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Market snapshot

96127 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96127 — Assessment of emotional or behavioral problems

Billing groups
1,837
Named-group FFS services
554,185
FFS of Medicare
49%
Services YoY
+28.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,097,929 services

554,185 observed fee-for-service (50%) · ~543,744 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 — 96127 (CY2024)
TX 83,677 NC 63,546 PA 63,021 NY 51,006 DE 48,937

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

Named-group submitted charges
$12.9M
Named-group allowed amount
$2.5M
Named-group Medicare payments
$1.7M
Avg charge / svc
$23
Avg allowed / svc
$4
Avg payment / svc
$3
Average charge per group
$0 1,837 groups · avg submitted charge / service $496
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 96127 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON DE PAIN MANAGEMENT 24 31,120 $2,022,738 $65 63.6% (844) 365-7246
2 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 21,825 $369,465 $17 34.3% (704) 384-8200
3 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 17,059 $1,108,965 $65 27.1% (844) 365-7246
4 FAST PACE MEDICAL CLINIC PLLC COLLINWOOD TN NURSE PRACTITIONER 779 9,264 $101,806 $11 33.8% (931) 724-9000
5 ALABAMA ANESTHESIOLOGY AND PAIN CONSULTANTS P.C. PELL CITY AL NURSE PRACTITIONER 16 8,901 $80,809 $9 39.0% (205) 338-6655
6 LIFELINE MEDICAL ASSOCIATES LLC DENVILLE NJ OBSTETRICS/GYNECOLOGY 150 7,527 $188,175 $25 20.9% —
7 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES CA HEMATOLOGY/ONCOLOGY 51 7,036 $111,790 $16 15.8% (213) 977-1214
8 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 6,879 $68,790 $10 28.4% (918) 710-4112
9 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 6,874 $116,856 $17 8.2% (512) 244-4272
10 CAPITAL WOMENS CARE LLC ROCKVILLE MD OBSTETRICS/GYNECOLOGY 284 6,411 $96,675 $15 16.2% (301) 424-1696
11 TEMPLE PHYSICIANS INC PHILADELPHIA PA PHYSICIAN ASSISTANT 160 6,190 $123,800 $20 9.8% —
12 CARMEL PSYCHOLOGICAL HEALTH PC CARMEL NY MENTAL HEALTH COUNSELOR 194 5,984 $239,360 $40 11.7% (845) 279-5908
13 BEHAVIORAL HEALTH SPECIALISTS MEDICAL GROUP (DE), PA SUGAR LAND TX CLINICAL SOCIAL WORKER 33 5,869 $146,750 $25 7.0% (877) 583-5633
14 CHINATOWN TRUE CARE MEDICAL PLLC BROOKLYN NY NURSE PRACTITIONER 246 5,311 $132,780 $25 10.4% (718) 871-8255
15 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 5,225 $312,557 $60 10.2% (866) 633-8255
16 CALCASIEU URGENT CARE LLC LAKE CHARLES LA NURSE PRACTITIONER 145 4,724 $51,898 $11 31.6% (337) 426-0919
17 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 4,339 $60,746 $14 25.4% (520) 324-4230
18 APICO PAIN MANAGEMENT, LLC BEAR DE PHYSICIAN ASSISTANT 7 4,002 $260,130 $65 8.2% (855) 932-7426
