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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)
CA 3,224,494 FL 2,162,835 TX 1,951,623 NY 1,322,177 IL 1,198,684

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 — Diagnostic Radiology: 637,973 services across 199 groups; top group 13%. See Diagnostic Radiology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99233 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 73,307 $25,391,237 $346 29.8% 2.3% (916) 681-8852
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 56,044 $43,908,547 $783 70.4% 4.2% (212) 263-9700
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 55,488 $21,572,583 $389 22.6% 1.7% (650) 723-4000
4 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 44,873 $22,200,762 $495 92.0% 7.8% (617) 724-0287
5 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 43,054 $18,703,277 $434 17.5% 1.3% (916) 983-7476
6 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 40,664 $21,245,792 $522 73.6% 19.2% (414) 421-8400
7 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 29,411 $11,429,982 $389 12.0% 0.9% (800) 926-8273
8 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 19,818 $6,754,036 $341 61.3% 0.9% (813) 615-7075
9 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 19,234 $5,092,178 $265 39.0% 2.2% —
10 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON KY DIAGNOSTIC RADIOLOGY 989 15,574 $3,684,485 $237 — 5.2% (859) 257-1412
11 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 14,771 $2,813,366 $190 30.0% 1.7% —
12 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU HI DIAGNOSTIC RADIOLOGY 648 14,771 $4,421,782 $299 — 25.2% (808) 691-8200
13 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 13,351 $5,347,495 $401 5.4% 0.4% (877) 827-7463
14 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 11,701 $5,840,964 $499 21.2% 5.5% (414) 955-4263
15 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 10,411 $2,711,708 $260 4.2% 0.3% (800) 872-2273
16 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 10,191 $3,195,751 $314 4.1% 0.3% —
17 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA NY DIAGNOSTIC RADIOLOGY 875 8,559 $3,402,194 $397 10.7% 0.6% —
18 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 8,204 $1,834,155 $224 67.1% 1.5% (248) 964-1187
19 EINSTEIN PRACTICE PLAN INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 740 7,397 $1,406,869 $190 15.0% 0.8% (215) 456-8242
20 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 5,169 $1,362,563 $264 2.1% 0.2% (530) 332-4470
21 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGH NY DIAGNOSTIC RADIOLOGY 345 3,951 $961,553 $243 5.0% 0.3% (518) 561-2000
22 GUAM HEALTHCARE DEVELOPMENT INCORPORATED DEDEDO GU DIAGNOSTIC RADIOLOGY 210 3,691 $1,275,320 $346 — 62.3% (671) 645-5500
23 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 3,491 $662,795 $190 7.1% 0.4% (215) 955-6161
