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Market snapshot

99291 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99291 — Critical care, first 30-74 minutes

Billing groups
4,488
Named-group FFS services
3,400,788
FFS of Medicare
49%
Services YoY
+2.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~6,910,935 services

3,400,788 observed fee-for-service (49%) · ~3,510,147 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 — 99291 (CY2024)
CA 799,568 FL 454,552 TX 410,790 NY 382,443 PA 267,096

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

Named-group submitted charges
$3.4B
Named-group allowed amount
$708.3M
Named-group Medicare payments
$559.2M
Avg charge / svc
$1,009
Avg allowed / svc
$208
Avg payment / svc
$164
Average charge per group
$140 4,488 groups · avg submitted charge / service $7,674
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Specialty market — Pulmonary Disease: 170,289 services across 141 groups; top group 9%. See Pulmonary Disease across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99291 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 TEXAS IPS LLC SAN ANTONIO TX PULMONARY DISEASE 42 11,349 $7,581,132 $668 29.5% 2.8% (210) 690-7400
2 MIDWEST PULMONARY CRITICAL CARE AND SLEEP CONSULTANTS LLC PALOS HEIGHTS IL PULMONARY DISEASE 33 5,485 $5,545,907 $1,011 — 2.4% (708) 371-8006
3 PRESTIGE PULMONARY CONSULTANTS INC MONTEREY PARK CA PULMONARY DISEASE 12 4,435 $2,651,185 $598 13.2% 0.6% (626) 280-4393
4 CALIFORNIA PULMONARY ASSOCIATES INC UPLAND CA PULMONARY DISEASE 7 4,286 $1,419,794 $331 12.7% 0.5% (626) 914-5219
5 PULMONOLOGY ASSOCIATES INC PAOLI PA PULMONARY DISEASE 18 4,037 $1,312,025 $325 36.0% 1.5% (610) 648-0553
6 VINCENZO NOVARA MD PA NORTH MIAMI BEACH FL PULMONARY DISEASE 6 4,004 $2,282,729 $570 27.3% 0.9% (305) 651-1100
7 MUIR PULMONARY CRITICAL CARE WALNUT CREEK CA PULMONARY DISEASE 13 3,296 $881,294 $267 9.8% 0.4% (925) 939-3050
8 CONSULTANTS IN SLEEP AND PULMONARY MEDICINE PLLC NOVI MI PULMONARY DISEASE 14 3,296 $1,483,200 $450 — 2.0% (248) 465-4100
9 HUNTINGTON PULMONARY MEDICAL GROUP PASADENA CA PULMONARY DISEASE 8 3,251 $1,412,820 $435 9.7% 0.4% (626) 486-0181
10 TEXAS IPS LLC SAN ANTONIO PA PULMONARY DISEASE 42 3,242 $2,165,656 $668 28.9% 1.2% (210) 690-7400
11 MIDWEST RESPIRATORY, LTD. JOLIET IL PULMONARY DISEASE 19 3,240 $1,442,156 $445 — 1.4% (815) 725-2653
12 PULMONARY ASSOCIATES OF MOBILE PC MOBILE AL PULMONARY DISEASE 35 3,100 $1,103,600 $356 — 4.7% (251) 343-6848
13 PULMONARY MEDICINE CONSULTANTS, PA RICHARDSON TX PULMONARY DISEASE 15 3,032 $1,076,360 $355 7.9% 0.7% 9726800668131
14 NORTHWEST PULMONARY ASSOCIATES, S.C. CHICAGO IL PULMONARY DISEASE 9 2,907 $1,598,850 $550 — 1.3% (773) 631-2180
15 RICARDO ABREU, M.D., PA WESLACO TX PULMONARY DISEASE 29 2,889 $1,086,264 $376 7.5% 0.7% (956) 447-5557
16 EL PASO PULMONARY ASSOCIATION EL PASO TX PULMONARY DISEASE 15 2,757 $1,798,837 $652 7.2% 0.7% (915) 532-2477