19 DOYLESTOWN MEDICAL ASSOCIATES, P.C. DOYLESTOWN PA INTERNAL MEDICINE 3 3,828 $38,280 $10 6.1% (215) 348-4478
20 HEART CENTRAL OF WASHINGTON PLLC YAKIMA WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 3,808 $51,855 $14 20.7% (509) 902-3625
21 NEUROLOGY GROUP OF BERGEN COUNTY PA RIDGEWOOD NJ NEUROLOGY 26 3,688 $55,320 $15 10.3% (201) 444-0868
22 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 3,540 $74,241 $21 18.2% (260) 425-5900
23 PHYSICIANS FOR WOMEN'S HEALTH, LLC DANBURY CT OBSTETRICS/GYNECOLOGY 320 3,502 $122,570 $35 41.7% (203) 730-8789
24 ADVANTAGECARE PHYSICIANS PC BROOKLYN NY INTERNAL MEDICINE 318 3,271 $46,612 $14 6.4% (718) 858-6300
25 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 3,209 $54,553 $17 5.0% (910) 662-6000
26 LIVE URGENT CARE LLC BELLMAWR NJ NURSE PRACTITIONER 6 3,143 $31,430 $10 8.7% (856) 333-3616
27 DENT NEUROLOGIC GROUP LLP AMHERST NY PHYSICIAN ASSISTANT 116 3,114 $24,912 $8 6.1% (716) 250-2000
28 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 2,982 $52,030 $17 4.7% (570) 888-5858
29 GUTHRIE MEDICAL GROUP PC SAYRE NY PHYSICIAN ASSISTANT 804 2,979 $51,897 $17 5.8% (570) 888-5858
30 KOKOMO PAIN MANAGEMENT, LLC NOBLESVILLE IN NURSE PRACTITIONER 4 2,777 $27,770 $10 14.3% (317) 776-7028
31 TEXAS HEALTH BACK CARE ROCKWALL TX PHYSICAL MEDICINE AND REHABILITATION 47 2,704 $135,200 $50 3.2% (817) 442-9300
32 SPINAL DIAGNOSTICS PC TUALATIN OR INTERVENTIONAL PAIN MANAGEMENT 4 2,674 $32,088 $12 23.4% (503) 885-1515
33 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 2,633 $31,596 $12 4.1% (910) 296-0941
34 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 2,467 $39,472 $16 17.8% —
35 UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA LAS VEGAS NV NURSE PRACTITIONER 374 2,453 $41,701 $17 16.8% —
36 ARKANSAS PAIN CARE CLINICS, PA LITTLE ROCK AR ANESTHESIOLOGY 2 2,404 $24,100 $10 17.3% (501) 918-9192
37 SPINE AND NERVE DIAGNOSTIC CENTER SACRAMENTO CA PHYSICAL MEDICINE AND REHABILITATION 11 2,385 $25,035 $10 5.4% (916) 419-9900
38 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 2,362 $37,043 $16 2.8% (713) 512-7500
39 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 2,313 $41,931 $18 12.6% —
40 COMPLETE PAIN MANAGEMENT AND REHABILITATION LLC HENDERSON NV PHYSICIAN ASSISTANT 3 2,172 $21,720 $10 14.9% (702) 982-7100
41 CONSENSUS MEDICAL GROUP LLC JERSEY CITY NJ PHYSICIAN ASSISTANT 144 2,158 $53,925 $25 6.0% (201) 464-8888
42 MEHTA MEDICAL GROUP PLLC HUMBLE TX INTERNAL MEDICINE 25 2,076 $20,760 $10 2.5% (281) 446-7173
43 BERMAN AND PITMAN LTD RENO NV NURSE PRACTITIONER 12 2,065 $20,650 $10 14.2% (775) 689-5410
44 ZONA SPINE AND PAIN, LLC GOODYEAR AZ PHYSICIAN ASSISTANT 2 2,041 $37,963 $19 11.9% (623) 321-5079
45 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 1,977 $26,805 $14 6.6% (813) 751-3375
46 WALTER G GRIFFITH JR MD PA ST PETERSBURG FL PHYSICIAN ASSISTANT 6 1,930 $115,794 $60 6.5% (727) 577-1203
