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Market snapshot

99221 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99221 — Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes

Billing groups
2,797
Named-group FFS services
388,453
FFS of Medicare
49%
Services YoY
-8.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~785,962 services

388,453 observed fee-for-service (49%) · ~397,509 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 — 99221 (CY2024)
NY 53,954 FL 53,043 PA 37,816 TX 32,356 CA 28,962

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

Named-group submitted charges
$110.0M
Named-group allowed amount
$30.5M
Named-group Medicare payments
$23.8M
Avg charge / svc
$283
Avg allowed / svc
$79
Avg payment / svc
$61
Average charge per group
$66 2,797 groups · avg submitted charge / service $2,258
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99221 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 6,231 $2,881,224 $462 11.5% —
2 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 4,066 $1,044,526 $257 7.7% (407) 200-2700
3 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 3,018 $1,832,793 $607 5.6% (212) 263-9700
4 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 3,004 $714,645 $238 7.9% —
5 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 2,700 $526,436 $195 9.5% —
6 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 2,687 $673,164 $251 7.1% —
7 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 2,504 $610,235 $244 8.8% (847) 459-1160
8 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 2,254 $1,453,471 $645 7.9% —
9 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 2,246 $511,273 $228 5.9% (570) 271-6144
10 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 2,216 $446,820 $202 5.9% —
11 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 2,111 $1,795,945 $851 3.9% (866) 633-8255
12 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 2,086 $1,243,891 $596 3.9% (904) 953-2000
13 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 2,083 $765,175 $367 7.2% (650) 723-4000
14 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 1,964 $617,978 $315 6.9% —
15 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 1,936 $373,204 $193 15.2% (502) 928-1050
16 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,822 $409,382 $225 6.4% —
17 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 1,660 $588,246 $354 3.1% —
18 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 1,644 $398,870 $243 6.4% (856) 247-7260
19 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,617 $669,976 $414 29.1% (507) 284-2511
20 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 1,612 $557,250 $346 15.4% (203) 688-4242
21 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 1,565 $423,487 $271 6.1% (732) 362-3663
22 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 1,515 $518,611 $342 30.4% —
23 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 1,515 $652,209 $431 17.1% (414) 421-8400
24 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 1,468 $575,756 $392 4.5% (713) 592-5433
25 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 1,423 $221,827 $156 5.0% —
26 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 1,337 $524,633 $392 2.5% (212) 241-4812
27 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 1,327 $489,077 $369 2.5% (239) 343-9888
28 ALBANY MEDICAL COLLEGE ALBANY NY PHYSICIAN ASSISTANT 1070 1,304 $389,896 $299 2.4% (518) 262-3277
29 CONSULTANTS IN GASTROENTEROLOGY PA WEST COLUMBIA SC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 37 1,281 $256,200 $200 12.0% (803) 794-4585
30 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,246 $505,427 $406 7.0% (617) 732-5500
31 NEW YORK QUEENS MEDICINE AND SURGERY, P.C. FLUSHING NY PHYSICIAN ASSISTANT 408 1,244 $487,648 $392 2.3% (718) 670-2468
32 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 1,238 $409,111 $330 3.8% (817) 281-2977
33 GENERAL EMERGENCY PHYSICIANS INC NORTH LITTLE ROCK AR FAMILY PRACTICE 16 1,232 $279,664 $227 16.6% (877) 918-7020
34 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 1,208 $200,184 $166 67.1% (801) 261-8346
35 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 1,184 $301,890 $255 2.2% (386) 231-6000
36 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 1,148 $274,975 $240 8.0% (314) 747-3000
37 STEPHEN VELUZ MD, LLC CHESTERFIELD MO INTERNAL MEDICINE 2 1,140 $142,500 $125 7.9% —
38 ST JOHN'S MEDICAL SERVICES PC FAR ROCKAWAY NY PSYCHIATRY 97 1,139 $395,612 $347 2.1% (718) 869-7919
39 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 1,105 $367,146 $332 6.2% (508) 334-1000
40 GENESISCARE USA OF FLORIDA LLC CAPE CORAL FL UROLOGY 175 1,103 $357,011 $324 2.1% —
41 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,100 $375,215 $341 3.8% (415) 600-1020
42 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 1,086 $285,700 $263 8.3% (770) 422-2004
43 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 1,085 $314,976 $290 8.0% (804) 828-9000
44 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIA PA UROLOGY 145 1,082 $224,833 $208 2.9% (610) 579-3577
45 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 1,058 $253,090 $239 3.7% (309) 683-5050
46 PHYSICIANS OF UNIVERSITY HOSPITAL PC STATEN ISLAND NY INTERNAL MEDICINE 57 1,042 $292,802 $281 1.9% —
