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Market snapshot

99215 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99215 — Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more

Billing groups
13,163
Named-group FFS services
8,142,869
FFS of Medicare
49%
Services YoY
+6.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~16,301,994 services

8,142,869 observed fee-for-service (50%) · ~8,159,125 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; 4 states without payer-mix data excluded. How we scale

Top states — 99215 (CY2024)
CA 1,805,313 FL 769,932 TX 713,081 NY 651,775 PA 562,548

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

Named-group submitted charges
$3.4B
Named-group allowed amount
$1.3B
Named-group Medicare payments
$971.2M
Avg charge / svc
$420
Avg allowed / svc
$162
Avg payment / svc
$119
Average charge per group
$60 13,163 groups · avg submitted charge / service $2,357
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Specialty market — Clinical Social Worker: 18,149 services across 200 groups; top group 4%. See Clinical Social Worker across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99215 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 COASTAL NEUROLOGY, P.A. PORT ROYAL SC CLINICAL SOCIAL WORKER 3 757 $340,490 $450 — 0.4% (843) 522-1420
2 LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA CLINICAL SOCIAL WORKER 291 748 $803,691 $1,074 34.8% 0.0% (323) 298-3680
3 UKIAH ADVENTIST HOSPITAL UKIAH CA CLINICAL SOCIAL WORKER 133 512 $116,619 $228 23.8% 0.0% (707) 462-3111
4 MENTAL HEALTH ASSOCIATION IN INDIAN RIVER COUNTY INC VERO BEACH FL CLINICAL SOCIAL WORKER 10 485 $167,000 $344 31.4% 0.1% (772) 569-9788
5 AMELIA BEHAVIORAL WELLNESS LLC FERNANDINA BEACH FL CLINICAL SOCIAL WORKER 4 436 $108,925 $250 28.2% 0.1% —
6 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA CLINICAL SOCIAL WORKER 51 365 $498,985 $1,367 17.0% 0.0% (415) 597-8090
7 INTEGRATIVE HEALTH PRACTICES LLC ELLICOTT CITY MD CLINICAL SOCIAL WORKER 4 313 $70,425 $225 31.6% 0.1% (410) 648-2555
8 PHILHAVEN LANCASTER PA CLINICAL SOCIAL WORKER 87 306 $80,199 $262 — 0.1% (717) 735-1954
9 COUNTY OF ALBANY DEPARTMENT OF HEALTH ALBANY NY CLINICAL SOCIAL WORKER 15 289 $45,939 $159 28.5% 0.0% (518) 447-4555
10 ANCHOR MENTAL HEALTH ASSOCIATION WASHINGTON DC CLINICAL SOCIAL WORKER 6 274 $62,506 $228 — 0.4% (202) 635-5941
11 JOURNEY MENTAL HEALTH CENTER INC MADISON WI CLINICAL SOCIAL WORKER 16 255 $97,751 $383 — 0.1% (608) 280-2700