47 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 1,930 $28,082 $15 18.4% —
48 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 1,928 $38,477 $20 4.3% (805) 681-7500
49 TEXAS PAIN CONSULTANTS LLP HOUSTON TX ANESTHESIOLOGY 4 1,837 $22,044 $12 2.2% (713) 795-5056
50 FAMILY PHYSICIANS OF SPARTANBURG, PC SPARTANBURG SC FAMILY PRACTICE 10 1,778 $23,111 $13 27.5% (864) 576-9201
51 SQUARE CARE MEDICAL GROUP LLP WOODBURY NY OBSTETRICS/GYNECOLOGY 70 1,708 $34,160 $20 3.3% (516) 496-3900
52 UBYLEE HEALTHCARE GROUP, PLLC MATTHEWS NC NURSE PRACTITIONER 9 1,668 $41,700 $25 2.6% (980) 262-3007
53 MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A HOUSTON TX NURSE PRACTITIONER 27 1,668 $33,340 $20 2.0% (832) 522-1000
54 FAST PACE MISSISSIPPI PLLC KOSCIUSKO MS NURSE PRACTITIONER 195 1,665 $18,271 $11 23.6% (662) 307-2884
55 THE NEURON CLINIC GP EL CAJON CA NEUROLOGY 18 1,608 $17,318 $11 3.6% (619) 737-1117
56 MEDNOW CLINICS, INC AURORA CO NURSE PRACTITIONER 58 1,574 $39,100 $25 8.7% (720) 878-7055
57 PRIVIA CARE CENTER LLC FREDERICK MD NURSE PRACTITIONER 282 1,549 $24,784 $16 3.9% (240) 215-1138
58 OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 193 1,528 $28,518 $19 8.4% (719) 635-5148
59 SOUTHERN PAIN AND SPINE ASSOCIATES, LLC GAINESVILLE GA INTERVENTIONAL PAIN MANAGEMENT 19 1,523 $27,888 $18 11.0% (678) 971-4167
60 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 1,503 $30,060 $20 2.9% (845) 703-6999
61 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 1,404 $21,045 $15 8.2% (928) 458-7583
62 HEALTHCARE EXPRESS, LLP TEXARKANA TX NURSE PRACTITIONER 64 1,401 $15,411 $11 1.7% (903) 791-9355
63 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 1,386 $22,176 $16 12.1% —
64 TOTAL CARE PHYSICIANS, P.A. NEWARK DE NURSE PRACTITIONER 10 1,373 $12,357 $9 2.8% (302) 738-5500
65 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 1,350 $95,728 $71 11.4% —
66 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 1,328 $13,280 $10 6.8% (219) 836-4563
67 GANDIS G MAZEIKA MD PS REDMOND WA NEUROLOGY 2 1,290 $23,220 $18 7.0% (425) 636-2400
68 UNION PHYSICIAN SERVICES LLC DOVER OH PHYSICIAN ASSISTANT 98 1,275 $35,700 $28 11.0% —
69 RED RIVER MEDICAL SERVICES LLC LAWTON OK NURSE PRACTITIONER 4 1,268 $10,429 $8 5.2% (580) 699-8383
70 ALLPRIA HEALTHCARE CENTERS, PC AURORA CO ANESTHESIOLOGY 3 1,267 $18,325 $14 7.0% (720) 307-7246
71 GARRETT ANESTHESIA AND PAIN MANAGEMENT LAVALE PA PHYSICIAN ASSISTANT 4 1,249 $14,984 $12 2.0% 3017299475110
72 HAAS ASSOCIATES, LLC MERIDIAN ID NURSE PRACTITIONER 16 1,208 $18,120 $15 17.9% (208) 297-3428
73 JEFFREY ZOLLINGER D O PC SPARKS NV NURSE PRACTITIONER 12 1,171 $29,275 $25 8.0% (775) 870-1480
74 AMARILLO FAMILY PHYSICIANS CLINIC, P.A. AMARILLO TX FAMILY PRACTICE 14 1,159 $24,339 $21 1.4% (806) 359-4701
