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Market snapshot

96138 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96138 — Administration of psychological or neuropsychological test by technician, first 30 minutes

Billing groups
781
Named-group FFS services
119,901
FFS of Medicare
49%
Services YoY
+9.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~244,705 services

119,901 observed fee-for-service (49%) · ~124,804 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 — 96138 (CY2024)
CA 28,533 TX 25,603 FL 22,963 TN 11,075 GA 8,836

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

Named-group submitted charges
$14.1M
Named-group allowed amount
$3.9M
Named-group Medicare payments
$3.1M
Avg charge / svc
$118
Avg allowed / svc
$33
Avg payment / svc
$25
Average charge per group
$0 781 groups · avg submitted charge / service $950
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 96138 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 2,935 $281,760 $96 12.8% (904) 449-7246
2 SOLAR HEALTH, P.A. DALLAS TX ANESTHESIOLOGY 19 2,375 $171,000 $72 9.3% (972) 636-5727
3 SPECTRUM PAIN CLINICS INC CORDOVA TN NURSE PRACTITIONER 8 2,200 $335,170 $152 19.9% (901) 405-6470
4 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 1,850 $271,505 $147 41.7% (314) 747-3000
5 ASSOCIATED PAIN SPECIALISTS, PC KNOXVILLE TN PHYSICIAN ASSISTANT 12 1,694 $96,558 $57 15.3% (865) 558-3476
6 AVORS MEDICAL GROUP LANCASTER CA ORTHOPEDIC SURGERY 19 1,400 $169,400 $121 4.9% (661) 726-5005
7 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 1,380 $98,974 $72 4.8% (530) 343-4757
8 OUCH, PA SAINT AUGUSTINE FL INTERVENTIONAL PAIN MANAGEMENT 3 1,194 $59,700 $50 5.2% (904) 808-7246
9 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,125 $360,000 $320 13.3% (212) 263-9700
10 SPCSA PLLC SAN ANTONIO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 1,114 $108,448 $97 4.4% —
11 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 1,095 $136,024 $124 12.4% (404) 778-7525
12 LECCI PSYCHOLOGICAL SERVICES, PLLC WILMINGTON NC CLINICAL PSYCHOLOGIST 4 1,011 $72,155 $71 23.5% (910) 791-6277
13 JANDA MAHAJAN AND BALSIGER PLLC LAS VEGAS NV NEUROLOGY 32 988 $108,320 $110 30.6% (702) 432-2233
14 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 930 $172,439 $185 4.0% (904) 953-2000
15 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 904 $101,010 $112 19.1% (804) 764-6000
16 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 774 $162,540 $210 10.3% (800) 603-0558
17 PAIN CARE LLC STOCKBRIDGE GA ANESTHESIOLOGY 8 743 $74,300 $100 8.4% (770) 960-2701
18 BABYLON MEDICAL PRACTICE, P.C. BABYLON NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 740 $74,000 $100 8.7% (631) 661-2277
19 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 732 $99,537 $136 2.9% (254) 724-2663
20 BASS MEDICAL GROUP WALNUT CREEK CA OTOLARYNGOLOGY 318 668 $100,200 $150 2.3% —
21 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTON VT PHYSICIAN ASSISTANT 1194 667 $66,639 $100 77.1% (802) 847-0000
22 AMERICAN PAIN AND WELLNESS PA ALLEN TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 664 $86,320 $130 2.6% (469) 326-5100
23 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 658 $98,196 $149 2.6% (214) 633-5555
24 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 653 $61,382 $94 17.7% (513) 584-1000
25 NORTH GEORGIA PAIN CLINIC CANTON GA ANESTHESIOLOGY 3 642 $32,100 $50 7.3% (770) 479-2322
26 COASTAL NEUROLOGY INC ORMOND BEACH FL NEUROLOGY 6 612 $49,572 $81 2.7% (386) 788-2300
27 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 604 $63,420 $105 8.1% (602) 406-6017
28 HEALTH PSYCHOLOGY CENTER DALLAS TX CLINICAL PSYCHOLOGIST 7 603 $54,873 $91 2.4% (214) 361-2100
