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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99157 Use of a drug to induce depression of consciousness by physician not performing a procedure, each additional 15 minutes CPT · Anesthesia
Classification Anesthesia Anesthesia (CMS RBCS)
First observed 2017
National scale 1,941 services ▼ 47.9% YoY · 878 beneficiaries (CY2024, Medicare FFS)
Medicare paid $88K · $45.10 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
7
Named-group FFS services
610
FFS of Medicare
49%
Services YoY
-47.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,193 services

610 observed fee-for-service (51%) · ~583 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 — 99157 (CY2024)

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

Named-group submitted charges
$126K
Named-group allowed amount
$35K
Named-group Medicare payments
$28K
Avg charge / svc
$206
Avg allowed / svc
$58
Avg payment / svc
$45
Average charge per group
$69 7 groups · avg submitted charge / service $874
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99157 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 99157 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 BASHA DIAGNOSTICS P C ROYAL OAK MI DIAGNOSTIC RADIOLOGY 25 270 $24,600 $91 premium 80.4% (248) 288-1600
2 SURGICAL ASSOCIATES CHARTERED CAMP SPRINGS MD GENERAL SURGERY 8 143 $27,850 $195 premium 46.0% (240) 427-1630
3 CASPER CARDIOLOGY CASPER WY PHYSICIAN ASSISTANT 5 56 $3,877 $69 premium 100.0%
4 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 53 $46,300 $874 premium 33.3% (202) 429-2401
5 QUESTCARE INTENSIVISTS PLLC WEATHERFORD TX INTERNAL MEDICINE 66 28 $7,056 $252 premium 100.0% (954) 939-5000
6 GEORGETOWN PAIN MANAGEMENT LLC GREENBELT DC ANESTHESIOLOGY 3 27 $8,250 $306 premium 17.0% 2402979016111
7 GEORGETOWN PAIN MANAGEMENT LLC GREENBELT MD ANESTHESIOLOGY 3 20 $5,000 $250 premium 6.4% 2402979016111
8 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 13 $2,587 $199 premium 28.3%

*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 →