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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 — Diagnostic Radiology: 506,312 services across 224 groups; top group 16%. See Diagnostic Radiology 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 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 82,328 $44,807,564 $544 30.8% 4.6% (650) 723-4000
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 47,770 $42,943,580 $899 80.1% 7.3% (212) 263-9700
3 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 44,822 $24,158,747 $539 16.8% 2.5% (800) 926-8273
4 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 39,445 $18,985,337 $481 14.8% 2.2% (916) 681-8852
5 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 29,792 $22,769,910 $764 92.7% 5.6% (617) 724-0287
6 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 25,644 $16,714,687 $652 9.6% 1.4% (916) 983-7476
7 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 17,286 $9,289,989 $537 6.5% 1.0% (800) 872-2273
8 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 15,608 $12,042,316 $772 5.8% 0.9% (415) 476-4029
9 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 15,313 $10,695,165 $698 5.7% 0.8% (877) 827-7463
10 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 13,976 $7,938,575 $568 41.9% 6.8% (414) 955-4263
11 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 13,495 $9,638,889 $714 40.5% 6.5% (414) 421-8400
12 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 12,473 $3,574,605 $287 41.2% 2.2% —
13 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 10,734 $8,248,904 $768 4.0% 0.6% (415) 476-1000
14 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 10,168 $3,545,200 $349 33.6% 1.8% —
15 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 7,261 $3,344,692 $461 2.7% 0.4% —
16 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 5,766 $1,840,554 $319 — 6.1% (859) 257-1412
17 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 67 4,757 $2,286,602 $481 — 6.7% (505) 842-8171
18 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 3,886 $1,261,508 $325 1.5% 0.2% (530) 332-4470
19 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU HI DIAGNOSTIC RADIOLOGY 648 3,748 $1,767,559 $472 — 9.2% (808) 691-8200
20 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN DIAGNOSTIC RADIOLOGY 689 3,333 $1,314,585 $394 43.1% 1.6% (507) 625-4031
21 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 3,289 $2,371,430 $721 9.9% 1.6% (414) 352-3100
22 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 2,990 $1,304,257 $436 46.0% 0.8% (856) 433-2535
23 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 2,977 $1,716,132 $576 5.0% 0.5% —
24 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 2,929 $1,333,983 $455 40.5% 0.4% (813) 615-7075
25 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 2,864 $977,283 $341 9.5% 0.5% (215) 456-8242
26 CLEVELAND CLINIC NEVADA LAS VEGAS NV DIAGNOSTIC RADIOLOGY 33 2,696 $1,240,160 $460 — 3.2% (702) 483-6000
27 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 2,653 $1,516,430 $572 4.4% 0.4% (631) 628-5000
28 THE POLYCLINIC PLLC SEATTLE WA DIAGNOSTIC RADIOLOGY 371 2,611 $1,209,518 $463 46.1% 0.9% (206) 309-1760
29 CHEROKEE NATION TAHLEQUAH OK DIAGNOSTIC RADIOLOGY 445 2,594 $386,407 $149 — 2.5% (918) 458-3100
30 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 1,894 $532,707 $281 3.2% 0.3% (518) 782-3700
31 JACKSON MADISON COUNTY GENERAL HOSPITAL JACKSON TN DIAGNOSTIC RADIOLOGY 54 1,823 $566,701 $311 — 0.9% (731) 541-5000
32 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 1,753 $607,617 $347 24.2% 0.2% (941) 366-1888
33 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE NJ DIAGNOSTIC RADIOLOGY 238 1,484 $549,146 $370 22.8% 0.4% (856) 358-6161
34 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD MA DIAGNOSTIC RADIOLOGY 424 1,484 $1,143,543 $771 4.6% 0.3% (781) 395-4909
