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Market snapshot

96116 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96116 — Exam of neurobehavioral status, first hour

Billing groups
569
Named-group FFS services
80,607
FFS of Medicare
49%
Services YoY
+2.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~163,260 services

80,607 observed fee-for-service (49%) · ~82,653 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; 1 state without payer-mix data excluded. How we scale

Top states — 96116 (CY2024)
CA 24,846 FL 11,011 TX 10,023 NY 9,508 MI 5,170

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

Named-group submitted charges
$23.2M
Named-group allowed amount
$7.0M
Named-group Medicare payments
$5.4M
Avg charge / svc
$288
Avg allowed / svc
$87
Avg payment / svc
$67
Average charge per group
$28 569 groups · avg submitted charge / service $1,250
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 96116 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EXECUTIVE MENTAL HEALTH, INC LOS ANGELES CA CLINICAL PSYCHOLOGIST 44 2,495 $810,875 $325 10.0% (310) 273-4843
2 THE NEUROLOGY CENTER WASHINGTON MD NEUROLOGY 29 1,598 $383,520 $240 45.1% (301) 562-7200
3 NEUROLOGY CONSULTANTS OF HUNTSVILLE PC HUNTSVILLE AL NEUROLOGY 15 1,149 $114,900 $100 47.2% (256) 881-4112
4 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,139 $621,076 $545 12.0% (212) 263-9700
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 955 $525,250 $550 20.1% —
6 BCS OF MICHIGAN LLC TRENTON MI CLINICAL PSYCHOLOGIST 41 919 $193,270 $210 17.8% (734) 671-3500
7 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 860 $260,580 $303 8.6% (254) 724-2663
8 COGNACARE NEUROLOGIC, INC GLENDALE CA INTERNAL MEDICINE 15 757 $162,013 $214 3.0% (818) 265-2245
9 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 679 $67,900 $100 71.2% (701) 234-2000
10 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 629 $234,811 $373 6.3% (214) 633-5555
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 623 $277,235 $445 31.1% (507) 284-2511
12 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 621 $167,517 $270 19.8% (434) 924-5959
13 BEHAVIORAL HEALTH INSTITUTE INC (SINGH) PC LAS VEGAS NV NURSE PRACTITIONER 13 613 $91,950 $150 28.9% (702) 852-6633
14 NEUROLOGY AND PAIN MANAGEMENT ASSOCIATES PC CROWN POINT IN NURSE PRACTITIONER 80 609 $140,210 $230 36.1% (574) 546-1900
15 NEUROPSYCHOLOGY ASSOCIATES OF FAIRFAX VIRGINIA LLC FAIRFAX VA CLINICAL PSYCHOLOGIST 8 588 $161,700 $275 18.8% (703) 876-0966
16 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 582 $241,785 $415 2.3% (650) 723-4000
17 WAKEMED RALEIGH NC NEUROLOGY 70 580 $152,540 $263 21.6% (919) 350-8000
18 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 552 $215,476 $390 59.4% (913) 588-1227
19 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 550 $324,092 $589 14.9% —
20 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO CA FAMILY PRACTICE 561 532 $199,280 $375 2.1% (916) 734-7777
21 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 520 $271,960 $523 27.6% (720) 777-1234
22 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 504 $143,136 $284 33.8% (615) 322-5000
23 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 500 $152,460 $305 10.5% (732) 362-3663
24 AZ INTEGRATED NEURO SPINE AND PAIN LLC SUN CITY AZ NEUROLOGY 14 497 $110,467 $222 13.9% (623) 322-5700
25 WEST HUDSON PULMONARY ASSOCIATES CORPC KEARNY NJ NURSE PRACTITIONER 6 488 $97,600 $200 10.3% (201) 991-4544
26 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 477 $187,603 $393 17.8% (617) 724-0287
