1,096 12.2% (415) 476-1000
9 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 72 $468,846 $6,512 69.2% (608) 287-2050
10 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 68 $74,256 $1,092 25.0% (305) 689-5437
11 MSKCC SURGERY GROUP NEW YORK TX PHYSICIAN ASSISTANT 373 66 $112,200 $1,700 18.0% (212) 639-2000
12 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 61 $298,959 $4,901 73.5% (507) 284-2511
13 UT PHYSICIANS HOUSTON TX NEUROLOGY 202 58 $67,048 $1,156 15.8% (713) 486-8000
14 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 57 $46,569 $817 52.3% (919) 684-8111
15 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 54 $21,643 $401 31.6% —
16 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 51 $36,422 $714 82.3% (503) 494-8311
17 SEMMES-MURPHEY CLINIC PC MEMPHIS TN NEUROSURGERY 65 49 $60,637 $1,237 40.8% (901) 522-7700
18 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 47 $29,845 $635 21.2% —
19 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 47 $102,166 $2,174 16.8% (800) 603-0558
20 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 42 $16,434 $391 6.3% (626) 256-4673
21 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 40 $30,149 $754 100.0% (913) 588-1227
22 ATLANTIC BRAIN AND SPINE LLC MORRISTOWN NJ NEUROSURGERY 25 40 $37,893 $947 100.0% —
23 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 40 $36,061 $902 10.9% —
24 ST VINCENT MEDICAL GROUP LITTLE ROCK AR FAMILY PRACTICE 247 39 $47,229 $1,211 76.5% (501) 562-4838
25 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 33 $49,500 $1,500 38.8% (410) 502-4340
26 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 33 $35,868 $1,087 33.3% (843) 792-1414
27 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 32 $50,080 $1,565 8.7% (214) 633-5555
28 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 31 $24,459 $789 25.8% (615) 322-5000
29 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE TX PHYSICIAN ASSISTANT 1159 31 $12,951 $418 8.4% (208) 381-4210
30 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROSURGERY 46 31 $44,020 $1,420 4.7% (310) 825-5111
31 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 30 $14,522 $484 30.3% (803) 749-5101
32 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 30 $34,650 $1,155 45.5% (720) 777-1234
33 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 30 $23,970 $799 4.5% (877) 827-7463
34 NEW YORK SPINE AND BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORAT STONY BROOK NY PHYSICIAN ASSISTANT 60 29 $35,960 $1,240 12.7% (631) 444-1213
35 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 29 $22,330 $770 36.7% (614) 293-8000
36 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 28 $14,233 $508 4.2% (916) 681-8852
37 UNIVERSITY NEUROSURGICAL ASSOCIATES PC SOUTHFIELD MI NEUROSURGERY 34 28 $126,728 $4,526 70.0% (248) 351-6300
38 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 28 $7,939 $284 23.3% (423) 495-2620
39 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 28 $119,700 $4,275 12.3% (212) 263-9700
40 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 28 $18,536 $662 16.4% (206) 364-0500
41 LYERLY BAPTIST INC JACKSONVILLE FL NURSE PRACTITIONER 68 25 $14,681 $587 9.2% (904) 388-6518
42 NEUROSURGICAL CONSULTANTS LLP EVANSVILLE KY PHYSICIAN ASSISTANT 18 24 $36,960 $1,540 31.2% (812) 426-8410
43 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 24 $27,288 $1,137 13.9% (617) 724-0287
44 NEURO ON CALL PLLC ENGLEWOOD CO PHYSICIAN ASSISTANT 10 24 $20,543 $856 36.4% (303) 783-8844
45 NORTHWEST SURGICAL SPECIALISTS PC VANCOUVER WA PHYSICIAN ASSISTANT 114 23 $8,770 $381 13.5% (360) 487-1000
46 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 23 $23,049 $1,002 3.5% (800) 926-8273
47 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 22 $24,574 $1,117 29.3% (434) 924-5959
48 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 22 $20,746 $943 100.0% (205) 934-3460
49 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 21 $18,758 $893 63.6% (802) 847-0000
50 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 20 $27,600 $1,380 46.5% (203) 688-4242
51 B BARRY CHEHRAZI MD INC ROSEVILLE CA NEUROSURGERY 3 20 $27,060 $1,353 3.0% (916) 773-8700
52 MAYO CLINIC ROCHESTER CA NURSE PRACTITIONER 4896 20 $103,902 $5,195 3.0% (507) 284-2511
53 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 20 $12,100 $605 26.7% —
54 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 19 $14,502 $763 2.9% (858) 455-9100
55 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON WI NURSE PRACTITIONER 3380 19 $25,251 $1,329 18.3% —
