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Market snapshot

99215 in CA 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
1,637
Named-group FFS services
1,168,587
FFS of Medicare
49%
Services YoY
+9.4%
FFS enrollment +0.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,370,907 services

1,168,587 observed fee-for-service (49%) · ~1,202,320 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

Named-group submitted charges
$598.1M
Named-group allowed amount
$210.5M
Named-group Medicare payments
$156.2M
Avg charge / svc
$512
Avg allowed / svc
$180
Avg payment / svc
$134
Average charge per group
$80 1,637 groups · avg submitted charge / service $1,935
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99215 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTO INTERNAL MEDICINE 3716 91,099 $46,247,063 $508 5.0% (415) 600-1020
2 STANFORD HEALTH CARE STANFORD DIAGNOSTIC RADIOLOGY 3039 82,328 $44,807,564 $544 4.6% (650) 723-4000
3 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES INTERNAL MEDICINE 1424 57,931 $55,611,187 $960 3.2% (310) 825-7922
4 SCRIPPS HEALTH LA JOLLA PHYSICIAN ASSISTANT 1431 52,537 $25,815,241 $491 2.9% (858) 455-9100
5 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO DIAGNOSTIC RADIOLOGY 2057 44,822 $24,158,747 $539 2.5% (800) 926-8273
6 CITY OF HOPE MEDICAL FOUNDATION DUARTE NURSE PRACTITIONER 942 44,016 $19,493,651 $443 2.4% (626) 256-4673
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO DIAGNOSTIC RADIOLOGY 2420 39,445 $18,985,337 $481 2.2% (916) 681-8852
8 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES PHYSICIAN ASSISTANT 1699 28,593 $19,236,185 $673 1.6% (310) 423-0674
9 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM DIAGNOSTIC RADIOLOGY 1197 25,644 $16,714,687 $652 1.4% (916) 983-7476
10 PROVIDENCE MEDICAL FOUNDATION FULLERTON PHYSICIAN ASSISTANT 1455 22,907 $12,920,739 $564 1.3% (714) 871-3006
11 UC REGENTS ORANGE INTERNAL MEDICINE 296 19,958 $13,742,102 $689 1.1% (714) 456-7002
12 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK FAMILY PRACTICE 489 19,522 $8,210,776 $421 1.1% (925) 296-9720
13 EISENHOWER MEDICAL CENTER RANCHO MIRAGE NURSE PRACTITIONER 457 18,848 $6,562,382 $348 1.0% (760) 340-3911
14 USC CARE MEDICAL GROUP INC LOS ANGELES DIAGNOSTIC RADIOLOGY 1374 17,286 $9,289,989 $537 1.0% (800) 872-2273
15 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1842 15,608 $12,042,316 $772 0.9% (415) 476-4029
16 REGENTS OF THE UNIV OF CA SACRAMENTO DIAGNOSTIC RADIOLOGY 1608 15,313 $10,695,165 $698 0.8% (877) 827-7463
17 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTON INTERNAL MEDICINE 332 12,238 $6,630,692 $542 0.7% (925) 462-7060
18 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1548 10,734 $8,248,904 $768 0.6% (415) 476-1000
19 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA PHYSICIAN ASSISTANT 287 9,237 $7,696,913 $833 0.5% (310) 829-6789
20 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA PHYSICIAN ASSISTANT 249 8,939 $3,683,529 $412 0.5% (805) 349-8514
21 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD NURSE PRACTITIONER 802 8,837 $4,413,470 $499 0.5% (310) 423-3277
22 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE PHYSICIAN ASSISTANT 199 7,541 $4,733,312 $628 0.4% (408) 871-3400
23 BASS MEDICAL GROUP WALNUT CREEK OTOLARYNGOLOGY 318 7,437 $4,571,983 $615 0.4% —
24 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA DIAGNOSTIC RADIOLOGY 1317 7,261 $3,344,692 $461 0.4% —
25 UC SAN DIEGO HEALTH COMMUNITY GROUP SAN DIEGO PHYSICIAN ASSISTANT 110 6,778 $3,832,430 $565 0.4% (800) 926-8273
26 SANSUM CLINIC SANTA BARBARA INTERNAL MEDICINE 322 6,526 $3,089,976 $473 0.4% (805) 681-7500
27 ENLOE SPECIALTY PHYSICIANS, INC CHICO PHYSICIAN ASSISTANT 26 5,958 $1,945,188 $326 0.3% (530) 332-3808
28 PROSTATE ONCOLOGY SPECIALISTS, INC. MARINA DEL REY HEMATOLOGY/ONCOLOGY 3 5,780 $1,878,500 $325 0.3% (310) 827-7707
29 CABRILLO CARDIOLOGY MEDICAL GROUP INC OXNARD CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 5,559 $1,667,590 $300 0.3% (805) 351-8212
30 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNO HEMATOLOGY/ONCOLOGY 62 5,412 $3,019,932 $558 0.3% (559) 326-1222
31 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO PHYSICIAN ASSISTANT 277 5,164 $3,899,243 $755 0.3% (415) 476-1000
32 IAN PURCELL, MD, APC SAN DIEGO NEUROLOGY 4 4,995 $1,123,875 $225 0.3% (858) 223-2172
33 HOAG CLINIC NEWPORT BEACH PHYSICIAN ASSISTANT 436 4,866 $1,976,130 $406 0.3% (949) 791-3370
34 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTO FAMILY PRACTICE 561 4,606 $3,154,165 $685 0.3% (916) 734-7777
35 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD NURSE PRACTITIONER 651 4,437 $1,810,627 $408 0.2% (559) 583-4695
36 REGENTS OF THE UNIVERSITY OF CLAIFORNIA UNIV NEURSCIENCES ORANGE NEUROLOGY 75 4,359 $2,916,289 $669 0.2% (714) 456-7004
37 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES NEUROLOGY 102 4,172 $3,565,499 $855 0.2% —
38 MONTAGE MEDICAL GROUP MONTEREY FAMILY PRACTICE 125 4,013 $1,168,838 $291 0.2% (831) 718-9701
39 RENAL CONSULTANTS MEDICAL GROUP NEWHALL NEPHROLOGY 8 3,989 $1,077,090 $270 0.2% (661) 254-0193
40 ENLOE MEDICAL CENTER CHICO DIAGNOSTIC RADIOLOGY 362 3,886 $1,261,508 $325 0.2% (530) 332-4470
41 EPIC CARE PLEASANT HILL HEMATOLOGY/ONCOLOGY 54 3,825 $2,289,924 $599 0.2% (925) 687-2570
42 COMMUNITY HEALTH PARTNERS FRESNO INTERNAL MEDICINE 509 3,787 $1,906,559 $503 0.2% (559) 459-6000
43 TORRANCE HEALTH ASSOCIATION INC TORRANCE FAMILY PRACTICE 298 3,775 $1,132,151 $300 0.2% (310) 257-7260
44 MEMORIALCARE MEDICAL FOUNDATION LONG BEACH FAMILY PRACTICE 549 3,685 $1,490,852 $405 0.2% (562) 346-2222
45 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD NEUROLOGY 44 3,539 $1,325,986 $375 0.2% (760) 631-3000
46 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 3,528 $1,411,200 $400 0.2% (310) 278-3400
47 PROVIDENCE MEDICAL INSTITUTE TORRANCE INTERNAL MEDICINE 339 3,493 $1,807,938 $518 0.2% (310) 303-7496
