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Market snapshot

99223 in NY 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
878
Named-group FFS services
373,058
FFS of Medicare
47%
Services YoY
-1.5%
FFS enrollment -2.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~779,525 services

373,058 observed fee-for-service (48%) · ~406,467 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. How we scale

Named-group submitted charges
$267.8M
Named-group allowed amount
$68.4M
Named-group Medicare payments
$53.6M
Avg charge / svc
$718
Avg allowed / svc
$183
Avg payment / svc
$144
Average charge per group
$158 878 groups · avg submitted charge / service $5,310
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99223 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET PHYSICIAN ASSISTANT 6294 56,673 $51,309,993 $905 10.5% —
2 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 18,771 $25,817,903 $1,375 3.5% (212) 263-9700
3 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK PHYSICIAN ASSISTANT 2818 15,453 $12,360,702 $800 2.9% (212) 241-4812
4 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK HOSPITALIST 414 10,397 $5,505,070 $529 1.9% (631) 444-1560
5 CHS PHYSICIAN PARTNERS PC ROSLYN PHYSICIAN ASSISTANT 734 9,925 $5,974,108 $602 1.8% —
6 MONTEFIORE MEDICAL CENTER BRONX PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 8,293 $9,819,699 $1,184 1.5% (866) 633-8255
7 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK INTERNAL MEDICINE 2053 7,642 $5,230,975 $685 1.4% (212) 746-5454
8 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE PHYSICIAN ASSISTANT 578 6,651 $3,764,102 $566 1.2% —
9 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NURSE PRACTITIONER 2273 6,511 $5,191,747 $797 1.2% (212) 305-8559
10 SOUTHWEST SUFFOLK MEDICAL PC WEST ISLIP INTERNAL MEDICINE 198 6,347 $3,643,036 $574 1.2% (631) 376-3000
11 KINGS PHYSICIAN SERVICES PC BROOKLYN PHYSICIAN ASSISTANT 664 4,897 $3,702,777 $756 0.9% —
12 ALBANY MEDICAL COLLEGE ALBANY PHYSICIAN ASSISTANT 1070 4,458 $2,667,286 $598 0.8% (518) 262-3277
13 NEW YORK QUEENS MEDICINE AND SURGERY, P.C. FLUSHING PHYSICIAN ASSISTANT 408 4,228 $3,278,794 $775 0.8% (718) 670-2468
14 MOUNT SINAI SCHOOL OF MEDICINE OCEANSIDE PHYSICIAN ASSISTANT 151 3,980 $2,885,512 $725 0.7% —
15 EAST POST ROAD MEDICAL SERVICES PC WHITE PLAINS PHYSICIAN ASSISTANT 406 3,734 $3,101,562 $831 0.7% (914) 681-0600
16 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA DIAGNOSTIC RADIOLOGY 875 3,539 $2,684,296 $758 0.7% —
17 ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. ALBANY PHYSICIAN ASSISTANT 480 3,454 $1,399,138 $405 0.6% (518) 525-1852
18 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NURSE PRACTITIONER 372 2,960 $1,643,306 $555 0.5% (845) 703-6999
19 MEMORIAL MEDICAL CONSULTATION GROUP NEW YORK INTERNAL MEDICINE 90 2,925 $2,653,620 $907 0.5% (212) 639-2000
20 COGENT MEDICAL CARE PC NYACK INTERNAL MEDICINE 152 2,615 $3,286,817 $1,257 0.5% (845) 348-2000
21 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NEPHROLOGY 75 2,602 $1,532,140 $589 0.5% (516) 407-2727
22 ST PETERS HOSPITAL OF THE CITY OF ALBANY ALBANY PHYSICIAN ASSISTANT 265 2,560 $1,118,257 $437 0.5% —
23 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NURSE PRACTITIONER 462 2,544 $1,037,088 $408 0.5% (631) 751-3000
24 MARY IMOGENE BASSETT HOSPITAL COOPERSTOWN PHYSICIAN ASSISTANT 792 2,371 $840,529 $355 0.4% —
25 OPTUM MEDICAL CARE PC MOUNT KISCO INTERNAL MEDICINE 1040 2,277 $941,954 $414 0.4% (914) 241-1050
26 GENERAL PHYSICIAN PC BUFFALO PHYSICIAN ASSISTANT 462 2,245 $985,957 $439 0.4% (716) 884-3000
27 GLENS FALLS HOSPITAL INC GLENS FALLS PHYSICIAN ASSISTANT 170 2,233 $883,591 $396 0.4% (518) 926-1000
28 BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. SUFFERN NURSE PRACTITIONER 155 2,201 $1,642,028 $746 0.4% 845353560025027
29 CENTRAL SUFFOLK HOSPITAL RIVERHEAD PHYSICIAN ASSISTANT 91 2,139 $1,142,654 $534 0.4% (631) 548-6101
30 HUDSON VALLEY CARDIOVASCULAR PRACTICE PC POUGHKEEPSIE CARDIOVASCULAR DISEASE (CARDIOLOGY) 72 2,130 $1,235,958 $580 0.4% (845) 473-1188
31 SARATOGA HOSPITAL SARATOGA SPRINGS PHYSICIAN ASSISTANT 353 2,078 $1,221,707 $588 0.4% (518) 583-8421
32 MIDDLETOWN MEDICAL PC MIDDLETOWN NURSE PRACTITIONER 172 2,031 $469,312 $231 0.4% (845) 342-4774
33 AMITYVILLE PULMONOLOGY PLLC AMITYVILLE INTERNAL MEDICINE 11 2,002 $1,915,574 $957 0.4% (631) 598-5864
34 JOHN T MATHER MEMORIAL HOSPITAL PORT JEFFERSON NURSE PRACTITIONER 178 1,933 $1,668,070 $863 0.4% (631) 473-1320
35 ISLANDWIDE GASTROENTEROLOGY PC GARDEN CITY GASTROENTEROLOGY 4 1,896 $463,634 $245 0.4% (516) 222-0067
36 NEW YORK MEDICAL PHYSICIAN ASSOCIATES PC UTICA INTERNAL MEDICINE 214 1,802 $2,010,785 $1,116 0.3% (315) 917-9966
37 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANY NURSE PRACTITIONER 68 1,740 $593,286 $341 0.3% (518) 292-6000
38 ST JOSEPHS MEDICAL PC LIVERPOOL PHYSICIAN ASSISTANT 378 1,739 $695,941 $400 0.3% (315) 475-8402
39 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH EMERGENCY MEDICINE 780 1,704 $1,875,879 $1,101 0.3% (908) 994-5422
40 ROCHESTER GENERAL HOSPITAL ROCHESTER PHYSICIAN ASSISTANT 1218 1,702 $557,252 $327 0.3% (585) 922-4000
41 GARNET HEALTH DOCTORS PC MIDDLETOWN HOSPITALIST 170 1,691 $800,919 $474 0.3% (845) 333-7575
42 ISLAND INFECTIOUS DISEASE MEDICAL PLLC PORT WASHINGTON INFECTIOUS DISEASE 5 1,676 $1,340,800 $800 0.3% (347) 276-6116
43 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK INTERNAL MEDICINE 94 1,675 $1,375,830 $821 0.3% (845) 897-8371
44 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD INTERNAL MEDICINE 550 1,655 $736,285 $445 0.3% (201) 894-3158
45 CROUSE HEALTH HOSPITAL INC SYRACUSE PHYSICIAN ASSISTANT 150 1,617 $631,815 $391 0.3% (315) 470-8401
46 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN DIAGNOSTIC RADIOLOGY 315 1,523 $1,217,905 $800 0.3% (631) 628-5000
47 NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC NEW HYDE PARK PHYSICIAN ASSISTANT 155 1,470 $1,291,972 $879 0.3% —
48 WESTCHESTER MEDICAL GROUP, P.C WHITE PLAINS INTERNAL MEDICINE 409 1,439 $891,913 $620 0.3% (914) 682-0700
49 THE WESTCHESTER MEDICAL PRACTICE PC CORTLANDT MANOR PHYSICIAN ASSISTANT 188 1,389 $1,078,495 $776 0.3% (914) 736-1100
50 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PHYSICIAN ASSISTANT 3707 1,364 $662,904 $486 0.3% (202) 429-2401
51 HIGHLAND HOSPITAL OF ROCHESTER ROCHESTER FAMILY PRACTICE 408 1,235 $905,287 $733 0.2% (585) 341-6776
52 LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC NORTH BABYLON NURSE PRACTITIONER 41 1,221 $453,752 $372 0.2% 6316670388612
53 ST JOHN'S MEDICAL SERVICES PC FAR ROCKAWAY PSYCHIATRY 97 1,208 $662,615 $549 0.2% (718) 869-7919
54 ACADEMIC MEDICINE SERVICES, INC. BUFFALO INTERNAL MEDICINE 117 1,204 $327,335 $272 0.2% —
55 WHITE PLAINS PHYSICIAN SERVICES PC WHITE PLAINS PHYSICIAN ASSISTANT 383 1,201 $991,266 $825 0.2% (914) 681-0600
56 CAYUGA MEDICAL ASSOCIATES PC ITHACA PHYSICIAN ASSISTANT 292 1,150 $712,182 $619 0.2% (607) 269-0100
57 THE UNITY HOSPITAL OF ROCHESTER ROCHESTER PHYSICIAN ASSISTANT 729 1,128 $369,212 $327 0.2% (585) 368-4500
58 INTERNAL MEDICINE GROUP ROCHESTER INTERNAL MEDICINE 168 1,122 $821,830 $732 0.2% (585) 275-7424
59 ELLIS HOSPITAL SCHENECCTADY PHYSICIAN ASSISTANT 247 1,121 $654,864 $584 0.2% (518) 243-4000
60 PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC POUGHKEEPSIE NURSE PRACTITIONER 131 1,101 $557,106 $506 0.2% —
61 LONG ISLAND KIDNEY ASSOCIATES, PC BETHPAGE NEPHROLOGY 4 1,100 $729,386 $663 0.2% (516) 735-5522
62 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGH DIAGNOSTIC RADIOLOGY 345 1,051 $495,375 $471 0.2% (518) 561-2000
63 NORTH SHORE COMPLETE MEDICAL PC MANHASSET NURSE PRACTITIONER 3 1,021 $596,765 $584 0.2% (516) 562-0100
64 SOUTH SOUND INPATIENT PHYSICIANS PLLC PUYALLUP INTERNAL MEDICINE 434 1,019 $1,378,571 $1,353 0.2% (253) 697-4000
65 DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR SYR IN SYRACUSE NURSE PRACTITIONER 281 1,014 $533,070 $526 0.2% (315) 464-5240
66 GALEN INPATIENT PHYSICIANS PC PENSACOLA HOSPITALIST 1012 1,010 $965,231 $956 0.2% (850) 416-7000
67 NEW YORK NEUROLOGIC ASSOCIATES LLP NEW HYDE PARK NEUROLOGY 7 987 $271,389 $275 0.2% (516) 488-1888
68 MEETING HOUSE LANE MEDICAL PRACTICE PC SOUTHAMPTON INTERNAL MEDICINE 119 984 $1,081,700 $1,099 0.2% —
69 CALVARY HOSPITAL INC BRONX INTERNAL MEDICINE 48 975 $319,800 $328 0.2% (718) 518-2000
70 EMERGENCY MEDICAL ASSOCIATION OF NEW YORK PC CORTLANDT MANOR EMERGENCY MEDICINE 36 936 $1,112,904 $1,189 0.2% (954) 939-5000
71 NEW YORK DIABETES AND ENDOCRINOLOGY PLLC QUEENS VILLAGE ENDOCRINOLOGY 2 928 $226,231 $244 0.2% (516) 430-1671
72 INTERFAITH PROFESSIONAL PHYSICIAN SERVICES PC BROOKLYN INTERNAL MEDICINE 384 923 $429,762 $466 0.2% —
73 LAWRENCE MEDICAL ASSOCIATES PC BRONXVILLE INTERNAL MEDICINE 231 918 $680,170 $741 0.2% (914) 787-1000