56 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 18 $2,257 $125 50.0% (208) 381-4210
57 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 18 $14,004 $778 50.0% —
58 NEUROSURGICAL ASSOCIATES PC HENRICO VA NEUROSURGERY 16 18 $22,248 $1,236 24.0% (804) 288-8204
59 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 17 $7,091 $417 7.5% (212) 746-5454
60 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 16 $61,808 $3,863 7.0% (212) 305-8559
61 COMMUNITY HEALTH PARTNERS FRESNO NY INTERNAL MEDICINE 509 16 $9,106 $569 7.0% (559) 459-6000
62 UNIVERSITY OF UTAH SURGICAL SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 45 16 $16,912 $1,057 100.0% (801) 585-7575
63 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 16 $12,762 $798 100.0% (405) 271-4311
64 LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE SHREVEPORT LA PHYSICIAN ASSISTANT 589 16 $24,000 $1,500 36.4% (318) 675-8700
65 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI KY NURSE PRACTITIONER 1504 16 $10,288 $643 20.8% (513) 584-1000
66 MSKCC SURGERY GROUP NEW YORK NY PHYSICIAN ASSISTANT 373 16 $27,200 $1,700 7.0% (212) 639-2000
67 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA DE DIAGNOSTIC RADIOLOGY 1570 15 $19,875 $1,325 100.0% —
68 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 15 $22,125 $1,475 5.5% (954) 659-5000
69 NEUROLOGICAL ASSOCIATES OF TUCSON TUCSON AZ OTOLARYNGOLOGY 60 15 $8,505 $567 5.4% (520) 795-7750
70 NEW ENGLAND MEDICAL CENTER GROUP PRACTICE INC BOSTON MA PHYSICIAN ASSISTANT 29 15 $19,545 $1,303 8.7% (617) 636-7399
71 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY TX NURSE PRACTITIONER 1228 15 $10,575 $705 4.1% —
72 LIFESPAN PHYSICIAN GROUP INC PROVIDENCE RI PHYSICIAN ASSISTANT 947 15 $13,295 $886 100.0% (401) 793-9172
73 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 15 $75,000 $5,000 6.6% (212) 241-4812
74 NEUROSURGICAL ASSOCIATES OF CENTRAL NEW YORK, LLP SYRACUSE NY NEUROSURGERY 15 15 $6,375 $425 6.6% (315) 464-4470
75 ILYAS MUNSHI, M.D. LAFAYETTE LA NEUROSURGERY 2 14 $58,660 $4,190 31.8% (337) 234-5344
76 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH AZ DIAGNOSTIC RADIOLOGY 4291 14 $8,890 $635 5.0% —
77 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 14 $6,510 $465 100.0% (207) 885-9905
78 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 14 $9,898 $707 18.2% (502) 937-2209
79 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 14 $12,621 $902 5.1% (386) 231-6000
80 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 14 $7,541 $539 2.1% (559) 459-6000
81 NEUROMEDICAL CENTER BATON ROUGE LA PHYSICIAN ASSISTANT 108 14 $16,688 $1,192 31.8% 22576922002164
82 NORTH SHORE-LIJ MEDICAL PC MANHASSET PA PHYSICIAN ASSISTANT 6294 14 $29,624 $2,116 6.3% —
83 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 14 $7,105 $508 6.3% —
84 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 14 $10,486 $749 8.1% —
85 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 14 $9,128 $652 8.2% —
86 MAYFIELD CLINIC INC CINCINNATI OH PHYSICIAN ASSISTANT 77 13 $11,129 $856 16.5% (513) 221-1100
87 FAIRBANKS PARTNERS LLC CELEBRATION FL NEUROSURGERY 36 13 $11,011 $847 4.8% (407) 975-0200
88 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 13 $1,676 $129 46.4% (701) 234-2000
89 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 13 $6,474 $498 13.1% —
90 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 13 $16,952 $1,304 100.0% (319) 678-8201
91 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 13 $8,840 $680 16.5% —
92 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE CA NEUROSURGERY 27 13 $12,350 $950 2.0% (714) 456-7004
93 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 13 $88,583 $6,814 9.3% (888) 712-2753
94 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 13 $14,248 $1,096 2.0% (949) 791-3370
95 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 13 $30,745 $2,365 12.5% (414) 955-4263
96 HEALTHTEXAS PROVIDER NETWORK DALLAS OH PHYSICIAN ASSISTANT 2482 13 $11,720 $902 16.5% —
97 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE IL NURSE PRACTITIONER 1912 13 $16,572 $1,275 9.3% (352) 265-8990
98 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 13 $17,636 $1,357 4.8% (352) 265-8990
99 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 12 $2,585 $215 44.4% (605) 332-2883
100 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 12 $6,564 $547 18.2% (719) 776-4780

Showing the top 100 of 104 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 →