75 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 1,141 $11,410 $10 3.8% (321) 434-8878
76 LIFELINE MEDICAL ASSOCIATES LLC DENVILLE DE OBSTETRICS/GYNECOLOGY 150 1,139 $28,475 $25 2.3% —
77 FROM PAIN TO WELLNESS, LLC OAKBROOK TERRACE IL PHYSICAL THERAPIST IN PRIVATE PRACTICE 4 1,129 $12,413 $11 7.9% (630) 627-7500
78 SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP HOUSTON TX ORTHOPEDIC SURGERY 463 1,123 $12,603 $11 1.3% (281) 440-7625
79 OCEAN HEALTH INITIATIVES, INC LAKEWOOD NJ NURSE PRACTITIONER 29 1,112 $12,880 $12 3.1% (732) 363-6655
80 KARIE MCMURRAY MD INC A MEDICAL CORPORATION THOUSAND OAKS CA NURSE PRACTITIONER 2 1,109 $19,962 $18 2.5% (805) 371-4708
81 HERSELF HEALTH MN PC SAINT PAUL MN NURSE PRACTITIONER 31 1,089 $31,502 $29 23.7% (612) 256-8225
82 DLP RUTHERFORD PHYSICIAN PRACTICES LLC RUTHERFORDTON NC NURSE PRACTITIONER 38 1,088 $12,392 $11 1.7% (828) 286-1743
83 HAROON SIDDIQUE, MD, PA FORT WORTH TX NURSE PRACTITIONER 6 1,078 $14,014 $13 1.3% (940) 626-1848
84 FAST PACE MEDICAL CLINIC PLLC COLLINWOOD AL NURSE PRACTITIONER 779 1,053 $11,583 $11 4.6% (931) 724-9000
85 PHYSICIAN PRACTICES OF MSMC LLC MIAMI BEACH FL INTERNAL MEDICINE 176 1,051 $17,236 $16 3.5% —
86 SUMMIT PRIMARY CARE PUEBLO CO NURSE PRACTITIONER 10 1,039 $25,970 $25 5.7% (719) 281-3285
87 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 1,032 $10,221 $10 3.5% (941) 255-3535
88 SAINT JOSEPH REGIONAL MEDICAL CENTER INC MISHAWAKA IN NURSE PRACTITIONER 137 1,027 $11,297 $11 5.3% (574) 335-6830
89 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 1,013 $20,260 $20 1.2% —
90 WILSON ALMONTE, MD, PLLC VICTORIA TX INTERVENTIONAL PAIN MANAGEMENT 2 1,010 $80,800 $80 1.2% (361) 575-2882
91 CNY FAMILY CARE LLP EAST SYRACUSE NY FAMILY PRACTICE 31 1,006 $25,150 $25 2.0% (315) 463-1600
92 SERENE RESOLUTIONS LLC DAYTONA BEACH FL NURSE PRACTITIONER 3 1,006 $4,658 $5 3.4% (386) 235-0348
93 MEDINIX MEDICAL SERVICES SINGH PLLC LAS VEGAS NV NURSE PRACTITIONER 21 1,003 $14,921 $15 6.9% (702) 476-2287
94 GLACIER PEAK PAIN CARE PLLC CLINTON UT PHYSICIAN ASSISTANT 3 993 $11,691 $12 17.0% (385) 333-7123
95 RITU BHAMBHANI LLC ABINGDON MD NURSE PRACTITIONER 7 984 $21,633 $22 2.5% —
96 BEHAVIORAL HEALTH SPECIALISTS MEDICAL GROUP (DE), PA SUGAR LAND AR CLINICAL SOCIAL WORKER 33 980 $24,500 $25 7.0% (877) 583-5633
97 THE ONCOLOGY INSTITUTE CA, A PROFESSIONAL CORPORATION LAKEWOOD CA HEMATOLOGY/ONCOLOGY 110 976 $10,485 $11 2.2% (562) 232-0550
98 OKLAHOMA STATE UNIVERSITY TULSA OK FAMILY PRACTICE 113 967 $7,868 $8 4.0% (918) 561-5701
99 TURNWELL MENTAL HEALTH OF MONTANA PC BILLINGS MT PHYSICIAN ASSISTANT 16 965 $11,580 $12 26.6% (406) 839-2985
100 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 962 $10,582 $11 6.9% (501) 202-2093

Showing the top 100 of 1,837 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 →