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Market snapshot

99212 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99212 — Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more

Billing groups
14,726
Named-group FFS services
3,730,316
FFS of Medicare
49%
Services YoY
-9.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,488,638 services

3,730,316 observed fee-for-service (50%) · ~3,758,322 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; 2 states without payer-mix data excluded. How we scale

Top states — 99212 (CY2024)
CA 622,606 NY 573,831 FL 467,434 TX 313,504 PA 267,375

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

Named-group submitted charges
$447.5M
Named-group allowed amount
$192.6M
Named-group Medicare payments
$135.9M
Avg charge / svc
$120
Avg allowed / svc
$52
Avg payment / svc
$36
Average charge per group
$22 14,726 groups · avg submitted charge / service $2,000
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99212 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 15,952 $3,581,154 $224 8.6% —
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 15,404 $5,083,453 $330 2.7% (212) 263-9700
3 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 14,530 $4,815,789 $331 2.5% —
4 SCHWEIGER DERMATOLOGY PLLC NEW YORK NY PHYSICIAN ASSISTANT 238 11,888 $1,762,521 $148 2.1% (212) 283-3000
5 AQUA DERMATOLOGY OF FLORIDA, PA NAPLES FL PHYSICIAN ASSISTANT 184 11,706 $1,408,493 $120 2.5% (239) 596-9075
6 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 10,548 $1,737,694 $165 1.7% (415) 600-1020
7 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 9,774 $1,029,346 $105 3.7% —
8 J ROBERT WEST MD INC LAS VEGAS CA DERMATOLOGY 140 8,756 $1,073,711 $123 1.4% (702) 258-1001
9 SCHWEIGER DERMATOLOGY PC HOBOKEN NJ PHYSICIAN ASSISTANT 181 8,737 $1,269,145 $145 3.3% (212) 283-3000
10 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 8,609 $1,308,669 $152 1.5% (914) 241-1050
11 OAK STREET HEALTH PHYSICIANS GROUP PC CHICAGO IL NURSE PRACTITIONER 238 8,155 $842,517 $103 3.5% (312) 566-4545
12 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 8,044 $1,282,770 $159 10.4% (608) 287-2050
13 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 7,904 $1,106,028 $140 15.1% (507) 284-2511
14 GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. WALNUT CREEK CA DERMATOLOGY 118 7,722 $1,044,390 $135 1.2% (925) 932-7704
15 LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC THE VILLAGES FL PHYSICIAN ASSISTANT 192 7,457 $1,476,314 $198 1.6% (352) 753-2812
16 OLIVER STREET 5.01(A) INC TYLER TX PHYSICIAN ASSISTANT 168 7,362 $1,400,974 $190 2.3% (903) 534-6200
17 CURALTA MEDICAL LLC WAYNE NJ PODIATRY 69 6,967 $1,011,239 $145 2.6% (973) 956-8600
18 CENTER FOR DERMATOLOGY PLLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 67 6,944 $858,916 $124 4.7% (480) 905-8485
19 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 6,141 $1,169,673 $190 1.3% (904) 953-2000
20 ANNE ARUNDEL DERMATOLOGY PA ANNAPOLIS MD PHYSICIAN ASSISTANT 124 6,133 $549,437 $90 4.3% (410) 263-5439
21 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 5,884 $1,012,388 $172 4.0% (800) 603-0558
22 INTEGRATIVE REGIONAL MEDICAL CENTER, PC MECHANICSVILLE VA PHYSICIAN ASSISTANT 9 5,874 $449,732 $77 3.5% (804) 454-7240
23 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 5,839 $480,360 $82 2.5% —
24 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 5,812 $1,147,707 $197 0.9% (650) 723-4000
25 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 5,767 $554,993 $96 4.8% —
26 CITY MEDICAL OF UPPER EAST SIDE PLLC NEW YORK NY PHYSICIAN ASSISTANT 657 5,759 $716,794 $124 1.0% (212) 271-4364
27 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 5,740 $887,467 $155 0.9% (858) 455-9100