17 PULMONARY AND CRITICAL CARE ASSOCIATES PC SHELBY TOWNSHIP MI PULMONARY DISEASE 19 2,757 $1,944,630 $705 — 1.7% (586) 314-0080
18 TEXAS PULMONARY AND CRITICAL CARE CONSULTANTS PA FORT WORTH TX PULMONARY DISEASE 56 2,607 $1,518,789 $583 6.8% 0.6% (817) 335-5288
19 PULMONARY CRITICAL CARE AND SLEEP MEDICINE CONSULTANTS, LLP HOUSTON TX PULMONARY DISEASE 7 2,496 $1,430,632 $573 6.5% 0.6% (713) 255-4000
20 PULMONARY PHYSICIANS OF SOUTH FLORIDA LLC MIAMI FL PULMONARY DISEASE 39 2,424 $1,824,507 $753 16.5% 0.5% (305) 267-5544
21 PULMONARY MEDICINE ASSOCIATES SC LIBERTYVILLE IL PULMONARY DISEASE 11 2,415 $760,725 $315 — 1.0% (708) 450-4557
22 PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS PL PORT CHARLOTTE FL PULMONARY DISEASE 9 2,316 $785,726 $339 15.8% 0.5% (941) 766-4122
23 MID-VALLEY PULMONARY MEDICAL GROUP, INC. SHERMAN OAKS CA PULMONARY DISEASE 10 2,226 $1,113,000 $500 6.6% 0.3% (818) 325-0200
24 ATHENS PULMONARY AND ALLERGY, P.C. ATHENS GA PULMONARY DISEASE 22 2,132 $1,066,000 $500 — 1.5% 7065495560223
25 COASTAL PULMONARY AND CRITICAL CARE PLC ST PETERSBURG FL PULMONARY DISEASE 9 1,843 $613,387 $333 12.6% 0.4% (727) 822-6661
26 RIVER VALLEY PULMONARY CONSULTANTS, PA EL PASO TX PULMONARY DISEASE 4 1,820 $1,330,210 $731 4.7% 0.4% (915) 999-4009
27 PULMONARY ASSOCIATES, PC FLINT MI PULMONARY DISEASE 11 1,802 $675,750 $375 — 1.1% (810) 230-6800
28 WHITTIER PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC. WHITTIER CA PULMONARY DISEASE 14 1,797 $1,375,724 $766 5.3% 0.2% (562) 789-5470
29 MEMPHIS LUNG PHYSICIANS FOUNDATION, INC. MEMPHIS TN PULMONARY DISEASE 61 1,777 $719,685 $405 — 1.8% (901) 226-0732
30 CONSULTANTS FOR LUNG DISEASES MEDICAL GROUP INC BURBANK CA PULMONARY DISEASE 6 1,758 $791,100 $450 5.2% 0.2% (818) 842-4819
31 MASS LUNG AND ALLERGY PC LEOMINSTER MA PULMONARY DISEASE 13 1,745 $1,003,375 $575 — 1.1% (978) 466-2692
32 NEVADA CHEST PHYSICIANS PLLC RENO NV PULMONARY DISEASE 12 1,600 $883,790 $552 — 3.0% (775) 322-4550
33 HOUSTON PULMONARY AND SLEEP ASSOCIATES PLLC HOUSTON TX PULMONARY DISEASE 14 1,559 $645,426 $414 4.0% 0.4% (281) 955-0338
34 PULMONARY ASSOCIATES BURLINGAME MEDICAL CORPORATION BURLINGAME CA PULMONARY DISEASE 12 1,541 $1,001,650 $650 4.6% 0.2% (650) 697-7079
35 VISTA CRITICAL CARE ASSOCIATES INC GLENDALE CA PULMONARY DISEASE 15 1,517 $700,854 $462 4.5% 0.2% (818) 637-2200
36 DIABLO PULMONARY MEDICAL GROUP INC CONCORD CA PULMONARY DISEASE 8 1,422 $682,950 $480 4.2% 0.2% (925) 676-2942
37 LOUISVILLE PULMONARY CARE PLLC LOUISVILLE KY PULMONARY DISEASE 16 1,365 $566,475 $415 — 1.7% (502) 899-7377
38 PULMONARY CONSULTANTS OF SAN ANTONIO PA SAN ANTONIO TX PULMONARY DISEASE 10 1,364 $760,249 $557 3.5% 0.3% (210) 692-0361
39 RESPIRATORY SPECIALISTS LTD WYOMISSING PA PULMONARY DISEASE 19 1,346 $554,552 $412 12.0% 0.5% (610) 685-5864
40 GEORGE K SHAHINIAN M D INCORPORATED LAGUNA BEACH CA PULMONARY DISEASE 7 1,342 $805,200 $600 4.0% 0.2% (949) 715-0505
