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Market snapshot

95977 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

95977 — Electronic analysis of implanted neurostimulator generator with complex cranial nerve stimulator programming

Billing groups
80
Named-group FFS services
2,129
FFS of Medicare
49%
Services YoY
+40.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,326 services

2,129 observed fee-for-service (49%) · ~2,197 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 — 95977 (CY2024)
OH 498 CA 285 FL 238 TX 227 GA 159

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

Named-group submitted charges
$395K
Named-group allowed amount
$103K
Named-group Medicare payments
$78K
Avg charge / svc
$185
Avg allowed / svc
$49
Avg payment / svc
$37
Average charge per group
$50 80 groups · avg submitted charge / service $1,487
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 95977 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 121 $38,115 $315 24.3% —
2 TELEMEDICO PHYSICIANS CARDIOLOGY OHIO INC COLUMBUS OH NURSE PRACTITIONER 6 73 $21,900 $300 14.7% (847) 386-7744
3 ADVANCED PULMONARY AND SLEEP ASSOCIATES PC WEST CHESTER PA NURSE PRACTITIONER 4 67 $7,370 $110 53.6% (610) 692-6330
4 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 333 62 $11,086 $179 48.4% (417) 269-6000
5 CLEVELAND CLINIC CLEVELAND VA PHYSICIAN ASSISTANT 6828 61 $19,215 $315 45.9% —
6 THE DEPARTMENT OF PSYCHIATRY ORANGE CA PSYCHIATRY 28 53 $12,614 $238 18.6% (714) 456-8068
7 RESPIRATORY CRITICAL CARE AND SLEEP MEDICINE ASSOCIATES,INC JACKSONVILLE FL NURSE PRACTITIONER 41 53 $7,950 $150 22.3% (904) 253-6910
8 GWINNETT PULMONARY GROUP LAWRENCEVILLE GA PULMONARY DISEASE 17 53 $10,653 $201 33.3% 7709950630135
9 KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA DIAGNOSTIC RADIOLOGY 101 52 $3,900 $75 18.2% (559) 624-6090
10 HOUSTON PULMONARY AND SLEEP ASSOCIATES PLLC HOUSTON TX PULMONARY DISEASE 14 52 $4,160 $80 22.9% (281) 955-0338
11 IAN PURCELL, MD, APC SAN DIEGO CA NEUROLOGY 4 47 $5,360 $114 16.5% (858) 223-2172
12 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 45 $4,905 $109 36.0% —
13 NEBRASKA PULMONARY SPECIALTIES LLC LINCOLN NE PULMONARY DISEASE 28 44 $2,204 $50 60.3% 4024838600401
14 THE PEARL CLINIC LLC MILLSBORO DE NURSE PRACTITIONER 4 40 $5,000 $125 55.6% (302) 648-2033
15 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 38 $8,018 $211 27.5% —
16 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 36 $6,789 $189 36.4% —
17 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 34 $3,128 $92 24.6% (864) 255-1901
18 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 32 $7,936 $248 24.1% (804) 828-9000
19 ST VINCENT MEDICAL GROUP INC INDIANAPOLIS IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 718 31 $4,030 $130 27.2% (317) 338-2345
20 ACCENT PHYSICIAN SPECIALISTS PA GAINESVILLE FL PHYSICIAN ASSISTANT 16 29 $3,886 $134 12.2% 3523729414265
21 PRENTICE MITRI AND HIJAZIN DOWNEY CA NEUROLOGY 3 29 $5,800 $200 10.2% (562) 861-1988
22 COOPERATIVE HEALTHCARE SERVICES INC BRUNSWICK GA NURSE PRACTITIONER 228 28 $3,871 $138 17.6% (912) 466-5400
23 SAINT JOSEPH REGIONAL MEDICAL CENTER INC MISHAWAKA IN NURSE PRACTITIONER 137 28 $3,304 $118 24.6% (574) 335-6830
24 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 28 $3,024 $108 5.6% —
25 OSUP COMMUNITY OUTREACH LLC WESTERVILLE OH NURSE PRACTITIONER 136 28 $5,040 $180 5.6% (614) 293-4969
26 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTON MA OPHTHALMOLOGY 406 28 $6,138 $219 100.0% (617) 523-7900
27 SOUTH CAROLINA ENT ALLERGY AND SLEEP MEDICINE PA COLUMBIA SC PHYSICIAN ASSISTANT 24 28 $4,070 $145 20.3% (803) 408-3277
28 NORTH COAST PROFESSIONAL COMPANY, LLC SANDUSKY OH NURSE PRACTITIONER 99 27 $2,412 $89 5.4% (419) 557-6550
29 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 26 $4,290 $165 10.9% —
30 THE METROHEALTH SYSTEM CLEVELAND OH NURSE PRACTITIONER 1175 25 $2,300 $92 5.0% (216) 778-7800
31 TEXOMA NEUROLOGY ASSOCIATES, PA PLANO TX NEUROLOGY 25 25 $3,134 $125 11.0% 90389351414310
32 NORAN NEUROLOGICAL CLINIC, P.A. MINNEAPOLIS MN NEUROLOGY 53 24 $17,640 $735 38.7% (612) 879-1000
33 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 24 $2,880 $120 15.1% (762) 235-3340
34 SANTA CLARITA EAR NOSE AND THROAT MEDICAL ASSOCIATES VALENCIA CA OTOLARYNGOLOGY 8 23 $2,054 $89 8.1% (661) 259-2500
35 PULMONARY AND SLEEP MEDICINE P C DALTON GA INTERNAL MEDICINE 2 23 $4,600 $200 14.5% (706) 226-2330
36 MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES ROGERS AR NURSE PRACTITIONER 316 23 $3,657 $159 100.0% (479) 338-8000