28 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 5,646 $1,226,525 $217 1.0% —
29 OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC MESA AZ NURSE PRACTITIONER 74 5,504 $569,598 $103 3.7% (480) 618-0019
30 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 5,452 $439,386 $81 2.0% —
31 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 5,368 $677,644 $126 2.3% —
32 DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC DAYTON OH PHYSICIAN ASSISTANT 115 5,239 $515,225 $98 2.8% (937) 433-7536
33 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 5,207 $660,071 $127 17.0% (801) 261-8346
34 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 5,172 $598,741 $116 1.9% (908) 273-4300
35 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 4,868 $484,550 $100 6.4% (502) 928-1050
36 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 4,741 $866,010 $183 0.8% (714) 871-3006
37 KELVIN MAI DO INC SANTA ANA CA NURSE PRACTITIONER 3 4,616 $323,150 $70 0.7% (714) 332-1069
38 IRONWOOD PHYSICIANS PC MESA AZ HEMATOLOGY/ONCOLOGY 114 4,493 $383,058 $85 3.1% (480) 981-1326
39 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 4,423 $453,426 $103 1.9% (309) 683-5050
40 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 4,384 $675,699 $154 0.7% (916) 681-8852
41 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 4,381 $437,258 $100 3.6% (803) 744-4900
42 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 4,357 $555,343 $127 1.4% (713) 592-5433
43 EPIPHANY DERMATOLOGY PA WACO TX DERMATOLOGY 106 4,340 $685,582 $158 1.4% (254) 537-1265
44 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 4,337 $522,929 $121 1.4% (903) 606-5560
45 TEXAS ONCOLOGY PA DALLAS TX PHYSICIAN ASSISTANT 995 4,311 $646,133 $150 1.4% —
46 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 4,298 $321,872 $75 2.3% —
47 SOUTHERN DERMATOLOGY PA RALEIGH NC PHYSICIAN ASSISTANT 51 4,235 $378,486 $89 2.8% (919) 782-2152
48 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 4,172 $466,188 $112 4.0% (314) 747-3000
49 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 4,134 $705,079 $171 0.7% (800) 872-2273
50 NORTH FLORIDA SURGEONS PA JACKSONVILLE FL PHYSICIAN ASSISTANT 331 4,117 $509,264 $124 0.9% (904) 396-1725
51 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 4,095 $726,093 $177 2.9% (508) 334-1000
52 PACE FOOT AND ANKLE CENTERS PLLC ALLENTOWN PA PODIATRY 27 4,029 $469,333 $116 1.5% (610) 330-9740
53 NORTHEAST DERMATOLOGY ASSOCIATES PC NORTH ANDOVER MA PHYSICIAN ASSISTANT 82 3,936 $746,530 $190 2.8% (978) 691-5690
54 PRIME MEDICAL GROUP PLLC LITTLE ROCK AR PHYSICIAN ASSISTANT 16 3,926 $387,437 $99 6.2% (501) 227-8422
55 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 3,913 $921,219 $235 5.1% (414) 421-8400
56 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 3,903 $702,679 $180 1.5% (732) 362-3663
57 FOREFRONT DERMATOLOGY SC PENSACOLA AL PHYSICIAN ASSISTANT 639 3,866 $567,935 $147 5.8% (800) 243-7546
58 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 3,728 $799,302 $214 0.6% (916) 983-7476
59 SOUTHWEST SKIN SPECIALISTS LLC SCOTTSDALE AZ DERMATOLOGY 50 3,713 $713,184 $192 2.5% (602) 494-1817
60 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 3,693 $361,216 $98 1.6% (630) 469-9200
61 CSI MEDICAL GROUP SARATOGA CA DERMATOLOGY 97 3,675 $389,315 $106 0.6% (408) 253-4407
62 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 3,670 $365,766 $100 0.8% (305) 689-5437
63 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS MA NURSE PRACTITIONER 236 3,618 $441,786 $122 2.5% (508) 771-1800
64 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 3,611 $913,256 $253 1.6% (217) 544-6464
