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Market snapshot

98966 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

98966 — Telephone medical discussion provided by nonphysician professional, 5-10 minutes

Billing groups
66
Named-group FFS services
4,061
FFS of Medicare
49%
Services YoY
+1.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~8,404 services

4,061 observed fee-for-service (48%) · ~4,343 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 — 98966 (CY2024)
CA 1,157 FL 1,121 TX 576 WA 429 NJ 376

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

Named-group submitted charges
$130K
Named-group allowed amount
$48K
Named-group Medicare payments
$35K
Avg charge / svc
$32
Avg allowed / svc
$12
Avg payment / svc
$9
Average charge per group
$0 66 groups · avg submitted charge / service $195
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 98966 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 WELLSPRING PSYCHOLOGICAL SERVICES INC MONTEREY CA CLINICAL PSYCHOLOGIST 16 519 $8,304 $16 44.9% (831) 647-8490
2 OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC OLYMPIA WA PHYSICIAN ASSISTANT 109 414 $9,932 $24 96.5% —
3 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 299 $6,279 $21 26.7% (352) 693-3378
4 WELLSPRING PSYCHOLOGICAL SERVICES INC MONTEREY LA CLINICAL PSYCHOLOGIST 16 205 $3,280 $16 100.0% (831) 647-8490
5 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 160 $11,200 $70 69.6% (516) 240-2700
6 OZARK ORTHOPAEDICS, P.A. FAYETTEVILLE AR PHYSICIAN ASSISTANT 57 141 $3,102 $22 56.6% (479) 521-2752
7 UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP INC RIVERSIDE CA UROLOGY 8 125 $2,500 $20 10.8% (951) 687-8730
8 AEGIS MEDICAL GROUP LLC MOUNT DORA FL GENERAL PRACTICE 21 122 $2,440 $20 10.9% (352) 383-1667
9 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK PA PHYSICIAN ASSISTANT 174 119 $8,330 $70 68.0% (516) 240-2700
10 PIONEER MEDICAL ASSOCIATES PLLC FRISCO TX NURSE PRACTITIONER 6 113 $3,390 $30 19.6% (469) 888-4890
11 BIO ENERGY MEDICAL CENTER, PC ANN ARBOR MI NURSE PRACTITIONER 3 91 $1,092 $12 32.2% (734) 995-3200
12 KOLLI MEDICAL CORPORATION HEMET CA NURSE PRACTITIONER 6 88 $1,760 $20 7.6% (951) 929-8121
13 CONSULTANTS IN KIDNEY DISEASES, PA MERCERVILLE NJ NEPHROLOGY 4 86 $3,346 $39 22.9% (609) 890-9111
14 MURLIDHAR A. AMIN, M.D., P.A. PORT ARTHUR TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 85 $2,550 $30 14.8% (409) 729-0885
15 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 68 $4,049 $60 5.9% (650) 723-4000
16 MECNB LLC TEQUESTA FL PHYSICIAN ASSISTANT 26 67 $6,700 $100 6.0% (561) 747-4464
17 A PLUS MEDICAL ASSOCIATES PLLC GRAND RAPIDS MI PHYSICIAN ASSISTANT 8 66 $1,320 $20 23.3% (616) 285-6450
18 ARK HEALTH LAKE JACKSON TX FAMILY PRACTICE 2 59 $1,475 $25 10.2% (979) 297-1652
19 HEALTHPORT SALISBURY MD NURSE PRACTITIONER 14 52 $4,475 $86 61.2% (410) 341-3420
20 PREMIER INTERVENTIONAL PAIN MANAGEMENT PLLC FLOWER MOUND TX ANESTHESIOLOGY 11 51 $1,275 $25 8.9% (972) 350-0225
21 STAT CARDIOLOGIST INC SCHAUMBURG IL NURSE PRACTITIONER 27 50 $1,250 $25 46.7% (847) 490-0060
22 LAKEVIEW HEALTHCARE SYSTEM, LLC LEESBURG FL INTERNAL MEDICINE 28 48 $960 $20 4.3% (352) 460-4004
23 SELMA MEDICAL ASSOCIATES, P.C. SELMA AL FAMILY PRACTICE 3 45 $675 $15 75.0% (334) 875-2640
24 HIGHLANDS MEDICAL ASSOCIATES, P.A HIGHLANDS TX FAMILY PRACTICE 2 42 $906 $22 7.3% (281) 426-8586
25 AMERICAN MULTISPECIALTY GROUP INC SAINT LOUIS MO FAMILY PRACTICE 119 41 $3,321 $81 100.0% (314) 645-3743
26 SETON FAMILY OF DOCTORS AUSTIN TX PHYSICIAN ASSISTANT 804 39 $1,677 $43 6.8% (512) 324-7300
27 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 38 $1,444 $38 3.3% (714) 871-3006
28 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 38 $1,330 $35 10.1% —
29 NNAEMEKA AGAJELU MD LLC GLEN BURNIE MD INTERNAL MEDICINE 2 33 $1,155 $35 38.8% (410) 553-6360
30 PROVIDENCE HEALTH AND SERVICES MT MISSOULA MT PHYSICIAN ASSISTANT 345 31 $1,271 $41 100.0% (406) 327-1900
31 CARIS PALLIATIVE CARE LLC COLUMBIA TN NURSE PRACTITIONER 8 30 $470 $16 68.2% (931) 279-0041
