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Market snapshot

99233 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99233 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes

Billing groups
8,210
Named-group FFS services
14,841,936
FFS of Medicare
49%
Services YoY
+3.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~30,084,045 services

14,841,936 observed fee-for-service (49%) · ~15,242,109 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; 5 states without payer-mix data excluded. How we scale

Top states — 99233 (CY2024)

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

Named-group submitted charges
$4.8B
Named-group allowed amount
$1.7B
Named-group Medicare payments
$1.4B
Avg charge / svc
$326
Avg allowed / svc
$116
Avg payment / svc
$92
Average charge per group
$75 8,210 groups · avg submitted charge / service $2,700
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Specialty market — Certified Clinical Nurse Specialist (Cns): 4,608 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Certified Clinical Nurse Specialist (Cns) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99233 services, CY2024
#Physician group City St Specialty Providers 99233 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 NAVEED S UMMED., M.D. INC. JOHNS CREEK GA CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 2 1,700 $334,917 $197 premium 0.3% (770) 212-9520
2 PULMONARY REHABILITATION ASSOCIATES YOUNGSTOWN OH CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 8 1,685 $241,420 $143 premium 0.2% (330) 758-7575
3 NEO REHAB SPECIALISTS INC AKRON OH CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 3 996 $224,065 $225 premium 0.1% (330) 572-7293
4 APRN MEDICAL LLC SPRINGDALE AR CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 2 227 $19,259 $85 premium 0.1% (479) 409-3770

*"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 →