24 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN DIAGNOSTIC RADIOLOGY 689 3,031 $1,119,820 $369 — 1.3% (507) 625-4031
25 OMNI HEALTHCARE, INC MELBOURNE FL DIAGNOSTIC RADIOLOGY 43 2,779 $1,029,219 $370 8.6% 0.1% (321) 777-7888
26 SANFORD CLINIC SIOUX FALLS SD DIAGNOSTIC RADIOLOGY 276 2,778 $865,134 $311 — 7.7% (605) 328-8700
27 HOWARD UNIVERSITY WASHINGTON MD DIAGNOSTIC RADIOLOGY 176 2,632 $562,604 $214 — 0.5% (202) 865-6679
28 INTERCOASTAL MEDICAL GROUP INC SARASOTA FL DIAGNOSTIC RADIOLOGY 187 2,581 $549,753 $213 8.0% 0.1% (941) 366-1888
29 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE NJ DIAGNOSTIC RADIOLOGY 238 2,492 $552,286 $222 25.3% 0.2% (856) 358-6161
30 WEST CARROLL HEALTH SYSTEMS, LLC OAK GROVE MS DIAGNOSTIC RADIOLOGY 20 2,215 $332,250 $150 — 1.0% (318) 428-3237
31 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN NY DIAGNOSTIC RADIOLOGY 315 2,173 $887,534 $408 2.7% 0.2% (631) 628-5000
32 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG VA DIAGNOSTIC RADIOLOGY 267 2,079 $461,951 $222 — 0.4% (540) 741-5610
33 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 2,055 $631,517 $307 20.9% 0.2% (856) 433-2535
34 HOWARD UNIVERSITY WASHINGTON DC DIAGNOSTIC RADIOLOGY 176 1,856 $476,379 $257 — 1.6% (202) 865-6679
35 ARGOMED GROUP LLC OSPREY FL DIAGNOSTIC RADIOLOGY 13 1,710 $367,650 $215 5.3% 0.1% (941) 300-9111
36 ECM HEALTH GROUP LLC FLORENCE AL DIAGNOSTIC RADIOLOGY 140 1,683 $365,619 $217 — 0.6% (256) 718-5900
37 AURORA ADVANCED HEALTHCARE, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 1093 1,551 $796,809 $514 2.8% 0.7% (414) 352-3100
38 COLUMBIA MEMORIAL HOSPITAL HUDSON NY DIAGNOSTIC RADIOLOGY 173 1,549 $566,934 $366 1.9% 0.1% —
39 GARDEN STATE HEALTHCARE ASSOCIATES LLC HOBOKEN NJ DIAGNOSTIC RADIOLOGY 154 1,424 $703,679 $494 14.5% 0.1% (201) 418-1000
40 MEDICAL FOUNDATION INC MERIDIAN MS DIAGNOSTIC RADIOLOGY 198 1,359 $225,594 $166 — 0.6% (601) 484-6700
41 HOLYOKE MEDICAL CENTER INC HOLYOKE MA DIAGNOSTIC RADIOLOGY 201 1,231 $343,449 $279 2.5% 0.2% (413) 534-2546
42 NEW YORK UNIVERSITY NEW YORK FL DIAGNOSTIC RADIOLOGY 5704 1,213 $554,462 $457 3.8% 0.1% (212) 263-9700
43 YAKIMA VALLEY MEMORIAL PHYSICIANS YAKIMA WA DIAGNOSTIC RADIOLOGY 405 1,208 $287,504 $238 47.5% 0.4% (509) 575-8000
44 RIDGEVIEW MEDICAL CENTER WACONIA MN DIAGNOSTIC RADIOLOGY 412 1,161 $456,861 $394 — 0.5% (952) 442-2191
45 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO OH DIAGNOSTIC RADIOLOGY 2420 1,048 $361,560 $345 37.8% 0.1% (916) 681-8852
46 ER PHYSICIAN GROUP AT JACKSON HOSPITAL MARIANNA FL DIAGNOSTIC RADIOLOGY 139 1,044 $222,038 $213 3.2% 0.0% (850) 526-2200
47 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL PA DIAGNOSTIC RADIOLOGY 825 1,005 $225,836 $225 2.0% 0.1% (856) 433-2535
48 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO IL DIAGNOSTIC RADIOLOGY 2420 978 $337,410 $345 13.5% 0.1% (916) 681-8852
49 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 926 $511,676 $553 0.4% 0.0% (415) 476-1000