48 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO PHYSICIAN ASSISTANT 872 3,352 $1,601,858 $478 0.2% (858) 499-2600
49 WEST COAST KIDNEY WALNUT CREEK NEPHROLOGY 55 3,196 $1,385,686 $434 0.2% (925) 944-0351
50 SANDEEP THAKKAR DO A PROFESSIONAL CORPORATION IRVINE PHYSICIAN ASSISTANT 4 3,143 $785,450 $250 0.2% —
51 MICHAEL P SHERMAN MD PHD A MEDICAL CORPORATION WALNUT CREEK HEMATOLOGY/ONCOLOGY 13 3,105 $962,740 $310 0.2% (925) 939-9610
52 CENTRIC HEALTH BAKERSFIELD INTERNAL MEDICINE 63 3,103 $941,944 $304 0.2% —
53 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES SANTA MONICA OBSTETRICS/GYNECOLOGY 80 3,070 $2,967,530 $967 0.2% (310) 319-5098
54 JAY N SCHAPIRA M D INC A PROFESSIONAL CORPORATION LOS ANGELES CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 2,987 $1,791,620 $600 0.2% (310) 659-2030
55 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELES HEMATOLOGY/ONCOLOGY 51 2,971 $1,539,392 $518 0.2% (213) 977-1214
56 STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC STOCKTON CARDIOVASCULAR DISEASE (CARDIOLOGY) 14 2,947 $681,505 $231 0.2% —
57 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH INTERNAL MEDICINE 228 2,913 $980,864 $337 0.2% (562) 495-4952
58 NEWPORT NEUROHOSPITALIST MEDICAL GROUP, INC Newport Beach NEUROLOGY 7 2,689 $809,050 $301 0.1% —
59 SCRIPPS CARDIOLOGY MEDICAL GROUP, INC. LA JOLLA CARDIOVASCULAR DISEASE (CARDIOLOGY) 18 2,621 $809,076 $309 0.1% (858) 457-4123
60 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGE FAMILY PRACTICE 65 2,480 $1,981,070 $799 0.1% (714) 456-7002
61 SONORA COMMUNITY HOSPITAL SONORA PHYSICIAN ASSISTANT 139 2,349 $671,267 $286 0.1% —
62 DAVID B. HAMMER TEMPLETON FAMILY PRACTICE 112 2,298 $580,058 $252 0.1% —
63 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS PHYSICIAN ASSISTANT 148 2,293 $820,415 $358 0.1% —
64 MONTEREY BAY ONCOLOGY A MEDICAL CORPORATION MONTEREY HEMATOLOGY/ONCOLOGY 10 2,272 $1,083,744 $477 0.1% (831) 375-4105
65 PIH HEALTH PHYSICIANS WHITTIER INTERNAL MEDICINE 606 2,239 $1,105,763 $494 0.1% (562) 698-0811
66 DIGNITY HEALTH REDDING FAMILY PRACTICE 87 2,224 $515,423 $232 0.1% (530) 245-2900
67 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIA OPHTHALMOLOGY 116 2,167 $2,093,598 $966 0.1% (323) 442-7122
68 PRIVATE PHYSICIANS MEDICAL ASSOCIATES NEWPORT BEACH INTERNAL MEDICINE 4 2,131 $591,585 $278 0.1% (949) 566-8179
69 COUNTY OF SANTA CLARA SAN JOSE INTERNAL MEDICINE 1001 2,112 $1,278,205 $605 0.1% (408) 885-5000
70 ELAYNE K GARBER MD A MEDICAL CORPORATION LOS ANGELES RHEUMATOLOGY 2 2,109 $488,265 $232 0.1% (310) 854-3539
71 CANCER AND BLOOD SPECIALTY CLINIC LOS ALAMITOS HEMATOLOGY/ONCOLOGY 17 2,108 $859,280 $408 0.1% (562) 598-9745
72 DESERT HEMATOLOGY-ONCOLOGY MEDICAL GROUP INC RANCHO MIRAGE HEMATOLOGY/ONCOLOGY 10 2,084 $979,333 $470 0.1% (760) 568-3613
73 RAVI PATEL M D INC BAKERSFIELD HEMATOLOGY/ONCOLOGY 20 1,999 $1,137,431 $569 0.1% (661) 322-2206
74 ANTELOPE VALLEY CARDIOLOGY ASSOCIATES LANCASTER CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 1,994 $641,280 $322 0.1% (661) 674-4222
