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Market snapshot

99211 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99211 — Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

Billing groups
3,440
Named-group FFS services
580,961
FFS of Medicare
49%
Services YoY
-19.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,169,992 services

580,961 observed fee-for-service (50%) · ~589,031 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 — 99211 (CY2024)
CA 165,841 FL 112,389 AZ 46,632 TX 44,574 NY 36,553

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

Named-group submitted charges
$35.4M
Named-group allowed amount
$12.8M
Named-group Medicare payments
$9.3M
Avg charge / svc
$61
Avg allowed / svc
$22
Avg payment / svc
$16
Average charge per group
$1 3,440 groups · avg submitted charge / service $2,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99211 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 RIVIERA MEDICAL CORPORATION NEWPORT BEACH CA PHYSICIAN ASSISTANT 7 17,523 $1,752,185 $100 10.6% (949) 760-8300
2 JOSEPH A CAPLAN MD PC SUN CITY WEST AZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 31 9,774 $546,740 $56 21.0% (623) 876-8816
3 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 9,396 $213,182 $23 5.7% (760) 340-3911
4 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 7,588 $705,684 $93 16.3% (800) 603-0558
5 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 6,832 $259,616 $38 37.6% (785) 354-9591
6 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 4,609 $366,636 $80 2.8% (714) 871-3006
7 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN DIAGNOSTIC RADIOLOGY 689 4,383 $455,832 $104 26.3% (507) 625-4031
8 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 4,259 $682,095 $160 15.4% (206) 223-6600
9 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 4,186 $246,974 $59 3.7% (239) 561-9622
10 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 4,136 $347,574 $84 24.8% (507) 284-2511
11 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 4,048 $388,500 $96 3.6% (904) 953-2000
12 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 3,175 $215,214 $68 2.8% (407) 896-1100
13 TENNESSEE ONCOLOGY PLLC NASHVILLE TN HEMATOLOGY/ONCOLOGY 360 3,078 $112,388 $37 16.7% (615) 385-3751
14 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 3,035 $212,062 $70 8.5% (704) 667-1000
15 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 3,004 $163,451 $54 2.7% (352) 693-3378
16 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 2,932 $289,900 $99 8.0% (631) 751-3000
17 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 2,883 $213,354 $74 1.7% (916) 681-8852
18 ST CHARLES HEALTH SYSTEM INC BEND OR PHYSICIAN ASSISTANT 373 2,836 $215,657 $76 16.9% (541) 706-7715
19 ROSTAM KHOSHSAR M D INC LAWNDALE CA PAIN MANAGEMENT 2 2,715 $135,750 $50 1.6% —
20 NCHMD INC NAPLES FL NEUROLOGY 515 2,711 $108,440 $40 2.4% (239) 436-5100
21 LIFE BRIDGES, INC CLEVELAND TN FAMILY PRACTICE 7 2,548 $89,180 $35 13.8% (423) 303-1959
22 GUTHRIE MEDICAL GROUP PC SAYRE PA PHYSICIAN ASSISTANT 804 2,515 $158,249 $63 9.0% (570) 888-5858
23 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 2,408 $162,304 $67 8.7% (253) 428-2200
24 SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE COLUMBIA SC PSYCHIATRY 237 2,367 $216,217 $91 12.9% (803) 898-8579
25 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 2,299 $98,873 $43 1.4% —
26 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 2,153 $64,590 $30 11.0% —
27 PIEDMONT CARDIOLOGY OF ATLANTA, LLC ATLANTA GA PHYSICIAN ASSISTANT 477 1,926 $150,228 $78 6.7% (404) 605-5000
28 ORANGE COUNTY UROLOGY ASSOCIATES INC A MEDICAL GROUP LAGUNA HILLS CA UROLOGY 18 1,894 $227,280 $120 1.1% (949) 855-1101
