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Market snapshot

90846 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

90846 — Family psychotherapy without patient, 50 minutes

Billing groups
52
Named-group FFS services
4,518
FFS of Medicare
49%
Services YoY
-18.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,599 services

4,518 observed fee-for-service (53%) · ~4,081 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 — 90846 (CY2024)
CA 1,394 NJ 1,232 NY 902 IL 579 AZ 504

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

Named-group submitted charges
$1.0M
Named-group allowed amount
$367K
Named-group Medicare payments
$276K
Avg charge / svc
$231
Avg allowed / svc
$81
Avg payment / svc
$61
Average charge per group
$76 52 groups · avg submitted charge / service $497
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 90846 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SENIOR CARE THERAPY LLC PASSAIC NJ CLINICAL SOCIAL WORKER 143 892 $156,974 $176 72.4% (973) 264-0023
2 PSYCHOLOGY YME PC BROOKLYN NY CLINICAL PSYCHOLOGIST 2 337 $47,180 $140 37.4% (347) 866-6573
3 BANNER ALZHEIMERS INSTITUTE SUN CITY AZ NEUROLOGY 30 333 $86,247 $259 66.1% (623) 832-6530
4 EXECUTIVE MENTAL HEALTH, INC LOS ANGELES CA CLINICAL PSYCHOLOGIST 44 327 $129,165 $395 23.5% (310) 273-4843
5 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 243 $82,134 $338 100.0% (404) 778-7525
6 CUMBERLAND RIVER BEHAVIORAL HEALTH INC CORBIN KY MENTAL HEALTH COUNSELOR 26 199 $15,150 $76 100.0% (606) 526-9552
7 NORTHWEST NEUROLOGY, LTD LAKE BARRINGTON IL NEUROLOGY 31 175 $49,875 $285 30.2% 84788266042191
8 BRITTAIN AND ASSOCIATES INC ORE CITY TX MENTAL HEALTH COUNSELOR 18 170 $17,464 $103 34.6% (903) 968-4641
9 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 156 $43,266 $277 84.3% (802) 847-0000
10 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 153 $60,982 $399 44.0% (617) 724-0287
11 BANNER-UNIVERSITY MEDICAL GROUP TUCSON AZ INTERNAL MEDICINE 1068 117 $30,303 $259 23.2% (520) 694-0111
12 AUSTIN MIND CARE PLLC AUSTIN TX CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 6 88 $8,800 $100 17.9% (512) 476-3556
13 SENIOR CARE THERAPY OF PENNSYLVANIA PC PROSPECT PARK PA CLINICAL SOCIAL WORKER 26 82 $14,430 $176 52.6% (973) 264-0023
14 ELDEROLOGY LLC METUCHEN NJ CLINICAL SOCIAL WORKER 22 81 $20,285 $250 6.6% (908) 514-8590
15 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 78 $17,641 $226 13.5% (847) 459-1160
16 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 74 $20,794 $281 12.8% —
17 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 68 $26,760 $394 19.5% (617) 732-5500
18 CMC HEALTHCARE LLC CHICAGO IL NURSE PRACTITIONER 122 67 $13,065 $195 11.6% (773) 356-9300
19 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 64 $9,600 $150 4.6% (855) 434-7763
20 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 63 $30,933 $491 5.1% (856) 247-7260
21 ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C. CENTEREACH NY NURSE PRACTITIONER 5 58 $4,623 $80 6.4% (631) 737-6434
22 JWALANT VADALIA MD PC MANCHESTER NH PHYSICIAN ASSISTANT 17 53 $6,890 $130 80.3% (603) 645-5977