12 THE WELLNESS TREE CHANDLER AZ CLINICAL SOCIAL WORKER 5 249 $62,250 $250 — 0.1% (480) 219-9421
13 RAUL J RODRIGUEZ MDPA DELRAY BEACH FL CLINICAL SOCIAL WORKER 20 249 $112,050 $450 16.1% 0.0% (561) 266-8866
14 CORNERSTONE MONTGOMERY INC ROCKVILLE MO CLINICAL SOCIAL WORKER 21 248 $60,760 $245 — 0.2% (301) 715-3673
15 COUNSELING SERVICE OF ADDISON COUNTY INC MIDDLEBURY VT CLINICAL SOCIAL WORKER 13 244 $56,342 $231 — 0.8% (802) 388-6751
16 SERVICE PROGRAM FOR OLDER PEOPLE INC NEW YORK NY CLINICAL SOCIAL WORKER 14 238 $47,886 $201 23.5% 0.0% —
17 ASSOCIATED CLINIC OF PSYCHOLOGY INC ST LOUIS PARK MN CLINICAL SOCIAL WORKER 134 237 $82,950 $350 — 0.1% (612) 925-6033
18 COUNTY OF SANTA CRUZ SANTA CRUZ CA CLINICAL SOCIAL WORKER 65 236 $119,046 $504 11.0% 0.0% (831) 454-4100
19 FAIRFAX COUNTY, VIRGINIA FAIRFAX DC CLINICAL SOCIAL WORKER 178 231 $61,908 $268 — 0.4% (703) 324-7000
20 KENT COUNTY CMH AUTHORITY GRAND RAPIDS MI CLINICAL SOCIAL WORKER 49 221 $145,796 $660 16.5% 0.1% (616) 825-5412
21 ALLWELL BEHAVIORAL HEALTH SERVICES ZANESVILLE OH CLINICAL SOCIAL WORKER 26 206 $53,972 $262 — 0.1% (740) 454-9766
22 FAIRFAX COUNTY, VIRGINIA FAIRFAX VA CLINICAL SOCIAL WORKER 178 201 $53,868 $268 — 0.1% (703) 324-7000
23 OPTIMAE LIFESERVICES INC FAIRFIELD IA CLINICAL SOCIAL WORKER 22 197 $44,325 $225 — 0.2% (641) 472-5771
24 CORECOVER LLC SOUTH PORTLAND ME CLINICAL SOCIAL WORKER 2 197 $47,600 $242 — 0.5% (207) 482-0276
25 PERSONAL DEVELOPMENT CENTER, INC. COOKEVILLE TN CLINICAL SOCIAL WORKER 10 194 $33,950 $175 — 0.1% (931) 520-8435
26 MARSHY HOPE FAMILY SERVICES, LLC CAMBRIDGE MD CLINICAL SOCIAL WORKER 8 192 $41,280 $215 19.4% 0.1% (410) 221-2266
27 BEHAVIORAL HEALTH NETWORK INC SPRINGFIELD MA CLINICAL SOCIAL WORKER 140 187 $42,075 $225 11.5% 0.0% (413) 736-3668
28 DOMINION BEHAVIORAL HEALTHCARE RICHMOND VA CLINICAL SOCIAL WORKER 26 183 $45,750 $250 — 0.1% (804) 270-1124
29 NORTH SUFFOLK COMMUNITY SERVICES INC EAST BOSTON MA CLINICAL SOCIAL WORKER 43 182 $40,950 $225 11.2% 0.0% (617) 569-3189
30 MENTAL HEALTH CENTER OF DENVER DENVER CO CLINICAL SOCIAL WORKER 86 176 $139,145 $791 — 0.1% (303) 504-7700
31 TRIBE WELLNESS GROUP PLLC COTTONWOOD AZ CLINICAL SOCIAL WORKER 2 169 $33,800 $200 — 0.1% (928) 202-9187
32 CENTER FOR HUMAN DEVELOPMENT, INC. GREENFIELD MA CLINICAL SOCIAL WORKER 81 157 $36,895 $235 9.7% 0.0% (413) 774-6252
33 GATEWAY TO SUCCESS, PC PUEBLO CO CLINICAL SOCIAL WORKER 7 157 $22,374 $143 — 0.1% (719) 564-5070
34 SONDERMIND PC PEORIA NC CLINICAL SOCIAL WORKER 63 157 $47,449 $302 — 0.0% (866) 630-0966
