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Market snapshot

95806 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95806 — Sleep study including heart rate, breathing, airflow, and effort

Billing groups
615
Named-group FFS services
56,379
FFS of Medicare
49%
Services YoY
-0.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~113,303 services

56,379 observed fee-for-service (50%) · ~56,924 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 — 95806 (CY2024)
TX 6,828 CA 6,591 PA 4,771 FL 4,279 OH 3,797

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

Named-group submitted charges
$16.9M
Named-group allowed amount
$3.0M
Named-group Medicare payments
$2.2M
Avg charge / svc
$300
Avg allowed / svc
$53
Avg payment / svc
$39
Average charge per group
$45 615 groups · avg submitted charge / service $2,205
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 95806 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 828 $113,573 $137 48.1% (801) 261-8346
2 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 821 $116,226 $142 29.4% —
3 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 805 $317,975 $395 21.2% —
4 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 783 $209,086 $267 22.5% —
5 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 745 $187,904 $252 10.9% (254) 724-2663
6 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 713 $147,693 $207 25.8% —
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 651 $237,546 $365 9.9% (800) 926-8273
8 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 642 $117,612 $183 23.3% —
9 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 606 $107,868 $178 62.9% (505) 841-1234
10 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 587 $86,289 $147 26.4% (502) 928-1050
11 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 581 $518,558 $893 8.8% (415) 600-1020
12 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 579 $315,302 $545 8.8% (310) 825-7922
13 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 559 $269,380 $482 11.7% —
14 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 548 $77,321 $141 31.4% —
15 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 487 $82,410 $169 21.5% —
16 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 482 $118,090 $245 10.1% (717) 782-2100
17 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 427 $57,645 $135 10.0% —
18 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 420 $129,360 $308 15.0% (720) 777-1234
19 ASPIRUS WAUSAU HOSPITAL INC WAUSAU WI NURSE PRACTITIONER 228 398 $227,650 $572 26.5% (715) 847-0477
20 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 384 $119,072 $310 15.6% (704) 384-8200
21 BRYAN HOSPITAL KEARNEY KEARNEY NE PHYSICIAN ASSISTANT 112 369 $70,110 $190 23.7% (308) 865-2263
22 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 361 $46,108 $128 7.6% —
23 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 360 $91,074 $253 10.4% (309) 683-5050
24 ASANTE PHYSICIAN PARTNERS GRANTS PASS OR NURSE PRACTITIONER 221 351 $49,261 $140 39.0% (541) 507-2290
25 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 351 $80,730 $230 5.1% —
26 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 349 $52,350 $150 9.2% —
27 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 346 $184,418 $533 13.1% (757) 595-9880
28 ST VINCENT HOSPITAL SANTA FE TX PHYSICIAN ASSISTANT 313 344 $60,200 $175 5.0% —
29 PALMA SOLA NEUROLOGY ASSOCIATES BRADENTON FL PHYSICIAN ASSISTANT 4 342 $184,338 $539 8.0% (941) 877-7007
30 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 337 $106,105 $315 37.8% —
31 ADVANCED PULMONARY AND SLEEP ASSOCIATES PC WEST CHESTER PA NURSE PRACTITIONER 4 337 $75,188 $223 7.1% (610) 692-6330
32 NORTH TEXAS LUNG AND SLEEP CLINIC PA FORT WORTH TX NURSE PRACTITIONER 2 336 $150,618 $448 4.9% (817) 731-0230
33 ENT AND ALLERGY ASSOCIATES LLP YONKERS NY OTOLARYNGOLOGY 429 335 $167,500 $500 9.7% (914) 963-8588
34 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 332 $217,506 $655 5.0% (916) 681-8852
35 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 330 $59,400 $180 27.1% —
36 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 327 $83,664 $256 12.8% (423) 495-2620
37 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 305 $46,665 $153 61.6% (501) 202-2093
38 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 304 $96,934 $319 9.2% —
39 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLE NC PHYSICIAN ASSISTANT 593 294 $62,328 $212 11.9% (828) 213-1740
40 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 282 $49,536 $176 26.4% —
41 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 282 $53,580 $190 8.5% (856) 433-2535
42 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 273 $59,339 $217 11.1% (919) 881-0160
43 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 258 $113,201 $439 7.4% (217) 544-6464
44 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 257 $30,477 $119 17.8% (405) 751-5555
45 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 251 $113,723 $453 21.3% (913) 588-1227
46 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 251 $35,642 $142 7.2% —
47 PULMONARY AND SLEEP CONSULTANTS OF KANSAS LLC WICHITA KS PULMONARY DISEASE 7 247 $108,378 $439 20.9% (316) 928-8730
48 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 240 $54,514 $227 7.2% (856) 247-7260
