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Market snapshot

95800 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95800 — Sleep study including heart rate, breathing, and sleep time

Billing groups
535
Named-group FFS services
64,828
FFS of Medicare
49%
Services YoY
+14.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~128,512 services

64,828 observed fee-for-service (50%) · ~63,684 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 — 95800 (CY2024)
FL 25,557 MD 24,856 CA 22,644 TX 16,761 NY 8,155

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

Named-group submitted charges
$26.5M
Named-group allowed amount
$5.9M
Named-group Medicare payments
$4.5M
Avg charge / svc
$409
Avg allowed / svc
$91
Avg payment / svc
$69
Average charge per group
$40 535 groups · avg submitted charge / service $2,500
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 95800 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ADVOCARE, LLC HADDONFIELD PA NURSE PRACTITIONER 384 2,028 $1,161,825 $573 35.7% (856) 354-2211
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,642 $699,481 $426 20.1% (212) 263-9700
3 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,442 $522,748 $363 27.6% —
4 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 1,396 $240,112 $172 20.5% (973) 971-5596
5 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,169 $545,258 $466 5.2% (858) 455-9100
6 PULMONARY ASSOCIATES OF RICHMOND INC MIDLOTHIAN VA PULMONARY DISEASE 49 975 $589,165 $604 25.8% (804) 639-9910
7 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 909 $104,535 $115 16.0% —
8 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 875 $304,783 $348 10.7% —
9 NORTH SHORE LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC NEW HYDE PARK NY PULMONARY DISEASE 6 760 $823,319 $1,083 9.3% (516) 326-0707
10 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 661 $97,207 $147 11.8% (770) 422-2004
11 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 615 $314,995 $512 9.1% (908) 273-4300
12 ATRIUS HEALTH INC BOSTON MA NURSE PRACTITIONER 1196 588 $90,249 $153 8.3% (617) 421-1000
13 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 572 $230,344 $403 3.4% (512) 899-2028
14 AUSTIN REGIONAL CLINIC PA AUSTIN TX FAMILY PRACTICE 389 505 $111,985 $222 3.0% (512) 346-6611
15 ASHWIN GOWDA MD PA AUSTIN TX NURSE PRACTITIONER 6 498 $321,460 $646 3.0% (512) 440-5757
16 BAPTIST CARDIOLOGY, INC. JACKSONVILLE FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 474 $149,997 $316 1.9% (904) 399-1171
17 SD DIAGNOSTICS INC SAN DIEGO CA SLEEP MEDICINE 6 471 $357,960 $760 2.1% (866) 801-9440
18 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 465 $92,070 $198 13.3% —
19 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 463 $58,895 $127 6.8% (732) 362-3663
20 WELLNESS IN SLEEP PA FORT WORTH TX PHYSICIAN ASSISTANT 4 458 $233,580 $510 2.7% (817) 820-0427
21 JACKSON PULMONARY ASSOCIATES, PA JACKSON MS NURSE PRACTITIONER 32 456 $159,600 $350 45.8% (601) 981-9503
22 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 454 $54,480 $120 36.6% (260) 425-5900
23 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 422 $62,382 $148 49.1% —
24 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 421 $110,425 $262 2.5% —
25 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 412 $618,000 $1,500 5.1% (631) 444-1560
26 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 411 $310,477 $755 2.5% (214) 633-5555
27 ST PAUL PLACE SPECIALISTS, INC. BALTIMORE MD PHYSICIAN ASSISTANT 337 402 $233,562 $581 1.6% (410) 663-8100
28 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 391 $58,259 $149 10.3% —