75 PALOMA MEDICAL GROUP INC SAN JUAN CAPISTRANO PULMONARY DISEASE 13 1,991 $852,814 $428 0.1% (949) 443-4303
76 COAST PULMONARY AND INTERNAL MEDICINE ASSOCIATES FOUNTAIN VALLEY PHYSICAL MEDICINE AND REHABILITATION 2 1,898 $408,460 $215 0.1% (714) 545-8700
77 CENTER FOR ADVANCED CARDIAC AND VASCULAR INTERVENTIONS TARZANA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 1,897 $668,472 $352 0.1% (818) 905-5904
78 SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC SAN DIEGO INTERNAL MEDICINE 205 1,886 $786,276 $417 0.1% (619) 294-8111
79 WASHINGTON TOWNSHIP MEDICAL FOUNDATION FREMONT CRITICAL CARE (INTENSIVISTS) 120 1,869 $901,510 $482 0.1% (510) 248-1000
80 SVMHS CLINICS SALINAS PHYSICIAN ASSISTANT 245 1,847 $624,357 $338 0.1% (831) 422-3636
81 FAMILY CHOICE ACO INC WESTMINSTER FAMILY PRACTICE 62 1,639 $503,530 $307 0.1% (714) 898-0765
82 PEREZ SALEHY MEDICAL APC THOUSAND OAKS INTERNAL MEDICINE 2 1,636 $647,234 $396 0.1% (805) 309-0525
83 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES INTERNAL MEDICINE 11157 1,634 $881,361 $539 0.1% (800) 954-8000
84 AHURA HEALTHCARE CORPORATION CORONA ANESTHESIOLOGY 3 1,634 $432,058 $264 0.1% (888) 873-6220
85 NEWPORT HUNTINGTON MEDICAL GROUP HUNTINGTON BEACH RHEUMATOLOGY 5 1,624 $535,935 $330 0.1% (714) 378-2421
86 NARAGHI AND NAIM MEDICAL PARTNERSHIP BEVERLY HILLS PULMONARY DISEASE 2 1,619 $809,200 $500 0.1% (310) 691-1138
87 SOUTHERN CALIFORNIA KIDNEY ASSOCIATES INC NEWPORT BEACH NEPHROLOGY 6 1,582 $637,827 $403 0.1% (949) 642-4974
88 HENRY TANG D O INC SIMI VALLEY NEUROLOGY 2 1,545 $540,090 $350 0.1% (805) 579-9999
89 ARCH HEALTH PARTNERS INC POWAY PHYSICIAN ASSISTANT 161 1,533 $753,671 $492 0.1% (858) 485-0050
90 COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY EMERGENCY MEDICINE 141 1,529 $504,015 $330 0.1% (831) 624-5311
91 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJO PHYSICIAN ASSISTANT 16 1,527 $427,825 $280 0.1% (949) 348-4000
92 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES UROLOGY 48 1,466 $1,410,894 $962 0.1% (310) 794-8492
93 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO INTERVENTIONAL CARDIOLOGY 169 1,461 $535,263 $366 0.1% (210) 575-8289
94 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEK ORTHOPEDIC SURGERY 190 1,440 $918,720 $638 0.1% (925) 939-8585
95 COMMUNITY MEMORIAL HEALTH SYSTEM VENTURA FAMILY PRACTICE 190 1,421 $325,339 $229 0.1% (805) 652-5011
96 ANNA STEINER MEDICAL, INC. FOUNTAIN VALLEY CHIROPRACTIC 3 1,406 $421,800 $300 0.1% (714) 965-5145
97 MARIN CANCER CARE, INC. GREENBRAE MEDICAL ONCOLOGY 13 1,396 $579,460 $415 0.1% (415) 925-5000
98 JEFFREY E GALPIN MD INC TARZANA INTERNAL MEDICINE 2 1,393 $606,257 $435 0.1% (818) 344-6111
99 MICHAEL K LAI M D INC SANTA MARIA ENDOCRINOLOGY 2 1,390 $560,300 $403 0.1% (805) 349-8972
100 MEMORIAL CARDIOLOGY MEDICAL GROUP INC LONG BEACH CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 1,351 $408,813 $303 0.1% (562) 595-8671

Showing the top 100 of 1,637 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 →