35 SONDERMIND PROVIDER NETWORK LLC DENVER OH CLINICAL SOCIAL WORKER 1194 154 $43,049 $280 — 0.1% (844) 843-7279
36 THE MENTAL HEALTH CENTER OF GREATER MANCHESTER MANCHESTER NH CLINICAL SOCIAL WORKER 84 154 $38,575 $250 — 0.2% (603) 668-4111
37 PINNACLE BEHAVIORAL HEALTHCARE, LLC EDINA MN CLINICAL SOCIAL WORKER 3 153 $52,491 $343 — 0.1% (952) 303-6832
38 COMPASSIONATE HEALTH AND MANAGED PAIN LLC ORMOND BEACH FL CLINICAL SOCIAL WORKER 3 144 $21,149 $147 9.3% 0.0% (386) 944-9813
39 ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY PORT HURON MI CLINICAL SOCIAL WORKER 51 143 $57,356 $401 10.7% 0.1% (810) 985-8900
40 COMMUNITY HEALTHLINK INC WORCESTER MA CLINICAL SOCIAL WORKER 41 136 $25,114 $185 8.4% 0.0% (508) 860-1260
41 SAUK COUNTY BARABOO WI CLINICAL SOCIAL WORKER 14 135 $34,031 $252 — 0.1% (608) 355-4200
42 HEGIRA HEALTH INC WESTLAND MI CLINICAL SOCIAL WORKER 41 133 $26,600 $200 10.0% 0.1% —
43 NORTH SHORE MEDICAL CENTER, INC. SALEM MA CLINICAL SOCIAL WORKER 44 128 $77,403 $605 7.9% 0.0% (978) 825-6620
44 MOSAIC COMMUNITY SERVICES, INC BALTIMORE MD CLINICAL SOCIAL WORKER 60 127 $49,784 $392 12.8% 0.0% (410) 938-5434
45 FUTURE PSYCH SOLUTIONS, LLC COLUMBIA SC CLINICAL SOCIAL WORKER 7 126 $26,695 $212 — 0.1% (803) 851-0642
46 BLICK CLINIC, INC. AKRON OH CLINICAL SOCIAL WORKER 15 124 $20,871 $168 — 0.0% (330) 762-5425
47 COMPASS CLINICAL ASSOCIATES PLLC URBANDALE IA CLINICAL SOCIAL WORKER 23 124 $28,644 $231 — 0.2% (515) 412-5112
48 SOUTH SHORE MENTAL HEALTH CENTER INC BRAINTREE MA CLINICAL SOCIAL WORKER 34 119 $24,990 $210 7.3% 0.0% —
49 AMERICARE BEHAVIORAL HEALTH, LLC LAWRENCE MA CLINICAL SOCIAL WORKER 2 114 $28,500 $250 7.0% 0.0% (978) 399-6601
50 COMMUNITY MENTAL HEALTH AUTHORITY OF CLINTON EATON INGHAM COUNTIES LANSING MI CLINICAL SOCIAL WORKER 66 112 $67,655 $604 8.4% 0.0% (517) 346-8200
51 NORTH SHORE COUNSELING CENTER INC BEVERLY MA CLINICAL SOCIAL WORKER 12 107 $21,400 $200 6.6% 0.0% (978) 922-2280
52 BELLA-NACOLE MENTAL HEALTH SERVICES LLC POCATELLO ID CLINICAL SOCIAL WORKER 3 105 $37,952 $361 — 0.2% (208) 223-8780
53 COMMUNITY REACH CENTER INC THORNTON CO CLINICAL SOCIAL WORKER 14 104 $32,124 $309 — 0.0% (303) 853-3500
54 THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH ROCK ISLAND IL CLINICAL SOCIAL WORKER 53 99 $31,815 $321 — 0.0% (309) 779-3970
55 SEVEN COUNTIES SERVICES, INC LOUISVILLE KY CLINICAL SOCIAL WORKER 88 95 $19,038 $200 — 0.1% (502) 589-1100
56 CORNERSTONE PSYCHIATRIC SERVICES INC VENICE FL CLINICAL SOCIAL WORKER 5 94 $23,925 $255 6.1% 0.0% (941) 488-8884
57 MERIDIAN PROFESSIONAL PSYCHOLOGICAL CONSULTANTS EAST LANSING MI CLINICAL SOCIAL WORKER 15 92 $16,100 $175 6.9% 0.0% (517) 332-0811
58 INNOVATIVE COUNSELING INC GREEN BAY WI CLINICAL SOCIAL WORKER 15 90 $31,500 $350 — 0.0% (920) 497-6161
59 KENT COUNTY HEALTH DEPARTMENT CHESTERTOWN MD CLINICAL SOCIAL WORKER 6 89 $26,829 $301 9.0% 0.0% 41077857833237
60 NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH, INC. PLAINFIELD PA CLINICAL SOCIAL WORKER 16 89 $31,150 $350 — 0.0% —
61 JEFFERSON CENTER FOR MENTAL HEALTH WHEAT RIDGE CO CLINICAL SOCIAL WORKER 107 88 $30,185 $343 — 0.0% (303) 425-0300
62 LIVINGSTON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY HOWELL CA CLINICAL SOCIAL WORKER 13 87 $31,037 $357 4.0% 0.0% (517) 548-0081
63 NEW YORK PSYCHIATRIC SERVICES PC NEW YORK NY CLINICAL SOCIAL WORKER 24 87 $18,072 $208 8.6% 0.0% (212) 693-4010
64 DOWNRIVER MENTAL HEALTH CLINIC PC LANSING MI CLINICAL SOCIAL WORKER 272 87 $26,220 $301 6.5% 0.0% (517) 882-3732
65 VERA FRENCH COMMUNITY MENTAL HEALTH DAVENPORT IA CLINICAL SOCIAL WORKER 34 85 $41,225 $485 — 0.1% (563) 383-1900
66 COLEMAN PROFESSIONAL SERVICES, INC. KENT OH CLINICAL SOCIAL WORKER 67 84 $15,260 $182 — 0.0% (330) 673-1347
67 VALLEY OAKS HEALTH INC LAFAYETTE IN CLINICAL SOCIAL WORKER 43 83 $19,836 $239 — 0.0% (765) 446-6549
68 CAPE COD HEALTHCARE, INC. HYANNIS MA CLINICAL SOCIAL WORKER 19 79 $32,618 $413 4.9% 0.0% (508) 790-3300
69 SOUTHWESTERN BEHAVIORAL HEALTHCARE INC EVANSVILLE IN CLINICAL SOCIAL WORKER 34 78 $17,134 $220 — 0.0% (812) 423-7791
70 TALBERT HOUSE CINCINNATI OH CLINICAL SOCIAL WORKER 37 76 $17,556 $231 — 0.0% (513) 853-6570
71 BOSTON HEALTH CARE INC WALPOLE MA CLINICAL SOCIAL WORKER 10 76 $22,268 $293 4.7% 0.0% (508) 660-7949
72 JEWISH FAMILY SERVICES OF DELAWARE WILMINGTON DE CLINICAL SOCIAL WORKER 21 75 $13,864 $185 — 0.1% (302) 478-9411
73 ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL HOFFMAN ESTATES IL CLINICAL SOCIAL WORKER 55 73 $22,703 $311 — 0.0% (847) 755-8090
74 MULTI-CULTURAL COUNSELING SERVICES II INC. MILWAUKEE WI CLINICAL SOCIAL WORKER 7 73 $11,775 $161 — 0.0% (414) 383-4455
75 NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC FORT DODGE IA CLINICAL SOCIAL WORKER 16 73 $24,212 $332 — 0.1% (515) 576-1138
76 RIVERSIDE COMMUNITY CARE INC NORWOOD MA CLINICAL SOCIAL WORKER 118 67 $14,740 $220 4.1% 0.0% (781) 769-8670
77 4 PILLARS OF SUCCESS LLC AMMON ID CLINICAL SOCIAL WORKER 20 67 $18,894 $282 — 0.1% (208) 523-5319
78 UPSTATE MENTAL HEALTH, LLC SPARTANBURG SC CLINICAL SOCIAL WORKER 3 66 $13,200 $200 — 0.0% (864) 365-2729
79 HIGHLANDS COMMUNITY SERVICES ABINGDON VA CLINICAL SOCIAL WORKER 31 66 $11,550 $175 — 0.0% (276) 525-1587
80 CHURCHLAND PSYCHIATRIC ASSOCIATES PC CHESAPEAKE VA CLINICAL SOCIAL WORKER 16 65 $11,045 $170 — 0.0% (757) 483-6404
81 ZEN WELLNESS CARE BLOOMFIELD CT CLINICAL SOCIAL WORKER 4 65 $22,750 $350 — 0.1% (860) 265-9309
82 COMMUNITY MEDICAL AND DENTAL CARE, INC. MONSEY NY CLINICAL SOCIAL WORKER 17 65 $48,100 $740 6.4% 0.0% (845) 352-6800
83 INTERIM, INC. SALINAS CA CLINICAL SOCIAL WORKER 9 65 $34,448 $530 3.0% 0.0% (831) 676-3715
84 CRANBERRY PSYCHOLOGICAL CENTER, INC. SEVEN FIELDS PA CLINICAL SOCIAL WORKER 45 64 $12,800 $200 — 0.0% (724) 772-4848
85 OHEL CHILDREN'S HOME AND FAMILY SERVICES, INC. BROOKLYN NY CLINICAL SOCIAL WORKER 26 62 $9,951 $160 6.1% 0.0% (718) 382-0045
86 EPIC LONG ISLAND EAST MEADOW NY CLINICAL SOCIAL WORKER 41 58 $9,323 $161 5.7% 0.0% 5167397733420
87 THE CALM SPACE LLC ALLENTOWN PA CLINICAL SOCIAL WORKER 12 58 $16,742 $289 — 0.0% (484) 276-4646
88 COUNTY OF CHENANGO NORWICH NY CLINICAL SOCIAL WORKER 13 57 $8,773 $154 5.6% 0.0% (607) 337-1600
89 DIVERSUS HEALTH INC COLORADO SPRINGS CO CLINICAL SOCIAL WORKER 53 56 $19,648 $351 — 0.0% (719) 572-6100
90 BONNE TERRE HEALTHCARE CLINIC, LLC BONNE TERRE MO CLINICAL SOCIAL WORKER 2 56 $14,304 $255 — 0.0% (573) 723-1100
91 LAKELAND MENTAL HEALTH CENTER INC FERGUS FALLS MN CLINICAL SOCIAL WORKER 38 56 $13,272 $237 — 0.0% (218) 736-6987
92 EASTERN PSYCHIATRIC AND BEHAVIORAL SPECIALISTS PLLC GREENVILLE NC CLINICAL SOCIAL WORKER 4 56 $12,600 $225 — 0.0% (252) 756-4899
93 RACINE COUNTY FINANCE DEPARTMENT RACINE WI CLINICAL SOCIAL WORKER 8 55 $15,695 $285 — 0.0% (262) 638-6744
94 THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC PITTSFIELD MA CLINICAL SOCIAL WORKER 30 55 $13,200 $240 3.4% 0.0% (413) 629-1062
95 PSYCHIATRIC SERVICES SC MADISON WI CLINICAL SOCIAL WORKER 20 54 $20,470 $379 — 0.0% (608) 238-9354
96 WALTHAM BEHAVIORAL HEALTH LLC WALTHAM MA CLINICAL SOCIAL WORKER 8 52 $14,650 $282 3.2% 0.0% (781) 966-0070
97 ISMAIL B SENDI MD PC LIVONIA MI CLINICAL SOCIAL WORKER 69 52 $10,400 $200 3.9% 0.0% (800) 395-3223
98 TIDEWATER TOTAL MIND CARE LLC SARASOTA FL CLINICAL SOCIAL WORKER 7 51 $9,063 $178 3.3% 0.0% (941) 202-1999
99 LIVING DELIBERATELY BALTIMORE MD CLINICAL SOCIAL WORKER 3 51 $11,985 $235 5.1% 0.0% (410) 262-9894
100 CHANNEL MARKER INC EASTON MD CLINICAL SOCIAL WORKER 5 51 $9,203 $180 5.1% 0.0% (410) 822-4619

Showing the top 100 of 13,163 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →