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Market snapshot

96158 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

96158 — Treatment of behavior impacting health, initial 30 minutes

Billing groups
107
Named-group FFS services
17,291
FFS of Medicare
49%
Services YoY
+16.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~35,644 services

17,291 observed fee-for-service (49%) · ~18,353 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 — 96158 (CY2024)
CA 6,105 AZ 4,048 NV 2,155 WI 1,525 MN 848

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

Named-group submitted charges
$3.3M
Named-group allowed amount
$1.1M
Named-group Medicare payments
$836K
Avg charge / svc
$188
Avg allowed / svc
$63
Avg payment / svc
$48
Average charge per group
$65 107 groups · avg submitted charge / service $754
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 96158 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 RAINEY PAIN AND PERFORMANCE PC SIERRA VISTA AZ PHYSICAL THERAPIST IN PRIVATE PRACTICE 8 3,385 $236,950 $70 83.6% (520) 459-1386
2 GREAT MIND COUNSELING AND WELLNESS CENTER LLC LAS VEGAS NV NURSE PRACTITIONER 3 1,930 $128,294 $66 89.6% (702) 208-2194
3 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 958 $362,124 $378 62.8% (608) 287-2050
4 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 592 $127,910 $216 75.4% (410) 502-4340
5 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 512 $64,512 $126 84.1% —
6 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 502 $151,347 $301 80.2% (720) 777-1234
7 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 488 $83,936 $172 78.3% (615) 322-5000
8 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 410 $119,720 $292 57.2% (904) 953-2000
9 HEALTH PSYCH MAINE LLC WATERVILLE ME CLINICAL PSYCHOLOGIST 10 309 $35,888 $116 61.7% (207) 872-5800
10 SSM SELECT REHAB ST. LOUIS, LLC RICHMOND HEIGHTS MO CLINICAL PSYCHOLOGIST 5 305 $76,250 $250 48.0% (314) 768-5202
11 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 302 $73,977 $245 35.6% (507) 284-2511
12 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 298 $60,393 $203 4.9% —
13 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 285 $85,500 $300 44.4% (212) 746-5454
14 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 241 $181,709 $754 3.9% (650) 723-4000
15 DAVID SPANGLER PHD INC ROSEVILLE CA CLINICAL PSYCHOLOGIST 2 224 $23,520 $105 3.7% (530) 613-8131
16 COUNTY OF SANTA CLARA SAN JOSE CA INTERNAL MEDICINE 1001 218 $119,403 $548 3.6% (408) 885-5000
17 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 213 $37,914 $178 31.2% —
18 ALBERT EINSTEIN MEDICAL CENTER ELKINS PARK PA CLINICAL PSYCHOLOGIST 5 213 $37,701 $177 33.8% (215) 663-6000
19 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 190 $45,227 $238 100.0% (617) 732-5500
20 NORTHERN ARIZONA HEALTHCARE CORPORATION FLAGSTAFF AZ PHYSICIAN ASSISTANT 395 187 $31,229 $167 4.6% (928) 773-2249
21 HESSED PSYCHOLOGICAL SERVICES LLC ST CHARLES MO CLINICAL PSYCHOLOGIST 8 184 $46,000 $250 28.9% (331) 707-4031
22 ACCESS PSYCHOLOGY SERVICES PC FRESNO CA CLINICAL PSYCHOLOGIST 17 177 $14,160 $80 2.9% (559) 321-0883
23 MNGI DIGESTIVE HEALTH PA MINNEAPOLIS MN GASTROENTEROLOGY 277 156 $37,440 $240 18.4% (612) 871-1145
24 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 155 $73,005 $471 48.9% —
25 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 150 $40,830 $272 23.8% —
26 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 150 $47,700 $318 2.5% (415) 600-1020
27 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 144 $38,880 $270 3.6% (800) 603-0558
28 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 138 $31,326 $227 18.4% —
29 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 135 $33,775 $250 15.9% (612) 672-7422
