NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99222 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99222 — Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes

Billing groups
8,438
Named-group FFS services
3,600,083
FFS of Medicare
49%
Services YoY
-1.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,345,099 services

3,600,083 observed fee-for-service (49%) · ~3,745,016 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; 5 states without payer-mix data excluded. How we scale

Top states — 99222 (CY2024)

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

Named-group submitted charges
$1.3B
Named-group allowed amount
$454.0M
Named-group Medicare payments
$353.9M
Avg charge / svc
$366
Avg allowed / svc
$126
Avg payment / svc
$98
Average charge per group
$78 8,438 groups · avg submitted charge / service $3,600
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99222 services, CY2024
#Physician group City St Specialty Providers 99222 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 28,805 $17,307,404 $601 premium 7.0%
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 26,493 $22,896,318 $864 premium 6.4% (212) 263-9700
3 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 18,688 $5,780,149 $309 premium 6.9% (856) 247-7260
4 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 17,442 $5,230,050 $300 premium 5.3%
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 17,056 $7,948,956 $466 premium 6.2%
6 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 16,795 $5,156,988 $307 premium 6.1%
7 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 13,785 $4,321,857 $314 premium 4.2% (570) 271-6144
8 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 13,777 $6,520,544 $473 premium 3.3%
9 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 13,642 $5,707,610 $418 premium 5.0% (732) 362-3663
10 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 13,141 $3,239,070 $246 premium 5.8%
11 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 13,056 $5,817,621 $446 premium 3.4% (817) 281-2977
12 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 12,913 $11,924,438 $923 premium 5.7%
13 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 12,812 $5,051,403 $394 premium 2.3% (407) 896-1100
14 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 12,502 $3,967,072 $317 premium 4.5% (847) 459-1160
15 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 11,846 $5,830,429 $492 premium 2.1% (239) 343-9888
16 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 11,526 $6,401,979 $555 premium 11.1% (615) 322-5000
17 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 11,453 $3,112,778 $272 premium 3.5%
18 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 11,108 $3,932,177 $354 premium 8.8% (770) 422-2004
19 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 11,090 $2,876,408 $259 premium 11.5% (502) 928-1050
20 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 11,010 $2,865,370 $260 premium 55.6% (801) 261-8346
21 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 10,870 $3,698,428 $340 premium 3.3%
22 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 9,819 $3,525,424 $359 premium 7.2%
23 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 9,678 $3,787,244 $391 premium 2.7% (714) 871-3006
24 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 9,564 $5,441,644 $569 premium 15.0% (612) 863-4000
25 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 9,560 $3,804,173 $398 premium 2.9% (215) 662-2777
26 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 9,215 $4,134,363 $449 premium 6.1% (508) 334-1000
27 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 9,169 $3,674,301 $401 premium 1.6% (407) 200-2700
28 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 8,777 $3,794,594 $432 premium 3.2% (973) 971-5596
29 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 8,641 $3,044,745 $352 premium 2.3%
30 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 8,636 $2,223,074 $257 premium 3.1% (630) 933-4800
31 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 8,363 $3,067,289 $367 premium 3.0% (309) 683-5050
32 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 7,996 $2,029,247 $254 premium 5.9%
33 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 7,965 $3,625,651 $455 premium 5.8% (314) 747-3000
34 HONORHEALTH AMBULATORY SCOTTSDALE AZ PHYSICIAN ASSISTANT 601 7,961 $2,920,352 $367 premium 8.3%
35 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 7,834 $2,612,341 $333 premium 11.5%
36 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 7,625 $4,001,907 $525 premium 1.8% (212) 241-4812
37 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 7,587 $2,002,968 $264 premium 5.6% (434) 947-3033
38 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 7,562 $2,204,600 $292 premium 3.3% (248) 898-5058
39 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 7,551 $4,023,714 $533 premium 2.1% (650) 723-4000
40 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 7,515 $2,461,451 $328 premium 1.3%
41 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 7,495 $5,126,465 $684 premium 2.8%
42 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 7,327 $2,179,309 $297 premium 1.9% (903) 606-5560
43 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 7,305 $2,108,015 $289 premium 2.2%
44 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 7,249 $3,162,692 $436 premium 7.5% (502) 937-2209
45 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 7,223 $1,934,473 $268 premium 3.2%
46 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 7,112 $1,715,291 $241 premium 5.8%
47 ID CARE LLC HILLSBOROUGH NJ INFECTIOUS DISEASE 121 7,103 $1,946,298 $274 premium 2.6% (908) 281-0221
