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Market snapshot

96130 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96130 — Evaluation of psychological test, first hour

Billing groups
387
Named-group FFS services
70,600
FFS of Medicare
49%
Services YoY
+29.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~145,620 services

70,600 observed fee-for-service (48%) · ~75,020 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 — 96130 (CY2024)
CA 24,850 TX 17,918 FL 16,078 TN 10,819 VA 4,956

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

Named-group submitted charges
$22.3M
Named-group allowed amount
$8.0M
Named-group Medicare payments
$6.2M
Avg charge / svc
$316
Avg allowed / svc
$113
Avg payment / svc
$88
Average charge per group
$71 387 groups · avg submitted charge / service $1,907
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 96130 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EXECUTIVE MENTAL HEALTH, INC LOS ANGELES CA CLINICAL PSYCHOLOGIST 44 6,862 $2,950,660 $430 27.6% (310) 273-4843
2 CAREWRIGHT CLINICAL SERVICES, PLLC DALLAS TX CLINICAL PSYCHOLOGIST 35 5,696 $854,400 $150 31.8% (214) 918-1999
3 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 2,935 $1,038,990 $354 18.3% (904) 449-7246
4 ESTATE VENTURES LLC PALM COAST FL NEUROLOGY 2 2,138 $763,972 $357 13.3% 9042303006104
5 SPECTRUM PAIN CLINICS INC CORDOVA TN NURSE PRACTITIONER 8 1,934 $1,116,595 $577 17.9% (901) 405-6470
6 ACCESS PSYCHOLOGY SERVICES PC FRESNO CA CLINICAL PSYCHOLOGIST 17 1,720 $172,000 $100 6.9% (559) 321-0883
7 SPINECARE ASSOCIATES, LLC CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 12 1,700 $425,000 $250 10.6% (727) 797-7463
8 ASSOCIATED PAIN SPECIALISTS, PC KNOXVILLE TN PHYSICIAN ASSISTANT 12 1,697 $305,460 $180 15.7% (865) 558-3476
9 RAHEL G. YIRGA MD PC FALLS CHURCH MD NURSE PRACTITIONER 27 1,593 $276,567 $174 51.3% (703) 425-9765
10 AVORS MEDICAL GROUP LANCASTER CA ORTHOPEDIC SURGERY 19 1,398 $539,662 $386 5.6% (661) 726-5005
11 DR GLENN J BRICKEN AND ASSOC P C THE WOODLANDS TX CLINICAL PSYCHOLOGIST 8 1,395 $334,800 $240 7.8% (281) 364-0067
12 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 1,369 $328,779 $240 5.5% (530) 343-4757
13 RAHEL G. YIRGA MD PC FALLS CHURCH VA NURSE PRACTITIONER 27 1,303 $228,301 $175 26.3% (703) 425-9765
14 OUCH, PA SAINT AUGUSTINE FL INTERVENTIONAL PAIN MANAGEMENT 3 1,194 $173,130 $145 7.4% (904) 808-7246
15 SPCSA PLLC SAN ANTONIO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 1,114 $394,289 $354 6.2% —
16 MINIVASIVE PAIN SPECIALISTS,PLLC HOUSTON TX NURSE PRACTITIONER 27 984 $393,600 $400 5.5% (346) 800-6001
17 COASTAL NEUROLOGY INC ORMOND BEACH FL NEUROLOGY 6 745 $223,500 $300 4.6% (386) 788-2300
18 BCS OF MICHIGAN LLC TRENTON MI CLINICAL PSYCHOLOGIST 41 729 $218,700 $300 36.5% (734) 671-3500
19 ADAM BRUGGEMAN MD PLLC SAN ANTONIO TX PHYSICIAN ASSISTANT 10 718 $492,548 $686 4.0% (210) 802-4662
