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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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Specialty market — Critical Care (Intensivists): 13,510 services across 52 groups; top group 22%. See Critical Care (Intensivists) across all states →

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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 of specialty*Share of state* Phone
1 PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP INC. ROSEVILLE CA CRITICAL CARE (INTENSIVISTS) 91 2,984 $1,769,618 $593 — 0.3% (916) 679-3590
2 TAMPA LUNG SPECIALISTS, P.A. TAMPA FL CRITICAL CARE (INTENSIVISTS) 16 1,162 $347,438 $299 — 0.1% (813) 879-3699
3 WASHINGTON TOWNSHIP MEDICAL FOUNDATION FREMONT CA CRITICAL CARE (INTENSIVISTS) 120 902 $412,708 $458 — 0.1% (510) 248-1000
4 ARIZONA PULMONARY SPECIALISTS LTD SCOTTSDALE AZ CRITICAL CARE (INTENSIVISTS) 44 868 $260,500 $300 — 0.4% (602) 261-7830
5 SAADAH ALRAJAB MD MPH INC FULLERTON CA CRITICAL CARE (INTENSIVISTS) 3 732 $322,080 $440 — 0.1% (714) 481-0172
6 NAPLES PULMONARY LLC NAPLES FL CRITICAL CARE (INTENSIVISTS) 2 474 $187,054 $395 — 0.0% (239) 208-0381
7 PULMONARY MEDICAL CORPORATION TARZANA CA CRITICAL CARE (INTENSIVISTS) 2 405 $263,250 $650 — 0.0% (818) 758-0020
8 JEAN JACQUES RAJTER MD PA FORT LAUDERDALE FL CRITICAL CARE (INTENSIVISTS) 2 384 $157,824 $411 — 0.0% (954) 906-6000
9 CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP LAKEWOOD CO CRITICAL CARE (INTENSIVISTS) 61 360 $155,590 $432 — 0.4% (303) 951-0600
10 SANDIP DESAI MD PA SUGAR LAND TX CRITICAL CARE (INTENSIVISTS) 2 349 $191,564 $549 — 0.0% (832) 255-6632
11 QURESHI AL-OWIR PLLC LAS VEGAS NV CRITICAL CARE (INTENSIVISTS) 17 336 $178,080 $530 — 0.2% (702) 233-7572
12 WEST COAST CRITICAL CARE SPECIALISTS, INC. OXNARD CA CRITICAL CARE (INTENSIVISTS) 18 318 $193,582 $609 — 0.0% (805) 485-2400
13 RESPIRATORY AND SLEEP SPECIALISTS LLC KENDALL PARK NJ CRITICAL CARE (INTENSIVISTS) 6 278 $132,328 $476 — 0.1% (732) 737-7801
14 EL-BERSHAWI MEDICAL CORP RIVERSIDE CA CRITICAL CARE (INTENSIVISTS) 43 266 $166,360 $625 — 0.0% (951) 781-3672
15 EUGENE H MCCOSKEY DO PA ORANGE PARK FL CRITICAL CARE (INTENSIVISTS) 4 263 $62,622 $238 — 0.0% 9043883357201
16 CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC DARBY PA CRITICAL CARE (INTENSIVISTS) 50 240 $150,495 $627 — 0.1% (866) 212-7753
17 HENDERSON PULMONARY AND SLEEP MEDICINE, PLLC HENDERSON NC CRITICAL CARE (INTENSIVISTS) 2 208 $122,105 $587 — 0.1% (252) 430-7110
18 MAIMONIDES MEDICAL CENTER-MAIMO CRITICARE FPP BROOKLYN PA CRITICAL CARE (INTENSIVISTS) 15 191 $91,871 $481 — 0.0% (718) 283-8342
19 MEDICAL SPECIALISTS OF MADISON COUNTY PC ANDERSON IN CRITICAL CARE (INTENSIVISTS) 4 179 $39,380 $220 — 0.1% (765) 643-6012
20 MID-COUNTY PULMONARY ASSOCIATE P C NANUET NY CRITICAL CARE (INTENSIVISTS) 2 164 $73,800 $450 — 0.0% (845) 623-6661
21 TELE-ICU INC NORWALK CA CRITICAL CARE (INTENSIVISTS) 6 153 $54,520 $356 — 0.0% (628) 683-7515
22 GENESIS CRITICAL CARE ASSOCIATES LLC DELRAY BEACH FL CRITICAL CARE (INTENSIVISTS) 28 150 $60,025 $400 — 0.0% (561) 498-4440
23 MERCY CLINIC ADULT CRITICAL CARE, LLC SAINT LOUIS MO CRITICAL CARE (INTENSIVISTS) 60 137 $61,513 $449 — 0.1% (314) 251-6486
24 ALTOONA LUNG SPECIALISTS ALTOONA PA CRITICAL CARE (INTENSIVISTS) 5 136 $34,000 $250 — 0.0% (814) 946-2845
25 NORTHEAST TEXAS INTENSIVISTS, PLLC LONGVIEW TX CRITICAL CARE (INTENSIVISTS) 52 126 $167,706 $1,331 — 0.0% (903) 315-2000
26 ANACOSTIA MEDICAL ASSOCIATES HAGERSTOWN MD CRITICAL CARE (INTENSIVISTS) 24 116 $52,548 $453 — 0.1% (301) 790-8000
27 PULMONARY AND CRITICAL CARE ASSOCIATES OF MODESTO INC MODESTO AZ CRITICAL CARE (INTENSIVISTS) 6 112 $40,928 $365 — 0.0% (209) 576-3525
28 INTENSIVE CARE ASSOCIATES LLC BRADENTON FL CRITICAL CARE (INTENSIVISTS) 4 105 $36,225 $345 — 0.0% (941) 746-5111
29 WAEL ASI MD PA THE WOODLANDS TX CRITICAL CARE (INTENSIVISTS) 30 99 $50,985 $515 — 0.0% (281) 296-8788
30 ANACOSTIA MEDICAL ASSOCIATES HAGERSTOWN VA CRITICAL CARE (INTENSIVISTS) 24 99 $44,847 $453 — 0.0% (301) 790-8000
31 MAIMONIDES MEDICAL CENTER-MAIMO CRITICARE FPP BROOKLYN NY CRITICAL CARE (INTENSIVISTS) 15 87 $42,174 $485 — 0.0% (718) 283-8342
32 NATRAJAN ENTERPRISES PLLC TUCSON AZ CRITICAL CARE (INTENSIVISTS) 5 85 $33,405 $393 — 0.0% (520) 447-7411
33 WEST BROWARD PULMONARY CONSULTANTS PA PLANTATION FL CRITICAL CARE (INTENSIVISTS) 2 81 $54,896 $678 — 0.0% (954) 473-6600
34 ANNAPOLIS ASTHMA PULMONARY AND SLEEP SPEC ANNAPOLIS MD CRITICAL CARE (INTENSIVISTS) 2 78 $51,094 $655 — 0.0% —
35 COGENT HEALTHCARE OF MISSOURI INC FENTON MO CRITICAL CARE (INTENSIVISTS) 28 76 $84,839 $1,116 — 0.0% (636) 496-2000
36 ELITECAREMDS TAMPA LLC TAMPA FL CRITICAL CARE (INTENSIVISTS) 4 74 $44,252 $598 — 0.0% (813) 229-6901
37 ANACOSTIA MEDICAL ASSOCIATES HAGERSTOWN DC CRITICAL CARE (INTENSIVISTS) 24 68 $30,804 $453 — 0.2% (301) 790-8000
38 WAEL ASI MD PA THE WOODLANDS OH CRITICAL CARE (INTENSIVISTS) 30 64 $32,580 $509 — 0.0% (281) 296-8788
39 CRITICAL CARE PHYSICIANS OF ILLINOIS LLC ARLINGTON HEIGHTS IL CRITICAL CARE (INTENSIVISTS) 43 59 $81,951 $1,389 — 0.0% (847) 618-1000
40 CRITICAL CARE MEDICINE PARTNERS, PC WAYNE MI CRITICAL CARE (INTENSIVISTS) 11 53 $14,310 $270 — 0.0% (734) 467-4150
41 WAEL ASI MD PA THE WOODLANDS PA CRITICAL CARE (INTENSIVISTS) 30 47 $24,205 $515 — 0.0% (281) 296-8788
