NEVVI Medicare utilization intelligence
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Market snapshot

99232 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99232 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes

Billing groups
10,599
Named-group FFS services
21,741,021
FFS of Medicare
49%
Services YoY
-2.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~44,431,139 services

21,741,021 observed fee-for-service (49%) · ~22,690,118 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 — 99232 (CY2024)

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

Named-group submitted charges
$4.5B
Named-group allowed amount
$1.7B
Named-group Medicare payments
$1.3B
Avg charge / svc
$205
Avg allowed / svc
$76
Avg payment / svc
$60
Average charge per group
$51 10,599 groups · avg submitted charge / service $2,600
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Specialty market — Nurse Practitioner: 5,973,730 services across 2,783 groups; top group 1%. See Nurse Practitioner across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99232 services, CY2024
#Physician group City St Specialty Providers 99232 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 80,066 $18,630,322 $233 premium 24.5% 4.7% (973) 971-5596
2 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 75,633 $18,924,798 $250 premium 23.2% 4.4% (732) 362-3663
3 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 74,363 $14,031,495 $189 premium 41.1% 8.5% (770) 422-2004
4 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 74,111 $12,479,654 $168 premium 16.1% 5.1%
5 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 66,130 $14,187,102 $215 premium 14.4% 4.6%
6 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 53,829 $7,376,334 $137 premium 20.9% 10.2% (502) 928-1050
7 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 50,428 $13,290,714 $264 premium 8.1% 1.3% (239) 343-9888
8 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 42,753 $7,405,889 $173 premium 9.3% 2.9% (847) 459-1160
9 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 41,456 $8,278,045 $200 premium 22.1% 5.4%
10 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 39,234 $11,658,011 $297 premium 18.6% 5.2% (615) 322-5000
11 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 37,666 $7,054,251 $187 premium 14.7% 7.1% (859) 578-5880
12 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 36,926 $8,673,411 $235 premium 15.4% 4.9% (314) 747-3000
13 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 36,389 $7,881,664 $217 premium 7.9% 2.5% (309) 683-5050
14 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 36,094 $7,786,345 $216 premium 15.1% 4.8%
15 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 33,653 $5,409,134 $161 premium 37.6% 8.1% (918) 502-4720
16 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 33,635 $9,510,234 $283 premium 70.2% 11.0% (507) 284-2511
17 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 32,723 $5,002,401 $153 premium 21.0% 5.9%
18 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 31,648 $12,469,697 $394 premium 9.7% 1.9%
19 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 30,995 $5,041,704 $163 premium 5.0% 0.8% (321) 434-8878
20 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 29,500 $4,950,285 $168 premium 18.9% 5.4% (803) 744-4900
21 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 28,670 $5,914,246 $206 premium 15.3% 3.7% (804) 828-9000
22 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 28,558 $5,048,379 $177 premium 11.1% 5.4% (502) 629-2398
23 CENTRA MEDICAL GROUP LLC LYNCHBURG VA NURSE PRACTITIONER 714 27,841 $3,979,986 $143 premium 14.8% 3.6% (434) 947-3033
24 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 27,806 $7,380,757 $265 premium 4.5% 0.7% (305) 689-5437
25 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 27,584 $5,830,734 $211 premium 14.7% 3.6% (434) 924-5959
26 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 27,210 $3,549,137 $130 premium 29.0% 9.1% (785) 354-9591
27 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 26,385 $4,468,009 $169 premium 15.0% 1.6%
28 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 26,044 $5,976,544 $229 premium 10.1% 4.9% (502) 937-2209
29 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 25,966 $5,402,782 $208 premium 20.5% 4.6% (205) 934-3460
30 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 25,676 $6,117,798 $238 premium 19.1% 3.4% (508) 973-5919
31 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 25,072 $4,503,015 $180 premium 73.2% 26.0% (207) 885-9905
32 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 23,549 $5,118,690 $217 premium 3.8% 0.6% (813) 751-3375
33 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 22,888 $4,101,896 $179 premium 3.7% 0.6% (321) 622-8730
34 PARKVIEW HEALTH SYSTEM INC FORT WAYNE IN NURSE PRACTITIONER 1310 22,767 $3,213,508 $141 premium 11.9% 2.9% (260) 425-5900
35 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 22,272 $3,503,733 $157 premium 5.3% 0.8% (903) 606-5560
36 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 21,992 $6,376,106 $290 premium 3.5% 0.6% (352) 265-8990
37 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 21,941 $4,247,552 $194 premium 23.4% 7.4% (913) 588-1227
38 COMMUNITY CARE NETWORK INC MUNSTER IN NURSE PRACTITIONER 379 21,791 $3,271,468 $150 premium 11.3% 2.8% (219) 836-4563
39 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 21,777 $4,729,598 $217 premium 18.1% 4.0% (410) 502-4340
40 VALLEY PHYSICIAN SERVICES PC HOBOKEN NJ NURSE PRACTITIONER 606 21,740 $5,572,007 $256 premium 6.7% 1.3% (800) 825-5391
41 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 21,438 $5,540,208 $258 premium 26.0% 8.8% (304) 388-5432
42 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 20,752 $3,522,007 $170 premium 6.7% 1.8%
43 CARLE HEALTH CARE INCORPORATED URBANA IL NURSE PRACTITIONER 1528 20,746 $6,205,214 $299 premium 4.5% 1.4% (888) 712-2753
44 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 20,642 $4,852,809 $235 premium 4.9% 0.7% (713) 592-5433
45 LANCASTER GENERAL HOSPITAL LANCASTER PA NURSE PRACTITIONER 511 20,355 $2,980,166 $146 premium 11.6% 1.2% (267) 857-7751
46 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 19,743 $3,987,948 $202 premium 4.7% 0.7% (713) 566-5000
47 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 19,190 $2,078,739 $108 premium 6.2% 1.6% (419) 251-3180
48 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 19,175 $3,496,506 $182 premium 22.2% 7.3%
49 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 19,164 $4,112,066 $215 premium 10.9% 1.2% (610) 431-5000
50 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 19,042 $4,169,303 $219 premium 34.4% 20.0% (701) 234-2000
51 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 18,779 $5,415,135 $288 premium 10.4% 2.2% (404) 778-7525
52 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 18,762 $5,837,080 $311 premium 12.1% 0.8% (212) 305-8559
53 PHYSICIAN GROUPS LC SAINT LOUIS MO NURSE PRACTITIONER 516 18,405 $2,779,038 $151 premium 7.7% 2.4% (314) 273-0195
54 CAROMONT MEDICAL GROUP INC GASTONIA NC NURSE PRACTITIONER 425 18,327 $5,764,496 $315 premium 24.5% 2.5% (704) 865-3848
55 UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC CINCINNATI OH NURSE PRACTITIONER 1504 17,918 $3,357,531 $187 premium 5.8% 1.5% (513) 584-1000
56 ABINGTON MEMORIAL HOSPITAL ABINGTON PA NURSE PRACTITIONER 454 17,285 $2,268,294 $131 premium 9.8% 1.1% (215) 481-2222
57 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 16,980 $3,093,859 $182 premium 4.0% 0.6% (713) 266-9955
58 STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON MS NURSE PRACTITIONER 951 16,897 $3,261,082 $193 premium 15.9% 5.1% (601) 815-4775
59 KINGS DAUGHTERS MEDICAL SPECIALTIES INC ASHLAND KY NURSE PRACTITIONER 392 16,819 $3,193,882 $190 premium 6.5% 3.2% (606) 325-6888
60 WATSON CLINIC LLP LAKELAND FL NURSE PRACTITIONER 363 16,718 $2,221,899 $133 premium 2.7% 0.4% (863) 680-7780
61 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 16,716 $5,909,703 $354 premium 3.6% 1.2% (217) 544-6464
62 HEARTLAND REGIONAL MEDICAL CENTER SAINT JOSEPH MO NURSE PRACTITIONER 387 16,621 $2,815,248 $169 premium 7.0% 2.2% (816) 271-6870
63 PHYSICAL MEDICINE SPECIALISTS, INC JACKSONVILLE FL NURSE PRACTITIONER 61 16,595 $2,495,211 $150 premium 2.7% 0.4% (904) 345-7600
64 MERCY CLINICS INC DES MOINES IA NURSE PRACTITIONER 435 16,378 $2,274,198 $139 premium 18.9% 6.2% (515) 461-9786
65 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 16,255 $3,943,035 $243 premium 15.8% 3.1%
66 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 16,195 $3,976,831 $246 premium 10.4% 2.9% (803) 395-3400
67 LOURDES PHYSICIAN GROUP LLC LAFAYETTE LA NURSE PRACTITIONER 154 16,178 $1,925,103 $119 premium 11.2% 2.9% (337) 470-2990
68 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 16,130 $3,939,841 $244 premium 12.0% 2.1%
69 INFECTIOUS DISEASE CONSULTANTS MD PA ALTAMONTE SPRINGS FL NURSE PRACTITIONER 29 15,956 $3,990,871 $250 premium 2.6% 0.4% (407) 830-5577
70 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 15,876 $2,489,957 $157 premium 3.4% 1.1% (618) 236-8000
71 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 15,673 $2,227,369 $142 premium 8.2% 2.0% (888) 484-3258
72 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 15,554 $3,312,601 $213 premium 5.0% 1.3% (614) 293-8000
73 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA NURSE PRACTITIONER 628 15,540 $2,188,408 $141 premium 10.8% 2.8% (225) 765-1765
74 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 15,335 $4,698,376 $306 premium 2.5% 0.4% (904) 953-2000
75 ADVANCED HEMATOLOGY ONCOLOGY MEDICAL GROUP INC LOS ANGELES CA NURSE PRACTITIONER 6 15,193 $2,562,158 $169 premium 5.9% 0.5% (323) 965-9995
76 HALIFAX HEALTHCARE SYSTEMS INC DAYTONA BCH FL NURSE PRACTITIONER 337 15,173 $2,233,771 $147 premium 2.4% 0.4% (386) 254-4000
77 EXCELCARE MEDICAL ASSOCIATES PA TEANECK NJ NURSE PRACTITIONER 199 14,776 $3,816,355 $258 premium 4.5% 0.9% (201) 836-7970
78 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 14,293 $2,025,789 $142 premium 11.9% 2.6% (410) 328-7877
79 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS HOT SPRINGS AR NURSE PRACTITIONER 192 14,183 $1,701,820 $120 premium 13.4% 3.7%
80 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 14,036 $1,114,459 $79 premium 49.0% 16.1% (605) 322-5180
81 MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC YOUNGSTOWN OH NURSE PRACTITIONER 476 13,908 $1,568,807 $113 premium 4.5% 1.2% (330) 480-3655
82 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 13,845 $3,994,560 $289 premium 5.4% 0.4% (626) 256-4673
83 UNIVERSITY PHYSICIANS AND SURGEONS, INC HUNTINGTON WV NURSE PRACTITIONER 390 13,662 $1,934,572 $142 premium 16.6% 5.6% (304) 691-8500
84 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC FLORENCE SC NURSE PRACTITIONER 409 13,659 $2,356,667 $173 premium 8.8% 2.5% (843) 777-2000
85 MERCY CLINIC FORT SMITH COMMUNITIES FORT SMITH AR NURSE PRACTITIONER 349 13,598 $1,590,560 $117 premium 12.9% 3.6% (479) 314-5175
86 KETTERING INDEPENDENT MEDICAL GROUP INC KETTERING OH NURSE PRACTITIONER 691 13,460 $1,764,681 $131 premium 4.3% 1.2% (937) 395-8646
87 ETMC PHYSICIAN GROUP, INC. TYLER TX NURSE PRACTITIONER 373 13,134 $2,164,502 $165 premium 3.1% 0.4% (903) 590-5611
88 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 12,666 $2,028,232 $160 premium 8.8% 2.3% (504) 842-3000
89 MULTICARE HEALTH SYSTEM GIG HARBOR WA NURSE PRACTITIONER 2289 12,533 $2,699,556 $215 premium 42.1% 3.7%
90 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 12,501 $2,101,119 $168 premium 5.9% 1.7% (865) 305-6333
91 INFECTIOUS DISEASE SPECIALISTS PC VALPARAISO IN NURSE PRACTITIONER 12 12,427 $2,348,703 $189 premium 6.5% 1.6% (219) 972-1547
92 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 12,400 $1,602,820 $129 premium 4.0% 1.1% (419) 291-1111
93 LIFEBRIDGE COMMUNITY PHYSICIANS INC BALTIMORE MD NURSE PRACTITIONER 185 12,170 $2,431,540 $200 premium 10.1% 2.2% (410) 601-9000
94 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 12,143 $2,501,282 $206 premium 11.4% 3.7%
95 SUHATTAI GAMNERDSIRI MD LTD LAS VEGAS NV NURSE PRACTITIONER 6 12,112 $2,905,980 $240 premium 11.8% 2.3% (702) 367-9300
96 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 12,105 $2,873,531 $237 premium 7.8% 2.2% (864) 587-3000
97 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 12,026 $3,826,428 $318 premium 2.6% 0.8% (708) 216-8372
98 CONSOLIDATED MEDICAL PRACTICES OF MEMPHIS,PLLC MEMPHIS TN NURSE PRACTITIONER 114 11,975 $1,771,196 $148 premium 5.7% 1.6% (901) 261-0700
99 ST FRANCIS MEDICAL GROUP LLC MONROE LA NURSE PRACTITIONER 165 11,973 $1,443,020 $121 premium 8.3% 2.2% (318) 966-6500
100 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 11,953 $1,793,549 $150 premium 6.2% 1.5% (574) 647-7275

Showing the top 100 of 10,599 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 →