NEVVI Medicare utilization intelligence
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Market snapshot

99234 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99234 — Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes

Billing groups
109
Named-group FFS services
4,722
FFS of Medicare
49%
Services YoY
-22.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,849 services

4,722 observed fee-for-service (48%) · ~5,127 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

Top states — 99234 (CY2024)

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

Named-group submitted charges
$1.8M
Named-group allowed amount
$450K
Named-group Medicare payments
$347K
Avg charge / svc
$376
Avg allowed / svc
$95
Avg payment / svc
$73
Average charge per group
$155 109 groups · avg submitted charge / service $886
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99234 services, CY2024
#Physician group City St Specialty Providers 99234 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 270 $70,200 $260 premium 46.5% (254) 724-2663
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 258 $165,636 $642 premium 54.2%
3 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 252 $153,867 $611 premium 35.0% (650) 723-4000
4 RESTORATIVE PHYSICAL MEDICINE PLLC NOVI MI PHYSICAL MEDICINE AND REHABILITATION 19 203 $45,675 $225 premium 37.2% (248) 697-2942
5 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 184 $63,576 $346 premium 18.3% (407) 896-1100
6 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 171 $70,794 $414 premium 17.0% (561) 747-2234
7 MEDICAL OFFICE FORCE ATHENS GA INTERNAL MEDICINE 55 124 $109,856 $886 premium 44.4% (706) 208-9700
8 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 120 $38,620 $322 premium 11.9% (407) 200-2700
9 MICHIGAN REHABILITATION PHYSICIANS DETROIT MI PHYSICAL MEDICINE AND REHABILITATION 11 100 $22,500 $225 premium 18.3% (313) 367-2767
10 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 99 $39,798 $402 premium 17.9% (856) 433-2535
11 HEALTHTEXAS PROVIDER NETWORK DALLAS LA PHYSICIAN ASSISTANT 2482 96 $32,597 $340 premium 53.6%
12 PEYTON P BEROOKIM MD INC BEVERLY HILLS CA GASTROENTEROLOGY 2 92 $58,000 $630 premium 12.8% (310) 271-1122
13 BMC AFFILIATED PHYSICIANS, INC. BROCKTON MA PHYSICIAN ASSISTANT 525 91 $38,311 $421 premium 39.9% (508) 427-3000
14 HOSPITALIST GROUP OF MANATEE COUNTY LLC BRADENTON FL FAMILY PRACTICE 8 89 $24,030 $270 premium 8.8%
15 THE WILLIAM W BACKUS HOSPITAL NORWICH CT PHYSICIAN ASSISTANT 244 82 $19,365 $236 premium 53.2% (860) 889-8331
16 BAPTIST MEMORIAL HOSPITAL - CALHOUN INC CALHOUN CITY MS DIAGNOSTIC RADIOLOGY 24 67 $15,080 $225 premium 66.3% (662) 628-6611
17 VALKYRIE PHARMACEUTICS LOS ANGELES CA HEMATOLOGY/ONCOLOGY 2 64 $26,305 $411 premium 8.9% (951) 417-2766
18 SPECIALTY MEDICAL CENTER INC DEARBORN AL PHYSICIAN ASSISTANT 19 62 $13,950 $225 premium 41.9% (313) 572-0810
19 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 62 $16,058 $259 premium 15.0% (630) 933-4800
20 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 62 $21,080 $340 premium 19.1%
21 STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY WESTON WV FAMILY PRACTICE 65 57 $13,944 $245 premium 100.0% (304) 269-4431
22 CRAIG CARDIOVASCULAR CENTER PA SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 57 $14,250 $250 premium 9.8% (830) 672-3845
23 GREENE COUNTY GENERAL HOSPITAL LINTON IN DIAGNOSTIC RADIOLOGY 95 52 $15,116 $291 premium 42.6% 81284722812054
24 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 50 $21,850 $437 premium 9.1% (973) 971-5596
25 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 49 $19,894 $406 premium 11.9% (708) 216-8372
26 CARDIAC ARRHYTHMIA SPECIALIST PC CLIFTON NJ CARDIAC ELECTROPHYSIOLOGY 2 48 $21,024 $438 premium 8.7% (973) 340-9400
27 NORTH SHORE-LIJ MEDICAL PC MANHASSET VA PHYSICIAN ASSISTANT 6294 47 $30,174 $642 premium 36.7%
28 BAPTIST HEALTH CENTERS LLC BIRMINGHAM AL NURSE PRACTITIONER 181 46 $15,340 $333 premium 31.1% (205) 795-5390
