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Market snapshot

99235 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99235 — Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes

Billing groups
275
Named-group FFS services
8,798
FFS of Medicare
49%
Services YoY
-4.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~17,702 services

8,798 observed fee-for-service (50%) · ~8,904 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 — 99235 (CY2024)
FL 2,469 TX 1,479 CA 1,097 NJ 978 NY 891

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

Named-group submitted charges
$3.9M
Named-group allowed amount
$1.4M
Named-group Medicare payments
$1.0M
Avg charge / svc
$444
Avg allowed / svc
$154
Avg payment / svc
$118
Average charge per group
$162 275 groups · avg submitted charge / service $2,182
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99235 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 449 $146,374 $326 30.4% (254) 724-2663
2 SYNERGY INPATIENT SERVICES LLC THE VILLAGES FL NURSE PRACTITIONER 20 256 $66,304 $259 10.4% (352) 259-2159
3 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 236 $85,904 $364 38.2% (717) 972-4250
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 210 $168,924 $804 23.6% —
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 207 $222,525 $1,075 23.2% (212) 263-9700
6 ADVENTIST PHYSICIAN SERVICES INC ROCKVILLE MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 145 189 $68,229 $361 58.9% (301) 670-3000
7 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 142 $48,280 $340 41.0% —
8 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 131 $56,054 $428 11.9% (559) 459-6000
9 GREGORY T EVANGELISTA MD LLC SCOTTSDALE AZ ORTHOPEDIC SURGERY 3 116 $58,812 $507 20.8% (480) 656-0291
10 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 115 $54,746 $476 49.4% —
11 FLORIDA MEDICAL SPECIALISTS LLC SARASOTA FL INTERNAL MEDICINE 123 115 $35,922 $312 4.7% —
12 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 113 $32,657 $289 80.7% (801) 261-8346
13 MED-CURE INTERNAL MEDICINE PLC GOODYEAR AZ INTERNAL MEDICINE 28 108 $36,288 $336 19.4% (623) 935-9494
14 GUADALUPE COUNTY HOSPITAL BOARD SEGUIN TX FAMILY PRACTICE 26 98 $54,176 $553 6.6% (830) 379-2411
15 MUIR PULMONARY CRITICAL CARE WALNUT CREEK CA PULMONARY DISEASE 13 95 $18,050 $190 8.7% (925) 939-3050
16 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 87 $61,411 $706 9.8% (212) 241-4812
17 HEALTH SERVICE SYSTEMS, INC NEW LENOX IL FAMILY PRACTICE 60 85 $44,669 $526 9.9% (815) 727-4292
18 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 81 $39,042 $482 3.3% (813) 615-7075
19 LEGACY HEALTHCARE SERVICES INC DURHAM AL INTERNAL MEDICINE 3859 81 $20,979 $259 33.9% (919) 419-9600
20 MEDICAL ASSOCIATES OF KATY PLLC HOUSTON TX INTERNAL MEDICINE 5 80 $23,680 $296 5.4% (281) 206-8070
21 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 80 $51,840 $648 3.2% (305) 689-5437
22 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 78 $48,906 $627 3.2% (239) 343-9888
23 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 74 $29,304 $396 8.6% (847) 459-1160
24 YUMA REGIONAL MEDICAL CENTER YUMA OR PHYSICIAN ASSISTANT 388 68 $40,324 $593 45.0% (928) 336-1815
25 CHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP TUSTIN CA INTERNAL MEDICINE 69 66 $43,972 $666 6.0% (714) 573-8200
26 MOUNT SINAI COMMUNITY FOUNDATION CHICAGO IL INTERNAL MEDICINE 253 66 $26,290 $398 7.7% (773) 257-6672
27 ARKANSAS HEALTH GROUP LITTLE ROCK AR CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 666 58 $17,110 $295 29.3% (501) 202-2093
