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Market snapshot

99284 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99284 — Emergency department visit with moderate level of medical decision making

Billing groups
3,706
Named-group FFS services
2,167,717
FFS of Medicare
49%
Services YoY
-8.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,412,060 services

2,167,717 observed fee-for-service (49%) · ~2,244,343 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; 4 states without payer-mix data excluded. How we scale

Top states — 99284 (CY2024)
CA 362,204 FL 284,773 TX 276,798 NY 275,596 PA 245,103

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

Named-group submitted charges
$1.6B
Named-group allowed amount
$251.1M
Named-group Medicare payments
$186.7M
Avg charge / svc
$761
Avg allowed / svc
$116
Avg payment / svc
$86
Average charge per group
$102 3,706 groups · avg submitted charge / service $47,064
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99284 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 CEP AMERICA - CALIFORNIA MORENO VALLEY CA EMERGENCY MEDICINE 1230 41,715 $34,979,937 $839 11.5% (651) 243-0811
2 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 21,357 $16,757,319 $785 7.7% —
3 EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION BLOOMINGTON MN EMERGENCY MEDICINE 268 13,234 $8,535,690 $645 19.1% (952) 835-9880
4 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 11,142 $4,357,050 $391 5.5% —
5 TEXAS MEDICINE RESOURCES, LLP PLANO TX EMERGENCY MEDICINE 239 10,483 $11,125,146 $1,061 3.8% (972) 981-8000
6 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 9,652 $10,718,807 $1,111 5.3% —
7 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 9,603 $3,675,644 $383 10.6% (410) 502-4340
8 CEPAMERICA ILLINOIS LLP CHICAGO IL EMERGENCY MEDICINE 503 9,449 $7,836,984 $829 4.7% (773) 774-8000
9 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 9,146 $6,561,760 $717 3.7% (570) 271-6144
10 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 9,089 $2,517,447 $277 3.7% (484) 526-2400
11 TRAVIS COUNTY EMERGENCY PHYSICIANS PA HOUSTON TX EMERGENCY MEDICINE 256 9,066 $8,642,868 $953 3.3% (713) 790-3311
12 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 8,995 $3,529,444 $392 7.8% (508) 334-1000
13 CENTURY INTEGRATED PARTNERS, INC DALLAS TX EMERGENCY MEDICINE 331 8,905 $8,818,737 $990 3.2% (214) 820-0111
14 PARAGON EMERGENCY SERVICES LLC THE VILLAGES FL EMERGENCY MEDICINE 394 8,818 $11,351,465 $1,287 3.1% (352) 751-8000
15 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 8,634 $6,637,894 $769 11.4% (414) 421-8400
16 WAKE FOREST EMERGENCY PROVIDERS CONCORD NC EMERGENCY MEDICINE 471 8,524 $5,252,155 $616 6.6% (704) 403-3000
17 FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC ORLANDO FL EMERGENCY MEDICINE 310 8,200 $9,606,775 $1,172 2.9% (407) 303-5600
18 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON FL EMERGENCY MEDICINE 653 8,107 $6,014,491 $742 2.8% (813) 681-5551
19 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 8,040 $2,948,580 $367 7.0% —
20 BROAD RIVER PHYSICIANS GROUP, LLC CHARLESTON SC EMERGENCY MEDICINE 62 7,613 $8,297,223 $1,090 6.2% (843) 724-2901
21 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE TN EMERGENCY MEDICINE 785 7,423 $7,798,475 $1,051 7.8% (865) 373-1000
22 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH NJ EMERGENCY MEDICINE 780 7,113 $5,440,152 $765 6.3% (908) 994-5422
23 NORTHEAST TEXAS EMERGENCY PHYSICIANS PLLC LONGVIEW TX EMERGENCY MEDICINE 186 6,901 $10,907,308 $1,581 2.5% (903) 315-2000
24 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 6,876 $2,148,986 $313 2.8% —
25 EMERGENCY PHYSICIANS OF TIDEWATER SUFFOLK VA EMERGENCY MEDICINE 165 6,676 $3,215,123 $482 5.7% (757) 686-3508
26 ACS PRIMARY CARE PHYSICIANS SOUTHWEST PA ATHENS TX EMERGENCY MEDICINE 192 6,428 $6,700,125 $1,042 2.3% (903) 676-1000
27 PARAGON CONTRACTING SERVICES LLC BIRMINGHAM FL EMERGENCY MEDICINE 367 6,062 $8,775,969 $1,448 2.1% (205) 838-3450
28 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 5,998 $4,587,910 $765 4.9% (803) 395-3400
29 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 5,683 $4,216,662 $742 2.1% (212) 263-9700
30 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 5,631 $1,944,024 $345 2.3% —
31 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 5,550 $2,712,129 $489 2.0% (212) 305-8559
32 EMERGENCY MEDICINE SPECIALISTS INC KETTERING OH EMERGENCY MEDICINE 114 5,518 $4,267,066 $773 3.1% (937) 702-4024
33 EMERGENCY MEDICINE ASSOCIATES P.A., P.C. ARLINGTON VA INTERNAL MEDICINE 696 5,489 $6,002,850 $1,094 4.7% (703) 558-5000
34 MEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP HOUSTON TX EMERGENCY MEDICINE 273 5,467 $4,381,592 $801 2.0% (713) 338-6565
35 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 5,449 $2,827,281 $519 21.1% (207) 885-9905
36 PERMANENTE MEDICAL GROUP INC SANTA CLARA CA INTERNAL MEDICINE 10890 5,367 $3,590,063 $669 1.5% (408) 851-1000
37 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 5,347 $2,128,982 $398 6.9% (502) 937-2209
38 WAKE EMERGENCY PHYSICIANS PA RALEIGH NC EMERGENCY MEDICINE 275 5,114 $3,337,777 $653 3.9% (919) 350-8000
39 MCV ASSOCIATED PHYSICIANS RICHMOND VA NURSE PRACTITIONER 1791 5,080 $2,145,528 $422 4.4% (804) 828-9000
40 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 4,962 $2,384,531 $481 19.3% (801) 261-8346
41 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 4,948 $2,601,590 $526 1.8% (212) 241-4812
42 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 4,911 $2,046,852 $417 2.8% (313) 916-2600
43 ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH SC EMERGENCY MEDICINE 407 4,858 $5,536,549 $1,140 4.0% (843) 692-1000
44 PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES, LLC HARRISBURG PA EMERGENCY MEDICINE 105 4,822 $1,678,240 $348 2.0% (717) 988-0000
45 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 4,745 $2,505,726 $528 1.3% (310) 423-3277
46 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 4,542 $2,314,512 $510 1.3% (800) 926-8273
47 EMERGENCY COVERAGE LLC RICHMOND VA EMERGENCY MEDICINE 755 4,474 $5,018,882 $1,122 3.8% (804) 289-4500
48 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 4,439 $1,773,346 $399 3.6% —
49 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 4,381 $4,175,450 $953 5.0% (800) 603-0558
50 ECS WESTERN MICHIGAN PC GRAND RAPIDS MI EMERGENCY MEDICINE 205 4,380 $3,005,482 $686 2.5% (616) 391-1680
51 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 4,300 $2,417,345 $562 1.2% (714) 871-3006
52 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 4,289 $1,232,446 $287 4.4% (888) 484-3258
53 BAPTIST MEDCARE INC ARKADELPHIA AR EMERGENCY MEDICINE 58 4,289 $1,633,877 $381 7.3% (501) 202-2300
54 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 4,281 $1,187,759 $277 2.4% (248) 964-1187
55 EMERGENCY MEDICINE SPECIALISTS SC MILWAUKEE WI PHYSICIAN ASSISTANT 204 4,261 $3,058,118 $718 5.6% (414) 447-2000
56 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 4,241 $1,643,497 $388 1.7% —
57 EMERGENCY MEDICAL SPECIALISTS, P.C. COLORADO SPRINGS CO EMERGENCY MEDICINE 75 4,228 $2,338,576 $553 7.5% (719) 364-5000
58 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 4,221 $1,910,320 $453 1.5% (214) 633-5555
59 NORTHWEST EMERGENCY PHYSICIANS LLC FEDERAL WAY WA EMERGENCY MEDICINE 261 4,165 $3,360,361 $807 6.8% (253) 838-9700
60 COMPASS EMERGENCY PHYSICIANS PSC LAWRENCEBURG KY EMERGENCY MEDICINE 86 4,098 $2,480,031 $605 5.3% (859) 572-3617
61 STATE OF CONNECTICUT FARMINGTON CT PSYCHIATRY 267 4,085 $2,515,617 $616 7.1% (860) 679-2000
62 MID-ATLANTIC EMERGENCY MEDICAL ASSOCIATES PLLC CHARLOTTE NC EMERGENCY MEDICINE 97 4,010 $2,946,338 $735 3.1% (704) 377-2424
63 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 3,918 $1,503,930 $384 1.6% (215) 662-2777
64 FREDERICKSBURG EMERGENCY MEDICAL ALLIANCE, INC. FREDERICKSBURG VA EMERGENCY MEDICINE 47 3,857 $1,497,635 $388 3.3% (540) 741-1167
65 EPMG OF MICHIGAN PC CHELSEA MI EMERGENCY MEDICINE 111 3,752 $3,843,578 $1,024 2.1% (954) 939-5000
66 BROWN EMERGENCY MEDICINE PROVIDENCE RI EMERGENCY MEDICINE 144 3,732 $3,296,662 $883 20.3% (401) 793-2500
67 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 3,651 $2,642,685 $724 1.0% (800) 954-8000
68 CEP AMERICA LLC DECATUR IN EMERGENCY MEDICINE 960 3,631 $2,875,676 $792 3.8% (510) 851-7493
69 EMERGENCY COVERAGE LLC RICHMOND NC EMERGENCY MEDICINE 755 3,622 $3,850,800 $1,063 2.8% (804) 289-4500
70 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 3,606 $1,048,142 $291 9.4% (304) 598-4865
71 CONCORD MEDICAL GROUP OF TEXAS PLLC BIG SPRING TX EMERGENCY MEDICINE 326 3,602 $4,176,673 $1,160 1.3% (432) 263-1211
72 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE NM PHYSICIAN ASSISTANT 1369 3,586 $2,324,894 $648 12.1% (505) 841-1234
73 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 3,555 $1,523,993 $429 1.8% (847) 459-1160
74 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 3,551 $1,477,177 $416 6.2% (203) 688-4242
75 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 3,543 $1,862,057 $526 1.8% (309) 683-5050
76 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 3,539 $1,331,664 $376 2.9% (803) 749-5101
77 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON WV NURSE PRACTITIONER 970 3,534 $1,238,922 $351 9.2% (304) 388-5432
78 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 3,497 $1,784,915 $510 1.2% (239) 343-9888
79 EMERGENCY CARE SPECIALISTS PC WEST CHESTER PA EMERGENCY MEDICINE 16 3,479 $1,606,717 $462 1.4% (800) 528-0006
80 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYN NY PHYSICIAN ASSISTANT 1231 3,414 $1,330,763 $390 1.2% (718) 616-5356
81 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 3,412 $1,773,106 $520 2.8% (843) 792-1414
82 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 3,395 $1,324,050 $390 5.5% (509) 665-6087
83 SAN FRANCISCO EMERGENCY MEDICAL ASSOCIATES SAN FRANCISCO CA EMERGENCY MEDICINE 75 3,311 $2,765,802 $835 0.9% (415) 641-6625
84 EMERGENCY MEDICINE SERVICES OF TX, PLLC SAN ANTONIO TX EMERGENCY MEDICINE 356 3,310 $2,969,041 $897 1.2% (210) 575-4000
85 EAST POST ROAD MEDICAL SERVICES PC WHITE PLAINS NY PHYSICIAN ASSISTANT 406 3,303 $1,818,406 $551 1.2% (914) 681-0600
86 MAIN LINE EMERGENCY MED ASSOCIATES LLC PAOLI PA EMERGENCY MEDICINE 48 3,292 $1,850,521 $562 1.3% (484) 337-3583
87 TEC EMERGENCY PHYSICIANS OF ARIZONA, LLC MESA AZ EMERGENCY MEDICINE 152 3,279 $2,879,391 $878 3.7% (888) 732-3317
88 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 3,276 $1,258,835 $384 2.8% (434) 924-5959
89 NORMAN REGIONAL HOSPITAL AUTHORITY NORMAN OK EMERGENCY MEDICINE 26 3,263 $1,018,056 $312 4.2% (405) 515-1000
90 INPHYNET CONTRACTING SERVICES LLC TAMPA FL EMERGENCY MEDICINE 165 3,256 $4,646,616 $1,427 1.1% (813) 844-7000
91 ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH GA EMERGENCY MEDICINE 407 3,237 $3,516,929 $1,086 3.0% (843) 692-1000
92 DEACONESS HOSPITAL, INC. EVANSVILLE IN HOSPITALIST 420 3,225 $1,015,875 $315 3.3% (812) 450-7338
93 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 3,220 $1,277,418 $397 1.2% (212) 746-5454
94 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE AR EMERGENCY MEDICINE 785 3,208 $3,474,871 $1,083 5.4% (865) 373-1000
95 EMERGENCY PHYSICIAN ASSOCIATES OF NORTH JERSEY P C SUMMIT NJ EMERGENCY MEDICINE 125 3,206 $3,670,328 $1,145 2.9% (908) 522-2232
96 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM AL NURSE PRACTITIONER 2788 3,186 $1,214,917 $381 5.0% (205) 934-3460
97 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 3,125 $2,181,172 $698 1.1% (866) 633-8255
98 EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY P C VOORHEES NJ EMERGENCY MEDICINE 89 3,087 $3,756,771 $1,217 2.8% (856) 247-3000
99 EMERGENCY PROFESSIONAL SERVICES, INC. CINCINNATI OH EMERGENCY MEDICINE 124 3,083 $2,971,549 $964 1.7% (513) 369-2000
100 MCLAREN HOSPITAL GROUP FLINT MI EMERGENCY MEDICINE 335 3,045 $2,512,487 $825 1.7% (810) 342-2000

Showing the top 100 of 3,706 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 →