37 PULMONARY SPECIALISTS OF NORTHWEST INDIANA, PC HOBART IN PULMONARY DISEASE 4 22 $2,141 $97 19.3% (219) 942-9658
38 CHRISTOPHER TIU MD PLLC WHEELING WV NURSE PRACTITIONER 2 22 $1,650 $75 64.7% (304) 234-2060
39 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 22 $3,674 $167 100.0% —
40 HACKENSACK SLEEP AND PULMONARY CENTER LLC. HACKENSACK NJ PULMONARY DISEASE 2 22 $4,400 $200 56.4% (201) 996-0232
41 BURLINGTON NEUROLOGY AND SLEEP CLINIC PLC WEST BURLINGTON IA NEUROLOGY 5 20 $7,500 $375 31.2% (319) 754-4400
42 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH GA PULMONARY DISEASE 23 20 $1,467 $73 12.6% (912) 629-2290
43 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO NV PHYSICIAN ASSISTANT 292 20 $3,300 $165 31.2% —
44 DUKE FORAGE ANSON NEUROSURGICAL LLP HENDERSON NV NEUROSURGERY 10 19 $10,475 $551 29.7% (702) 896-0940
45 ENT AND ALLERGY ASSOCIATES OF FLORIDA, LLC BOCA RATON FL OTOLARYNGOLOGY 231 19 $2,375 $125 8.0% (561) 391-3333
46 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 18 $2,682 $149 24.7% (402) 354-8163
47 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 18 $2,142 $119 60.0% (801) 261-8346
48 SANFORD BISMARCK BISMARCK ND NURSE PRACTITIONER 563 17 $1,088 $64 100.0% (701) 323-8300
49 JACKSON PULMONARY ASSOCIATES, PA JACKSON MS NURSE PRACTITIONER 32 17 $850 $50 100.0% (601) 981-9503
50 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 17 $3,060 $180 43.6% (908) 273-4300
51 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 17 $5,338 $314 17.2% (309) 683-5050
52 ADENA MEDICAL GROUP LLC CHILLICOTHE OH NURSE PRACTITIONER 385 17 $918 $54 3.4% (740) 779-4500
53 ASCENTIST PHYSICIANS GROUP LLC LEES SUMMIT MO OTOLARYNGOLOGY 104 16 $2,075 $130 12.5% (816) 478-4200
54 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 16 $2,864 $179 16.2% (312) 563-2875
55 COVENANT MEDICAL CENTER INC SAGINAW MI PHYSICIAN ASSISTANT 493 16 $960 $60 38.1% (989) 583-4220
56 PULMONARY CRITICAL CARE AND SLEEP ATLANTIS FL NURSE PRACTITIONER 18 16 $1,856 $116 6.7% (561) 967-4118
57 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 15 $11,130 $742 24.2% (507) 284-2511
58 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 15 $2,700 $180 3.0% (614) 293-8000
59 PULMONARY ASSOCIATES OF RICHMOND INC MIDLOTHIAN VA PULMONARY DISEASE 49 14 $1,148 $82 10.5% (804) 639-9910
60 SOUTHWESTERN COLORADO EAR NOSE AND THROAT DURANGO CO PHYSICIAN ASSISTANT 7 14 $2,317 $166 100.0% (970) 385-7272
61 ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI PHYSICIAN ASSISTANT 260 14 $2,254 $161 33.3% (269) 226-5165
62 YORK HOSPITAL YORK ME PHYSICIAN ASSISTANT 216 14 $1,022 $73 100.0% (207) 351-3715
63 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 14 $1,460 $104 37.8% (785) 354-9591
64 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 13 $962 $74 10.4% (215) 662-2777
65 TETON COUNTY HOSPITAL DISTRICT JACKSON ID PHYSICIAN ASSISTANT 111 13 $1,950 $150 36.1% (307) 733-3636
66 AHS OKLAHOMA HEART LLC TULSA OK PHYSICIAN ASSISTANT 136 13 $1,534 $118 100.0% (918) 592-0999
67 JOINT TOWNSHIP DISTRICT MEMORIAL HOSPITAL SAINT MARYS OH EMERGENCY MEDICINE 41 13 $1,796 $138 2.6% 41939433353569
68 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 13 $2,456 $189 9.8% —
69 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 13 $2,080 $160 20.3% —
70 PULMONARY CONSULTANTS OF OCALA , PLLC OCALA FL NURSE PRACTITIONER 4 12 $720 $60 5.0% 3522372826103
71 ENT PROFESSIONAL ASSOCIATION SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 17 12 $1,614 $135 40.0% (801) 268-4141
72 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 12 $17,842 $1,487 4.2% (650) 723-4000
73 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 12 $1,644 $137 9.4% —
74 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 12 $2,968 $247 4.2% (800) 926-8273
75 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 12 $1,440 $120 5.3% (903) 606-5560
76 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 12 $2,340 $195 35.3% (304) 598-4865
77 MELIOREM SLEEP SERVICES SPARKS NV INTERNAL MEDICINE 2 12 $1,596 $133 18.8% 7755574900101
78 NCHMD INC NAPLES FL NEUROLOGY 515 11 $1,287 $117 4.6% (239) 436-5100
79 MIDWEST EAR, NOSE AND THROAT ASSOCIATES P C SIOUX FALLS SD OTOLARYNGOLOGY 15 11 $3,740 $340 23.4% (605) 336-3503
80 CAROLINA CARDIOLOGY ASSOCIATES LLC ROCK HILL SC CARDIOVASCULAR DISEASE (CARDIOLOGY) 16 11 $1,650 $150 8.0% (803) 324-5130
81 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 11 $1,925 $175 8.0% (843) 497-5929

*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 →