29 GUADALUPE COUNTY HOSPITAL BOARD SEGUIN TX FAMILY PRACTICE 26 44 $19,972 $454 premium 7.6% (830) 379-2411
30 UNIVERSITY OF CHICAGO CHICAGO IL NURSE PRACTITIONER 1662 42 $26,801 $638 premium 10.2% (888) 824-0200
31 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 40 $11,280 $282 premium 9.7% (309) 683-5050
32 MELROSE INTERNAL MEDICINE ASSOC PC MELROSE MA CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 37 $10,175 $275 premium 16.2% (781) 979-3800
33 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 37 $11,766 $318 premium 5.1% (800) 954-8000
34 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 35 $10,201 $291 premium 40.2% (717) 972-4250
35 REFUAH HEALTH CENTER INC NEW SQUARE NY NURSE PRACTITIONER 91 35 $8,750 $250 premium 7.4% (845) 354-9300
36 HEALTHY ALLIANCE HILLIARD OH NURSE PRACTITIONER 11 35 $8,960 $256 premium 10.8% (614) 771-4400
37 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 34 $11,545 $340 premium 5.9%
38 EAST JEFFERSON PHYSICIANS GROUP LLC METAIRIE LA INTERNAL MEDICINE 218 33 $14,883 $451 premium 18.4% (504) 503-5123
39 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 33 $17,696 $536 premium 6.9% (212) 241-4812
40 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU CA DIAGNOSTIC RADIOLOGY 648 32 $7,680 $240 premium 4.4% (808) 691-8200
41 ISLAND HOSPITALIST GROUP PL SARASOTA FL NURSE PRACTITIONER 6 31 $7,998 $258 premium 3.1% (217) 369-4168
42 COMMUNITY HEALTH PARTNERS FRESNO NJ INTERNAL MEDICINE 509 31 $8,153 $263 premium 5.6% (559) 459-6000
43 CAROMONT MEDICAL GROUP INC GASTONIA NC NURSE PRACTITIONER 425 31 $13,919 $449 premium 36.9% (704) 865-3848
44 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 30 $5,650 $188 premium 23.4%
45 TOTAL GASTROENTEROLOGY PA SEBRING FL NURSE PRACTITIONER 12 29 $7,482 $258 premium 2.9% (863) 382-0385
46 MIND CARE PSYCHIATRY CONSULTANTS, PA EL PASO TX PSYCHIATRY 2 28 $5,310 $190 premium 4.8% (915) 544-4000
47 HAWAII PERMANENTE MEDICAL GROUP INC HONOLULU HI FAMILY PRACTICE 722 28 $5,852 $209 premium 100.0% (808) 432-0000
48 UPMC ALTOONA REGIONAL HEALTH SERVICES, INC. ALTOONA PA PHYSICIAN ASSISTANT 190 27 $7,506 $278 premium 31.0% (814) 941-8811
49 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 24 $5,016 $209 premium 7.4%
50 ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES LC SAINT LOUIS MO INTERNAL MEDICINE 137 24 $6,264 $261 premium 41.4% (314) 525-1899
51 UT PHYSICIANS HOUSTON TX NURSE PRACTITIONER 1758 23 $8,418 $366 premium 4.0% (713) 566-5000
52 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 23 $9,821 $427 premium 22.5% (502) 937-2209
53 MAYA MEDICAL CENTERS SC EVERGREEN PARK IL NURSE PRACTITIONER 4 23 $6,670 $290 premium 5.6% (708) 422-1363
54 VITAL HEALTH PARTNERS LLC WAUKEGAN LA EMERGENCY MEDICINE 62 23 $8,823 $384 premium 12.8% (847) 360-3000
55 SOMC MEDICAL GROUP PC BRICK NJ INTERNAL MEDICINE 29 23 $7,375 $321 premium 4.2% (732) 892-4548
56 OGDEN CLINIC SPECIALTY SERVICES LLC OGDEN UT PHYSICIAN ASSISTANT 133 23 $6,647 $289 premium 59.0% (801) 475-3800
57 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC MOUNT VERNON IL NURSE PRACTITIONER 125 22 $8,910 $405 premium 5.3% (618) 899-3278
58 WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC NYACK NY INTERNAL MEDICINE 94 22 $11,952 $543 premium 4.6% (845) 897-8371
59 LONG LIFE CARDIAC CENTER MEDICAL CORPORATION ALHAMBRA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 22 $3,870 $176 premium 3.1% (626) 458-8818
60 MERITUS MEDICAL CENTER INC HAGERSTOWN MD NURSE PRACTITIONER 725 21 $3,780 $180 premium 100.0%
61 CARDIOLOGY ASSOCIATES OF MIAMI BEACH, PLLC MIAMI FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 21 $6,300 $300 premium 2.1% (305) 672-0290
62 LOUISVILLE LUNG CARE PLLC LOUISVILLE KY NURSE PRACTITIONER 7 21 $6,510 $310 premium 20.6% (502) 883-0227
63 LM PRASAD M.D S.C PARK RIDGE IL COLORECTAL SURGERY (PROCTOLOGY) 3 21 $5,250 $250 premium 5.1% (847) 759-1110
64 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 21 $7,056 $336 premium 16.4% (757) 595-9880
