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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 — Interventional Cardiology: 25,596 services across 53 groups; top group 10%. See Interventional Cardiology 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 INTERVENTIONAL CARDIOLOGISTS OF GAINESVILLE, PA GAINESVILLE FL INTERVENTIONAL CARDIOLOGY 36 2,474 $1,033,490 $418 — 0.2% (352) 375-1212
2 FLORIDA CARDIOLOGY PA WINTER PARK FL INTERVENTIONAL CARDIOLOGY 21 2,084 $914,981 $439 — 0.2% (407) 645-1847
3 HEART ONE ASSOCIATES LLC PHOENIX AZ INTERVENTIONAL CARDIOLOGY 21 1,949 $704,962 $362 — 0.8% (602) 584-5444
4 OHH PHYSICIANS LLC OKLAHOMA CITY OK INTERVENTIONAL CARDIOLOGY 134 1,898 $551,219 $290 — 1.6% (405) 608-3800
5 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO TX INTERVENTIONAL CARDIOLOGY 169 1,753 $912,525 $521 29.6% 0.2% (210) 575-8289
6 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND VA INTERVENTIONAL CARDIOLOGY 56 1,694 $622,785 $368 — 0.7% (804) 282-2685
7 TEXOMACARE SPECIALTY PHYSICIANS DENISON TX INTERVENTIONAL CARDIOLOGY 37 1,562 $529,736 $339 26.4% 0.2% (903) 465-3624
8 CARDIOVASCULAR ASSOCIATION, P.L.L.C. HUMBLE TX INTERVENTIONAL CARDIOLOGY 52 1,116 $601,576 $539 18.9% 0.1% (281) 446-6656
9 HAMILTON CARDIOLOGY ASSOCIATES PA HAMILTON NJ INTERVENTIONAL CARDIOLOGY 20 981 $294,300 $300 — 0.2% (609) 584-1212
10 ADVANCED HEART GROUP SC HARVEY IL INTERVENTIONAL CARDIOLOGY 6 949 $338,050 $356 — 0.2% (708) 331-2200
11 BIRMINGHAM HEART CLINIC, PLLC BIRMINGHAM AL INTERVENTIONAL CARDIOLOGY 25 546 $172,053 $315 — 0.4% (205) 856-2284
12 HEART CARE CENTERS OF ILLINOIS, S.C. PALOS PARK IL INTERVENTIONAL CARDIOLOGY 38 497 $211,225 $425 — 0.1% —
13 ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP ORANGE CA INTERVENTIONAL CARDIOLOGY 13 486 $176,271 $363 — 0.0% 71456433001157
14 ELI S LEVINE MD PA BOCA RATON NY INTERVENTIONAL CARDIOLOGY 3 466 $163,100 $350 — 0.1% (561) 235-5621
15 ST LOUIS HEART AND VASCULAR PC SAINT LOUIS MO INTERVENTIONAL CARDIOLOGY 23 425 $177,545 $418 — 0.3% (314) 741-0911
16 WYOMING CARDIOPULMONARY SERVICES PC CASPER WY INTERVENTIONAL CARDIOLOGY 11 419 $322,738 $770 — 5.4% (307) 266-3174
17 LIFETIME CARDIOVASCULAR PLC GILBERT AZ INTERVENTIONAL CARDIOLOGY 6 398 $99,165 $249 — 0.2% (480) 699-5536
18 BAY AREA CARDIOLOGY ASSOC. PA BRANDON FL INTERVENTIONAL CARDIOLOGY 19 384 $234,320 $610 — 0.0% 8136846000228