35 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL PA DIAGNOSTIC RADIOLOGY 825 1,483 $551,919 $372 4.9% 0.3% (856) 433-2535
36 YAMPA VALLEY MEDICAL CENTER STEAMBOAT SPR CO DIAGNOSTIC RADIOLOGY 128 1,479 $597,525 $404 — 0.6% (970) 879-1322
37 YAKIMA VALLEY MEMORIAL PHYSICIANS YAKIMA WA DIAGNOSTIC RADIOLOGY 405 1,446 $378,532 $262 25.5% 0.5% (509) 575-8000
38 UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC MINNEAPOLIS MN DIAGNOSTIC RADIOLOGY 620 1,328 $1,121,588 $845 17.2% 0.6% (612) 672-7422
39 CHOCTAW NATION OF OKLAHOMA TALIHINA OK DIAGNOSTIC RADIOLOGY 269 1,241 $698,058 $562 — 1.2% —
40 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 1,200 $375,912 $313 33.1% 0.2% (847) 755-8208
41 CHICKASAW NATION DIVISION OF HEALTH ADA OK DIAGNOSTIC RADIOLOGY 245 1,182 $630,006 $533 — 1.1% (580) 436-3980
42 COUNTY OF MONTEREY SALINAS CA DIAGNOSTIC RADIOLOGY 183 1,151 $1,046,458 $909 0.4% 0.1% (831) 755-4235
43 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 1,131 $395,850 $350 3.7% 0.2% (215) 955-6161
44 BLACK RIVER HEALTH INC BLACK RIVER FALLS WI DIAGNOSTIC RADIOLOGY 60 1,102 $535,597 $486 3.3% 0.5% —
45 WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT COUPEVILLE WA DIAGNOSTIC RADIOLOGY 102 1,097 $437,021 $398 19.4% 0.4% —
46 NEW YORK UNIVERSITY NEW YORK FL DIAGNOSTIC RADIOLOGY 5704 987 $289,835 $294 13.6% 0.1% (212) 263-9700
47 RENAISSANCE MEDICAL FOUNDATION EDINBURG TX DIAGNOSTIC RADIOLOGY 174 974 $499,016 $512 24.0% 0.1% —
48 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO NM DIAGNOSTIC RADIOLOGY 236 942 $229,902 $244 — 1.3% (505) 439-6100
49 RIDGEVIEW MEDICAL CENTER WACONIA MN DIAGNOSTIC RADIOLOGY 412 932 $443,109 $475 12.1% 0.4% (952) 442-2191
50 HENRY FORD MEDICAL GROUP GENESYS BURTON MI DIAGNOSTIC RADIOLOGY 98 900 $258,104 $287 21.8% 0.4% (810) 743-1611
51 MAYO CLINIC HEALTH SYSTEM-FAIRMONT FAIRMONT MN DIAGNOSTIC RADIOLOGY 164 875 $242,375 $277 11.3% 0.4% (507) 238-8555
52 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGH NY DIAGNOSTIC RADIOLOGY 345 862 $416,010 $483 1.4% 0.1% (518) 561-2000
53 ENLOE MEDICAL CENTER CHICO MI DIAGNOSTIC RADIOLOGY 362 771 $253,761 $329 18.7% 0.3% (530) 332-4470
54 BARBARA ANN KARMANOS CANCER INSTITUTE DETROIT MI DIAGNOSTIC RADIOLOGY 57 771 $296,742 $385 18.7% 0.3% (800) 527-6266
55 MSK MONMOUTH MIDDLETOWN NJ DIAGNOSTIC RADIOLOGY 306 764 $557,720 $730 11.8% 0.2% (908) 542-3007
56 GUAM HEALTHCARE DEVELOPMENT INCORPORATED DEDEDO GU DIAGNOSTIC RADIOLOGY 210 632 $128,374 $203 — 19.0% (671) 645-5500
57 LAKESHORE MEDICAL CLINIC LLC SAINT FRANCIS WI DIAGNOSTIC RADIOLOGY 374 629 $443,109 $704 1.9% 0.3% (414) 744-6589
58 DANVILLE PHYSICIAN PRACTICES LLC DANVILLE VA DIAGNOSTIC RADIOLOGY 174 598 $178,125 $298 31.7% 0.2% (434) 799-3866
59 GRAND ITASCA CLINIC AND HOSPITAL GRAND RAPIDS MN DIAGNOSTIC RADIOLOGY 316 591 $261,709 $443 7.6% 0.3% (218) 326-3401
60 CREEK NATION HOSPITAL AND CLINICS OKMULGEE OK DIAGNOSTIC RADIOLOGY 381 583 $162,943 $279 — 0.6% (918) 756-9211
61 CHOCTAW NATION OF OKLAHOMA TALIHINA TX DIAGNOSTIC RADIOLOGY 269 572 $327,973 $573 14.1% 0.1% —
62 NEW YORK UNIVERSITY NEW YORK PA DIAGNOSTIC RADIOLOGY 5704 537 $491,300 $915 1.8% 0.1% (212) 263-9700
63 GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN MADISON WI DIAGNOSTIC RADIOLOGY 229 535 $274,440 $513 1.6% 0.3% (608) 831-1766
64 MSK BERGEN MONTVALE NY DIAGNOSTIC RADIOLOGY 262 513 $374,490 $730 0.9% 0.1% (908) 542-3336
65 LOMPOC VALLEY MEDICAL CENTER LOMPOC CA DIAGNOSTIC RADIOLOGY 90 503 $206,978 $411 0.2% 0.0% (805) 737-8700
66 KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA DIAGNOSTIC RADIOLOGY 101 497 $185,866 $374 0.2% 0.0% (559) 624-6090
67 PETERSON MEDICAL ASSOCIATES KERRVILLE TX DIAGNOSTIC RADIOLOGY 188 491 $209,014 $426 12.1% 0.1% (830) 258-7090
