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Market snapshot

99223 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99223 — Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes

Billing groups
9,494
Named-group FFS services
6,235,531
FFS of Medicare
49%
Services YoY
+1.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~12,663,345 services

6,235,531 observed fee-for-service (49%) · ~6,427,814 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; 6 states without payer-mix data excluded. How we scale

Top states — 99223 (CY2024)
CA 1,083,027 FL 1,050,070 TX 762,343 NY 538,674 IL 469,656

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

Named-group submitted charges
$3.5B
Named-group allowed amount
$1.0B
Named-group Medicare payments
$815.0M
Avg charge / svc
$562
Avg allowed / svc
$168
Avg payment / svc
$131
Average charge per group
$124 9,494 groups · avg submitted charge / service $5,310
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99223 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 56,673 $51,309,993 $905 10.5% —
2 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 38,565 $17,705,311 $459 8.2% (847) 459-1160
3 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 36,659 $16,155,354 $441 7.8% —
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 33,447 $22,982,838 $687 3.1% (415) 600-1020
5 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 26,121 $18,464,439 $707 6.1% (973) 971-5596
6 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 26,118 $14,138,670 $541 2.5% (407) 896-1100
7 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 25,075 $16,637,246 $663 2.3% (916) 681-8852
8 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 24,745 $11,252,990 $455 5.7% (856) 247-7260
9 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 23,771 $11,588,473 $488 9.4% (770) 422-2004
10 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 23,348 $29,937,493 $1,282 2.2% (310) 825-7922
11 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 22,040 $12,551,197 $569 5.1% (732) 362-3663
12 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 21,962 $9,450,609 $430 2.1% (727) 725-5060
13 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 20,496 $10,631,795 $519 2.7% —
14 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 20,439 $6,940,297 $340 7.9% —
15 PLATINUM HOSPITALISTS LLP LAS VEGAS NV INTERNAL MEDICINE 192 20,053 $12,511,878 $624 14.7% (702) 407-7700
16 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 20,007 $13,595,041 $680 8.5% (704) 667-1000
17 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 19,505 $16,914,758 $867 1.8% (916) 983-7476
18 HOSPITAL MEDICINE SERVICES OF FL, LLC LAKE CITY FL INTERNAL MEDICINE 523 19,266 $20,831,635 $1,081 1.8% (850) 719-9000
19 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 18,771 $25,817,903 $1,375 3.5% (212) 263-9700
20 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 18,670 $8,207,483 $440 4.4% —
21 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 17,926 $13,975,424 $780 19.6% (612) 863-4000
22 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 17,811 $10,631,440 $597 3.8% —
23 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 17,746 $7,341,737 $414 1.7% —
24 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 17,668 $6,358,634 $360 1.7% (941) 255-3535
25 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 17,524 $12,711,182 $725 1.7% (239) 343-9888
26 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 17,485 $9,419,294 $539 6.7% —
27 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 17,257 $7,046,094 $408 4.0% (484) 526-2400
28 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 17,157 $6,799,921 $396 4.0% —
29 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC MESA AZ INTERNAL MEDICINE 644 17,105 $8,953,699 $523 7.2% (480) 412-3000
30 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 17,044 $15,350,195 $901 16.3% (414) 421-8400
31 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 16,538 $8,096,599 $490 7.5% (202) 429-2401
32 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 16,414 $7,120,969 $434 3.5% (630) 469-9200
33 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 16,043 $9,044,751 $564 6.8% (704) 384-8200
34 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 15,739 $6,301,338 $400 2.1% (713) 242-2222
35 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 15,453 $12,360,702 $800 2.9% (212) 241-4812
36 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 15,247 $11,825,741 $776 1.4% (650) 723-4000
37 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 15,178 $10,160,129 $669 2.0% (817) 281-2977
38 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 14,607 $15,620,360 $1,069 3.4% (908) 994-5422
39 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 14,583 $7,590,949 $521 1.3% (714) 871-3006
40 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 14,308 $8,998,317 $629 1.3% (310) 423-0674
41 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 14,261 $5,396,042 $378 3.0% (630) 933-4800
42 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 14,063 $5,997,146 $426 15.0% (913) 588-1227
43 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 13,930 $5,735,566 $412 1.8% (254) 724-2663
44 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 13,505 $5,460,579 $404 1.3% (321) 434-8878
45 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 13,441 $4,815,578 $358 4.0% —
46 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 13,091 $14,609,994 $1,116 3.9% —