28 NORTH SHORE-LIJ MEDICAL PC MANHASSET NJ PHYSICIAN ASSISTANT 6294 58 $48,952 $844 5.9% —
29 TRIAD HEALTH SERVICES LLC YOUNGSTOWN OH PHYSICIAN ASSISTANT 256 55 $28,655 $521 9.9% (330) 729-8000
30 GREENE COUNTY GENERAL HOSPITAL LINTON IN DIAGNOSTIC RADIOLOGY 95 55 $21,315 $388 15.9% 81284722812054
31 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 53 $23,797 $449 9.5% —
32 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 51 $18,768 $368 3.4% (903) 606-5560
33 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 50 $17,650 $353 9.0% —
34 PREMIER HEALTH SPECIALISTS INC DAYTON OR PHYSICIAN ASSISTANT 574 49 $16,023 $327 32.5% —
35 PATHWAYS CLINICAL PARTNERS, LLC LEESBURG FL INTERNAL MEDICINE 9 49 $10,290 $210 2.0% (800) 632-6228
36 NJ HEART INSTITUTE, PA TOMS RIVER NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 49 $8,191 $167 5.0% (732) 240-7777
37 BEEBE PHYSICIAN NETWORK INC. LEWES DE PHYSICIAN ASSISTANT 295 49 $17,143 $350 21.0% (302) 645-3525
38 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 49 $32,789 $669 11.6% (978) 741-4133
39 HOSPITAL CONSULTANTS PC TROY MI HOSPITALIST 43 46 $13,340 $290 13.6% (248) 694-1000
40 AURORA MEDICAL GROUP, INC. MILWAUKEE CO DIAGNOSTIC RADIOLOGY 3696 45 $42,525 $945 44.6% (414) 421-8400
41 MAGNOLIA HOSPITALIST GROUP CORINTH MS INTERNAL MEDICINE 19 45 $18,591 $413 24.5% (662) 293-1000
42 PIH HEALTH PHYSICIANS WHITTIER CA INTERNAL MEDICINE 606 43 $30,436 $708 3.9% (562) 698-0811
43 JERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC LAKEWOOD NJ INTERNAL MEDICINE 6 43 $13,975 $325 4.4% (732) 942-0888
44 TIDEWATER KIDNEY SPECIALISTS INC NORFOLK VA NEPHROLOGY 21 42 $16,572 $395 18.1% (757) 623-0005
45 THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY NEW BRITAIN NY INTERNAL MEDICINE 399 42 $16,150 $385 4.7% (860) 224-6623
46 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 41 $15,867 $387 4.8% —
47 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 40 $30,480 $762 46.5% —
48 VIDA Y SALUD - HEALTH SYSTEMS, INC. CRYSTAL CITY TX PHYSICIAN ASSISTANT 5 37 $9,361 $253 2.5% (830) 374-2301
49 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 37 $13,320 $360 4.3% (630) 469-9200
50 MERCY HEALTH CLINICS LLC IRVINE KY NURSE PRACTITIONER 14 36 $11,844 $329 19.9% —
51 PHYSICIANS OF CAPE COD HOSPITAL HYANNIS IL NURSE PRACTITIONER 318 35 $15,526 $444 4.1% (774) 552-6000
52 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 34 $10,454 $307 14.7% —
53 TREASURE COAST HOSPITALIST PL PALM CITY FL INTERNAL MEDICINE 7 34 $8,350 $246 1.4% (772) 249-5256
54 SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS SPARTA IL NURSE PRACTITIONER 44 34 $11,934 $351 3.9% (618) 443-4138
55 KARE HOSPITAL MEDICINE LLC ELK GROVE VILLAGE IL HOSPITALIST 7 34 $11,959 $352 3.9% (847) 437-5500
56 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL NJ DIAGNOSTIC RADIOLOGY 825 34 $15,130 $445 3.5% (856) 433-2535
57 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 34 $13,597 $400 1.4% —
58 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 34 $10,065 $296 10.1% (248) 477-0552
59 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 33 $14,718 $446 5.3% —
60 JUPITER HOSPITALISTS INC PALM BEACH GARDENS FL INTERNAL MEDICINE 3 33 $8,811 $267 1.3% (561) 622-1411
61 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 33 $18,348 $556 3.4% (973) 971-5596
62 VALKYRIE PHARMACEUTICS LOS ANGELES CA HEMATOLOGY/ONCOLOGY 2 33 $14,865 $450 3.0% (951) 417-2766
63 PPG HEALTH PA FORT WORTH TX NEPHROLOGY 29 32 $16,000 $500 2.2% (817) 725-7900
64 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 32 $17,152 $536 2.9% (925) 296-9720