49 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 240 $44,800 $187 9.1% —
50 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 240 $39,340 $164 19.0% (612) 863-4000
51 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 236 $27,376 $116 22.1% —
52 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 228 $59,936 $263 10.2% (859) 258-4568
53 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 226 $32,996 $146 6.0% (419) 291-1111
54 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 220 $181,940 $827 3.3% (805) 681-7500
55 MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC PADUCAH KY NURSE PRACTITIONER 142 217 $21,483 $99 9.7% —
56 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 216 $58,104 $269 9.6% —
57 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 214 $124,120 $580 3.2% —
58 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 213 $295,005 $1,385 6.1% (914) 241-1050
59 CLEVELAND CLINIC HEALTH SERVICES PROFESSIONAL ASSOCIATION, INC FRISCO IL DIAGNOSTIC RADIOLOGY 60 213 $84,135 $395 6.1% (630) 235-2454
60 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 210 $39,928 $190 3.1% (512) 899-2028
61 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NJ INTERNAL MEDICINE 550 209 $54,200 $259 6.3% (201) 894-3158
62 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 208 $62,206 $299 9.2% (864) 255-1901
63 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 201 $128,439 $639 14.8% —
64 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 199 $25,134 $126 12.8% —
65 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 198 $69,498 $351 12.7% (402) 559-4000
66 BURLINGTON NEUROLOGY AND SLEEP CLINIC PLC WEST BURLINGTON IA NEUROLOGY 5 196 $97,216 $496 16.1% (319) 754-4400
67 MERITAS HEALTH CORPORATION NORTH KANSAS CITY MO NEUROLOGY 498 196 $27,244 $139 8.7% (816) 472-5157
68 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 196 $43,962 $224 8.7% (803) 749-5101
69 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY PA PHYSICIAN ASSISTANT 1599 194 $181,002 $933 4.1% (717) 531-5638
70 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 193 $52,757 $273 4.5% (239) 343-9888
71 FUSION SLEEP LLC SUWANEE GA NURSE PRACTITIONER 10 192 $133,440 $695 13.9% (678) 990-3962
72 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 190 $25,270 $133 13.2% —
73 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT MO OTOLARYNGOLOGY 104 183 $29,299 $160 8.1% (816) 478-4200
74 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 183 $112,179 $613 20.3% (541) 706-7715
75 CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP LAKEWOOD CO CRITICAL CARE (INTENSIVISTS) 61 183 $44,652 $244 6.5% (303) 951-0600
76 BSA AMARILLO DIAGNOSTIC CLINIC INC AMARILLO TX NURSE PRACTITIONER 31 182 $45,864 $252 2.7% (806) 358-0200
77 CADUCEUS CORPORATION SAINT LOUIS MO PULMONARY DISEASE 2 182 $36,400 $200 8.1% —
78 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 180 $39,060 $217 4.7% —
79 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 180 $29,120 $162 2.6% (409) 772-2222
80 LIVING GEM PROFESSIONAL CORPORATION TUCSON AZ SLEEP MEDICINE 3 179 $16,110 $90 16.0% (520) 849-7222
81 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 178 $31,506 $177 6.7% (434) 924-5959
82 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 177 $28,153 $159 4.1% (321) 312-3501
83 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 175 $35,000 $200 3.7% —
84 NEBRASKA PULMONARY SPECIALTIES LLC LINCOLN NE PULMONARY DISEASE 28 174 $7,763 $45 11.2% 4024838600401
85 COLORADO SPRINGS PULMONARY CONSULTANTS PC COLORADO SPRINGS CO PULMONARY DISEASE 22 168 $14,784 $88 6.0% 7194717064310
86 SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC VIENNA VA INTERNAL MEDICINE 2 165 $82,500 $500 6.3% —
87 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 164 $16,236 $99 4.3% (513) 751-4222
88 HUNTINGTON PULMONARY MEDICAL GROUP PASADENA CA PULMONARY DISEASE 8 163 $51,808 $318 2.5% (626) 486-0181
89 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 161 $57,655 $358 3.8% (954) 659-5000
90 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 161 $35,903 $223 23.4% (304) 598-4865
91 BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC. BURLINGTON MA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 257 156 $32,308 $207 5.7% (781) 744-8400
92 IHC HEALTH SERVICES INC MURRAY SC PHYSICIAN ASSISTANT 3944 152 $20,824 $137 6.7% (801) 261-8346
93 PULMONOLOGY ASSOCIATES INC PAOLI PA PULMONARY DISEASE 18 149 $22,350 $150 3.1% (610) 648-0553
94 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 147 $43,071 $293 12.4% (785) 354-9591
95 NOVA PULMONARY CRITICAL CARE AND SLEEP ASSOCIATES LLC DULLES VA PULMONARY DISEASE 3 147 $100,989 $687 5.6% (571) 367-0000
96 STAMFORD HEALTH MEDICAL GROUP INC STAMFORD CT PHYSICIAN ASSISTANT 419 146 $24,090 $165 10.8% (203) 276-4644
97 PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP INC. ROSEVILLE CA CRITICAL CARE (INTENSIVISTS) 91 146 $67,181 $460 2.2% (916) 679-3590
98 NORTHERN PALM BEACH PULMONARY AND CRITICAL CARE, PA JUPITER FL PULMONARY DISEASE 3 142 $12,070 $85 3.3% (561) 323-6555
99 PULMONARY MEDICINE CONSULTANTS, PA RICHARDSON TX PULMONARY DISEASE 15 141 $25,650 $182 2.1% 9726800668131
100 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 141 $22,108 $157 11.1% (320) 252-5131

Showing the top 100 of 615 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 →