20 PAIN CARE LLC STOCKBRIDGE GA ANESTHESIOLOGY 8 583 $204,050 $350 21.3% (770) 960-2701
21 PAIN MEDICINE OF THE SOUTH, PLLC KNOXVILLE MA PAIN MANAGEMENT 2 553 $91,701 $166 37.4% (865) 672-5070
22 LONE STAR PAIN INSTITUTE WEATHERFORD TX PHYSICIAN ASSISTANT 4 537 $80,550 $150 3.0% —
23 FAMILY PSYCHOLOGICAL SERVICES INC AGOURA HILLS CA NURSE PRACTITIONER 16 517 $129,250 $250 2.1% (818) 707-7366
24 CAREWRIGHT CLINICAL SERVICES, PLLC DALLAS TN CLINICAL PSYCHOLOGIST 35 506 $75,900 $150 4.7% (214) 918-1999
25 PALMETTO PAIN MANAGEMENT LLC COLUMBIA SC ANESTHESIOLOGY 11 496 $178,560 $360 69.0% (803) 779-3263
26 BOSTON PAIN CLINIC AND PRIMARY CARE PC HYDE PARK MA ANESTHESIOLOGY 3 458 $136,940 $299 31.0% (617) 361-2166
27 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 446 $292,130 $655 11.5% (800) 603-0558
28 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 444 $180,708 $407 1.8% —
29 GREATER MARYLAND PAIN MANAGEMENT LLC ODENTON MD PHYSICIAN ASSISTANT 9 435 $257,803 $593 14.0% (703) 347-1962
30 BLUEGRASS HEALTH PSYCHOLOGY INC. LEXINGTON KY CLINICAL PSYCHOLOGIST 6 409 $85,890 $210 77.6% (859) 277-1008
31 KADIMA NEUROPSYCHIATRY INSTITUTE MEDICAL CORP LA JOLLA CA PSYCHIATRY 5 407 $61,050 $150 1.6% (858) 412-4130
32 ALAVIE INTERVENTIONAL PAIN MANAGEMENT, PLLC LIVE OAK TX INTERVENTIONAL PAIN MANAGEMENT 2 405 $97,443 $241 2.3% (210) 664-4446
33 MEDPSYCH OHIO VALLEY , INC LEWIS CENTER OH CLINICAL PSYCHOLOGIST 5 399 $69,825 $175 20.6% (614) 430-9697
34 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 392 $94,143 $240 1.6% (530) 332-4470
35 AMERICAN PAIN AND WELLNESS PA ALLEN TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 388 $271,600 $700 2.2% (469) 326-5100
36 PREMIER ANESTHESIA OF GEORGIA LLC SNELLVILLE GA ANESTHESIOLOGY ASSISTANT 63 359 $108,777 $303 13.1% (770) 979-0200
37 ABERCROMBIE RADIOLOGICAL CONSULTANTS INC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 54 356 $64,080 $180 3.3% 86555898623215
38 BRIAN S PAGE DO PLLC GLENDALE AZ NURSE PRACTITIONER 18 334 $317,300 $950 8.6% (623) 466-6350
39 INTERVENTIONAL PARTNERS PLLC FRISCO TX PODIATRY 93 328 $70,820 $216 1.8% (972) 712-4161
40 OMNI SPINE PAIN MANAGEMENT, PLLC SUNNYVALE TX ANESTHESIOLOGY 4 327 $113,757 $348 1.8% (214) 705-1200
41 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 327 $623,721 $1,907 1.3% (650) 723-4000
42 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 327 $117,372 $359 21.7% (844) 365-7246
43 PALMETTO PAIN MANAGEMENT LLC COLUMBIA NC ANESTHESIOLOGY 11 323 $116,280 $360 21.8% (803) 779-3263
44 FLAGSTAFF PAIN AND TREATMENT CENTER FLAGSTAFF AZ NURSE PRACTITIONER 13 321 $380,995 $1,187 8.3% —
45 RAYMOND W LEMBERG PHD PC GLENDALE AZ MENTAL HEALTH COUNSELOR 25 308 $61,600 $200 7.9% (844) 385-3747
46 UNIVERSAL PAIN MANAGEMENT MEDICAL CORPORATION PALMDALE CA ANESTHESIOLOGY 11 305 $237,151 $778 1.2% (661) 267-6876
47 JAMES E. FOX MD PLLC KNOXVILLE TN NURSE PRACTITIONER 2 298 $85,118 $286 2.8% (865) 246-0143