30 COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC MILWAUKEE WI PHYSICIAN ASSISTANT 325 133 $26,791 $201 8.7% (414) 585-1000
31 EASTERN MAINE MEDICAL CENTER BANGOR ME PHYSICIAN ASSISTANT 697 133 $40,607 $305 26.5% (207) 973-7000
32 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 121 $21,175 $175 46.9% —
33 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 119 $18,445 $155 37.5% —
34 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 115 $25,733 $224 13.6% (320) 252-5131
35 LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND OR CARDIOVASCULAR DISEASE (CARDIOLOGY) 194 113 $21,804 $193 15.0% (503) 413-7022
36 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 105 $14,967 $143 39.8% (801) 261-8346
37 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 101 $17,170 $170 15.7% (212) 241-4812
38 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 100 $19,400 $194 13.9% (407) 896-1100
39 SHEPHERD CENTER, INC. ATLANTA GA PHYSICAL MEDICINE AND REHABILITATION 49 97 $10,553 $109 75.2% (404) 352-2020
40 SOUTH BROWARD HOSPITAL DISTRICT HOLLYWOOD FL NURSE PRACTITIONER 665 92 $20,240 $220 12.8% (954) 265-7750
41 SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE AND PAIN ASSOCIATES CHATTANOOGA TN NURSE PRACTITIONER 31 86 $11,352 $132 13.8% (423) 698-0850
42 TRUMAN MEDICAL CENTER INCORPORATED KANSAS CITY MO NURSE PRACTITIONER 247 85 $11,220 $132 13.4% (816) 404-7000
43 PHYSICIANS MEDICAL CENTER P C MCMINNVILLE OR PHYSICIAN ASSISTANT 21 83 $14,442 $174 11.0% (503) 472-6161
44 UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL MADISON WI DIAGNOSTIC RADIOLOGY 111 77 $29,106 $378 5.0% (608) 265-8731
45 STATE OF CONNECTICUT FARMINGTON CT PSYCHIATRY 267 75 $10,220 $136 73.5% (860) 679-2000
46 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 71 $15,265 $215 8.4% (612) 873-6963
47 EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC. TUCSON AZ FAMILY PRACTICE 270 70 $13,720 $196 1.7% (520) 670-3909
48 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 70 $24,850 $355 1.1% (415) 476-1000
49 PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA MIAMI FL NURSE PRACTITIONER 450 70 $8,400 $120 9.8% (305) 585-1111
50 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 67 $14,150 $211 1.1% (858) 455-9100
51 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 65 $13,000 $200 70.7% (903) 590-5611
52 ADVANCED CARE AND WELLNESS CENTER LLC LAS VEGAS NV NURSE PRACTITIONER 6 63 $4,096 $65 2.9% (702) 591-3381
53 ADVENTIST PHYSICIAN SERVICES INC ROCKVILLE MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 145 62 $7,661 $124 7.9% (301) 670-3000
54 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 59 $7,365 $125 100.0% (208) 381-4210
55 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 57 $9,576 $168 1.4% (602) 406-6017
56 SUNY HEALTH SCIENCE CENTER AT SYRACUSE SYRACUSE NY NURSE PRACTITIONER 208 56 $5,152 $92 8.7% (315) 464-8093
57 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 56 $16,570 $296 0.9% (310) 825-7922
58 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC NURSE PRACTITIONER 2120 56 $10,696 $191 40.3% (984) 215-5556
59 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 55 $19,525 $355 0.9% (415) 476-4029
60 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 55 $6,210 $113 20.8% (801) 475-3800
61 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 55 $26,565 $483 8.6% (212) 263-9700
62 SKY LAKES MEDICAL CENTER INC KLAMATH FALLS OR PHYSICIAN ASSISTANT 197 53 $7,513 $142 7.0% (541) 274-6221
63 EVOLUTIS LLC CHICAGO CO CLINICAL PSYCHOLOGIST 8 52 $17,037 $328 8.3% (877) 219-8726
64 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN DIAGNOSTIC RADIOLOGY 689 51 $6,579 $129 6.0% (507) 625-4031