65 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 3,599 $325,467 $90 1.9% —
66 DERMATOLOGY ASSOCIATES OF SWLA LLC LAKE CHARLES LA DERMATOLOGY 7 3,577 $376,716 $105 5.0% (337) 433-7272
67 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 3,569 $369,144 $103 2.4% (919) 684-8111
68 SKIN SURGERY CENTER PA WINSTON SALEM NC PHYSICIAN ASSISTANT 73 3,545 $554,482 $156 2.4% (336) 724-2434
69 SUNCOAST SKIN SOLUTIONS LUTZ FL DERMATOLOGY 90 3,535 $369,813 $105 0.8% (813) 321-1786
70 PIEDMONT PLASTIC SURGERY AND DERMATOLOGY PA GASTONIA NC DERMATOLOGY 56 3,535 $371,700 $105 2.4% (704) 866-0106
71 NJ CERTIFIED DERMATOLOGY PC HAMILTON NJ NURSE PRACTITIONER 37 3,492 $422,897 $121 1.3% (732) 456-7777
72 MICHAEL G. MCCAULEY M.D. INC. ARDMORE OK PHYSICIAN ASSISTANT 9 3,464 $364,596 $105 5.1% (580) 226-0812
73 PDP OF TEXAS, PLLC PLANO TX DERMATOLOGY 60 3,445 $427,350 $124 1.1% (214) 987-3376
74 DERICK DERMATOLOGY PLLC BARRINGTON IL PHYSICIAN ASSISTANT 64 3,422 $290,092 $85 1.5% (847) 381-8899
75 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 3,406 $576,494 $169 2.0% (434) 924-5959
76 ILLINOIS BONE AND JOINT INSTITUTE, LLC BANNOCKBURN IL ORTHOPEDIC SURGERY 595 3,392 $423,549 $125 1.5% —
77 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 3,388 $320,830 $95 0.7% —
78 OSH MI PHYSICIANS GROUP, PC MEMPHIS MI NURSE PRACTITIONER 164 3,386 $349,628 $103 2.6% (901) 401-7150
79 AHAVA MEDICAL AND REHABILITATION CENTER, LLC BROOKLYN NY OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 141 3,381 $742,341 $220 0.6% 71895188002102
80 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 3,364 $257,097 $76 2.0% —
81 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 3,364 $417,894 $124 3.0% (615) 322-5000
82 OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM OROVILLE CA INTERNAL MEDICINE 124 3,340 $327,320 $98 0.5% (530) 532-8654
83 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 3,315 $285,106 $86 1.1% (254) 724-2663
84 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 3,292 $760,125 $231 2.3% (617) 732-5500
85 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 383 3,284 $720,740 $219 0.6% (914) 681-0600
86 TIGALAT SHALITA, D O INC. WEST HILLS CA FAMILY PRACTICE 2 3,198 $319,800 $100 0.5% (818) 676-0080
87 CUMBERLAND SKIN SURGERY AND DERMATOLOGY LEBANON TN PHYSICIAN ASSISTANT 55 3,197 $499,560 $156 2.8% (615) 449-5771
88 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 3,186 $306,230 $96 1.2% (717) 782-2100
89 COYLE S CONNOLLY DO PA LINWOOD NJ PHYSICIAN ASSISTANT 34 3,176 $290,020 $91 1.2% (609) 926-8899
90 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 3,128 $533,267 $170 1.4% (708) 216-8372
91 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 3,117 $290,406 $93 4.6% (918) 502-4720
92 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 3,098 $580,553 $187 3.9% —
93 OSH - PA PHYSICIANS GROUP, PC PHILADELPHIA PA NURSE PRACTITIONER 124 3,098 $321,421 $104 1.2% (215) 310-7022
94 FOREFRONT DERMATOLOGY SC PENSACOLA VA PHYSICIAN ASSISTANT 639 3,084 $452,893 $147 1.8% (800) 243-7546
95 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 3,060 $501,306 $164 1.1% (856) 247-7260
96 KARAS PC ORLAND PARK IL PHYSICIAN ASSISTANT 10 3,049 $560,065 $184 1.3% (214) 289-8282
97 FOREFRONT DERMATOLOGY SC PENSACOLA WI PHYSICIAN ASSISTANT 639 3,035 $446,670 $147 3.9% (800) 243-7546
98 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 3,027 $310,471 $103 4.0% —
99 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 3,023 $490,353 $162 0.5% (212) 241-4812
100 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 3,015 $235,185 $78 4.9% (785) 354-9591

Showing the top 100 of 14,726 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 →