48 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 6,976 $1,985,329 $285 premium 1.3%
49 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 6,891 $3,655,007 $530 premium 1.8% (713) 592-5433
50 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 6,801 $7,514,948 $1,105 premium 1.6% (866) 633-8255
51 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 6,762 $2,740,451 $405 premium 1.6% (631) 444-1560
52 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 6,759 $2,499,375 $370 premium 2.0%
53 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 6,729 $2,959,385 $440 premium 19.7%
54 SUMMIT MEDICAL GROUP PA BERKELEY HEIGHTS NJ PHYSICIAN ASSISTANT 1183 6,722 $2,260,490 $336 premium 2.5% (908) 273-4300
55 SOUTHWEST SUFFOLK MEDICAL PC WEST ISLIP NY INTERNAL MEDICINE 198 6,642 $2,984,425 $449 premium 1.6% (631) 376-3000
56 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 6,581 $3,500,284 $532 premium 8.9% (608) 287-2050
57 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 6,563 $1,931,642 $294 premium 2.0% (484) 526-2400
58 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 6,410 $2,138,015 $334 premium 4.3%
59 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 6,377 $3,845,168 $603 premium 8.6% (414) 421-8400
60 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 6,305 $1,352,419 $214 premium 5.2%
61 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 6,221 $2,879,641 $463 premium 1.6% (214) 633-5555
62 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 6,115 $1,521,743 $249 premium 11.1% (785) 354-9591
63 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 6,107 $1,896,925 $311 premium 7.7% (803) 744-4900
64 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 6,084 $1,495,909 $246 premium 1.8%
65 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 6,038 $2,634,433 $436 premium 1.1% (727) 725-5060
66 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 6,025 $2,622,110 $435 premium 4.0% (508) 973-5919
67 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 6,007 $1,551,318 $258 premium 1.1% (813) 910-8708
68 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 6,004 $2,269,802 $378 premium 1.1% (786) 662-0600
69 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 5,970 $3,342,064 $560 premium 1.7% (877) 827-7463
70 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 5,949 $1,774,106 $298 premium 2.6% (616) 885-5000
71 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 5,888 $1,332,331 $226 premium 2.6%
72 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 5,868 $1,583,197 $270 premium 1.5% (254) 724-2663
73 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 5,849 $2,686,278 $459 premium 1.6% (415) 600-1020
74 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS TX GASTROENTEROLOGY 613 5,835 $1,636,790 $281 premium 1.5%
75 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 5,787 $2,392,653 $413 premium 3.9%
76 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 5,777 $2,518,974 $436 premium 2.1%
77 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 5,661 $1,940,755 $343 premium 4.1%
78 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 5,660 $2,216,014 $392 premium 1.0% (813) 615-7075
79 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 5,629 $1,885,387 $335 premium 5.8% (502) 629-2398
80 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 5,606 $1,486,599 $265 premium 1.5% (713) 242-2222
81 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 5,586 $2,340,425 $419 premium 2.5% (313) 916-2600
82 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 5,535 $3,093,171 $559 premium 1.5% (916) 983-7476
83 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 5,480 $1,413,595 $258 premium 4.5% (260) 425-5900
84 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 5,410 $1,520,498 $281 premium 4.4% (219) 836-4563
85 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 5,326 $1,305,663 $245 premium 2.0% (844) 542-2273
86 NORTH ATLANTA PROFESSIONAL SERVICES LLC ATLANTA GA INTERNAL MEDICINE 427 5,307 $2,080,612 $392 premium 4.2% (404) 851-8000
87 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 5,302 $1,727,616 $326 premium 1.6%
88 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 5,294 $1,415,227 $267 premium 1.0% (321) 434-8878
89 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 5,273 $3,058,296 $580 premium 10.6% (319) 678-8201
90 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 5,273 $2,252,220 $427 premium 1.5% (925) 296-9720
91 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 5,260 $2,845,481 $541 premium 3.5% (617) 732-5500
92 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 5,252 $1,456,228 $277 premium 6.7%
93 NUVANCE HEALTH MEDICAL PRACTICE CT INC DANBURY CT PHYSICIAN ASSISTANT 748 5,217 $2,058,760 $395 premium 7.6% (203) 739-7118
94 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 5,184 $2,469,465 $476 premium 0.9% (352) 265-8990
95 NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES PA JACKSONVILLE FL PHYSICIAN ASSISTANT 82 5,088 $1,218,110 $239 premium 0.9% (904) 384-2240
96 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 4,957 $2,283,653 $461 premium 0.9% (772) 223-5665
97 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 4,945 $1,938,848 $392 premium 0.9% (386) 231-6000
98 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 4,928 $1,956,984 $397 premium 2.2% (734) 763-5459
99 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 4,876 $1,777,274 $364 premium 1.2% (718) 616-5356
100 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 4,867 $1,384,313 $284 premium 2.2%

Showing the top 100 of 8,438 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 →