48 LINDA A FOSTER MD PC MCMINNVILLE TN NURSE PRACTITIONER 2 293 $67,683 $231 2.7% 93181500503
49 METRO SPINE P.C. OXON HILL MD NURSE PRACTITIONER 2 263 $32,154 $122 8.5% (540) 760-6285
50 DAVIS PSYCHOLOGICAL SERVICES, PC GRINNELL IA MENTAL HEALTH COUNSELOR 6 258 $64,500 $250 50.4% (641) 236-0632
51 DR LUISA VEGA DNP LLC BRANDON FL NURSE PRACTITIONER 75 255 $56,916 $223 1.6% (813) 403-4423
52 INTERVENTIONAL PAIN SPECIALISTS PLLC HOUSTON TX NURSE PRACTITIONER 10 250 $61,375 $246 1.4% (281) 991-2200
53 SANTA MONICA THERAPY A PSYCHOLOGY CORPORATION SANTA MONICA CA CLINICAL PSYCHOLOGIST 2 242 $48,350 $200 1.0% (310) 845-6720
54 MIND BODY WELLNESS PC DALLAS TX CLINICAL PSYCHOLOGIST 4 241 $48,200 $200 1.3% (972) 661-1862
55 MICHIGAN NEUROLOGY ASSOCIATES PC CLINTON TOWNSHIP MI PHYSICIAN ASSISTANT 22 239 $54,775 $229 12.0% (586) 445-9900
56 PURE AUTISM COUNSELING CENTER INC SANTA CLARITA CA CLINICAL PSYCHOLOGIST 14 237 $82,950 $350 1.0% (888) 770-5222
57 TRITON BEHAVORIAL HEALTH LLC DEARBORN HEIGHTS MI CLINICAL PSYCHOLOGIST 2 230 $136,770 $595 11.5% (248) 981-5465
58 OCHSNER CLINIC LLC NEW ORLEANS AL NURSE PRACTITIONER 2839 223 $39,471 $177 23.7% (504) 842-3000
59 SPRINGS REHABILITATION FOUNDER HOLDINGS, PC COLORADO SPRINGS CO ANESTHESIOLOGY 10 222 $39,294 $177 28.1% (719) 634-7246
60 EXCEL CARDIAC CARE PLLC FORT WORTH TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 221 $66,079 $299 1.2% (817) 518-9005
61 ASPIRE BEHAVIORAL HEALTH INC OVERLAND PARK KS CLINICAL PSYCHOLOGIST 4 220 $45,000 $205 31.6% (913) 415-2200
62 MULTI CARE MEDICAL CLINIC INC VAN NUYS CA INTERNAL MEDICINE 2 217 $43,400 $200 0.9% (818) 373-0200
63 JOSEPH A CABARET MD A PROFESSIONAL CORPORATION CAMARILLO CA INTERVENTIONAL PAIN MANAGEMENT 2 217 $86,800 $400 0.9% (805) 444-0265
64 CONTEMPORARY CARE LLC DANBURY CT PHYSICIAN ASSISTANT 30 212 $42,400 $200 36.0% (203) 792-0400
65 HARVEST HEALTHCARE LLC AVON CT NURSE PRACTITIONER 70 211 $25,953 $123 35.8% (860) 284-0182
66 PACIFIC COAST PSYCHOLOGY GROUP INC BAKERSFIELD CA CLINICAL PSYCHOLOGIST 34 209 $89,870 $430 0.8% (805) 242-2429
67 GEORGIA PAIN INSTITUTE. LLC MACON GA INTERVENTIONAL PAIN MANAGEMENT 4 207 $79,591 $384 7.6% (478) 476-9642
68 BEHAVIORAL MEDICINE INSTITUTE PC KNOXVILLE TN CLINICAL PSYCHOLOGIST 21 206 $32,754 $159 1.9% (865) 264-2400
69 FLORIDA HEALTH PROFESSIONS ASSOCIATION INC GAINESVILLE FL CLINICAL PSYCHOLOGIST 23 204 $140,172 $687 1.3% —
70 MICHIGAN BEHAVIORAL CONSULTANTS PC GRAND RAPIDS MI CLINICAL PSYCHOLOGIST 3 198 $58,014 $293 9.9% (888) 665-7246
71 CONNECTED CARDIOVASCULAR CARE ASSOCIATES, PLLC DALLAS TX INTERVENTIONAL CARDIOLOGY 6 198 $59,202 $299 1.1% (214) 814-1550
72 SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE AND PAIN ASSOCIATES CHATTANOOGA TN NURSE PRACTITIONER 31 195 $53,231 $273 1.8% (423) 698-0850
73 FOUNDATION PAIN AND SPINE PLLC DALLAS TX NURSE PRACTITIONER 2 194 $71,586 $369 1.1% (469) 214-5735