50 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM IL DIAGNOSTIC RADIOLOGY 1197 920 $300,277 $326 12.7% 0.1% (916) 983-7476
51 LAKESHORE MEDICAL CLINIC LLC SAINT FRANCIS WI DIAGNOSTIC RADIOLOGY 374 920 $483,000 $525 1.7% 0.4% (414) 744-6589
52 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO TX DIAGNOSTIC RADIOLOGY 2420 913 $314,985 $345 19.1% 0.0% (916) 681-8852
53 MSU HEALTH CARE INC. EAST LANSING MI DIAGNOSTIC RADIOLOGY 217 908 $156,478 $172 7.4% 0.2% —
54 ST CLAIR PROFESSIONAL SERVICES INC PITTSBURGH PA DIAGNOSTIC RADIOLOGY 74 908 $208,322 $229 1.8% 0.1% (412) 942-2582
55 HENRY HEYWOOD MEMORIAL HOSPITAL GARDNER MA DIAGNOSTIC RADIOLOGY 114 900 $307,940 $342 1.8% 0.2% (978) 632-3420
56 RENAISSANCE MEDICAL FOUNDATION EDINBURG TX DIAGNOSTIC RADIOLOGY 174 890 $281,456 $316 18.6% 0.0% —
57 COMMUNITY CARE PHYSICIANS PLLC LATHAM NY DIAGNOSTIC RADIOLOGY 370 850 $160,675 $189 1.1% 0.1% (518) 782-3700
58 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO NM DIAGNOSTIC RADIOLOGY 236 810 $295,585 $365 — 1.2% (505) 439-6100
59 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO VA DIAGNOSTIC RADIOLOGY 2420 797 $261,717 $328 — 0.2% (916) 681-8852
60 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO PA DIAGNOSTIC RADIOLOGY 2420 793 $244,733 $309 1.6% 0.1% (916) 681-8852
61 MSK MONMOUTH MIDDLETOWN NY DIAGNOSTIC RADIOLOGY 306 789 $441,840 $560 1.0% 0.1% (908) 542-3007
62 HARTSVILLE MEDICAL GROUP LLC HARTSVILLE SC DIAGNOSTIC RADIOLOGY 63 776 $197,608 $255 — 0.3% —
63 ENLOE MEDICAL CENTER CHICO ND DIAGNOSTIC RADIOLOGY 362 762 $200,406 $263 — 2.3% (530) 332-4470
64 BONAVENTURE MEDICAL FOUNDATION LLC HOFFMAN EST IL DIAGNOSTIC RADIOLOGY 162 732 $162,043 $221 10.1% 0.1% (847) 755-8208
65 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU CA DIAGNOSTIC RADIOLOGY 648 712 $251,063 $353 0.3% 0.0% (808) 691-8200
66 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO MI DIAGNOSTIC RADIOLOGY 2420 696 $240,120 $345 5.7% 0.1% (916) 681-8852
67 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH NY DIAGNOSTIC RADIOLOGY 4291 673 $140,299 $208 0.8% 0.1% —
68 JACKSON MADISON COUNTY GENERAL HOSPITAL JACKSON TN DIAGNOSTIC RADIOLOGY 54 673 $132,562 $197 — 0.2% (731) 541-5000
69 CENTRAL AVENUE PROFESSIONAL SERVICES, PC NEWARK NJ DIAGNOSTIC RADIOLOGY 58 669 $225,073 $336 6.8% 0.1% (973) 877-5300
70 ENLOE MEDICAL CENTER CHICO AZ DIAGNOSTIC RADIOLOGY 362 660 $173,580 $263 29.6% 0.1% (530) 332-4470
71 ENLOE MEDICAL CENTER CHICO ME DIAGNOSTIC RADIOLOGY 362 649 $170,687 $263 — 1.2% (530) 332-4470
72 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG NY DIAGNOSTIC RADIOLOGY 267 635 $140,335 $221 0.8% 0.0% (540) 741-5610
73 KERN COUNTY HOSPITAL AUTHORITY BAKERSFIELD CA DIAGNOSTIC RADIOLOGY 262 629 $230,459 $366 0.3% 0.0% —
74 BARBARA ANN KARMANOS CANCER INSTITUTE DETROIT MI DIAGNOSTIC RADIOLOGY 57 628 $200,727 $320 5.1% 0.1% (800) 527-6266
75 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO MI DIAGNOSTIC RADIOLOGY 2057 625 $243,351 $389 5.1% 0.1% (800) 926-8273
76 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO KY DIAGNOSTIC RADIOLOGY 2420 622 $214,590 $345 — 0.2% (916) 681-8852
77 SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD CA DIAGNOSTIC RADIOLOGY 89 622 $189,710 $305 0.3% 0.0% —
78 ENLOE MEDICAL CENTER CHICO IL DIAGNOSTIC RADIOLOGY 362 599 $157,537 $263 8.2% 0.0% (530) 332-4470
79 HUMBOLDT PARK HEALTH CHICAGO IL DIAGNOSTIC RADIOLOGY 102 591 $193,257 $327 8.1% 0.0% (773) 292-8227
80 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG MI DIAGNOSTIC RADIOLOGY 267 590 $130,390 $221 4.8% 0.1% (540) 741-5610
81 TATE COUNTY HOSPITAL SENATOBIA TN DIAGNOSTIC RADIOLOGY 33 567 $141,750 $250 — 0.1% (662) 612-0311
82 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO LA DIAGNOSTIC RADIOLOGY 2420 562 $193,890 $345 35.5% 0.2% (916) 681-8852
83 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO DC DIAGNOSTIC RADIOLOGY 2420 538 $185,610 $345 — 0.5% (916) 681-8852
84 BAY AREA HOSPITAL DISTRICT COOS BAY TX DIAGNOSTIC RADIOLOGY 124 538 $150,328 $279 11.2% 0.0% (541) 269-8282
85 NEW YORK UNIVERSITY NEW YORK MA DIAGNOSTIC RADIOLOGY 5704 531 $405,211 $763 1.1% 0.1% (212) 263-9700
86 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO NV DIAGNOSTIC RADIOLOGY 2420 520 $179,400 $345 — 0.1% (916) 681-8852
87 KND DEVELOPMENT 59 LLC ALBUQUERQUE FL DIAGNOSTIC RADIOLOGY 173 513 $128,410 $250 1.6% 0.0% (502) 596-7358
88 HOSPITAL MENONITA DE CAYEY CAYEY FL DIAGNOSTIC RADIOLOGY 57 512 $117,672 $230 1.6% 0.0% —
89 NEW YORK UNIVERSITY NEW YORK CT DIAGNOSTIC RADIOLOGY 5704 509 $413,308 $812 — 0.3% (212) 263-9700
90 NEW YORK UNIVERSITY NEW YORK TX DIAGNOSTIC RADIOLOGY 5704 504 $267,424 $531 10.5% 0.0% (212) 263-9700
91 ECM HEALTH GROUP LLC FLORENCE GA DIAGNOSTIC RADIOLOGY 140 503 $114,543 $228 — 0.1% (256) 718-5900
92 GUAM HEALTHCARE DEVELOPMENT INCORPORATED DEDEDO AZ DIAGNOSTIC RADIOLOGY 210 493 $94,252 $191 22.1% 0.1% (671) 645-5500
93 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO NJ DIAGNOSTIC RADIOLOGY 2420 492 $169,740 $345 5.0% 0.0% (916) 681-8852
94 NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD ALBUQUERQUE NM DIAGNOSTIC RADIOLOGY 67 490 $170,556 $348 — 0.7% (505) 842-8171
95 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM TN DIAGNOSTIC RADIOLOGY 1197 482 $157,858 $328 — 0.1% (916) 983-7476
96 KAWEAH DELTA HEALTH CARE DISTRICT VISALIA CA DIAGNOSTIC RADIOLOGY 101 470 $109,937 $234 0.2% 0.0% (559) 624-6090
97 HARTSVILLE MEDICAL GROUP LLC HARTSVILLE NH DIAGNOSTIC RADIOLOGY 63 469 $119,748 $255 — 0.6% —
98 GOOD SAMARITAN REGIONAL HEALTH CENTER MOUNT VERNON IL DIAGNOSTIC RADIOLOGY 148 468 $141,151 $302 6.4% 0.0% (557) 203-1601
99 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU DC DIAGNOSTIC RADIOLOGY 648 467 $136,115 $291 — 0.4% (808) 691-8200
100 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH WA DIAGNOSTIC RADIOLOGY 4291 460 $119,140 $259 18.1% 0.2% —

Showing the top 100 of 8,210 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 →