65 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN TYLER TX NURSE PRACTITIONER 124 32 $15,872 $496 2.2% (903) 877-7200
66 UNLV MEDICINE LAS VEGAS NV GENERAL SURGERY 183 32 $15,392 $481 26.0% —
67 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 32 $9,856 $308 2.2% (210) 450-7044
68 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 31 $9,052 $292 5.6% (419) 291-1111
69 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 31 $14,942 $482 1.3% (386) 231-6000
70 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 31 $14,632 $472 3.6% (312) 563-2875
71 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 31 $14,229 $459 29.2% (336) 713-9800
72 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 30 $30,420 $1,014 3.1% —
73 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 30 $13,666 $456 2.0% (713) 266-9955
74 CRESCENT CITY PHYSICIANS INC NEW ORLEANS LA NURSE PRACTITIONER 157 30 $10,890 $363 23.1% (504) 897-7007
75 FIRST DOCS PC POMPANO BEACH FL INTERNAL MEDICINE 165 30 $10,118 $337 1.2% (609) 585-1122
76 ST FRANCIS HOSPITAL WEST ISLIP NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 99 29 $15,428 $532 3.3% (631) 669-2255
77 IMC-HOSPITALISTS LLC MOBILE AL INTERNAL MEDICINE 85 29 $6,235 $215 12.1% (251) 435-7289
78 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 28 $12,684 $453 2.6% (714) 871-3006
79 MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC YOUNGSTOWN OH NURSE PRACTITIONER 476 28 $15,456 $552 5.0% (330) 480-3655
80 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 28 $18,692 $668 6.7% (617) 724-0287
81 AXEL HEALTH LLC FORT MYERS FL HOSPITALIST 13 28 $9,520 $340 1.1% (239) 208-6648
82 WJH PHYSICIAN SERVICES MARRERO LA OBSTETRICS/GYNECOLOGY 16 28 $11,004 $393 21.5% (504) 349-6945
83 LAKELAND REGIONAL HEALTH SYSTEMS INC LAKELAND FL PHYSICIAN ASSISTANT 493 27 $7,954 $295 1.1% (863) 603-6565
84 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 27 $11,175 $414 6.4% —
85 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 27 $19,922 $738 25.7% (864) 587-3000
86 HEALTH SERVICE SYSTEMS, INC NEW LENOX WI FAMILY PRACTICE 60 27 $14,270 $529 31.4% (815) 727-4292
87 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 26 $12,532 $482 1.1% (407) 896-1100
88 MIDPACIFIC HOSPITALISTS LLC KAMUELA OK INTERNAL MEDICINE 12 26 $28,397 $1,092 22.2% (808) 885-4444
89 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 26 $12,246 $471 49.1% (206) 386-6000
90 PENINSULA ORTHOPAEDIC ASSOC PA SALISBURY MD PHYSICIAN ASSISTANT 57 26 $13,676 $526 8.1% (410) 749-4154
91 SOUTH TEXAS PHYSICIAN SERVICES, PLLC NEW BRAUNFELS TX INTERNAL MEDICINE 56 26 $8,606 $331 1.8% (830) 606-9111
92 SOUTH FLORIDA SURGICAL SPECIALISTS LLC CORAL SPRINGS FL GENERAL SURGERY 92 26 $12,558 $483 1.1% (954) 344-3000
93 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 26 $11,570 $445 4.2% (610) 431-5000
94 COASTAL CAROLINA PRIMARY CARE LLC MYRTLE BEACH SC OBSTETRICS/GYNECOLOGY 21 26 $8,974 $345 24.8% (843) 291-7182
95 MEDICAL EXPERTS OF TEXAS, P.A. DENTON TX FAMILY PRACTICE 3 26 $9,750 $375 1.8% (972) 434-8000
96 COASTAL MEDICAL ASSOCIATES WEYMOUTH MA PHYSICIAN ASSISTANT 458 25 $11,475 $459 5.9% (781) 792-4136
97 CONCORD HOSPITAL-LACONIA LACONIA NH NEUROLOGY 274 25 $16,246 $650 28.7% (603) 527-2819
98 ST JAMES PRIMARY CARE (APMC) GRAMERCY LA INTERNAL MEDICINE 2 25 $5,250 $210 19.2% (225) 869-9200
99 OWENSBORO HEALTH MEDICAL GROUP INC OWENSBORO KY NURSE PRACTITIONER 467 25 $8,075 $323 13.8% —
100 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 24 $10,722 $447 27.6% (603) 577-2045

Showing the top 100 of 275 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 →