42 MIDWEST INTERNAL MEDICINE P.S.C LOUISVILLE KY CRITICAL CARE (INTENSIVISTS) 2 39 $9,422 $242 — 0.0% (502) 244-9859
43 EL-BERSHAWI MEDICAL CORP RIVERSIDE NY CRITICAL CARE (INTENSIVISTS) 43 34 $21,420 $630 — 0.0% (951) 781-3672
44 HOSPITALIST MEDICINE PHYSICIANS OF MONTANA - MISSOULA PC MISSOULA IN CRITICAL CARE (INTENSIVISTS) 11 33 $45,837 $1,389 — 0.0% (406) 728-4100
45 LANDMARK HOSPITAL OF JOPLIN LLC JOPLIN MO CRITICAL CARE (INTENSIVISTS) 7 31 $12,462 $402 — 0.0% (417) 627-1300
46 WEST VALLEY INTENSIVIST MEDICAL CORPORATION TARZANA CA CRITICAL CARE (INTENSIVISTS) 3 28 $18,200 $650 — 0.0% (818) 609-7536
47 HOSPITALIST MEDICINE PHYSICIANS OF MONTANA - MISSOULA PC MISSOULA MI CRITICAL CARE (INTENSIVISTS) 11 26 $36,114 $1,389 — 0.0% (406) 728-4100
48 INTENSIVIST MEDICINE SERVICES OF FL LLC PANAMA CITY FL CRITICAL CARE (INTENSIVISTS) 24 26 $28,782 $1,107 — 0.0% (850) 769-8341
49 INTENSIVE CARE CONSORTIUM - MIDWEST, LLC WICHITA KS CRITICAL CARE (INTENSIVISTS) 28 23 $15,687 $682 — 0.0% (615) 981-0839
50 CRITICAL CARE CONSULTANTS OF ARIZONA PLLC PRESCOTT AZ CRITICAL CARE (INTENSIVISTS) 7 22 $8,822 $401 — 0.0% (928) 773-0003
51 CRITICAL CARE PULMONARY AND SLEEP ASSOCIATES PROFESSIONAL LLP LAKEWOOD PA CRITICAL CARE (INTENSIVISTS) 61 21 $8,694 $414 — 0.0% (303) 951-0600
52 DAVID SALAZAR, M.D., P.A. SAN ANTONIO TX CRITICAL CARE (INTENSIVISTS) 2 20 $8,000 $400 — 0.0% (210) 499-0770
53 SOUTH ATLANTA LUNG AND SLEEP CLINIC INC. GRIFFIN GA CRITICAL CARE (INTENSIVISTS) 2 20 $8,505 $425 — 0.0% (770) 229-1999
54 CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC DARBY NY CRITICAL CARE (INTENSIVISTS) 50 19 $26,391 $1,389 — 0.0% (866) 212-7753
55 NEUROCRITICAL CARE AND STROKE OF ARIZONA PLLC PHOENIX AZ CRITICAL CARE (INTENSIVISTS) 5 15 $12,825 $855 — 0.0% (480) 331-6721
56 LAURA K GILBEY MD PLLC AUSTIN TX CRITICAL CARE (INTENSIVISTS) 3 14 $7,098 $507 — 0.0% (512) 462-6634
57 CARDIAC SURGERY OF THE UNIVERSITY OF ROCHESTER ROCHESTER NY CRITICAL CARE (INTENSIVISTS) 2 13 $9,555 $735 — 0.0% (585) 275-5384
58 CLARKIAN MEDICAL DALY CITY CA CRITICAL CARE (INTENSIVISTS) 4 12 $4,930 $411 — 0.0% (650) 992-4000
59 CRITICAL CARE PHYSICIANS OF PENNSYLVANIA PC DARBY SC CRITICAL CARE (INTENSIVISTS) 50 12 $16,668 $1,389 — 0.0% (866) 212-7753
60 HOSPITALIST MEDICINE PHYSICIANS OF DELAWARE, PA DOVER PA CRITICAL CARE (INTENSIVISTS) 35 12 $5,162 $430 — 0.0% (302) 674-4700
61 CRITICAL CARE PHYSICIAN OF NEW YORK PC NYACK NY CRITICAL CARE (INTENSIVISTS) 41 11 $15,279 $1,389 — 0.0% (845) 348-2000
62 ALOHA CRITICAL CARE ASSOCIATES LLP HONOLULU HI CRITICAL CARE (INTENSIVISTS) 13 11 $4,157 $378 — 0.1% (808) 983-6000

*"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 →