23 HARTFORD HOSPITAL HARTFORD CT PHYSICIAN ASSISTANT 1045 50 $17,525 $350 59.5% (860) 696-5950
24 SHERRIE D ALL, PHD, PC CHICAGO IL CLINICAL SOCIAL WORKER 9 45 $12,645 $281 7.8% 85526493550
25 THE UNIVERSITY OF TEXAS AT AUSTIN AUSTIN TX PHYSICIAN ASSISTANT 157 43 $7,078 $165 8.7% (833) 882-2737
26 CPF SJN OUTPATIENT LLC HOUSTON TX CLINICAL PSYCHOLOGIST 17 34 $5,950 $175 6.9% (713) 789-7560
27 HOSPICE OF THE PIEDMONT, INC. CHARLOTTESVILLE VA NURSE PRACTITIONER 8 33 $5,639 $171 100.0% (434) 817-6900
28 CENTURY MEDICAL AND DENTAL CENTER INC BROOKLYN NY PHYSICIAN ASSISTANT 104 30 $5,867 $196 3.3% (718) 650-2233
29 MINDY STAUM LCSW PA CORAL SPRINGS PA CLINICAL SOCIAL WORKER 18 28 $4,080 $146 17.9% (732) 580-8383
30 WHOLE SENIOR CARE LLC WALLINGFORD PA CLINICAL SOCIAL WORKER 4 27 $3,550 $131 17.3% (267) 997-8866
31 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 25 $9,500 $380 2.8% —
32 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 23 $5,290 $230 4.7% —
33 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 22 $5,742 $261 3.8% (630) 933-4800
34 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 21 $8,967 $427 100.0% (720) 777-1234
35 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 19 $4,815 $253 12.2% (215) 955-6161
36 GREENWICH HOSPITAL GREENWICH CT EMERGENCY MEDICINE 78 18 $5,495 $305 21.4% (203) 863-3000
37 DYMPHNA SAN DIEGO TMS INC CHULA VISTA CA NURSE PRACTITIONER 8 16 $7,951 $497 1.1% (619) 510-8480
38 BRUCE A KASTER MD PC NEEDHAM MA CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 2 16 $3,200 $200 4.6% (617) 964-8200
39 GERIATRIC AND ADULT PSYCHIATRY, LLC HAMDEN CT GERIATRIC PSYCHIATRY 2 16 $3,482 $218 19.0% (203) 288-0414
40 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 15 $4,320 $288 11.1% (407) 896-1100
41 LIFEBULB LLC TOMS RIVER NJ CLINICAL SOCIAL WORKER 90 15 $2,640 $176 1.2% (732) 272-0127
42 SERENITY PSYCHCARE PLLC HOUSTON TX NURSE PRACTITIONER 2 14 $2,100 $150 2.8% (832) 981-2541
43 SENIOR CARE THERAPY LCSW OF NEW YORK PLLC FLUSHING NY CLINICAL SOCIAL WORKER 63 14 $2,464 $176 1.6% (973) 264-0023
44 DAWN FRIEDLAND-PEREZ LCSW,PC PORT JEFF STA NY CLINICAL SOCIAL WORKER 9 14 $2,800 $200 1.6% (631) 736-7707
45 MARCANN MENTAL HEALTH SERVICES PLLC PHOENIX AZ NURSE PRACTITIONER 10 14 $2,100 $150 2.8% (602) 824-9309
46 ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION INC SOUTHFIELD MI CLINICAL SOCIAL WORKER 2 14 $2,100 $150 21.9% (248) 351-0280
47 T HELP CHUBBUCK ID CLINICAL PSYCHOLOGIST 3 13 $2,760 $212 100.0% (208) 417-0623
48 THE MCLEAN HOSPITAL CORPORATION BELMONT MA PSYCHIATRY 185 13 $2,358 $181 3.7% (617) 855-3450
49 VIP NEPHROLOGY INC RESEDA CA NURSE PRACTITIONER 8 13 $3,250 $250 0.9% (424) 421-6001
50 VICKI BARNETT PSY D PC ENGLEWOOD NJ CLINICAL SOCIAL WORKER 17 12 $3,000 $250 1.0% (201) 655-8332
51 EXCLUSIVE PSYCHIATRIC CARE LLC LAS CRUCES NM NURSE PRACTITIONER 3 12 $1,800 $150 100.0% (575) 522-2330
52 CHE SENIOR PSYCHOLOGICAL SERVICES, PC BROOKLYN NY CLINICAL PSYCHOLOGIST 221 11 $1,941 $176 1.2% (888) 515-3834

*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 →