65 PROMEDICA MONROE PHYSICIANS PLLC MONROE MI FAMILY PRACTICE 63 21 $4,683 $223 premium 3.8% (734) 240-8987
66 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 21 $9,513 $453 premium 2.9% (310) 423-0674
67 SILVIA CASTILLO SY MDPA MISSION TX GASTROENTEROLOGY 3 20 $4,700 $235 premium 3.4% (956) 424-1511
68 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 19 $8,740 $460 premium 22.6% (919) 684-8111
69 ROMAN J. DYKUN, MD WOODSTOCK IL OTOLARYNGOLOGY 6 19 $7,600 $400 premium 4.6% (815) 338-4600
70 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS IN ORTHOPEDIC SURGERY 348 19 $8,550 $450 premium 15.6% (317) 802-2000
71 BOLIVAR PHYSICIAN PRACTICES LLC CLEVELAND MS NURSE PRACTITIONER 18 19 $5,215 $274 premium 18.8% (662) 843-3606
72 OLYMPIC MEDICAL PHYSICIANS PORT ANGELES WA PHYSICIAN ASSISTANT 100 18 $5,152 $286 premium 58.1% (360) 565-0999
73 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND VT NURSE PRACTITIONER 352 18 $7,020 $390 premium 50.0% (804) 764-6000
74 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 18 $4,639 $258 premium 2.5% (559) 459-6000
75 RETREAT CARDIOLOGY LLC RICHMOND VA CARDIOVASCULAR DISEASE (CARDIOLOGY) 14 18 $5,205 $289 premium 14.1% (804) 288-0134
76 CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC SAN ANTONIO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 124 18 $5,760 $320 premium 3.1% (210) 271-3204
77 T W WAGNER INC MANILA AR NURSE PRACTITIONER 9 18 $4,950 $275 premium 60.0% (870) 561-3300
78 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 18 $4,390 $244 premium 1.8%
79 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 17 $5,355 $315 premium 3.1% (732) 362-3663
80 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 17 $4,522 $266 premium 10.8% (207) 885-9905
81 THE FINLEY HOSPITAL DUBUQUE IA INTERNAL MEDICINE 75 17 $4,939 $291 premium 100.0%
82 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 17 $8,976 $528 premium 7.5% (617) 724-0287
83 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 17 $7,701 $453 premium 2.4% (310) 829-6789
84 MOUNTAINSTAR CARDIOLOGY ST MARKS LLC OGDEN UT CARDIOVASCULAR DISEASE (CARDIOLOGY) 41 16 $4,300 $269 premium 41.0% (801) 479-2111
85 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. EAST SAINT LOUIS IL NURSE PRACTITIONER 120 16 $4,560 $285 premium 3.9% (618) 271-9191
86 LAKELAND SURGICAL CLINIC PLLC JACKSON MS GENERAL SURGERY 15 15 $6,000 $400 premium 14.9% (601) 982-3202
87 PINNACLE VEIN AND VASCULAR CENTER PLLC SUN CITY AZ VASCULAR SURGERY 2 15 $3,000 $200 premium 25.4% (888) 553-8346
88 HEARTLAND REGIONAL MEDICAL CENTER SAINT JOSEPH MO NURSE PRACTITIONER 387 15 $3,765 $251 premium 25.9% (816) 271-6870
89 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 15 $5,640 $376 premium 100.0% (605) 755-7200
90 MENDOTA COMMUNITY HOSPITAL MENDOTA IL NURSE PRACTITIONER 51 15 $4,309 $287 premium 3.6% (815) 539-2663
91 MUIR PULMONARY CRITICAL CARE WALNUT CREEK CA PULMONARY DISEASE 13 14 $2,170 $155 premium 1.9% (925) 939-3050
92 ABINGTON MEMORIAL HOSPITAL ABINGTON PA NURSE PRACTITIONER 454 14 $3,570 $255 premium 16.1% (215) 481-2222
93 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 14 $3,906 $279 premium 2.9% (212) 263-9700
94 CEDAR BAY MEDICINE PC HIGHLAND MI INTERNAL MEDICINE 6 14 $2,450 $175 premium 2.6% (248) 676-9060
95 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 13 $4,316 $332 premium 41.9% (509) 946-4611
96 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 13 $4,847 $373 premium 4.7% (404) 778-7525
97 MOUNT SINAI COMMUNITY FOUNDATION CHICAGO IL INTERNAL MEDICINE 253 13 $4,009 $308 premium 3.1% (773) 257-6672
98 UNIVERSITY OF ROCHESTER NEUROSURGERY GROUP ROCHESTER NY NEUROSURGERY 48 13 $5,460 $420 premium 2.7%
99 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 12 $7,452 $621 premium 2.2%
100 BOSTON UNIVERSITY PSYCHIATRY ASSOCIATES, INC. BOSTON MA PSYCHIATRY 98 12 $4,224 $352 premium 5.3% (617) 414-5245

Showing the top 100 of 109 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 →