68 ROCKFORD HEALTH PHYSICIANS ROCKFORD IL DIAGNOSTIC RADIOLOGY 516 484 $85,093 $176 13.4% 0.1% (815) 971-2000
69 MONTROSE MEMORIAL HOSPITAL, INC MONTROSE CO DIAGNOSTIC RADIOLOGY 140 432 $192,853 $446 — 0.2% (970) 252-2691
70 KINGMAN HEALTHCARE INC KINGMAN AZ DIAGNOSTIC RADIOLOGY 178 418 $193,931 $464 26.2% 0.1% (928) 263-4722
71 THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION FORT DEFIANCE AZ DIAGNOSTIC RADIOLOGY 153 418 $159,733 $382 26.2% 0.1% —
72 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO MO DIAGNOSTIC RADIOLOGY 2057 404 $227,124 $562 — 0.3% (800) 926-8273
73 DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC CLYDE NC DIAGNOSTIC RADIOLOGY 185 402 $118,861 $296 23.3% 0.1% (828) 452-8651
74 ENLOE MEDICAL CENTER CHICO PA DIAGNOSTIC RADIOLOGY 362 388 $143,688 $370 1.3% 0.1% (530) 332-4470
75 ST MARYS HOSPITAL CENTRALIA ILLINOIS CENTRALIA IL DIAGNOSTIC RADIOLOGY 117 382 $114,600 $300 10.5% 0.1% (618) 436-8000
76 MEDICAL MULTISPECIALTY ASSOCIATION PA FAIR LAWN NJ DIAGNOSTIC RADIOLOGY 5 376 $75,756 $201 5.8% 0.1% (201) 796-9200
77 MEDICAL FOUNDATION INC MERIDIAN MS DIAGNOSTIC RADIOLOGY 198 375 $71,932 $192 — 0.5% (601) 484-6700
78 COLUMBIA MEMORIAL HOSPITAL HUDSON NY DIAGNOSTIC RADIOLOGY 173 374 $88,875 $238 0.6% 0.1% —
79 FLORIDA HOSPITAL MEDICAL GROUP INC ORLANDO FL DIAGNOSTIC RADIOLOGY 321 373 $164,432 $441 5.2% 0.0% (407) 303-5600
80 RADIOLOGY AND IMAGING SPECIALISTS OF LAKELAND LAKELAND FL DIAGNOSTIC RADIOLOGY 71 369 $133,578 $362 5.1% 0.0% (863) 687-1100
81 SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD CA DIAGNOSTIC RADIOLOGY 89 351 $148,501 $423 0.1% 0.0% —
82 JACKSON MADISON COUNTY GENERAL HOSPITAL JACKSON VA DIAGNOSTIC RADIOLOGY 54 347 $108,099 $312 18.4% 0.1% (731) 541-5000
83 MSK MONMOUTH MIDDLETOWN NY DIAGNOSTIC RADIOLOGY 306 345 $251,850 $730 0.6% 0.1% (908) 542-3007
84 SCOTLAND MEMORIAL HOSPITAL, INC LAURINBURG NC DIAGNOSTIC RADIOLOGY 264 339 $118,110 $348 19.6% 0.1% (856) 848-3227
85 GUAM HEALTHCARE DEVELOPMENT INCORPORATED DEDEDO TN DIAGNOSTIC RADIOLOGY 210 335 $193,158 $577 — 0.2% (671) 645-5500
86 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON ME DIAGNOSTIC RADIOLOGY 3532 335 $144,182 $430 — 0.8% (617) 724-0287
87 MAWAN SHUAYTO MD PC PORT HURON MI DIAGNOSTIC RADIOLOGY 9 328 $150,880 $460 7.9% 0.1% (810) 989-0000
88 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE NC DIAGNOSTIC RADIOLOGY 154 324 $126,240 $390 18.8% 0.1% (828) 262-4100
89 NEW YORK UNIVERSITY NEW YORK CA DIAGNOSTIC RADIOLOGY 5704 320 $217,559 $680 0.1% 0.0% (212) 263-9700
90 COLONIAL FAMILY PRACTICE LLC SUMTER SC DIAGNOSTIC RADIOLOGY 57 316 $132,796 $420 — 0.2% (803) 773-5227
91 DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER GALLUP NM DIAGNOSTIC RADIOLOGY 190 310 $124,891 $403 — 0.4% (505) 722-1000
92 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO LA DIAGNOSTIC RADIOLOGY 1842 305 $235,765 $773 — 0.2% (415) 476-4029
93 SALEM CLINIC PC SALEM OR DIAGNOSTIC RADIOLOGY 102 303 $137,259 $453 — 0.2% (503) 399-2424
94 HOLYOKE MEDICAL CENTER INC HOLYOKE MA DIAGNOSTIC RADIOLOGY 201 302 $96,923 $321 0.9% 0.1% (413) 534-2546
95 FREEPORT MEMORIAL HOSPITAL FREEPORT IL DIAGNOSTIC RADIOLOGY 131 297 $95,634 $322 8.2% 0.1% (815) 599-6000
96 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON IL DIAGNOSTIC RADIOLOGY 3532 294 $228,435 $777 8.1% 0.1% (617) 724-0287
97 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON NY DIAGNOSTIC RADIOLOGY 3532 291 $217,235 $747 0.5% 0.0% (617) 724-0287
98 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO NY DIAGNOSTIC RADIOLOGY 1842 285 $220,305 $773 0.5% 0.0% (415) 476-4029
99 MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION COMPTON CA DIAGNOSTIC RADIOLOGY 205 284 $152,409 $537 0.1% 0.0% —
100 MSU HEALTH CARE INC. EAST LANSING MI DIAGNOSTIC RADIOLOGY 217 282 $65,388 $232 6.8% 0.1% —

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 →