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Market snapshot

92609 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

92609 — Therapy service for use of speech-generating device with programming

Billing groups
6
Named-group FFS services
6,187
FFS of Medicare
49%
Services YoY
+48.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~12,801 services

6,187 observed fee-for-service (48%) · ~6,614 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 — 92609 (CY2024)

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

Named-group submitted charges
$837K
Named-group allowed amount
$652K
Named-group Medicare payments
$513K
Avg charge / svc
$135
Avg allowed / svc
$105
Avg payment / svc
$83
Average charge per group
$111 6 groups · avg submitted charge / service $283
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Specialty market — Qualified Speech Language Pathologist: 5,040 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Qualified Speech Language Pathologist across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 92609 services, CY2024
#Physician group City St Specialty Providers 92609 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 AAC SPECIALISTS, LLC GREENWOOD VILLAGE CO QUALIFIED SPEECH LANGUAGE PATHOLOGIST 5 4,461 $535,375 $120 premium 86.1% (303) 204-5188
2 WIHD INC VALHALLA NY QUALIFIED SPEECH LANGUAGE PATHOLOGIST 37 378 $83,160 $220 premium 29.4%
3 WIHD INC VALHALLA CT QUALIFIED SPEECH LANGUAGE PATHOLOGIST 37 201 $44,220 $220 premium 100.0%

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →