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Market snapshot

99239 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99239 — Hospital discharge day management, more than 30 minutes

Billing groups
4,419
Named-group FFS services
3,547,806
FFS of Medicare
49%
Services YoY
+3.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,182,515 services

3,547,806 observed fee-for-service (49%) · ~3,634,709 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 — 99239 (CY2024)
CA 478,843 FL 458,271 TX 391,294 NY 262,894 PA 256,629

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

Named-group submitted charges
$1.2B
Named-group allowed amount
$392.8M
Named-group Medicare payments
$309.6M
Avg charge / svc
$349
Avg allowed / svc
$111
Avg payment / svc
$87
Average charge per group
$75 4,419 groups · avg submitted charge / service $3,341
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99239 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 29,053 $14,946,177 $514 11.1% —
2 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 21,741 $5,198,977 $239 8.7% —
3 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 21,564 $7,906,534 $367 4.5% (415) 600-1020
4 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 19,035 $6,838,308 $359 4.0% (916) 681-8852
5 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 18,562 $6,607,306 $356 10.4% (973) 971-5596
6 BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC MESA AZ INTERNAL MEDICINE 644 17,106 $4,669,516 $273 14.0% (480) 412-3000
7 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 16,698 $4,256,553 $255 6.7% (847) 459-1160
8 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC PHYSICIAN ASSISTANT 2360 16,342 $5,916,944 $362 10.5% (704) 667-1000
9 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 16,045 $4,154,497 $259 10.7% (770) 422-2004
10 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 15,659 $6,964,519 $445 3.3% (916) 983-7476
11 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO FL PHYSICIAN ASSISTANT 2145 15,503 $5,262,320 $339 3.4% (407) 896-1100
12 MEMORIAL HERMANN MEDICAL GROUP HOUSTON TX HOSPITALIST 747 15,111 $3,731,606 $247 3.9% (713) 242-2222
13 HOSPITAL MEDICINE SERVICES OF FL, LLC LAKE CITY FL INTERNAL MEDICINE 523 14,689 $8,565,889 $583 3.2% (850) 719-9000
14 PLATINUM HOSPITALISTS LLP LAS VEGAS NV INTERNAL MEDICINE 192 14,678 $5,853,556 $399 22.1% (702) 407-7700
15 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 14,615 $4,011,011 $274 3.7% —
16 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 14,148 $3,389,260 $240 3.1% (941) 255-3535
17 PIEDMONT HOSPITALIST PHYSICIANS LLC ATLANTA GA INTERNAL MEDICINE 489 13,987 $5,128,191 $367 9.3% (404) 605-5000
18 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 13,949 $7,237,757 $519 19.1% (612) 863-4000
19 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 13,574 $2,886,799 $213 5.4% (630) 933-4800
20 TEXAS HEALTH PHYSICIANS GROUP FORT WORTH TX PHYSICIAN ASSISTANT 1350 13,481 $4,761,839 $353 3.4% (817) 281-2977
21 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 13,204 $3,710,615 $281 2.9% —
22 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 13,123 $3,387,277 $258 7.4% (856) 247-7260
23 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 13,004 $4,472,285 $344 8.4% (704) 384-8200
24 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 12,949 $2,750,172 $212 5.0% —
25 GALEN INPATIENT PHYSICIANS PC PENSACOLA CA HOSPITALIST 1012 12,940 $7,383,325 $571 2.7% (850) 416-7000
26 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 12,719 $4,076,550 $321 5.1% —
27 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 12,582 $3,755,197 $298 10.4% (202) 429-2401
28 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 12,541 $8,384,404 $669 6.1% —
29 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 12,496 $4,341,072 $347 2.6% (714) 871-3006
30 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 12,478 $2,781,237 $223 7.9% —
31 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 12,120 $3,386,809 $279 2.6% (727) 725-5060
32 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 11,793 $8,095,252 $686 14.5% (414) 421-8400
33 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 10,902 $2,999,934 $275 4.2% —
34 INOVA HEALTH CARE SERVICES FALLS CHURCH VA NURSE PRACTITIONER 1818 10,621 $3,143,873 $296 6.7% —
35 SMH PHYSICIAN SERVICES INC SARASOTA FL PHYSICIAN ASSISTANT 766 10,573 $2,296,145 $217 2.3% —
36 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 10,336 $2,611,989 $253 4.0% (570) 271-6144
37 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 10,322 $7,160,876 $694 5.8% (908) 994-5422
38 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 10,299 $2,219,181 $215 4.0% (484) 526-2400
39 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 10,283 $2,810,771 $273 4.0% —
40 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 10,275 $2,665,892 $259 50.2% (801) 261-8346
41 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 10,136 $2,647,576 $261 6.3% —
42 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 10,022 $2,698,516 $269 8.5% —
43 HOSPITALIST MEDICINE PHYSICIANS OF TEXAS PLLC WICHITA TX INTERNAL MEDICINE 714 9,993 $7,076,671 $708 2.6% (316) 291-4396
44 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 9,797 $2,355,413 $240 13.4% (918) 502-4720
45 OHIOHEALTH CORPORATION COLUMBUS OH PHYSICIAN ASSISTANT 2282 9,507 $1,811,789 $191 4.6% —
46 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 9,427 $5,341,637 $567 2.0% (310) 825-7922
47 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 8,964 $3,479,169 $388 2.0% (239) 343-9888
48 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 8,955 $3,276,074 $366 5.6% (508) 334-1000
49 NORTHEAST MEDICAL GROUP INC NEW HAVEN CT PHYSICIAN ASSISTANT 1380 8,651 $2,502,575 $289 15.2% —
50 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 8,639 $3,451,741 $400 1.8% (925) 296-9720
51 USACS INTEGRATED ACUTE CARE SERVICES OF TEXAS, PLLC KERRVILLE TX INTERNAL MEDICINE 407 8,530 $6,188,878 $726 2.2% (830) 258-7747
52 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 8,508 $1,942,418 $228 9.1% —
53 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 8,491 $1,365,309 $161 6.9% (602) 445-0751
54 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 8,426 $1,852,897 $220 2.2% (254) 724-2663
55 SOUTHWEST SUFFOLK MEDICAL PC WEST ISLIP NY INTERNAL MEDICINE 198 8,384 $3,210,816 $383 3.2% (631) 376-3000
56 QUESTCARE HOSPITALISTS PLLC PLANO TX INTERNAL MEDICINE 281 8,343 $5,497,054 $659 2.1% (954) 939-5000
57 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 8,315 $2,035,220 $245 1.8% (321) 434-8878
58 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 8,295 $1,592,633 $192 5.3% (757) 410-4488
59 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 8,288 $2,806,417 $339 9.6% (502) 937-2209
60 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 8,211 $3,685,075 $449 1.7% (650) 723-4000
61 SOUTHEASTERN PHYSICIAN SERVICES PC MEMPHIS TN INTERNAL MEDICINE 618 8,183 $3,149,771 $385 7.6% (901) 226-5000
62 NORTH TEXAS PHYSICIAN SERVICES, PLLC TYLER TX INTERNAL MEDICINE 235 8,106 $4,619,236 $570 2.1% (903) 593-8441
63 SOUTH SOUND INPATIENT PHYSICIANS PLLC PUYALLUP WA INTERNAL MEDICINE 434 8,067 $5,784,283 $717 10.2% (253) 697-4000
64 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 7,978 $2,118,677 $266 6.6% (410) 522-9800
65 BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC SOUTH MIAMI FL PHYSICIAN ASSISTANT 653 7,967 $2,388,894 $300 1.7% (786) 662-0600