19 SAINT GREGORY HEART AND VASCULAR CENTER INC GLENDALE CA INTERVENTIONAL CARDIOLOGY 3 384 $167,040 $435 — 0.0% (818) 405-5040
20 CARDIOLOGY PARTNERS PL WELLINGTON FL INTERVENTIONAL CARDIOLOGY 27 355 $147,680 $416 — 0.0% (561) 793-6100
21 HEARTPLACE PLLC PLANO TX INTERVENTIONAL CARDIOLOGY 93 354 $136,325 $385 6.0% 0.0% (972) 985-8838
22 CYPRESS HEART AND VASCULAR CENTER PLLC CYPRESS TX INTERVENTIONAL CARDIOLOGY 9 341 $148,778 $436 5.8% 0.0% (832) 688-8400
23 CARDIOLOGY ASSOCIATES, PA DOTHAN AL INTERVENTIONAL CARDIOLOGY 8 287 $77,490 $270 — 0.2% —
24 TEMECULA CENTER FOR CARDIAC CARE TEMECULA CA INTERVENTIONAL CARDIOLOGY 4 273 $143,052 $524 — 0.0% (951) 225-7800
25 FLORIDA HEART AND VASCULAR SPECIALISTS LLC MERRITT ISLAND FL INTERVENTIONAL CARDIOLOGY 2 271 $103,144 $381 — 0.0% (321) 441-8749
26 NAPLES INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, LLC NAPLES FL INTERVENTIONAL CARDIOLOGY 2 250 $87,644 $351 — 0.0% (239) 643-9977
27 KUMAR RAVI MD FACC PC SUN CITY AZ INTERVENTIONAL CARDIOLOGY 7 249 $121,014 $486 — 0.1% (623) 974-3649
28 CYPRESS CARDIOVASCULAR INSTITUTE PLLC CYPRESS TX INTERVENTIONAL CARDIOLOGY 6 243 $120,139 $494 4.1% 0.0% (281) 955-9158
29 EAST LOS ANGELES CARDIOLOGY MEDICAL GROUP INC LOS ANGELES CA INTERVENTIONAL CARDIOLOGY 3 227 $57,885 $255 — 0.0% (323) 987-8787
30 CCSG, INC THOMASVILLE GA INTERVENTIONAL CARDIOLOGY 26 212 $87,206 $411 — 0.1% (229) 551-0083
31 CARDIOLOGY ASSOCIATES P.A HOUSTON TX INTERVENTIONAL CARDIOLOGY 7 159 $73,140 $460 2.7% 0.0% (713) 797-1111
32 CONNECTED CARDIOVASCULAR CARE ASSOCIATES, PLLC DALLAS TX INTERVENTIONAL CARDIOLOGY 6 150 $77,100 $514 2.5% 0.0% (214) 814-1550
33 CORE CARDIOVASCULAR CLINIC PLLC LIVONIA MI INTERVENTIONAL CARDIOLOGY 2 130 $35,740 $275 — 0.0% (248) 878-3171
34 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND MN INTERVENTIONAL CARDIOLOGY 56 125 $45,000 $360 — 0.1% (804) 282-2685
35 CARDIOLOGY CONSULTANTS PC TUSCALOOSA AL INTERVENTIONAL CARDIOLOGY 9 112 $25,536 $228 — 0.1% (205) 752-0694
36 HEART CENTER OF NORTH TEXAS PA FORT WORTH TX INTERVENTIONAL CARDIOLOGY 16 112 $33,040 $295 1.9% 0.0% (817) 334-2800
37 CARDIOVASCULAR ASSOCIATES OF MESA PC MESA AZ INTERVENTIONAL CARDIOLOGY 12 111 $37,527 $338 — 0.0% (480) 641-5400
38 PREMIER CARDIOVASCULAR CONSULTANTS PC TROY MI INTERVENTIONAL CARDIOLOGY 3 108 $27,972 $259 — 0.0% (248) 480-0363
39 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO CA INTERVENTIONAL CARDIOLOGY 169 107 $51,468 $481 — 0.0% (210) 575-8289