27 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 459 $171,426 $373 13.0% (410) 502-4340
28 SOUTHERN OREGON NEUROPSYCHOLOGICAL CLINIC LLC MEDFORD OR CLINICAL PSYCHOLOGIST 4 452 $63,280 $140 34.8% (541) 608-3878
29 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 450 $118,965 $264 33.1% (319) 678-8201
30 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 450 $86,868 $193 1.8% (760) 631-3000
31 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 446 $153,845 $345 4.1% (239) 343-9888
32 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 431 $154,606 $359 100.0% (802) 847-0000
33 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 430 $94,170 $219 48.4% (479) 571-4338
34 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 426 $396,180 $930 15.6% (414) 421-8400
35 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER SCHENECTADY NY PHYSICAL MEDICINE AND REHABILITATION 32 419 $80,435 $192 4.4% (518) 382-4500
36 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 416 $75,712 $182 11.2% —
37 OSU NEUROSCIENCE CENTER, LLC COLUMBUS OH NEUROLOGY 119 411 $123,931 $302 11.1% (614) 293-4969
38 SAN MARCOS NEUROLOGY ASSOCIATES SAN ANTONIO TX NEUROLOGY 6 409 $81,800 $200 4.1% (210) 656-2333
39 STEVEN M ESSIG PSYD PA BOCA RATON FL CLINICAL PSYCHOLOGIST 2 406 $152,250 $375 3.7% (561) 732-7000
40 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 405 $62,851 $155 12.9% —
41 DANA FORTE D O LTD LAS VEGAS NV FAMILY PRACTICE 16 401 $100,250 $250 18.9% (702) 240-8646
42 UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH FORT WORTH TX FAMILY PRACTICE 56 397 $73,842 $186 4.0% (817) 735-3627
43 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 396 $88,322 $223 7.7% (616) 885-5000
44 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 373 $113,765 $305 7.9% (856) 247-7260
45 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 367 $81,199 $221 3.7% —
46 UT PHYSICIANS HOUSTON TX NEUROLOGY 202 366 $120,990 $331 3.7% (713) 486-8000
47 EDWARD W SPARROW HOSPITAL ASSOCIATION LANSING MI NURSE PRACTITIONER 694 361 $57,617 $160 7.0% (517) 484-4033
48 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 355 $105,790 $298 7.5% (312) 563-2875
49 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 355 $68,495 $193 14.8% (267) 857-7751
50 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 354 $106,200 $300 16.4% (770) 219-7777
51 NEUROLOGY GROUP OF BERGEN COUNTY PA RIDGEWOOD NJ NEUROLOGY 26 348 $80,040 $230 7.3% (201) 444-0868
52 PHOENIX REHABILITATION AND HEALTH SERVICES INC CRANBERRY TOWNSHIP DE PHYSICIAN ASSISTANT 2664 340 $61,200 $180 91.4% —
53 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 340 $176,800 $520 3.6% —
54 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 333 $115,050 $345 3.5% (212) 241-4812
55 UC REGENTS LOS ANGELES CA PSYCHIATRY 142 333 $163,479 $491 1.3% (310) 825-9111
56 HOME PHYSICIANS MEDICAL GROUP INC SAN DIEGO CA NURSE PRACTITIONER 4 327 $62,594 $191 1.3% (858) 279-1212
57 EXCELCARE ALLIANCE LLC VINELAND NJ INTERNAL MEDICINE 20 320 $52,800 $165 6.8% (856) 692-7700
58 RIVERHILLS HEALTHCARE INC CINCINNATI OH NEUROLOGY 46 318 $83,136 $261 8.6% (513) 241-2370
59 TRIANGLE NEUROPSYCHOLOGY SERVICES, PLLC DURHAM NC CLINICAL PSYCHOLOGIST 6 315 $94,500 $300 11.8% (919) 384-9682
60 BLS DIAGNOSTICS LLC BALTIMORE MD NEUROLOGY 2 309 $61,800 $200 8.7% (443) 483-6300
61 AUSTIN NEUROPSYCHOLOGY PLLC AUSTIN TX CLINICAL PSYCHOLOGIST 3 304 $105,700 $348 3.0% (512) 637-5841
62 SSM SELECT REHAB ST. LOUIS, LLC RICHMOND HEIGHTS MO CLINICAL PSYCHOLOGIST 5 298 $126,352 $424 9.5% (314) 768-5202
63 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 292 $89,352 $306 1.2% —