65 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 49 $14,455 $295 0.8% (877) 827-7463
66 KANSAS PULMONARY AND SLEEP SPECIALISTS, LLC OVERLAND PARK KS PULMONARY DISEASE 8 47 $10,018 $213 48.0% (913) 599-3800
67 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 47 $9,165 $195 6.9% (888) 712-2753
68 AURORA HEALTH CARE METRO, INC. MILWAUKEE WI HEMATOLOGY/ONCOLOGY 78 46 $8,510 $185 3.0% (414) 649-6000
69 UNIVERSITY PHYSICIANS INCORPORATED AURORA WI PHYSICIAN ASSISTANT 3122 46 $13,800 $300 3.0% (720) 777-1234
70 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 45 $16,650 $370 46.9% (734) 763-5459
71 ABILITY KC KANSAS CITY MO FAMILY PRACTICE 161 45 $10,284 $229 7.1% (816) 751-7832
72 MID-VALLEY HEALTHCARE INC LEBANON OR FAMILY PRACTICE 141 44 $9,240 $210 5.9% (541) 451-7200
73 THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION FORT DEFIANCE AZ DIAGNOSTIC RADIOLOGY 153 42 $7,014 $167 1.0% —
74 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 42 $7,667 $183 16.3% (206) 364-0500
75 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 39 $7,863 $202 5.2% (503) 494-8311
76 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 38 $7,524 $198 100.0% (406) 327-1900
77 NATIONAL JEWISH HEALTH DENVER CO PULMONARY DISEASE 243 38 $3,116 $82 6.1% (303) 398-1355
78 ST CHARLES HEALTH SYSTEM INC BEND OR INTERNAL MEDICINE 178 36 $7,504 $208 4.8% (541) 706-2768
79 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY KS NURSE PRACTITIONER 1228 36 $6,048 $168 36.7% —
80 TRANSFORMATION BEHAVIORAL HEALTH PLLC WOODSTOCK IL CLINICAL PSYCHOLOGIST 5 34 $4,828 $142 5.0% (815) 575-9675
81 PEACEHEALTH BELLINGHAM CA PHYSICIAN ASSISTANT 287 34 $5,820 $171 0.6% —
82 THE NEUROCOGNITIVE INSTITUTE LLC MOUNT ARLINGTON NJ CLINICAL PSYCHOLOGIST 7 34 $4,827 $142 100.0% (973) 601-0100
83 CHEYENNE REGIONAL PHYSICIANS GROUP LLC CHEYENNE CO NURSE PRACTITIONER 103 34 $6,957 $205 5.4% (307) 635-7961
84 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 33 $4,312 $131 6.6% (207) 885-9905
85 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 32 $5,576 $174 24.8% (770) 422-2004
86 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 32 $6,656 $208 33.3% (313) 916-2600
87 PROVIDENCE HEALTH AND SERVICES- WASHINGTON SPOKANE WA CLINICAL PSYCHOLOGIST 2 30 $6,300 $210 11.6% (509) 473-6000
88 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 28 $5,180 $185 1.8% (414) 421-8400
89 NORTHEAST DELTA HUMAN SERVICES AUTHORITY MONROE LA MENTAL HEALTH COUNSELOR 20 28 $1,807 $65 100.0% (318) 362-3339
90 BAYLOR COLLEGE OF MEDICINE HOUSTON TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1222 27 $4,266 $158 29.3% —
91 STEP UP CARE PC LLC DANIELSON CT NURSE PRACTITIONER 157 27 $4,077 $151 26.5% (718) 298-4375
92 OHI WEST MEDICAL GROUP LLC ST PETERSBURG FL PHYSICIAN ASSISTANT 193 27 $5,238 $194 3.8% (727) 823-1234
93 ACCESS PSYCHOLOGY SERVICES PC FRESNO OH CLINICAL PSYCHOLOGIST 17 24 $1,920 $80 7.6% (559) 321-0883
94 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 24 $3,864 $161 50.0% (502) 629-2398
95 THE UNITY HOSPITAL OF ROCHESTER ROCHESTER NY PHYSICIAN ASSISTANT 729 23 $3,917 $170 3.6% (585) 368-4500
96 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 22 $3,850 $175 3.5% (215) 955-6161
97 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 22 $3,118 $142 100.0% (205) 934-3460
98 SHELTERING ARMS PHYSICAL REHABILITATION ASSOCIATES, LLC RICHMOND VA CLINICAL PSYCHOLOGIST 5 20 $2,720 $136 3.3% (804) 764-1001
99 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 19 $3,895 $205 6.0% (614) 366-9211
100 BARIATRIC MEDICINE INSTITUTE SALT LAKE CITY UT GENERAL PRACTICE 2 19 $3,135 $165 7.2% (801) 746-2885

Showing the top 100 of 107 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 →