29 TEMPLE PHYSICIANS INC PHILADELPHIA PA PHYSICIAN ASSISTANT 160 382 $170,100 $445 6.7% —
30 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 376 $99,973 $266 2.2% —
31 TROY SLEEP CENTER, PLC TROY MI PULMONARY DISEASE 3 375 $112,500 $300 21.6% (248) 689-1000
32 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 363 $207,535 $572 34.1% (913) 588-1227
33 TEXAS IPS LLC SAN ANTONIO ME PULMONARY DISEASE 42 360 $152,640 $424 63.2% (210) 690-7400
34 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 360 $59,460 $165 6.9% (630) 933-4800
35 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 358 $188,669 $527 1.6% (650) 723-4000
36 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 350 $118,955 $340 19.0% (608) 287-2050
37 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 344 $61,932 $180 25.4% (843) 792-1414
38 TORRANCE HEALTH ASSOCIATION INC TORRANCE CA FAMILY PRACTICE 298 342 $116,280 $340 1.5% (310) 257-7260
39 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 327 $140,150 $429 1.3% (813) 751-3375
40 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 326 $82,041 $252 5.8% (404) 778-7525
41 TEXAS EAR, NOSE AND THROAT SPECIALISTS, PLLC HOUSTON TX OTOLARYNGOLOGY 122 318 $63,680 $200 1.9% (281) 492-7827
42 GWINNETT PULMONARY GROUP LAWRENCEVILLE GA PULMONARY DISEASE 17 316 $205,530 $650 5.6% 7709950630135
43 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 315 $51,384 $163 1.2% (321) 312-3501
44 FEEL GOOD MEDICAL PC BROOKLYN NY NURSE PRACTITIONER 8 299 $179,400 $600 3.7% (718) 975-4466
45 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH GA PULMONARY DISEASE 23 296 $44,923 $152 5.3% (912) 629-2290
46 ADVOCARE, LLC HADDONFIELD NJ NURSE PRACTITIONER 384 285 $163,305 $573 4.2% (856) 354-2211
47 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 283 $75,134 $265 1.1% (941) 255-3535
48 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 278 $630,504 $2,268 1.1% (904) 953-2000
49 SIGMA HEALTH PC ORLAND PARK IL NURSE PRACTITIONER 22 273 $68,250 $250 5.2% —
50 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 269 $218,159 $811 14.6% (715) 838-5222
51 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 269 $134,500 $500 3.3% (914) 963-8588
52 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 267 $146,850 $550 1.0% (904) 396-1725
53 PULMONARY ASSOCIATES OF LANCASTER, LTD LANCASTER PA NURSE PRACTITIONER 25 259 $103,400 $399 4.6% (717) 826-9781
54 VALLEY SLEEP PHYSICIANS INC MESA AZ NURSE PRACTITIONER 26 256 $88,643 $346 5.9% (480) 361-0110
55 PARESH PATEL MD PA HOUSTON TX INTERNAL MEDICINE 2 256 $64,000 $250 1.5% (281) 870-4567
56 CLINICS OF NORTH TEXAS LLP WICHITA FALLS TX FAMILY PRACTICE 33 255 $69,466 $272 1.5% (940) 766-3551
57 CHICAGO CARDIOLOGY INSTITUTE SC SCHAUMBURG IL NURSE PRACTITIONER 22 243 $68,355 $281 4.6% (847) 605-9500
58 PULMONOLOGY GROUP LLC HENDERSON AZ PULMONARY DISEASE 12 242 $118,822 $491 5.5% (702) 780-0300
59 ROBERT L MCDONALD MD AND GUY T FOSTER MD LTD CARSON CITY NV PULMONARY DISEASE 2 241 $265,100 $1,100 15.8% 77588221061302
60 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 236 $33,332 $141 3.5% (856) 247-7260
61 PULMONARY AND CRITICAL CARE SPECIALISTS OF NORTHERN VA, PC FAIRFAX VA PULMONARY DISEASE 8 230 $120,750 $525 6.1% (703) 391-8804
62 MELIOREM SLEEP SERVICES SPARKS NV INTERNAL MEDICINE 2 228 $97,493 $428 15.0% 7755574900101
63 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 227 $70,791 $312 0.9% (202) 429-2401
64 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 227 $27,680 $122 26.4% (206) 364-0500
65 CENTER FOR PULMONARY AND SLEEP MEDICINE PC PETOSKEY MI PULMONARY DISEASE 2 224 $54,300 $242 12.9% (231) 487-2100
