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Market snapshot

95811 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95811 — Sleep study in sleep lab with continuous airway pressure (6 years or older)

Billing groups
1,072
Named-group FFS services
107,053
FFS of Medicare
49%
Services YoY
-3.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~216,730 services

107,053 observed fee-for-service (49%) · ~109,677 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 — 95811 (CY2024)
CA 17,334 TX 14,488 FL 12,603 IL 8,281 OH 7,615

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

Named-group submitted charges
$110.2M
Named-group allowed amount
$28.7M
Named-group Medicare payments
$22.3M
Avg charge / svc
$1,030
Avg allowed / svc
$268
Avg payment / svc
$208
Average charge per group
$118 1,072 groups · avg submitted charge / service $8,928
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 95811 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,063 $339,754 $320 32.8% (801) 261-8346
2 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 897 $738,284 $823 6.2% (254) 724-2663
3 WELLNESS IN SLEEP PA FORT WORTH TX PHYSICIAN ASSISTANT 4 889 $878,150 $988 6.1% (817) 820-0427
4 CONWAY REGIONAL MEDICAL CENTER INC CONWAY AR NURSE PRACTITIONER 141 819 $426,699 $521 32.1% (501) 358-6695
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 700 $2,407,688 $3,440 12.5% (212) 263-9700
6 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 657 $2,455,730 $3,738 3.8% (415) 600-1020
7 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 611 $3,735,711 $6,114 4.8% (904) 953-2000
8 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 609 $382,612 $628 3.5% (714) 871-3006
9 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 582 $861,744 $1,481 7.6% —
10 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 571 $177,010 $310 13.5% —
11 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 559 $260,614 $466 6.8% —
12 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 551 $223,155 $405 30.8% (505) 841-1234
13 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 531 $771,434 $1,453 3.7% (903) 606-5560
14 PULMONARY ASSOCIATES OF RICHMOND INC MIDLOTHIAN VA PULMONARY DISEASE 49 524 $1,235,068 $2,357 9.5% (804) 639-9910
15 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 484 $1,248,867 $2,580 5.8% (217) 544-6464
16 DSM SLEEP SPECIALISTS CLIVE IA PHYSICIAN ASSISTANT 5 480 $370,475 $772 17.0% (734) 502-6716
17 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 452 $436,947 $967 5.5% —
18 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 452 $53,382 $118 38.1% (605) 322-5180
19 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 438 $198,037 $452 3.0% —
20 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 427 $396,367 $928 7.6% —
21 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 411 $169,398 $412 12.5% —
22 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 407 $291,571 $716 4.9% (309) 683-5050
23 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 402 $340,494 $847 33.9% (605) 755-7200
24 LIVING GEM PROFESSIONAL CORPORATION TUCSON AZ SLEEP MEDICINE 3 397 $1,504,600 $3,790 7.7% (520) 849-7222
25 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 395 $137,260 $347 11.7% (253) 428-2200
26 THE INSOMNIA AND SLEEP INSTITUTE OF ARIZONA LLC SCOTTSDALE AZ SLEEP MEDICINE 10 393 $783,549 $1,994 7.6% (480) 745-3547
27 THE CHRIST HOSPITAL MEDICAL ASSOCIATES, LLC CINCINNATI OH FAMILY PRACTICE 268 392 $74,480 $190 5.1% (513) 624-9100
28 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 383 $108,389 $283 9.9% (918) 502-4720
29 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 383 $466,784 $1,219 7.4% (800) 603-0558
30 TOLEDO CLINIC INCORPORATED TOLEDO OH NURSE PRACTITIONER 217 381 $203,075 $533 5.0% (419) 874-3246
31 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 376 $379,008 $1,008 7.9% —
32 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 375 $506,250 $1,350 13.4% (414) 421-8400
33 INTEGRIS AMBULATORY CARE CORPORATION OKLAHOMA CITY OK PHYSICIAN ASSISTANT 698 375 $123,482 $329 9.7% (405) 751-5555
34 HEARTLAND REGIONAL MEDICAL CENTER SAINT JOSEPH MO NURSE PRACTITIONER 387 369 $248,842 $674 7.8% (816) 271-6870
35 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 369 $207,444 $562 11.2% —
36 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 366 $210,450 $575 4.4% (847) 459-1160
37 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 366 $235,031 $642 10.4% (770) 422-2004
38 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 361 $320,207 $887 16.0% (507) 284-2511
39 REVERE HEALTH PC PROVO UT PHYSICIAN ASSISTANT 410 360 $402,882 $1,119 11.1% —
40 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 359 $258,121 $719 6.8% (734) 763-5459
41 RD PRABHU-LATA K SHETE MDS LTD LAS VEGAS NV NURSE PRACTITIONER 12 353 $847,200 $2,400 15.6% (702) 877-9514
42 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 350 $138,648 $396 13.7% (501) 202-2093
43 HEALTH FIRST PRIVIA MEDICAL GROUP INDIALANTIC FL NURSE PRACTITIONER 235 350 $355,928 $1,017 2.8% (321) 312-3501
44 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 350 $88,550 $253 6.6% —
45 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 347 $214,270 $617 7.9% —