74 BUFFALO-NIAGARA HOSPITALISTS LLC KENMORE NURSE PRACTITIONER 36 903 $302,054 $335 0.2% (716) 447-6100
75 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN PHYSICIAN ASSISTANT 1231 893 $425,160 $476 0.2% (718) 616-5356
76 NORTHEAST MEDICAL GROUP INC NEW HAVEN PHYSICIAN ASSISTANT 1380 865 $422,120 $488 0.2% —
77 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK INTERNAL MEDICINE 366 851 $535,345 $629 0.2% (732) 477-5600
78 ADVANCED KIDNEY CARE OF HUDSON VALLEY, PC NEWBURGH NEPHROLOGY 8 847 $356,711 $421 0.2% (845) 454-1399
79 SOUTHEASTERN HOSPITALIST SERVICES PC MYRTLE BEACH INTERNAL MEDICINE 308 813 $630,204 $775 0.2% (843) 692-1000
80 NEW YORK NEPHROLOGY AND DIALYSIS ACCESS SURGERY, P.C. ALBANY NEPHROLOGY 18 801 $253,917 $317 0.1% (518) 434-2244
81 CROUSE MEDICAL PRACTICE PLLC SYRACUSE PHYSICIAN ASSISTANT 187 795 $283,551 $357 0.1% —
82 UNITED MEDICAL ASSOCIATES PC JOHNSON CITY NURSE PRACTITIONER 238 794 $381,811 $481 0.1% (607) 763-6580
83 MVHS INC UTICA NURSE PRACTITIONER 322 779 $254,205 $326 0.1% (315) 625-6000
84 MERCY HOSPITAL OF BUFFALO BUFFALO PHYSICIAN ASSISTANT 195 758 $340,173 $449 0.1% (716) 826-7000
85 PHYSICIANS OF UNIVERSITY HOSPITAL PC STATEN ISLAND INTERNAL MEDICINE 57 749 $364,930 $487 0.1% —
86 ARNOT OGDEN MEDICAL CENTER ELMIRA NURSE PRACTITIONER 215 738 $191,419 $259 0.1% (607) 735-4633
87 MEMORIAL NEUROLOGY GROUP NEW YORK NURSE PRACTITIONER 100 736 $857,310 $1,165 0.1% (212) 639-2000
88 PLOVER INPATIENT SERVICES LLC MONTCLAIR INTERNAL MEDICINE 155 728 $483,975 $665 0.1% (973) 429-6000
89 ACUTE CARDIAC CARE PLLC MANHASSET CARDIAC ELECTROPHYSIOLOGY 3 727 $619,508 $852 0.1% (516) 305-5531
90 OLEAN GENERAL HOSPITAL OLEAN PHYSICIAN ASSISTANT 76 719 $280,339 $390 0.1% (716) 375-6993
91 COLUMBIA MEMORIAL HOSPITAL HUDSON DIAGNOSTIC RADIOLOGY 173 711 $421,231 $592 0.1% —
92 BROOKLYN PREMIER CARDIOLOGY PC BROOKLYN CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 689 $448,530 $651 0.1% (718) 256-6800
93 NK MEDICAL PC EAST PATCHOGUE NEPHROLOGY 2 686 $172,080 $251 0.1% (516) 395-9793
94 RAMAN KUMAR MD PLLC WOODBURY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 674 $183,713 $273 0.1% (631) 805-9028
95 CHARLES A. MITGANG, M.D. P.C. ROCKVILLE CENTRE INTERNAL MEDICINE 2 657 $263,050 $400 0.1% (516) 678-5555
96 HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION ASHEVILLE INTERNAL MEDICINE 804 640 $544,572 $851 0.1% (828) 213-1111
97 NEUROLOGY ASSOCIATES OF STONY BROOK, UNIVERSITY FACULTY PRACTICE CORPO STONY BROOK NEUROLOGY 55 631 $454,320 $720 0.1% (631) 638-1000
98 LONG ISLAND INFECTIOUS DISEASE ASSOCIATES, LLP HUNTINGTON INFECTIOUS DISEASE 3 625 $561,690 $899 0.1% (631) 423-9809
99 MICHAEL L. HUNDERT M.D. P.C. LITTLE NECK INTERNAL MEDICINE 2 616 $158,950 $258 0.1% (718) 428-7400
100 APOGEE MEDICAL GROUP DELAWARE INC DOVER HOSPITALIST 95 615 $301,877 $491 0.1% (302) 674-4700

Showing the top 100 of 878 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 →