29 CARING CARDIOLOGY MEDICAL GROUP LAGUNA HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 1,877 $127,636 $68 1.1% (949) 837-6600
30 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 1,873 $69,362 $37 16.6% (515) 239-4400
31 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,843 $122,694 $67 5.4% (847) 459-1160
32 RIVERBEND MEDICAL GROUP INC SPRINGFIELD MA PHYSICIAN ASSISTANT 225 1,703 $102,180 $60 10.0% (413) 733-4101
33 CENTRACARE CLINIC SAINT CLOUD MN PHYSICIAN ASSISTANT 747 1,698 $125,872 $74 10.2% (320) 252-5131
34 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 1,643 $112,377 $68 5.9% (425) 339-5442
35 EMERALD COAST ONCOLOGY AND HEMATOLOGY ASSOC., P.A. FORT WALTON BEACH FL HEMATOLOGY/ONCOLOGY 7 1,635 $52,320 $32 1.5% (850) 863-3148
36 AP NEW YORK COMPREHENSIVE MEDICAL CARE PC SMITHTOWN NY INTERNAL MEDICINE 7 1,632 $81,650 $50 4.5% (631) 656-9040
37 ALBERTO, ALBERTO, GABRIEL AND JIMENEZ MEDICAL ASSOCIATES, P.A. TOMS RIVER NJ INTERNAL MEDICINE 3 1,624 $64,960 $40 7.0% (732) 240-0404
38 UROLOGY ASSOCIATES OF DELAWARE PA DOVER DE UROLOGY 7 1,620 $64,800 $40 24.2% 3027361320103
39 MAWAN SHUAYTO MD PC PORT HURON MI DIAGNOSTIC RADIOLOGY 9 1,550 $108,500 $70 13.7% (810) 989-0000
40 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 1,496 $143,784 $96 0.9% (916) 983-7476
41 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 1,495 $80,496 $54 5.2% (770) 422-2004
42 STEWART HOME SCHOOL INC FRANKFORT KY NURSE PRACTITIONER 4 1,495 $79,235 $53 13.8% (502) 227-4821
43 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR PHYSICIAN ASSISTANT 164 1,471 $114,229 $78 8.7% —
44 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 1,470 $66,180 $45 4.1% (910) 296-0941
45 TRUST CARE MEDICAL CENTER INC BURBANK CA NURSE PRACTITIONER 2 1,465 $45,415 $31 0.9% (818) 821-3535
46 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 1,431 $127,896 $89 0.9% (310) 423-0674
47 KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 KIRKLAND WA PHYSICIAN ASSISTANT 588 1,418 $83,611 $59 5.1% —
48 MEDICAL ONCOLOGY ASSOCIATES OF WYOMING VALLEY, PC KINGSTON PA MEDICAL ONCOLOGY 2 1,413 $105,975 $75 5.0% (570) 288-7231
49 HERMES HEALTHCARE PA WICHITA KS NURSE PRACTITIONER 13 1,389 $55,560 $40 7.6% (316) 260-4110
50 RIMMA GELBERT MEDICAL PC BROOKLYN NY FAMILY PRACTICE 6 1,384 $83,040 $60 3.8% (718) 336-0330
51 RAMESH ARORA MEDICAL CORP VAN NUYS CA CARDIAC ELECTROPHYSIOLOGY 3 1,369 $102,675 $75 0.8% (818) 994-0616
52 EAST VALLEY INTERNAL MEDICINE PC CHANDLER AZ NURSE PRACTITIONER 3 1,348 $44,484 $33 2.9% (480) 821-3821
53 PORTERCARE ADVENTIST HEALTH SYSTEM DENVER CO PHYSICIAN ASSISTANT 748 1,344 $91,188 $68 17.2% (303) 778-5797
54 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,316 $101,727 $77 0.8% (415) 600-1020
55 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 1,315 $164,680 $125 0.8% (310) 825-7922
56 BOCA NEPHROLOGY PA BOCA RATON FL NEPHROLOGY 4 1,278 $57,510 $45 1.1% (561) 241-7100
57 CARDIOLOGY CENTER OF ENGLEWOOD PA ENGLEWOOD FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 1,272 $28,222 $22 1.1% (941) 475-5621
58 TENNESSEE PLATEAU ONCOLOGY PLLC CROSSVILLE TN MEDICAL ONCOLOGY 2 1,266 $63,300 $50 6.8% (931) 484-7596
59 MEDICAL ASSOCIATES CLINIC P C DUBUQUE IA PHYSICIAN ASSISTANT 223 1,260 $54,180 $43 11.2% (563) 584-4100
60 NORTH BEND MEDICAL CENTER INC COOS BAY OR NURSE PRACTITIONER 88 1,246 $69,776 $56 7.4% (541) 267-5151
61 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 1,223 $78,784 $64 4.4% —
62 INTERNAL MEDICINE ASSOCIATES, P.C. MACON GA INTERNAL MEDICINE 9 1,212 $72,720 $60 4.2% (478) 745-1191
63 LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC NORTH BABYLON NY NURSE PRACTITIONER 41 1,206 $120,548 $100 3.3% 6316670388612