47 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 12,827 $10,283,774 $802 5.1% (617) 724-0287
48 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 12,769 $5,752,385 $450 10.9% (918) 502-4720
49 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 12,582 $6,031,565 $479 5.0% —
50 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 12,454 $8,025,455 $644 4.9% (404) 778-7525
51 GALEN INPATIENT PHYSICIANS PC PENSACOLA CA HOSPITALIST 1012 12,422 $13,197,492 $1,062 1.1% (850) 416-7000
52 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 12,363 $4,643,272 $376 6.0% —
53 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 12,268 $6,232,856 $508 7.4% —
54 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 11,991 $7,766,367 $648 9.3% (502) 937-2209
55 METRO INFECTIOUS DISEASE CONSULTANTS LLC BURR RIDGE IL INFECTIOUS DISEASE 396 11,730 $5,619,178 $479 2.5% (888) 220-6432
56 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 11,633 $4,647,919 $400 2.7% —
57 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 11,554 $5,454,377 $472 1.1% —
58 PIEDMONT HOSPITALIST PHYSICIANS LLC ATLANTA GA INTERNAL MEDICINE 489 11,483 $7,830,905 $682 4.6% (404) 605-5000
59 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 11,367 $3,397,168 $299 11.1% (501) 202-2093
60 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 11,080 $4,577,573 $413 7.7% —
61 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 10,539 $7,107,707 $674 4.2% (508) 334-1000
62 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 10,512 $3,170,788 $302 4.4% (602) 445-0751
63 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 10,415 $8,330,551 $800 4.1% (617) 732-5500
64 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 10,397 $5,505,070 $529 1.9% (631) 444-1560
65 ID CARE LLC HILLSBOROUGH NJ INFECTIOUS DISEASE 121 10,304 $3,709,165 $360 2.4% (908) 281-0221
66 USACS INTEGRATED ACUTE CARE SERVICES OF TEXAS, PLLC KERRVILLE TX INTERNAL MEDICINE 407 10,145 $12,291,422 $1,212 1.3% (830) 258-7747
67 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 10,106 $4,279,644 $423 3.5% —
68 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 10,056 $3,642,189 $362 3.9% (757) 410-4488
69 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 9,925 $5,974,108 $602 1.8% —
70 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 9,885 $4,589,979 $464 3.0% (513) 246-7000
71 FLORIDA HOSPITAL MEDICINE SERVICES, LLC FORT LAUDERDALE FL INTERNAL MEDICINE 272 9,711 $7,046,676 $726 0.9% (954) 355-4400
72 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 9,599 $4,501,199 $469 4.1% (919) 350-7270
73 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 9,583 $6,386,414 $666 4.0% (800) 603-0558
74 SOUTH SOUND INPATIENT PHYSICIANS PLLC PUYALLUP WA INTERNAL MEDICINE 434 9,558 $13,014,163 $1,362 7.9% (253) 697-4000
75 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 9,490 $4,750,080 $501 0.9% (813) 615-7075
76 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 9,411 $4,596,489 $488 2.2% (570) 271-6144
77 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 9,371 $5,027,584 $537 7.7% (253) 428-2200
78 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 9,349 $4,578,846 $490 2.0% (309) 683-5050
79 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 9,297 $6,101,531 $656 1.2% (713) 592-5433
80 BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES ROYAL OAK MI PHYSICIAN ASSISTANT 833 9,279 $3,959,376 $427 3.3% (248) 898-5058
81 NORTH TEXAS PHYSICIAN SERVICES, PLLC TYLER TX INTERNAL MEDICINE 235 9,249 $9,925,854 $1,073 1.2% (903) 593-8441
82 QUESTCARE HOSPITALISTS PLLC PLANO TX INTERNAL MEDICINE 281 9,209 $9,297,978 $1,010 1.2% (954) 939-5000
83 PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION NEWPORT BEACH CA HOSPITALIST 91 9,207 $3,533,054 $384 0.9% (877) 742-4624
84 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 9,196 $4,796,973 $522 0.8% (760) 340-3911
85 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 9,086 $3,859,892 $425 7.0% (859) 578-5880
86 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 9,050 $3,778,784 $418 9.3% —
87 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 9,013 $3,317,021 $368 9.6% (785) 354-9591
88 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 9,011 $4,895,965 $543 0.9% (407) 200-2700
89 HOSPITALIST MEDICINE PHYSICIANS OF TEXAS PLLC WICHITA TX INTERNAL MEDICINE 714 8,994 $11,923,284 $1,326 1.2% (316) 291-4396
90 AKDHC LLC PHOENIX AZ NEPHROLOGY 129 8,809 $3,420,772 $388 3.7% (602) 200-8288
91 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 8,765 $4,909,412 $560 0.8% (239) 561-9622
92 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 8,731 $3,519,705 $403 28.9% (801) 261-8346
93 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 8,606 $4,603,688 $535 6.3% —
94 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 8,448 $5,699,514 $675 1.1% (214) 633-5555
95 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 8,424 $4,095,632 $486 22.7% (202) 429-2401
96 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 8,371 $5,067,774 $605 0.8% (925) 296-9720
97 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 8,293 $9,819,699 $1,184 1.5% (866) 633-8255
98 BEST PRACTICES INPATIENT CARE, LTD. BARRINGTON IL INTERNAL MEDICINE 81 8,157 $3,536,121 $434 1.7% (847) 381-9600
99 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 8,123 $6,163,477 $759 0.8% (800) 926-8273
100 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 8,119 $4,103,635 $505 1.9% —

Showing the top 100 of 9,494 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 →