29 NEUROPSYCHOLOGY ASSOCIATES OF FAIRFAX VIRGINIA LLC FAIRFAX VA CLINICAL PSYCHOLOGIST 8 596 $81,950 $138 12.6% (703) 876-0966
30 CENTER FOR SPINE, JOINT AND NEUROMUSCULAR REHABILITATION MT JULIET TN PHYSICIAN ASSISTANT 6 593 $53,548 $90 5.4% (615) 872-9966
31 FLORIDA HEALTH PROFESSIONS ASSOCIATION INC GAINESVILLE FL CLINICAL PSYCHOLOGIST 23 587 $108,861 $185 2.6% —
32 MINIVASIVE PAIN SPECIALISTS,PLLC HOUSTON TX NURSE PRACTITIONER 27 579 $86,850 $150 2.3% (346) 800-6001
33 NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC NEW HYDE PARK NY NEUROLOGY 15 575 $23,760 $41 6.8% 5164664700110
34 SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP HOUSTON TX ORTHOPEDIC SURGERY 463 571 $89,627 $157 2.2% (281) 440-7625
35 GREATER MARYLAND PAIN MANAGEMENT LLC ODENTON MD PHYSICIAN ASSISTANT 9 558 $83,209 $149 10.6% (703) 347-1962
36 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 556 $99,524 $179 27.0% (507) 284-2511
37 PAIN MEDICINE OF THE SOUTH, PLLC KNOXVILLE MA PAIN MANAGEMENT 2 551 $18,343 $33 14.1% (865) 672-5070
38 VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE LLC VERO BEACH FL NEUROLOGY 2 547 $32,820 $60 2.4% (772) 492-7051
39 WILLIAM R SHANKLE MD INC NEWPORT BEACH CA NEUROLOGY 2 541 $54,100 $100 1.9% —
40 LONE STAR PAIN INSTITUTE WEATHERFORD TX PHYSICIAN ASSISTANT 4 536 $53,600 $100 2.1% —
41 COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS LLC WOODBRIDGE CT NURSE PRACTITIONER 3 535 $44,895 $84 55.3% (203) 732-1570
42 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 532 $107,996 $203 11.8% —
43 LFM ASSOCIATES LUBBOCK TX NURSE PRACTITIONER 11 512 $32,740 $64 2.0% (806) 698-8088
44 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 509 $39,422 $77 1.8% (760) 631-3000
45 OMNI SPINE PAIN MANAGEMENT, PLLC SUNNYVALE TX ANESTHESIOLOGY 4 507 $48,474 $96 2.0% (214) 705-1200
46 AZ INTEGRATED NEURO SPINE AND PAIN LLC SUN CITY AZ NEUROLOGY 14 499 $40,951 $82 6.7% (623) 322-5700
47 PALMETTO PAIN MANAGEMENT LLC COLUMBIA SC ANESTHESIOLOGY 11 497 $49,700 $100 32.8% (803) 779-3263
48 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION NORFOLK VA OBSTETRICS/GYNECOLOGY 224 487 $50,610 $104 10.3% (757) 446-7900
49 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 472 $153,150 $324 20.3% (414) 421-8400
50 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 470 $21,214 $45 54.7% (701) 234-2000
51 KENNETH P PAGES MD PA TAMPA FL PSYCHIATRY 2 464 $34,800 $75 2.0% (813) 878-2200
52 FORT WAYNE NEUROPSYCHOLOGY LLC FORT WAYNE IN CLINICAL PSYCHOLOGIST 7 456 $31,920 $70 17.8% —
53 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 455 $78,484 $172 1.6% (650) 723-4000
54 GOOD HEALTH MEDICAL INC SACRAMENTO CA PHYSICAL THERAPIST IN PRIVATE PRACTICE 10 454 $27,240 $60 1.6% (916) 677-0008
55 BLUEGRASS HEALTH PSYCHOLOGY INC. LEXINGTON KY CLINICAL PSYCHOLOGIST 6 441 $30,870 $70 37.7% (859) 277-1008
56 HOUSTON NEUROPSYCHOLOGY ASSOCIATES, PLLC HOUSTON TX CLINICAL PSYCHOLOGIST 6 431 $43,100 $100 1.7% (713) 893-7105
57 INTERNAL MEDICINE ASSOCIATES OF SOMERSET HILLSBOROUGH NJ INTERNAL MEDICINE 3 428 $48,064 $112 13.5% (908) 281-0632
58 HAAS ASSOCIATES, LLC MERIDIAN ID NURSE PRACTITIONER 16 427 $18,970 $44 79.1% (208) 297-3428
59 THE HEMLOCK PAIN CENTER, LLC. DUBLIN GA ANESTHESIOLOGY 2 416 $41,600 $100 4.7% (478) 219-3745
60 HEALTH FACILITIES REHAB SERVICES INC SIKESTON MO NURSE PRACTITIONER 152 413 $60,711 $147 9.3% —
61 TUCSON NEUROPSYCHOLOGY INSTITUTE LLC TUCSON AZ CLINICAL PSYCHOLOGIST 4 411 $20,730 $50 5.5% (520) 954-9930
62 SOUTHERN OREGON NEUROPSYCHOLOGICAL CLINIC LLC MEDFORD OR CLINICAL PSYCHOLOGIST 4 408 $22,995 $56 33.5% (541) 608-3878
63 ALAVIE INTERVENTIONAL PAIN MANAGEMENT, PLLC LIVE OAK TX INTERVENTIONAL PAIN MANAGEMENT 2 405 $27,726 $68 1.6% (210) 664-4446