40 ADVANCED HEALTH CARE AND WELLNESS LLC VIRGINIA BEACH VA INTERVENTIONAL CARDIOLOGY 3 106 $52,470 $495 — 0.0% (757) 963-7729
41 KAUSHAL R TAMBOLI MD INC DOWNEY CA INTERVENTIONAL CARDIOLOGY 4 84 $31,500 $375 — 0.0% (562) 869-1511
42 ORANGE COAST CARDIOLOGY MEDICAL CORPORATION NEWPORT BEACH CA INTERVENTIONAL CARDIOLOGY 2 83 $35,549 $428 — 0.0% (949) 515-4515
43 CCSG, INC THOMASVILLE FL INTERVENTIONAL CARDIOLOGY 26 76 $34,594 $455 — 0.0% (229) 551-0083
44 PRIYANKA JAIN MD INC MERCED CA INTERVENTIONAL CARDIOLOGY 2 76 $47,804 $629 — 0.0% (209) 325-4149
45 CARDIOVASCULAR CONSULTANTS OF FRESNO, A PROFESSIONAL CORPORATION FRESNO CA INTERVENTIONAL CARDIOLOGY 6 61 $24,400 $400 — 0.0% (559) 432-4303
46 LONE STAR HEART AND VASCULAR CLINIC PA NEW BRAUNFELS TX INTERVENTIONAL CARDIOLOGY 12 59 $29,422 $499 1.0% 0.0% —
47 MIDWEST CARDIOVASCULAR INSTITUTE SC NAPERVILLE IL INTERVENTIONAL CARDIOLOGY 49 48 $24,000 $500 — 0.0% 33729148544854
48 INTERVENTIONAL CARDIOLOGY OF TULSA, LLC TULSA OK INTERVENTIONAL CARDIOLOGY 2 45 $20,205 $449 — 0.0% (918) 943-5303
49 RAM K SINGH M D LTD LAS VEGAS NV INTERVENTIONAL CARDIOLOGY 2 44 $16,500 $375 — 0.0% (702) 733-2982
50 TEXOMA CARDIOVASCULAR ASSOCIATES LLP SHERMAN TX INTERVENTIONAL CARDIOLOGY 2 44 $14,916 $339 0.7% 0.0% (903) 214-6161
51 VIRGINIA CARDIOVASCULAR SPECIALISTS RICHMOND MI INTERVENTIONAL CARDIOLOGY 56 34 $12,240 $360 — 0.0% (804) 282-2685
52 ALABAMA HEART AND VASCULAR, P. C. BIRMINGHAM AL INTERVENTIONAL CARDIOLOGY 2 30 $8,700 $290 — 0.0% (205) 721-2777
53 CHIPPENHAM AND JOHNSTON-WILLIS HOSPITALS, INC. RICHMOND VA INTERVENTIONAL CARDIOLOGY 25 29 $11,848 $409 — 0.0% (804) 323-8813
54 MOBERLY MEDICAL CLINICS INC MOBERLY MO INTERVENTIONAL CARDIOLOGY 11 27 $13,986 $518 — 0.0% —
55 HEARTPLACE PLLC PLANO FL INTERVENTIONAL CARDIOLOGY 93 24 $13,586 $566 — 0.0% (972) 985-8838
56 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO WI INTERVENTIONAL CARDIOLOGY 169 22 $8,696 $395 — 0.0% (210) 575-8289
57 AMERICAN HEART SPECIALISTS PLLC RICHMOND TX INTERVENTIONAL CARDIOLOGY 5 22 $9,834 $447 0.4% 0.0% (346) 279-2221
58 METHODIST PHYSICIAN PRACTICES PLLC SAN ANTONIO NY INTERVENTIONAL CARDIOLOGY 169 18 $9,045 $502 — 0.0% (210) 575-8289
59 DR BARTLETT AND DR ESNARD P C MACON GA INTERVENTIONAL CARDIOLOGY 2 12 $5,400 $450 — 0.0% (478) 745-5035
60 LHAW LLC NAPLES FL INTERVENTIONAL CARDIOLOGY 2 11 $3,894 $354 — 0.0% (239) 206-2833

*"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 →