64 PROVIDENCE HEALTH AND SERVICES - WASHINGTON WALLA WALLA WA NEUROLOGY 269 1,201 $60,687 $51 4.3% (509) 897-3333
65 GRAVES GILBERT CLINIC PLLC BOWLING GREEN KY NURSE PRACTITIONER 221 1,186 $47,440 $40 11.0% (270) 781-4043
66 OREGON HEALTHCARE RESOURCES LLC EUGENE OR PHYSICIAN ASSISTANT 135 1,151 $85,174 $74 6.8% (541) 463-2390
67 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 1,150 $69,268 $60 5.1% (614) 293-8000
68 TOWER UROLOGY INC LOS ANGELES CA UROLOGY 13 1,143 $114,300 $100 0.7% 3108549898159
69 COASTAL FAMILY PRACTICE PC VIRGINIA BEACH VA NURSE PRACTITIONER 3 1,141 $40,000 $35 4.9% (757) 563-2800
70 LAKESIDE HEART AND VASCULAR CENTER PLLC LAKE HAVASU CITY AZ NURSE PRACTITIONER 27 1,138 $50,072 $44 2.4% (928) 453-2727
71 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 1,121 $67,103 $60 3.3% (309) 683-5050
72 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 1,119 $74,970 $67 24.4% (406) 657-4000
73 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 1,098 $62,322 $57 0.7% (805) 349-8514
74 SELECT REHABILITATION, LLC GLENVIEW GA FAMILY PRACTICE 2028 1,079 $74,939 $69 3.8% —
75 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 1,077 $147,417 $137 3.8% (570) 271-6144
76 STATE OF NEBRASKA DEPT OF ADMIN SERVICES KEARNEY NE FAMILY PRACTICE 8 1,062 $69,104 $65 18.6% (402) 471-1831
77 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,060 $82,666 $78 3.1% —
78 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 1,033 $84,706 $82 11.1% (715) 838-5222
79 GUTHRIE MEDICAL GROUP PC SAYRE NY PHYSICIAN ASSISTANT 804 1,031 $66,197 $64 2.8% (570) 888-5858
80 NORTH CAROLINA MG LLC RALEIGH NC PHYSICIAN ASSISTANT 674 1,019 $51,966 $51 2.9% (919) 881-0160
81 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 1,014 $45,619 $45 0.6% (760) 353-6363
82 INLAND VALLEY CARDIOVASCULAR CENTER, G.P. MURRIETA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 1,008 $53,424 $53 0.6% (951) 894-1131
83 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 1,005 $124,484 $124 0.6% (310) 794-8492
84 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 993 $34,755 $35 3.5% (762) 235-3340
85 LAKES REGIONAL HEALTHCARE SPIRIT LAKE IA FAMILY PRACTICE 36 992 $21,120 $21 8.8% (712) 336-1230
86 EYE AND COSMETIC SURGERY LLC HENDERSON NV GENERAL SURGERY 2 989 $52,417 $53 5.4% (702) 642-7711
87 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 984 $58,842 $60 13.8% (603) 577-2045
88 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 967 $53,974 $56 4.1% —
89 ADVANCED UROLOGY ASSOCIATES ENTERPRISES SHREWSBURY NJ UROLOGY 18 959 $122,752 $128 4.1% (732) 741-5923
90 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 943 $42,255 $45 3.4% —
91 MUSCULOSKELETAL INSTITUTE OF LOUISIANA LLC SHREVEPORT LA PHYSICIAN ASSISTANT 28 935 $70,125 $75 6.4% (318) 635-3052
92 EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. FORT WALTON BEACH FL NURSE PRACTITIONER 34 923 $38,799 $42 0.8% (850) 862-3979
93 MOUNTAIN DOCS FAMILY MEDICINE PA FRANKLIN NC FAMILY PRACTICE 2 916 $21,068 $23 2.6% (828) 306-4407
94 CENTENNIAL MEDICAL GROUP, PA LAUREL MD NURSE PRACTITIONER 33 907 $48,978 $54 4.0% 4107303399100
95 EAST VALLEY UROLOGY CENTER PLC MESA AZ UROLOGY 9 901 $54,623 $61 1.9% (480) 219-1010
96 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 896 $39,268 $44 3.8% (703) 562-2110
97 DARYA SOTO MD INC NOVATO CA SLEEP MEDICINE 3 889 $89,100 $100 0.5% (415) 878-0225
98 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 879 $63,288 $72 3.2% (360) 493-4083
99 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 869 $55,990 $64 5.1% (413) 774-6301
100 PHYSICAL MEDICINE CONSULTANTS LLC FORT WAYNE IN NURSE PRACTITIONER 2 867 $30,616 $35 4.4% (260) 432-1800

Showing the top 100 of 3,440 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 →