66 PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION NEWPORT BEACH CA HOSPITALIST 91 7,966 $2,050,867 $257 1.7% (877) 742-4624
67 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 7,953 $1,803,621 $227 3.2% (630) 469-9200
68 USACS INTEGRATED ACUTE CARE SERVICES OF OHIO LLC CINCINNATI OH INTERNAL MEDICINE 240 7,802 $7,582,439 $972 3.8% (513) 686-3000
69 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 7,656 $1,654,607 $216 6.6% —
70 BEST PRACTICES INPATIENT CARE, LTD. BARRINGTON IL INTERNAL MEDICINE 81 7,648 $1,736,222 $227 3.1% (847) 381-9600
71 FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC DAYTONA BEACH FL PHYSICIAN ASSISTANT 588 7,643 $2,660,866 $348 1.7% (386) 231-6000
72 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 7,638 $3,240,686 $424 5.1% (404) 778-7525
73 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 7,604 $3,033,564 $399 1.6% (310) 423-0674
74 COASTAL MEDICAL ASSOCIATES WEYMOUTH MA PHYSICIAN ASSISTANT 458 7,603 $2,251,148 $296 4.7% (781) 792-4136
75 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 7,360 $1,607,738 $218 5.0% —
76 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 7,320 $2,582,063 $353 11.0% —
77 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 7,290 $2,357,507 $323 2.9% (309) 683-5050
78 NORTH ATLANTA PROFESSIONAL SERVICES LLC ATLANTA GA INTERNAL MEDICINE 427 7,280 $2,505,892 $344 4.9% (404) 851-8000
79 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 7,266 $1,874,090 $258 3.6% —
80 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 7,205 $1,629,426 $226 11.6% —
81 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 7,155 $1,942,790 $272 8.3% (859) 578-5880
82 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE KY NURSE PRACTITIONER 2448 6,936 $1,411,473 $203 8.0% (502) 928-1050
83 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 6,921 $1,698,910 $245 4.7% (616) 885-5000
84 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 6,916 $4,574,950 $662 2.6% (212) 263-9700
85 FAIRVIEW HEALTH SERVICES PRINCETON MN INTERNAL MEDICINE 673 6,873 $2,914,326 $424 9.4% (763) 389-7740
86 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 6,872 $2,983,162 $434 5.6% (800) 603-0558
87 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 6,795 $1,115,785 $164 5.8% —
88 PLOVER INPATIENT SERVICES LLC MONTCLAIR NJ INTERNAL MEDICINE 155 6,739 $2,746,822 $408 3.8% (973) 429-6000
89 COOPER PHYSICIAN OFFICES PA CAMDEN NJ HOSPITALIST 342 6,571 $3,469,211 $528 3.7% (856) 342-3150
90 WAKEMED SPECIALISTS GROUP LLC RALEIGH NC PHYSICIAN ASSISTANT 860 6,487 $1,893,396 $292 4.2% (919) 350-7270
91 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA FL DIAGNOSTIC RADIOLOGY 891 6,467 $2,248,549 $348 1.4% (813) 615-7075
92 NORTHEAST GEORGIA PHYSICIANS GROUP INC GAINESVILLE GA PHYSICIAN ASSISTANT 901 6,384 $1,593,648 $250 4.3% (770) 219-7777
93 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 6,382 $1,811,973 $284 10.3% (719) 776-4780
94 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 6,283 $1,766,298 $281 1.3% (760) 340-3911
95 CENTRAL OHIO HOSPITALISTS, INC COLUMBUS OH INTERNAL MEDICINE 191 6,279 $1,318,095 $210 3.1% (614) 484-9660
96 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 6,254 $1,544,017 $247 28.7% (207) 885-9905
97 PACIFIC INPATIENT MEDICAL GROUP SAN FRANCISCO CA INTERNAL MEDICINE 129 6,251 $3,115,782 $498 1.3% (415) 485-8824
98 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 6,240 $2,769,025 $444 1.4% (772) 223-5665
99 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 6,211 $2,153,331 $347 3.9% (508) 973-5919
100 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 6,051 $1,310,565 $217 6.4% (803) 749-5101

Showing the top 100 of 4,419 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 →