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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 — Psychiatry: 23,368 services across 123 groups; top group 16%. See Psychiatry 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 BARNABAS HEALTH MEDICAL GROUP, PC NEWARK NJ PSYCHIATRY 254 3,382 $2,487,535 $736 — 0.8% (973) 926-7814
2 CEP AMERICA - PSYCHIATRY PC COLTON CA PSYCHIATRY 90 1,258 $1,508,459 $1,199 23.7% 0.1% (909) 580-1000
3 ST JOHN'S MEDICAL SERVICES PC FAR ROCKAWAY NY PSYCHIATRY 97 1,208 $662,615 $549 — 0.2% (718) 869-7919
4 INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP PANORAMA CITY CA PSYCHIATRY 37 1,023 $1,632,850 $1,596 19.2% 0.1% (310) 553-5203
5 ALLIANCE FOR WELLNESS INC PANORAMA CITY CA PSYCHIATRY 58 962 $727,041 $756 18.1% 0.1% (818) 787-2222
6 DISTRICT MEDICAL GROUP INC PHOENIX AZ PSYCHIATRY 466 671 $214,530 $320 — 0.3% (602) 914-1520
7 FOCUS MENTAL HEALTH SOLUTIONS BHUSHAN MANJOORAN WIRJO PLLC HENDERSON NV PSYCHIATRY 21 658 $307,944 $468 — 0.5% (702) 790-2701
8 RIVER REGION PSYCHIATRY ASSOCIATES, LLC NASHVILLE AL PSYCHIATRY 114 638 $221,262 $347 — 0.5% (615) 342-1000
9 LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL INC TULSA OK PSYCHIATRY 81 541 $242,989 $449 — 0.5% (918) 481-4000
10 MELROSEWAKEFIELD HEALTHCARE, INC MEDFORD MA PSYCHIATRY 27 490 $284,558 $581 — 0.2% —
11 MIND CARE PSYCHIATRY CONSULTANTS, PA EL PASO TX PSYCHIATRY 2 469 $146,649 $313 — 0.1% (915) 544-4000
12 PACIFIC HERITAGE MEDICAL GROUP INC WESTLAKE VILLAGE CA PSYCHIATRY 48 467 $256,423 $549 8.8% 0.0% (818) 518-9715
13 VIRGINIA SOUTH PSYCHIATRIC AND FAMILY SERVICES PETERSBURG VA PSYCHIATRY 35 365 $118,500 $325 — 0.1% (804) 861-0700
14 VHM SERVICES INC FRAMINGHAM IA PSYCHIATRY 19 341 $191,642 $562 — 0.6% (508) 383-1012
15 BARNABAS HEALTH MEDICAL GROUP, PC NEWARK PA PSYCHIATRY 254 336 $246,960 $735 — 0.1% (973) 926-7814
16 SPECIALTY PHYSICIANS OF ILLINOIS LLC OLYMPIA FIELDS IL PSYCHIATRY 112 332 $118,192 $356 — 0.1% (844) 740-4445
17 MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC JACKSONVILLE FL PSYCHIATRY 50 331 $192,525 $582 13.7% 0.0% (904) 725-0200
18 OSU PSYCHIATRY LLC COLUMBUS OH PSYCHIATRY 133 323 $166,345 $515 — 0.1% (614) 293-9600
19 PACIFIC HEALTH SYSTEMS LP NATIONAL CITY CA PSYCHIATRY 14 321 $89,880 $280 6.0% 0.0% (619) 267-9257
20 SERENITY HEALTH LLC SAINT PETERS MO PSYCHIATRY 25 305 $73,200 $240 — 0.2% (314) 590-3721
21 DEPARTMENT OF STATE HOSPITALS NORWALK CA PSYCHIATRY 286 296 $169,987 $574 5.6% 0.0% (916) 651-8811
22 UNIVERSITY OF KANSAS SCHOOL OF MEDICINE WICHITA MEDICAL PRACTICE ASSOC WICHITA KS PSYCHIATRY 55 296 $97,989 $331 — 0.3% (316) 293-2622
23 STATE OF RHODE ISLAND CRANSTON CT PSYCHIATRY 8 289 $151,668 $525 — 0.3% (401) 462-3666