32 SOUTHEAST PULMONARY AND CRITICAL CARE LLC ROCK HILL SC NURSE PRACTITIONER 5 29 $580 $20 100.0% (803) 980-5864
33 THOMAS CHITTENDEN HEALTH CENTER, PLC WILLISTON VT NURSE PRACTITIONER 14 27 $0 $0 100.0% (802) 878-8131
34 HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA TALLAHASSEE FL INTERNAL MEDICINE 224 27 $525 $19 2.4% (850) 325-5000
35 SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP HOUSTON TX ORTHOPEDIC SURGERY 463 27 $718 $27 4.7% (281) 440-7625
36 INTEGRATED PAIN MANAGEMENT MEDICAL GROUP INC WALNUT CREEK CA PHYSICAL MEDICINE AND REHABILITATION 40 27 $1,809 $67 2.3% (925) 482-8151
37 CANCER CENTER OF MIDDLE GEORGIA, LLC DUBLIN GA NURSE PRACTITIONER 4 25 $1,009 $40 36.2% (941) 404-1851
38 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO DC INTERNAL MEDICINE 1965 24 $1,152 $48 100.0% (301) 618-5700
39 LAMPERSKI INTERNAL MEDICINE LLC ALLISON PARK PA INTERNAL MEDICINE 3 23 $690 $30 13.1% (412) 486-3076
40 CROSS ARROW MEDICAL GROUP LLC TUCUMCARI NM NURSE PRACTITIONER 2 23 $644 $28 100.0% (575) 461-7901
41 GHAZWAN ATTO MD PC WYANDOTTE MI INTERNAL MEDICINE 13 23 $460 $20 8.1% (734) 246-5705
42 KIM CHEN PLLC LAS VEGAS NV GASTROENTEROLOGY 17 23 $598 $26 63.9% (702) 483-4483
43 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO CA HEMATOLOGY/ONCOLOGY 62 22 $4,290 $195 1.9% (559) 326-1222
44 LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC BURBANK CA PHYSICIAN ASSISTANT 64 22 $550 $25 1.9% (818) 887-2671
45 CHANCELLOR PRIMARY CARE PLLC FREDERICKSBURG VA FAMILY PRACTICE 2 21 $315 $15 25.0% (540) 870-6550
46 WESTWOOD PRIMARY CARE, PLLC MAGNOLIA TX FAMILY PRACTICE 20 20 $500 $25 3.5% (281) 356-1945
47 FRED J VON STIEFF MD A PROFESSIONAL CORPORATION CONCORD CA FAMILY PRACTICE 3 19 $1,910 $101 1.6% (925) 680-8933
48 INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN LLC GRAND RAPIDS MI NURSE PRACTITIONER 7 19 $475 $25 6.7% (616) 363-7690
49 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 19 $1,539 $81 22.1% —
50 CARDIOVASCULAR SPECIALISTS OF AMERICA LLC POCATELLO ID CARDIAC ELECTROPHYSIOLOGY 3 18 $450 $25 100.0% (208) 233-2273
51 HOSPICE OF THE PIEDMONT, INC. CHARLOTTESVILLE VA NURSE PRACTITIONER 8 17 $425 $25 20.2% (434) 817-6900
52 DAYONE FAMILY HEALTHCARE PC BATTLE CREEK MI PHYSICIAN ASSISTANT 16 17 $510 $30 6.0% (269) 969-6123
53 ERICA M RUIZ, MD PROFESSIONAL LA QUINTA CA FAMILY PRACTICE 2 16 $240 $15 1.4% (760) 564-9205
54 NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 112 16 $1,120 $70 7.0% (212) 774-7598
55 ERNEST L HENDRIX MD PC ATHENS AL FAMILY PRACTICE 2 15 $350 $23 25.0% (256) 230-1116
56 OVERLAKE ARTHRITIS AND OSTEOPOROSIS CENTER PLLC BELLEVUE WA RHEUMATOLOGY 8 15 $390 $26 3.5% (425) 453-0766
57 JAMES RIVER CARDIOLOGY, LLC COLONIAL HEIGHTS VA PHYSICIAN ASSISTANT 49 15 $542 $36 17.9% (804) 520-1764
58 UT METHODIST PHYSICIANS LLC MEMPHIS TN NURSE PRACTITIONER 125 14 $525 $38 31.8% —
59 GREAT MIND COUNSELING AND WELLNESS CENTER LLC LAS VEGAS NV NURSE PRACTITIONER 3 13 $117 $9 36.1% (702) 208-2194
60 MIGUEL ANGEL MOLINAS MD PA Brownsville TX INTERNAL MEDICINE 2 13 $195 $15 2.3% —
61 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO VA INTERNAL MEDICINE 1965 13 $624 $48 15.5% (301) 618-5700
62 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 13 $617 $47 2.3% —
63 COMPREHENSIVE UROLOGY MEDICAL GROUP LOS ANGELES CA UROLOGY 6 12 $684 $57 1.0% (310) 278-8330
64 CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC LITTLE ROCK AR HEMATOLOGY/ONCOLOGY 90 12 $1,500 $125 4.8% —
65 RAJIV AGARWAL MD PA HUMBLE TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 22 12 $459 $38 2.1% (832) 644-8930
66 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC WICHITA KS FAMILY PRACTICE 118 12 $462 $38 100.0% (316) 858-3460
67 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 11 $341 $31 100.0% —
68 DIGESTIVE SPECIALISTS OF NORTH HARRIS COUNTY PA SHENANDOAH TX GASTROENTEROLOGY 6 11 $550 $50 1.9% (936) 321-0033
69 WV PRIMARY CARE INC CROSS LANES WV NURSE PRACTITIONER 4 11 $1,100 $100 100.0% (304) 776-9872

*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 →