64 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 288 $70,560 $245 15.3% —
65 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 288 $78,113 $271 2.9% (210) 450-7044
66 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 285 $98,373 $345 2.8% —
67 BAPTIST BEHAVIORAL HEALTH LLC JACKSONVILLE FL CLINICAL PSYCHOLOGIST 124 280 $62,276 $222 2.5% (904) 376-3800
68 MIND BODY WELLNESS PC DALLAS TX CLINICAL PSYCHOLOGIST 4 278 $48,650 $175 2.8% (972) 661-1862
69 JWALANT VADALIA MD PC MANCHESTER NH PHYSICIAN ASSISTANT 17 278 $34,720 $125 45.6% (603) 645-5977
70 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 277 $67,865 $245 42.6% (601) 264-6000
71 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 277 $185,590 $670 2.9% (866) 633-8255
72 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 275 $85,250 $310 1.1% (800) 872-2273
73 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 274 $71,954 $263 12.7% (770) 422-2004
74 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 272 $71,352 $262 43.6% (504) 842-3000
75 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 272 $92,782 $341 13.6% (612) 863-4000
76 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 271 $135,404 $500 5.7% (309) 683-5050
77 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 261 $72,282 $277 2.4% (407) 896-1100
78 ROCHESTER GENERAL HOSPITAL ROCHESTER NY PHYSICIAN ASSISTANT 1218 257 $38,776 $151 2.7% (585) 922-4000
79 OCHSNER CLINIC LLC NEW ORLEANS AL NURSE PRACTITIONER 2839 255 $66,518 $261 10.5% (504) 842-3000
80 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 251 $53,714 $214 18.5% (515) 461-9786
81 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 250 $110,964 $444 9.2% —
82 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 247 $149,682 $606 9.1% (608) 260-2900
83 TUCSON NEUROPSYCHOLOGY INSTITUTE LLC TUCSON AZ CLINICAL PSYCHOLOGIST 4 247 $34,580 $140 6.9% (520) 954-9930
84 ISLAND NEUROLOGICAL THERAPY PC MASSAPEQUA NY NEUROLOGY 2 245 $61,250 $250 2.6% (516) 520-5507
85 PAM K JANDA M D INC A PROFESSIONAL CORPORATION FRESNO CA INTERNAL MEDICINE 2 242 $29,040 $120 1.0% (559) 449-8200
86 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 240 $65,348 $272 32.7% (402) 354-8163
87 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 240 $62,630 $261 6.7% (602) 406-6017
88 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 239 $68,593 $287 2.2% —
89 MICHIGAN NEUROLOGY ASSOCIATES PC CLINTON TOWNSHIP MI PHYSICIAN ASSISTANT 22 238 $47,936 $201 4.6% (586) 445-9900
90 ALLAN M SPIEGEL MD PA PALM HARBOR FL NEUROLOGY 3 238 $64,253 $270 2.2% —
91 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 236 $174,640 $740 8.7% (414) 955-4263
92 NEW YORK NEUROLOGIC ASSOCIATES LLP NEW HYDE PARK NY NEUROLOGY 7 235 $75,200 $320 2.5% (516) 488-1888
93 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 229 $91,600 $400 7.3% (314) 747-3000
94 QUALITY HEALTH CARE INC OF FLORIDA SEBASTIAN FL INTERNAL MEDICINE 2 228 $53,124 $233 2.1% (772) 228-8480
95 NORTH COAST PROFESSIONAL COMPANY, LLC SANDUSKY OH NURSE PRACTITIONER 99 225 $49,400 $220 6.1% (419) 557-6550
96 CARESWAY INC GLENDALE CA ANESTHESIOLOGY 2 225 $25,270 $112 0.9% (747) 215-6998
97 HEALTH PSYCHOLOGY CENTER DALLAS TX CLINICAL PSYCHOLOGIST 7 219 $50,918 $232 2.2% (214) 361-2100
98 PALMDALE MEDICAL CLINIC INC PALMDALE CA INTERNAL MEDICINE 2 219 $22,995 $105 0.9% (661) 947-5600
99 IAN PURCELL, MD, APC SAN DIEGO CA NEUROLOGY 4 218 $41,420 $190 0.9% (858) 223-2172
100 NEUROMEDICAL DIAGNOSTIC MEDICAL GROUP LONG BEACH CA NEUROLOGY 6 218 $32,700 $150 0.9% 56259113243

Showing the top 100 of 569 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 →