24 HAKUNA MATATA PSYCHIATRY SERVICES PLLC ORLANDO FL PSYCHIATRY 26 283 $182,960 $647 11.8% 0.0% (850) 687-5990
25 GRAYSON AND ASSOCIATES PC BIRMINGHAM AL PSYCHIATRY 65 271 $85,907 $317 — 0.2% (205) 323-6383
26 IHA OLMA SPECIALTY 1 LLC LIVONIA MI PSYCHIATRY 71 252 $96,018 $381 — 0.1% (734) 655-2692
27 COOKEVILLE REGIONAL MEDICAL CENTER COOKEVILLE TN PSYCHIATRY 58 242 $135,305 $559 — 0.1% (931) 783-2497
28 BADDIGAM FAMILY PSYCHIATRIC ASSOCIATES PLLC CLINTON TOWNSHIP MI PSYCHIATRY 4 228 $110,336 $484 — 0.1% (586) 263-6812
29 BAYCARE BEHAVIORAL HEALTH ASSOCIATES, LLC LUTZ FL PSYCHIATRY 91 221 $91,831 $416 9.2% 0.0% (727) 281-9065
30 CALIFORNIA BEHAVIOR SOLUTIONS INC VALLEJO CA PSYCHIATRY 2 206 $92,700 $450 3.9% 0.0% (707) 648-2200
31 ABMAYOR LLC SARASOTA FL PSYCHIATRY 3 206 $51,500 $250 8.6% 0.0% (618) 528-1244
32 BOSTON UNIVERSITY PSYCHIATRY ASSOCIATES, INC. BOSTON MA PSYCHIATRY 98 193 $94,790 $491 — 0.1% (617) 414-5245
33 VIRTUAL INPATIENT PSYCHIATRY PHYSICIANS BEHAVIORAL NETWORK LLC ORLANDO FL PSYCHIATRY 9 188 $96,256 $512 7.8% 0.0% (330) 414-9233
34 MENTAL HEALTH EMERGENCY CENTER, INC. MILWAUKEE WI PSYCHIATRY 27 174 $71,244 $409 — 0.2% (414) 966-3030
35 COMPASS HEALTH SYSTEMS PA TAMARAC FL PSYCHIATRY 57 163 $57,135 $351 6.8% 0.0% (888) 852-6672
36 COAST PSYCHIATRIC ASSOCIATES LONG BEACH CA PSYCHIATRY 2 158 $63,200 $400 3.0% 0.0% (562) 494-3633
37 PSJ ACQUISITION LLC FARGO ND PSYCHIATRY 27 153 $65,526 $428 — 0.7% —
38 PSYCHIATRIC SPECIALTY CENTER, LLC WELLINGTON FL PSYCHIATRY 19 150 $59,270 $395 6.2% 0.0% (561) 331-8800
39 PSYCHIATRY ASSOCIATES OF KANSAS CITY PA LEAWOOD KS PSYCHIATRY 13 144 $57,600 $400 — 0.2% (913) 385-7252
40 THE COMMONWEALTH OF MASSACHUSETTS TEWKSBURY MA PSYCHIATRY 147 143 $74,887 $524 — 0.1% (978) 851-7321
41 PRATT PSYCHIATRIC ASSOCIATES INC BOSTON MA PSYCHIATRY 34 141 $81,883 $581 — 0.1% (617) 636-5000
42 SOUTHEASTERN BEHAVIORAL HEALTHCARE SIOUX FALLS SD PSYCHIATRY 7 133 $21,947 $165 — 0.7% (605) 336-0510
43 ACADIA NEURO-BEHAVIORAL ASSOCIATES PA PEMBROKE PINES FL PSYCHIATRY 2 127 $49,624 $391 5.3% 0.0% (954) 436-5000
44 GARY S FIGIEL MD PC ATLANTA GA PSYCHIATRY 6 119 $35,700 $300 — 0.0% —
45 ELITE PSYCHIATRIC CONSULTING SERVICES, LLC TAMPA FL PSYCHIATRY 4 116 $52,200 $450 4.8% 0.0% —
46 BEHAVIORAL HEALTH SCIENCES OF WEST FLORIDA LLC BRANDON FL PSYCHIATRY 3 114 $49,886 $438 4.7% 0.0% (813) 685-0500
47 FAMILY PSYCHIATRY CENTER INC ELK GROVE CA PSYCHIATRY 2 111 $38,850 $350 2.1% 0.0% (916) 647-4044
48 SHAILESH PATEL MD LLC RIVERDALE GA PSYCHIATRY 2 111 $34,810 $314 — 0.0% (770) 337-0482
49 MONTEFIORE MOUNT VERNON HOSPITAL MOUNT VERNON NY PSYCHIATRY 19 108 $37,538 $348 — 0.0% (914) 664-8000