46 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 341 $191,053 $560 6.2% (804) 764-6000
47 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 340 $116,280 $342 6.2% —
48 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 329 $227,784 $692 5.4% (570) 271-6144
49 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 322 $164,980 $512 30.7% (701) 234-2000
50 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 316 $317,580 $1,005 7.5% (720) 777-1234
51 SLEEP CENTERS OF MIDDLE TENNESSEE LLC MURFREESBORO TN NURSE PRACTITIONER 14 315 $346,500 $1,100 5.8% 6158934896178
52 AHS OKLAHOMA HEART LLC TULSA OK PHYSICIAN ASSISTANT 136 312 $99,216 $318 8.1% (918) 592-0999
53 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 309 $87,138 $282 4.1% (513) 246-7000
54 ST VINCENT HOSPITAL SANTA FE TX PHYSICIAN ASSISTANT 313 308 $137,368 $446 2.1% —
55 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 301 $384,818 $1,278 5.4% (631) 444-1560
56 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 301 $122,129 $406 25.7% —
57 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 300 $134,400 $448 5.5% (919) 881-0160
58 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 298 $65,477 $220 3.9% (513) 751-4222
59 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 298 $120,988 $406 4.9% —
60 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 297 $220,374 $742 2.0% (214) 633-5555
61 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 297 $133,056 $448 5.4% (984) 215-5556
62 ROBERT D PEARSON PC CEDAR CITY UT OTOLARYNGOLOGY 2 296 $262,316 $886 9.1% (435) 867-8719
63 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 291 $172,486 $593 1.7% (916) 681-8852
64 THUTHI ENTERPRISES LLC SELAH WA NURSE PRACTITIONER 7 290 $629,300 $2,170 8.6% (509) 698-2624
65 P TERRENCE MOORE MD PA DALLAS TX NEUROLOGY 2 285 $570,000 $2,000 2.0% (972) 272-6558
66 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 284 $158,767 $559 2.3% (239) 343-9888
67 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 283 $1,059,835 $3,745 11.6% (601) 264-6000
68 HEALTHSTAR PHYSICIANS PC MORRISTOWN TN NURSE PRACTITIONER 90 279 $79,580 $285 5.1% —
69 SIGMA HEALTH PC ORLAND PARK IL NURSE PRACTITIONER 22 277 $784,741 $2,833 3.3% —
70 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 274 $606,710 $2,214 1.6% (858) 455-9100
71 BILLINGS CLINIC BILLINGS UT PHYSICIAN ASSISTANT 811 270 $175,558 $650 8.3% (406) 657-4000
72 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 266 $189,918 $714 4.9% (919) 684-8111
73 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 266 $103,459 $389 4.8% —
74 PULMONARY CONSULTANTS OF OCALA , PLLC OCALA FL NURSE PRACTITIONER 4 265 $34,490 $130 2.1% 3522372826103
75 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 265 $191,080 $721 6.4% —
76 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 264 $113,136 $429 9.4% —
77 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 264 $71,388 $270 6.8% —
78 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 261 $145,341 $557 4.9% (616) 885-5000
79 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 259 $82,621 $319 3.4% (419) 291-1111
80 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 258 $536,640 $2,080 3.1% (630) 469-9200
81 ASANTE PHYSICIAN PARTNERS GRANTS PASS OR NURSE PRACTITIONER 221 256 $93,024 $363 11.3% (541) 507-2290
82 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 255 $90,798 $356 7.6% —
83 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 251 $90,360 $360 13.2% (785) 354-9591
84 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 251 $183,261 $730 7.4% —
85 NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC SUWANEE GA PHYSICIAN ASSISTANT 314 249 $158,300 $636 7.1% (678) 474-9633
86 ASHWIN GOWDA MD PA AUSTIN TX NURSE PRACTITIONER 6 248 $358,609 $1,446 1.7% (512) 440-5757
87 VIRGINIA PULMONARY ASSOCIATES, P.C. WOODBRIDGE VA PULMONARY DISEASE 2 247 $345,800 $1,400 4.5% (703) 497-0212
88 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE FL NURSE PRACTITIONER 294 247 $95,836 $388 2.0% (904) 308-6900
89 MERCY CLINIC SPRINGFIELD COMMUNITIES SPRINGFIELD MO PHYSICIAN ASSISTANT 1128 246 $120,786 $491 5.2% —
90 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 246 $64,206 $261 3.2% —
91 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 246 $375,722 $1,527 10.9% (612) 863-4000
92 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 245 $644,240 $2,630 3.0% (888) 712-2753
93 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 244 $286,681 $1,175 12.8% (913) 588-1227
94 SLEEP SERVICES OF MARYLAND, L.L.C. ROCKVILLE MD PHYSICIAN ASSISTANT 7 244 $317,200 $1,300 6.4% (240) 912-4683
95 LAYOUS LLC CROWN POINT IN PULMONARY DISEASE 4 243 $126,644 $521 5.9% (219) 595-5754
96 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 240 $96,608 $403 1.7% (512) 899-2028
97 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 237 $517,095 $2,182 4.5% (248) 898-5058
98 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 237 $243,978 $1,029 8.5% (608) 260-2900
99 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 233 $434,454 $1,865 1.3% (650) 723-4000
100 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 233 $36,328 $156 1.3% (760) 340-3911

Showing the top 100 of 1,072 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 →