47 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 1,031 $256,643 $249 9.3% (910) 296-0941
48 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 1,015 $336,980 $332 4.0% (973) 971-5596
49 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 1,010 $345,450 $342 3.1% (214) 633-5555
50 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD NY UROLOGY 98 1,001 $290,330 $290 1.9% (516) 520-8080
51 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC TAMPA FL NURSE PRACTITIONER 814 997 $305,362 $306 1.9% —
52 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 989 $230,339 $233 43.5% (207) 885-9905
53 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 984 $244,885 $249 8.3% —
54 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 983 $506,355 $515 13.2% (800) 603-0558
55 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 970 $247,353 $255 1.8% (813) 615-7075
56 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 969 $238,235 $246 9.2% —
57 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 961 $391,127 $407 5.4% (617) 724-0287
58 NASSAU HEALTH CARE CORPORATION EAST MEADOW NY INTERNAL MEDICINE 180 958 $313,669 $327 1.8% (516) 486-6862
59 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 936 $258,521 $276 1.8% (407) 896-1100
60 HATTIESBURG CLINIC PA HATTIESBURG MS FAMILY PRACTICE 530 935 $159,811 $171 11.5% (601) 264-6000
61 HEARTLAND REGIONAL MEDICAL CENTER SAINT JOSEPH MO NURSE PRACTITIONER 387 927 $226,724 $245 6.5% (816) 271-6870
62 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTER PA PHYSICIAN ASSISTANT 259 926 $141,978 $153 2.4% (717) 869-4600
63 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 899 $164,977 $184 13.9% (785) 354-9591
64 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 895 $169,124 $189 3.1% (630) 933-4800
65 CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HEIGHTS OH PHYSICIAN ASSISTANT 91 894 $559,845 $626 3.1% (440) 449-4500
66 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 879 $171,265 $195 20.0% (304) 388-5432
67 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 864 $224,969 $260 2.7% —
68 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 861 $381,789 $443 3.4% —
69 COOPER SURGICAL ASSOCIATES, PA CAMDEN NJ PHYSICIAN ASSISTANT 303 854 $233,426 $273 3.3% (856) 270-4100
70 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 853 $134,936 $158 6.5% —
71 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 847 $262,625 $310 1.6% (352) 265-8990
72 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 846 $261,474 $309 6.5% (404) 778-7525
73 ATLANTIC SHORE SURGICAL ASSOCIATES, PC BRICK NJ GENERAL SURGERY 16 845 $1,907,942 $2,258 3.3% (732) 701-4848
74 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 844 $249,985 $296 2.9% —
75 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 826 $268,908 $326 7.7% (843) 792-1414
76 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 821 $223,244 $272 2.5% (713) 566-5000
77 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VA NURSE PRACTITIONER 352 811 $231,850 $286 5.9% (804) 764-6000
78 VELLORE R RAMAKRISHNAN M.D., P.C. LIVONIA MI VASCULAR SURGERY 3 807 $145,305 $180 5.3% (734) 462-8401
79 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 799 $231,897 $290 6.7% (410) 502-4340
80 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 793 $174,352 $220 2.1% —
81 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 786 $140,974 $179 2.8% —
82 GOOD SHEPHERD HOSPICE FARMINGDALE NY NURSE PRACTITIONER 9 786 $220,866 $281 1.5% (631) 828-7415
83 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 764 $317,974 $416 1.4% —
84 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 746 $141,580 $190 5.7% —
85 EAST CAROLINA UNIVERSITY GREENVILLE NC NURSE PRACTITIONER 491 734 $160,632 $219 6.6% (252) 744-1406
86 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 723 $195,410 $270 6.5% (336) 713-9800
87 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 722 $185,054 $256 5.3% —
88 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 717 $207,930 $290 29.2% (701) 234-2000
89 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 710 $139,599 $197 6.6% —
90 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 699 $227,030 $325 5.5% (502) 937-2209
91 FREDERICK HEALTH MEDICAL GROUP LLC FREDERICK MD PHYSICIAN ASSISTANT 202 698 $113,774 $163 5.9% (240) 215-6310
92 HEALTH SERVICES OF CENTRAL GEORGIA MACON GA NURSE PRACTITIONER 286 694 $201,675 $291 5.3% (478) 738-0404
93 MVHS INC UTICA NY NURSE PRACTITIONER 322 692 $107,220 $155 1.3% (315) 625-6000
94 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 687 $135,119 $197 2.1% (254) 724-2663
95 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 677 $217,234 $321 2.3% (916) 681-8852
96 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 676 $140,704 $208 1.3% (863) 603-6565
97 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 676 $143,312 $212 13.5% (302) 645-3525
98 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 664 $276,687 $417 2.3% (916) 983-7476
99 SAINT THOMAS MEDICAL PARTNERS NASHVILLE TN NURSE PRACTITIONER 591 663 $127,959 $193 6.1% (615) 269-4545
100 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 662 $116,770 $176 1.8% (215) 456-8242

Showing the top 100 of 2,797 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 →