50 TMC-BEHAVIORAL HEALTH OF WEST GEORGIA VILLA RICA GA PSYCHIATRY 36 108 $46,268 $428 — 0.0% (770) 812-3580
51 LOUISVILLE BEHAVIORAL HEALTH SYSTEMS PLLC LOUISVILLE KY PSYCHIATRY 14 108 $55,836 $517 — 0.1% (502) 454-8800
52 WEST FLORIDA BEHAVIORAL HEALTH INC PENSACOLA FL PSYCHIATRY 16 103 $43,403 $421 4.3% 0.0% (850) 494-3953
53 UNIVERSITY OF MARYLAND PSYCHIATRY ASSOCIATES PA BALTIMORE MD PSYCHIATRY 55 103 $27,655 $268 — 0.0% (410) 328-5881
54 RECOVERY PHYSICIANS NETWORK OF MICHIGAN GRAND RAPIDS MI PSYCHIATRY 20 100 $26,375 $264 — 0.0% (800) 949-8439
55 RIVER REGION PSYCHIATRY ASSOCIATES, LLC NASHVILLE SC PSYCHIATRY 114 100 $54,959 $550 — 0.1% (615) 342-1000
56 FREEHOLD PSYCHIATRIC ASSOCIATES FREEHOLD NJ PSYCHIATRY 7 98 $22,540 $230 — 0.0% (732) 431-2000
57 UC REGENTS LOS ANGELES CA PSYCHIATRY 142 92 $121,440 $1,320 1.7% 0.0% (310) 825-9111
58 ATLANTIC PSYCHIATRIC CENTERS INC PALM BAY FL PSYCHIATRY 21 89 $15,753 $177 3.7% 0.0% (321) 724-1614
59 RIVER REGION PSYCHIATRY ASSOCIATES, LLC NASHVILLE TN PSYCHIATRY 114 87 $31,962 $367 — 0.0% (615) 342-1000
60 INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP PANORAMA CITY MA PSYCHIATRY 37 84 $33,600 $400 — 0.0% (310) 553-5203
61 JEFFREY FERRARO, LLC TALLAHASSEE FL PSYCHIATRY 34 82 $24,600 $300 3.4% 0.0% (850) 205-0189
62 BRIDGE TELEHEALTH PC FULLERTON CA PSYCHIATRY 3 73 $27,375 $375 1.4% 0.0% (888) 912-7434
63 SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE COLUMBIA SC PSYCHIATRY 237 72 $21,960 $305 — 0.1% (803) 898-8579
64 FOCUS MENTAL HEALTH SOLUTIONS BHUSHAN MANJOORAN WIRJO PLLC HENDERSON CA PSYCHIATRY 21 70 $32,760 $468 1.3% 0.0% (702) 790-2701
65 MOUNTAINSTAR BEHAVIORAL HEALTH LLC PAYSON UT PSYCHIATRY 13 70 $27,257 $389 — 0.2% (801) 465-7000
66 OGLETHORPE OF ORLANDO INC SAINT CLOUD FL PSYCHIATRY 2 68 $17,000 $250 2.8% 0.0% (321) 805-5090
67 CEDAR SPRINGS HOSPITAL, INC COLORADO SPRINGS AR PSYCHIATRY 11 65 $14,625 $225 — 0.1% (719) 633-4114
68 HURON COUNTY COMMUNITY MENTAL HEALTH AUTHORITY BAD AXE GA PSYCHIATRY 3 63 $37,800 $600 — 0.0% (989) 269-9293
69 BRIAN RUSH SIMPSON MD PLLC LITTLE ROCK AR PSYCHIATRY 3 61 $16,775 $275 — 0.1% (501) 552-5777
70 BOYNTON BEACH FLORIDA BEHAVIORAL HEALTH HOSPITAL COMPANY, LLC BOYNTON BEACH FL PSYCHIATRY 3 61 $24,400 $400 2.5% 0.0% (954) 354-8632
71 PRECISION PSYCHIATRIC SERVICES INC VISALIA CA PSYCHIATRY 17 59 $31,270 $530 1.1% 0.0% (559) 624-3300
72 STATE OF NEVADA LAS VEGAS NV PSYCHIATRY 55 57 $18,810 $330 — 0.0% (702) 486-6112
73 TRI-COUNTY CLINICAL AUSTIN TX PSYCHIATRY 29 57 $35,112 $616 — 0.0% (512) 324-2000
74 EVIZZIT OF IOWA PSYCHIATRY PC WEST DES MOINES TN PSYCHIATRY 49 52 $13,000 $250 — 0.0% (855) 270-3625
