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Market snapshot

99236 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99236 — Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes

Billing groups
367
Named-group FFS services
14,319
FFS of Medicare
49%
Services YoY
-17.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~28,997 services

14,319 observed fee-for-service (49%) · ~14,678 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 — 99236 (CY2024)
FL 2,927 CA 2,394 TX 2,084 IL 1,596 NJ 1,299

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

Named-group submitted charges
$9.7M
Named-group allowed amount
$2.9M
Named-group Medicare payments
$2.2M
Avg charge / svc
$680
Avg allowed / svc
$202
Avg payment / svc
$156
Average charge per group
$225 367 groups · avg submitted charge / service $4,967
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99236 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 BEST PRACTICES INPATIENT CARE, LTD. BARRINGTON IL INTERNAL MEDICINE 81 301 $160,734 $534 18.9% (847) 381-9600
2 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 221 $154,479 $699 68.4% (502) 937-2209
3 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 221 $189,396 $857 25.2% (617) 724-0287
4 NORTH COUNTY INPATIENT MEDICAL ALLIANCE, A MEDICAL GROUP, INC ENCINITAS CA INTERNAL MEDICINE 46 208 $146,640 $705 8.7% (760) 230-2551
5 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 204 $86,880 $426 7.0% (941) 255-3535
6 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 202 $94,132 $466 22.9% (717) 972-4250
7 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 199 $228,253 $1,147 8.3% (310) 825-7922
8 BAY AREA HOSPITALISTS PA TAMPA FL INTERNAL MEDICINE 20 158 $50,760 $321 5.4% (813) 971-6000
9 PROMEDICA MULTI SPECIALTY PHYSICIANS TOLEDO OH NURSE PRACTITIONER 250 154 $55,902 $363 14.9% (419) 291-1111
10 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 152 $63,536 $418 7.3% (713) 242-2222
11 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 151 $75,198 $498 9.5% (847) 459-1160
12 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 151 $67,346 $446 5.2% —
13 RWJBH OBSERVATION ASSOCIATES LLC SOMERVILLE NJ PHYSICIAN ASSISTANT 937 149 $197,127 $1,323 11.5% (908) 685-2200
14 DDRG PHYSICIANS LLC TOMBALL TX INTERNAL MEDICINE 3 140 $61,454 $439 6.7% (832) 794-0044
15 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 138 $92,046 $667 8.6% —
16 MEP OBSERVATION SERVICES LLC RANDALLSTOWN MD PHYSICIAN ASSISTANT 41 136 $282,165 $2,075 14.9% (410) 521-2200
17 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTON NJ NURSE PRACTITIONER 990 129 $29,078 $225 9.9% —
18 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 124 $69,936 $564 5.2% (760) 340-3911
19 COAST PULMONARY AND INTERNAL MEDICINE ASSOCIATES FOUNTAIN VALLEY CA PHYSICAL MEDICINE AND REHABILITATION 2 123 $43,050 $350 5.1% (714) 545-8700
20 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 110 $51,810 $471 5.3% (903) 606-5560
21 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 109 $61,585 $565 22.9% —
22 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 106 $146,695 $1,384 8.2% (908) 994-5422
23 CONNECTCARE HOSPITALISTS LLC KANSAS CITY MO INTERNAL MEDICINE 15 104 $55,095 $530 30.8% (816) 394-9044
24 VISTA HEALTH MIRZA MD PC PAHRUMP NV CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 102 $26,520 $260 16.6% (928) 237-4418
25 APOLLO HOSPITALIST GROUP LLC LAKE ZURICH IL HOSPITALIST 4 102 $45,746 $448 6.4% (847) 847-1393
26 INPATIENT CONSULTANTS OF FLORIDA, INC OCALA FL INTERNAL MEDICINE 169 101 $79,858 $791 3.5% (352) 291-3000
27 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 98 $109,069 $1,113 8.6% —
28 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANY NY NURSE PRACTITIONER 68 98 $39,200 $400 8.6% (518) 292-6000
29 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 94 $36,190 $385 7.2% (844) 542-2273
30 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 92 $42,596 $463 5.8% (630) 469-9200
31 PROMEDICA CENTRAL PHYSICIANS TOLEDO OH PHYSICIAN ASSISTANT 794 92 $34,603 $376 8.9% (419) 291-2003
32 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 91 $54,500 $599 58.3% —
33 BAYSIDE MEDICAL GROUP LLC SAINT PETERSBURG FL INTERNAL MEDICINE 10 90 $36,900 $410 3.1% (727) 823-1234
34 HOSPITAL CONSULTANTS PC TROY MI HOSPITALIST 43 90 $31,950 $355 11.2% (248) 694-1000
35 SOUTHEASTERN HOSPITALIST SERVICES PC MYRTLE BEACH SC INTERNAL MEDICINE 308 90 $74,643 $829 38.3% (843) 692-1000
36 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC MESA AZ INTERNAL MEDICINE 644 90 $49,860 $554 26.5% (480) 412-3000
37 HOSPITAL MEDICINE SERVICES OF FL, LLC LAKE CITY FL INTERNAL MEDICINE 523 86 $95,881 $1,115 2.9% (850) 719-9000
38 ISLAND HOSPITALIST GROUP PL SARASOTA FL NURSE PRACTITIONER 6 86 $25,939 $302 2.9% (217) 369-4168
39 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 84 $85,758 $1,021 3.5% (650) 723-4000
40 OPTIMAL PRIMARY CARE LLC KATY TX INTERNAL MEDICINE 3 84 $23,502 $280 4.0% (832) 500-7585
41 MONTEREY BAY OBSERVATION MEDICINE MONTEREY CA EMERGENCY MEDICINE 30 84 $101,640 $1,210 3.5% (831) 625-4900
42 INPATIENT MEDICINE PHYSICIANS PA NEW BRAUNFELS TX NURSE PRACTITIONER 14 81 $34,506 $426 3.9% (830) 620-0330
43 MICHIGAN HEALTHCARE PROFESSIONALS PC FARMINGTON HILLS MI INTERNAL MEDICINE 518 79 $44,240 $560 9.8% (248) 477-0552
44 PLATINUM HOSPITALISTS LLP LAS VEGAS NV INTERNAL MEDICINE 192 77 $51,975 $675 12.6% (702) 407-7700
45 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC NEPTUNE NJ NURSE PRACTITIONER 1878 75 $49,995 $667 5.8% (732) 362-3663
46 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 74 $67,340 $910 3.1% (877) 827-7463
47 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 72 $36,720 $510 2.5% (727) 725-5060
48 HOUSTON IN PATIENT PHYSICIAN ASSOCIATES PLLC SUGAR LAND TX INTERNAL MEDICINE 29 71 $31,818 $448 3.4% (713) 777-5334
49 FLORIDA HOSPITAL MEDICINE SERVICES, LLC FORT LAUDERDALE FL INTERNAL MEDICINE 272 70 $56,670 $810 2.4% (954) 355-4400
50 WESTCOAST HOSPITALIST LLC ST PETERSBURG FL INTERNAL MEDICINE 4 70 $28,000 $400 2.4% (725) 825-1100
51 PIONEER HEALTH CARE LLC LAS VEGAS NV INTERNAL MEDICINE 28 70 $46,970 $671 11.4% (702) 853-3000
52 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 69 $38,571 $559 6.7% —
53 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 69 $36,543 $530 7.5% (202) 429-2401
54 ACCOUNTABLE INPATIENT MEDICINE LAKEWOOD RANCH FL NURSE PRACTITIONER 52 67 $28,550 $426 2.3% —
55 INPATIENT SPECIALISTS GROUP TAMPA FL INTERNAL MEDICINE 65 67 $42,813 $639 2.3% (813) 428-6904
56 FLINT NEUROLOGICAL CENTRE PC FLINT MI NEUROLOGY 5 65 $21,125 $325 8.1% (810) 720-1335
57 CENTRAL OHIO HOSPITALISTS, INC COLUMBUS OH INTERNAL MEDICINE 191 64 $26,880 $420 6.2% (614) 484-9660
58 GOLDEN TRIANGLE INTERNAL MEDICINE PA BEAUMONT TX INTERNAL MEDICINE 2 64 $39,680 $620 3.1% (409) 347-3621
59 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 63 $31,500 $500 64.3% (402) 559-4000
60 VITUITY-CALIFORNIA OBSERVATION SERVICES PC ROSEVILLE CA EMERGENCY MEDICINE 80 63 $81,532 $1,294 2.6% (916) 781-1000
61 MUKUNDA MEDICAL GROUP LLC MAYFIELD VILLAGE OH NURSE PRACTITIONER 3 62 $25,962 $419 6.0% (855) 449-1540
62 PANDC HEALTHCARE LLC INDEPENDENCE MO NURSE PRACTITIONER 37 57 $30,210 $530 16.9% (913) 222-9779
63 THE HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN GENERAL AND BRADLEY NEW BRITAIN NY INTERNAL MEDICINE 399 55 $27,435 $499 4.8% (860) 224-6623
64 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 55 $21,450 $390 5.3% (419) 626-6161