66 BAHA AL DEEN ABUESHEH MD PC ARDMORE OK NURSE PRACTITIONER 7 224 $46,700 $208 24.0% (580) 223-0447
67 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 222 $61,470 $277 3.2% —
68 PULMONARY CRITICAL CARE AND SLEEP MEDICINE CONSULTANTS, LLP HOUSTON TX PULMONARY DISEASE 7 221 $86,679 $392 1.3% (713) 255-4000
69 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 221 $64,119 $290 0.9% (410) 761-1222
70 TRYON MEDICAL PARTNERS, PLLC CHARLOTTE NC INTERNAL MEDICINE 145 220 $38,667 $176 20.0% (704) 495-6334
71 DANIEL I RIFKIN MD PC WILLIAMSVILLE NY NURSE PRACTITIONER 12 219 $100,427 $459 2.7% (716) 923-7326
72 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 218 $86,110 $395 0.9% (863) 680-7780
73 MIDWEST SINUS SLEEP AND ALLERGY ASSOCIATES, LLC MOUNT VERNON IL OTOLARYNGOLOGY 12 217 $134,775 $621 4.1% (618) 628-0715
74 SLEEP CENTERS OF MIDDLE TENNESSEE LLC MURFREESBORO TN NURSE PRACTITIONER 14 216 $86,400 $400 26.2% 6158934896178
75 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 216 $116,589 $540 3.1% (508) 973-5919
76 BRONSON METHODIST HOSPITAL KALAMAZOO MI PHYSICIAN ASSISTANT 728 215 $19,135 $89 12.4% —
77 MASS LUNG AND ALLERGY PC LEOMINSTER MA PULMONARY DISEASE 13 214 $85,600 $400 3.0% (978) 466-2692
78 EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS PENSACOLA FL PHYSICIAN ASSISTANT 12 214 $174,410 $815 0.8% —
79 KENT PULMONARY ASSOCIATES DOVER DE PULMONARY DISEASE 2 213 $127,800 $600 16.5% (302) 674-7155
80 ATHENS PULMONARY AND ALLERGY, P.C. ATHENS GA PULMONARY DISEASE 22 212 $119,025 $561 3.8% 7065495560223
81 SIRISH NAKKA MD INC SANTA CRUZ CA SLEEP MEDICINE 5 211 $126,600 $600 0.9% (844) 387-5337
82 THE HEART CENTER OF THE ORANGES EAST ORANGE NJ INTERNAL MEDICINE 38 209 $84,780 $406 3.1% (973) 395-1550
83 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 208 $56,368 $271 5.9% (720) 777-1234
84 UPMC COMMUNITY MEDICINE INC PITTSBURGH PA FAMILY PRACTICE 749 207 $110,125 $532 3.6% (412) 281-0322
85 DALLAS CENTER FOR SLEEP DISORDERS PA PLANO TX INTERNAL MEDICINE 2 206 $76,875 $373 1.2% (972) 473-7300
86 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 205 $84,146 $410 10.5% (319) 678-8201
87 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 205 $37,925 $185 3.9% (708) 216-8372
88 HUNTERDON SPECIALTY CARE FLEMINGTON NJ NURSE PRACTITIONER 97 204 $94,838 $465 3.0% (908) 237-4080
89 ARCADIA MEDICAL ASSOCIATES PA ARCADIA FL INTERNAL MEDICINE 20 199 $38,739 $195 0.8% (863) 993-2966
90 ATLANTICARE PHYSICIAN GROUP PA EGG HARBOR TOWNSHIP NJ NURSE PRACTITIONER 507 198 $66,132 $334 2.9% —
91 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 197 $34,089 $173 5.2% (804) 764-6000
92 RESPACARE PA BRIDGEWATER NJ PULMONARY DISEASE 2 195 $277,862 $1,425 2.9% (732) 356-9950
93 KANU PATEL M.D.,P.A. GREENBELT MD OTOLARYNGOLOGY 2 193 $48,900 $253 0.8% (301) 441-3122
94 PRIVIA MEDICAL GROUP, LLC ARLINGTON MD NURSE PRACTITIONER 1477 190 $99,275 $523 0.8% —
95 TIDALHEALTH PHYSICIAN NETWORK, INC. SEAFORD FL NURSE PRACTITIONER 105 185 $41,528 $224 0.7% 30262966118802
96 FLORIDA ENT ASSOCIATES INC MIAMI FL OTOLARYNGOLOGY 161 182 $61,516 $338 0.7% (305) 595-6200
97 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 181 $111,669 $617 14.8% (541) 706-7715
98 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 179 $13,740 $77 0.8% (760) 340-3911
99 THE LUNG AND SLEEP CENTER OF NORTH TEXAS PC RICHLAND HILLS TX NURSE PRACTITIONER 8 179 $64,082 $358 1.1% (817) 284-9225
100 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 176 $115,682 $657 2.6% (201) 464-8888

Showing the top 100 of 535 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 →