74 SOUND PAIN ALLIANCE BELLINGHAM WA PHYSICIAN ASSISTANT 43 192 $95,060 $495 5.8% —
75 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 191 $55,772 $292 6.1% (202) 429-2401
76 ANDREW H MESSIHA MD LAGUNA HILLS CA ANESTHESIOLOGY 2 187 $72,478 $388 0.8% (949) 458-2026
77 SAKOWITZ COUNSELING, P.A. LINCOLN PARK NJ CLINICAL SOCIAL WORKER 11 186 $32,020 $172 14.7% (973) 696-0800
78 SUD SPECIALTY GROUP - CA SANTA CLARA CA CLINICAL SOCIAL WORKER 387 185 $21,275 $115 0.7% (866) 280-0260
79 NEUROLOGICAL REGIONAL ASSOCIATES, P.A. MAPLE SHADE NJ NEUROLOGY 2 172 $37,840 $220 13.6% (856) 866-0466
80 JOHNSTON PAIN MANAGEMENT PA JACKSONVILLE NC PHYSICIAN ASSISTANT 16 169 $30,420 $180 11.4% (910) 353-4414
81 NATALIS OUTCOMES, LLC SAINT PAUL MN CLINICAL PSYCHOLOGIST 2 169 $20,790 $123 61.2% (612) 800-6500
82 WALTER THOMAS MD A MEDICAL CORPORATION SIMI VALLEY CA FAMILY PRACTICE 2 162 $43,450 $268 0.7% (805) 527-1804
83 SAGHIAN PSYCHOLOGICAL SERVICES, A PROF. PSY. CORP. ENCINO CA CLINICAL PSYCHOLOGIST 2 155 $54,250 $350 0.6% (818) 981-1681
84 MENTAL HEALTH CENTER OF AMERICA, LLC PHOENIX AZ PHYSICIAN ASSISTANT 10 155 $18,293 $118 4.0% (602) 704-2345
85 INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST PORTLAND OR CLINICAL PSYCHOLOGIST 2 154 $27,725 $180 58.6% (503) 505-7227
86 CONTEMPORARY CARE LLC DANBURY NY PHYSICIAN ASSISTANT 30 151 $30,200 $200 4.5% (203) 792-0400
87 ACCESS PSYCHOLOGY SERVICES PC FRESNO OH CLINICAL PSYCHOLOGIST 17 151 $15,100 $100 7.8% (559) 321-0883
88 RITU BHAMBHANI LLC ABINGDON MD NURSE PRACTITIONER 7 151 $75,500 $500 4.9% —
89 MOORE COUNSELING CENTER, P.C. MOORE OK CLINICAL PSYCHOLOGIST 5 148 $25,900 $175 12.7% (405) 735-6333
90 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON DE PAIN MANAGEMENT 24 145 $52,200 $360 49.2% (844) 365-7246
91 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 145 $51,330 $354 9.8% (252) 847-4100
92 INTERVENTIONAL PAIN SPECIALISTS, LLC OPELOUSAS LA PHYSICIAN ASSISTANT 3 144 $39,456 $274 35.7% (337) 407-4512
93 LAKE AREA PHYSICAL THERAPY INC. MELROSE FL ORTHOPEDIC SURGERY 365 144 $148,533 $1,031 0.9% —
94 PALMWOOD CENTER FOR PSYCHOLOGICAL SERVICES, P.A. SUNRISE NJ CLINICAL PSYCHOLOGIST 4 140 $21,000 $150 11.1% (954) 742-7032
95 MINIVASIVE PAIN SPECIALISTS,PLLC HOUSTON DE NURSE PRACTITIONER 27 136 $54,400 $400 46.1% (346) 800-6001
96 OVERTON PSYCHOLOGICAL SERVICES PLLC HENDERSON NV MARRIAGE AND FAMILY THERAPIST 3 136 $25,840 $190 9.6% (702) 563-1000
97 CHRONIC PAIN RELIEF PA DALLAS TX ANESTHESIOLOGY 2 132 $42,900 $325 0.7% (214) 983-1789
98 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 128 $23,040 $180 1.2% (423) 926-8181
99 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 128 $25,720 $201 6.4% (313) 916-2600
100 APG NETWORK, LLC EDWARDSVILLE IL NURSE PRACTITIONER 18 125 $37,625 $301 8.1% (888) 363-8333

Showing the top 100 of 387 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 →