65 EMERGENCY SPECIALIST PHYSICIANS MEDICAL ASSOCIATES, INC TORRANCE CA EMERGENCY MEDICINE 40 54 $40,770 $755 2.3% (310) 540-7676
66 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 52 $29,390 $565 5.9% —
67 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 52 $25,856 $497 5.7% (410) 522-9800
68 WINTER PARK FAMILY PHYSICIANS LLC WINTER PARK FL INTERNAL MEDICINE 5 52 $25,726 $495 1.8% (407) 647-2550
69 ADVANCE INPATIENT MEDICINE LLC BOLINGBROOK IL INTERNAL MEDICINE 42 50 $22,327 $447 3.1% (630) 312-5000
70 TRIHEALTH H LLC CINCINNATI OH OBSTETRICS/GYNECOLOGY 853 50 $24,200 $484 4.8% (513) 246-7000
71 HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC BRICK NY INTERNAL MEDICINE 366 49 $33,810 $690 4.3% (732) 477-5600
72 STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTIC STONY BROOK NY FAMILY PRACTICE 46 49 $28,175 $575 4.3% (631) 444-5858
73 ARMSTRONG MEDICAL GROUP PLLC LEAGUE CITY TX INTERNAL MEDICINE 29 49 $37,191 $759 2.4% (281) 332-2626
74 EMPOWERME REHABILITATION MISSOURI LLC SAINT CHARLES KS PHYSICAL THERAPIST IN PRIVATE PRACTICE 223 48 $20,928 $436 26.5% (636) 242-1764
75 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 48 $56,160 $1,170 29.4% (414) 421-8400
76 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 48 $30,336 $632 1.6% (813) 615-7075
77 FAIRVIEW HEIGHTS MEDICAL GROUP SC SHILOH IL NURSE PRACTITIONER 445 47 $26,743 $569 2.9% (618) 236-8000
78 CENTRAL FLORIDA HOSPITALIST PARTNERS PA ORLANDO FL HOSPITALIST 91 47 $19,740 $420 1.6% (407) 464-9516
79 PREMIER PHYSICIANS CENTERS INC WESTLAKE OH INTERNAL MEDICINE 46 46 $13,800 $300 4.5% (440) 333-3332
80 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 45 $32,865 $730 2.2% (713) 592-5433
81 INTEGRATIVE PRIMARY CARE PLLC KATY TX INTERNAL MEDICINE 2 45 $17,100 $380 2.2% (832) 500-7585
82 BEAUFORT COUNTY MEMORIAL HOSPITAL BEAUFORT SC PHYSICIAN ASSISTANT 204 44 $37,518 $853 18.7% (843) 522-5983
83 CONCORD HOSPITAL INC CONCORD NH PHYSICIAN ASSISTANT 552 44 $91,289 $2,075 73.3% —
84 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 44 $23,343 $531 5.0% —
85 PULMONARY, INTERNAL AND EMERGENCY MEDICINE AND RADIOLOGY ASSO SOUTHFIELD MI EMERGENCY MEDICINE 2 44 $17,600 $400 5.5% (248) 358-4783
86 SILVER PINE MEDICAL GROUP PLC STERLING HEIGHTS MI FAMILY PRACTICE 44 43 $19,780 $460 5.3% (586) 726-4823
87 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 43 $30,664 $713 1.8% (310) 423-3277
88 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 42 $36,060 $859 3.7% (212) 305-8559
89 VP HEALTH PLLC TAMPA FL INTERNAL MEDICINE 2 42 $31,332 $746 1.4% (813) 946-6900
90 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 42 $22,512 $536 12.4% (573) 882-2667
91 SOUTHEASTERN INTENSIVIST SERVICES PC RICHMOND VA INTERNAL MEDICINE 231 41 $33,531 $818 8.6% (804) 320-3911
92 SAN CLEMENTE INTERNAL MEDICAL GROUP INC SAN CLEMENTE CA INTERNAL MEDICINE 2 41 $41,000 $1,000 1.7% (949) 487-9034
93 ANOVA MEDICAL ASSOCIATES, PLC GALLATIN TN NURSE PRACTITIONER 127 40 $21,360 $534 22.3% (615) 989-1088
94 SOUTH TEXAS PHYSICIAN SERVICES, PLLC NEW BRAUNFELS TX INTERNAL MEDICINE 56 40 $17,040 $426 1.9% (830) 606-9111
95 THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON CT PHYSICIAN ASSISTANT 206 40 $25,173 $629 8.6% (860) 489-0418
96 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 40 $34,961 $874 4.6% (617) 732-5500
97 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 39 $25,391 $651 1.6% (714) 871-3006
98 HOSPITALIST SERVICES OF NEVADA-SCHERR PC ELKO NV INTERNAL MEDICINE 5 39 $32,374 $830 6.4% (775) 738-5151
99 MY MD INC ORANGE CA NURSE PRACTITIONER 7 39 $21,450 $550 1.6% (714) 356-6105
100 PROVIDENCE MEDICAL FOUNDATION FULLERTON PA PHYSICIAN ASSISTANT 1455 38 $25,232 $664 4.3% (714) 871-3006

Showing the top 100 of 367 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 →