64 LIFEBRIDGE MEDICAL ASSOCIATES LLC ELLICOTT CITY MD INTERNAL MEDICINE 12 404 $40,520 $100 7.7% (443) 393-3788
65 BOSTON PAIN CLINIC AND PRIMARY CARE PC HYDE PARK MA ANESTHESIOLOGY 3 401 $40,100 $100 10.2% (617) 361-2166
66 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 395 $28,329 $72 1.4% (530) 332-4470
67 WASHINGTON REGIONAL MEDICAL SYSTEM FAYETTEVILLE AR NURSE PRACTITIONER 241 394 $33,490 $85 15.6% (479) 571-4338
68 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 392 $30,968 $79 4.4% (770) 219-7777
69 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 386 $131,166 $340 39.2% (913) 588-1227
70 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 382 $45,840 $120 7.9% (844) 365-7246
71 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 375 $63,736 $170 9.6% (617) 724-0287
72 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 370 $58,596 $158 7.6% (267) 857-7751
73 NEUROSCIENCE CONSULTANTS LLP MIAMI FL NEUROLOGY 104 367 $59,454 $162 1.6% (305) 596-2080
74 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 367 $46,200 $126 1.4% (713) 512-7500
75 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 363 $82,342 $227 15.6% (608) 287-2050
76 LIMBIC RESOURCES INC HYANNIS MA CLINICAL SOCIAL WORKER 10 360 $54,000 $150 9.2% (774) 470-4535
77 PREMIER ANESTHESIA OF GEORGIA LLC SNELLVILLE GA ANESTHESIOLOGY ASSISTANT 63 359 $31,592 $88 4.1% (770) 979-0200
78 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 358 $69,452 $194 16.4% (720) 777-1234
79 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 355 $118,215 $333 15.3% (414) 955-4263
80 SOUTHWEST OHIO PAIN INSTITUTE, INC WEST CHESTER OH INTERVENTIONAL PAIN MANAGEMENT 3 353 $20,121 $57 9.6% (513) 860-0371
81 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 351 $28,080 $80 3.2% (865) 305-6333
82 ABERCROMBIE RADIOLOGICAL CONSULTANTS INC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 54 349 $19,893 $57 3.2% 86555898623215
83 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 339 $38,979 $115 1.3% —
84 LONG ISLAND NEUROLOGY CONSULTANTS LYNBROOK NY NEUROLOGY 8 337 $15,172 $45 4.0% 5168873516108
85 UC REGENTS LOS ANGELES CA PSYCHIATRY 142 335 $74,705 $223 1.2% (310) 825-9111
86 BRIAN S PAGE DO PLLC GLENDALE AZ NURSE PRACTITIONER 18 334 $317,300 $950 4.5% (623) 466-6350
87 PRIVIA MEDICAL GROUP ARIZONA, LLC GOODYEAR AZ NURSE PRACTITIONER 88 325 $27,509 $85 4.3% (623) 512-4390
88 WESTERN OKLAHOMA PAIN SPECIALISTS LLC OKLAHOMA CITY OK PAIN MANAGEMENT 10 325 $39,000 $120 8.2% (405) 601-4237
89 PALMETTO PAIN MANAGEMENT LLC COLUMBIA NC ANESTHESIOLOGY 11 323 $32,300 $100 7.5% (803) 779-3263
90 THOMSON MEMORY CENTER LLC ALGONQUIN IL CLINICAL PSYCHOLOGIST 13 321 $49,922 $156 7.1% (847) 469-7537
91 FLEXMAN MYERS CLINIC LLC MORAINE OH CLINICAL PSYCHOLOGIST 2 320 $16,000 $50 8.7% (937) 256-5300
92 AUSTIN NEUROPSYCHOLOGY PLLC AUSTIN TX CLINICAL PSYCHOLOGIST 3 317 $31,700 $100 1.2% (512) 637-5841
93 NEUROPSYCHOLOGY PARTNERS LLC ANN ARBOR MI CLINICAL PSYCHOLOGIST 3 310 $23,265 $75 13.0% (734) 961-7196
94 BLS DIAGNOSTICS LLC BALTIMORE MD NEUROLOGY 2 309 $24,720 $80 5.9% (443) 483-6300
95 WEST FLORIDA MEDICAL CENTER CLINIC PA PENSACOLA FL PHYSICIAN ASSISTANT 109 305 $22,570 $74 1.3% (850) 474-8000
96 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 305 $29,585 $97 1.2% (210) 450-7044
97 RENAISSANCE MEDICAL FOUNDATION EDINBURG TX DIAGNOSTIC RADIOLOGY 174 300 $87,882 $293 1.2% —
98 TRIANGLE NEUROPSYCHOLOGY SERVICES, PLLC DURHAM NC CLINICAL PSYCHOLOGIST 6 299 $29,900 $100 7.0% (919) 384-9682
99 JAMES E. FOX MD PLLC KNOXVILLE TN NURSE PRACTITIONER 2 297 $22,606 $76 2.7% (865) 246-0143
100 LINDA A FOSTER MD PC MCMINNVILLE TN NURSE PRACTITIONER 2 293 $20,510 $70 2.6% 93181500503

Showing the top 100 of 781 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 →