75 MCCD FL PSYCHIATRY SERVICES PA MCKINNEY IL PSYCHIATRY 653 51 $20,910 $410 — 0.0% (917) 634-5311
76 PSJ ACQUISITION LLC FARGO AL PSYCHIATRY 27 48 $20,572 $429 — 0.0% —
77 M.Z.UDDIN MD PC SACRAMENTO IL PSYCHIATRY 2 47 $11,750 $250 — 0.0% (601) 622-6180
78 COMPREHENSIVE PSYCHIATRIC SOLUTIONS, PC SANTA ROSA CA PSYCHIATRY 6 46 $18,630 $405 0.9% 0.0% (707) 800-7700
79 TBJ BEHAVIORAL CENTER LLC JACKSONVILLE FL PSYCHIATRY 19 42 $8,568 $204 1.7% 0.0% (904) 724-9202
80 COMMONWEALTH OF KENTUCKY LEXINGTON KY PSYCHIATRY 10 40 $19,680 $492 — 0.0% (859) 246-8000
81 FLOYD PHYSICIANS LLC ROME GA PSYCHIATRY 62 40 $21,968 $549 — 0.0% (706) 232-5650
82 HINSDALE BEHAVIORAL HEALTH CLINIC HINSDALE IL PSYCHIATRY 10 39 $9,750 $250 — 0.0% (630) 920-1795
83 ST JOSEPH'S HOSPITAL YONKERS HARRISON NY PSYCHIATRY 59 34 $19,924 $586 — 0.0% (914) 967-6500
84 STATE OF NEW HAMPSHIRE CONCORD NH PSYCHIATRY 77 33 $17,077 $517 — 0.1% (603) 271-5300
85 MAIMONIDES DEPARTMENT OF PSYCHIATRY FPP BROOKLYN NY PSYCHIATRY 38 33 $16,091 $488 — 0.0% (718) 283-8165
86 COMPASS CAROLINA HEALTH SYSTEMS PA CHARLESTON SC PSYCHIATRY 6 32 $11,200 $350 — 0.0% (843) 745-5153
87 UNIVERSITY OF ROCHESTER DEPARTMENT OF PSYCHIATRY CLINICAL GROUP ROCHESTER NY PSYCHIATRY 78 32 $23,520 $735 — 0.0% (585) 275-3569
88 MARK DAVID LEVINE MD PROFESSIONAL CORPORATION DAVIS CA PSYCHIATRY 137 32 $19,520 $610 0.6% 0.0% (530) 297-7500
89 EAST ALABAMA PHYSICIANS, LLC OPELIKA AL PSYCHIATRY 12 31 $12,214 $394 — 0.0% (334) 821-0238
90 HEALTH AND HUMAN SERVICES COMMISSION TERRELL TX PSYCHIATRY 142 31 $12,400 $400 — 0.0% (972) 524-6452
91 ALEGENT CREIGHTON HEALTH OMAHA OH PSYCHIATRY 137 31 $15,190 $490 — 0.0% (402) 572-2905
92 TRADITIONS PSYCHIATRY GROUP, P.C SANTA ROSA CA PSYCHIATRY 13 30 $12,600 $420 0.6% 0.0% (707) 258-8757
93 PREMIER HEALTHCARE INVESTMENTS MONTEZUMA GA PSYCHIATRY 7 29 $5,909 $204 — 0.0% (478) 472-3100
94 THE DEPARTMENT OF PSYCHIATRY ORANGE CA PSYCHIATRY 28 29 $25,578 $882 0.5% 0.0% (714) 456-8068
95 STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL MORRIS PLAINS PA PSYCHIATRY 127 29 $11,857 $409 — 0.0% (973) 538-1800
96 ROCK SPRINGS PHYSICIAN GROUP LLC GEORGETOWN TX PSYCHIATRY 16 29 $9,860 $340 — 0.0% (512) 819-9400
97 BAYCARE BEHAVIORAL HEALTH ASSOCIATES, LLC LUTZ TX PSYCHIATRY 91 28 $11,872 $424 — 0.0% (727) 281-9065
98 MEMORIAL PSYCHIATRY GROUP NEW YORK NY PSYCHIATRY 49 27 $31,995 $1,185 — 0.0% (212) 639-2000
99 CONTRA COSTA COUNTY SAN PABLO CA PSYCHIATRY 75 26 $31,370 $1,207 0.5% 0.0% (510) 215-3730
100 WEST FLORIDA BEHAVIORAL HEALTH INC PENSACOLA AL PSYCHIATRY 16 24 $10,520 $438 — 0.0% (850) 494-3953

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 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 →