41 PULMONARY AND SLEEP PHYSICIANS OF HOUSTON, P.A. WEBSTER TX PULMONARY DISEASE 8 1,317 $460,950 $350 3.4% 0.3% (281) 557-8555
42 PULMONARY AND CRITICAL CARE SPECIALISTS, L.L.C. SHREVEPORT LA PULMONARY DISEASE 4 1,270 $528,320 $416 — 1.8% (318) 797-8777
43 LOS ANGELES LUNG CENTER A PROFESSIONAL MEDICAL CORP LOS ANGELES CA PULMONARY DISEASE 3 1,229 $798,850 $650 3.6% 0.2% (323) 913-9130
44 ARIZONA LUNG SLEEP AND VALLEY FEVER INSTITUTE INC GOODYEAR AZ PULMONARY DISEASE 4 1,221 $598,146 $490 — 1.2% (623) 243-6538
45 LEONARD E DEAL, MD, PA SAN ANTONIO TX PULMONARY DISEASE 6 1,216 $493,460 $406 3.2% 0.3% (210) 525-1668
46 TAMPA BAY PULMONARY ASSOCIATES,P.A. TAMPA FL PULMONARY DISEASE 4 1,206 $482,400 $400 8.2% 0.3% (813) 935-5501
47 SCOTTSDALE PULMONARY AND CRITICAL CARE LLC SCOTTSDALE AZ PULMONARY DISEASE 14 1,195 $806,625 $675 — 1.2% (480) 994-9838
48 CHEST PHYSICIAN CONSULTANTS, LTD MUNSTER IN PULMONARY DISEASE 8 1,194 $801,499 $671 — 1.3% (219) 836-7723
49 TUSCALOOSA LUNG AND SLEEP CONSULTANTS, PC TUSCALOOSA AL PULMONARY DISEASE 5 1,165 $436,875 $375 — 1.8% (205) 345-2255
50 OCEAN PULMONARY ASSOCIATES, P.A. TOMS RIVER NJ PULMONARY DISEASE 9 1,149 $660,675 $575 — 0.6% (732) 341-1380
51 LUNG SPECIALISTS OF LAS CRUCES LLC LAS CRUCES NM PULMONARY DISEASE 2 1,144 $514,800 $450 — 6.0% (575) 532-0303
52 HOLY NAME PULMONARY ASSOCIATES PC ENGLEWOOD NJ PULMONARY DISEASE 15 1,139 $785,910 $690 — 0.6% (201) 871-3636
53 GENESEE LUNG ASSOCIATES PC GRAND BLANC MI PULMONARY DISEASE 6 1,124 $562,000 $500 — 0.7% (810) 695-5864
54 VALLEY INTENSIVISTS, PULMONOLOGISTS AND SLEEP SPECIALISTS, P.L.L.C. MCALLEN TX PULMONARY DISEASE 5 1,120 $577,920 $516 2.9% 0.3% (956) 688-6300
55 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH GA PULMONARY DISEASE 23 1,118 $368,447 $330 — 0.8% (912) 629-2290
56 KANSAS PULMONARY AND SLEEP SPECIALISTS, LLC OVERLAND PARK KS PULMONARY DISEASE 8 1,107 $499,459 $451 — 2.5% (913) 599-3800
57 BUCKS COUNTY MEDICAL ASSOCIATES, P.C. DOYLESTOWN PA PULMONARY DISEASE 10 1,044 $455,070 $436 9.3% 0.4% (215) 348-1310
58 PULMONARY DISEASE CLINICAL GROUP ROCHESTER NY PULMONARY DISEASE 68 1,031 $933,300 $905 — 0.3% (585) 758-7691
59 ARTHUR F GELB MEDICAL CORP LAKEWOOD CA PULMONARY DISEASE 3 993 $327,690 $330 2.9% 0.1% (562) 633-2204
60 CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA LLC BOCA RATON FL PULMONARY DISEASE 21 991 $465,613 $470 6.8% 0.2% (561) 955-7100
61 HOUSTON PULMONARY MEDICINE ASSOCIATES PA HOUSTON TX PULMONARY DISEASE 8 989 $346,150 $350 2.6% 0.2% (281) 484-9369
62 PULMONARY AND CRITICAL CARE ASSOCIATES OF THE TRI-CITIES PC HOPEWELL VA PULMONARY DISEASE 4 981 $367,875 $375 — 0.7% (804) 452-7781
63 PULMONARY PHYSICIANS OF NORWICH PC PLAINFIELD CT PULMONARY DISEASE 9 973 $413,525 $425 — 1.4% (860) 886-1862
64 SHORE PULMONARY, PA BRICK NJ PULMONARY DISEASE 18 963 $394,830 $410 — 0.5% (732) 775-9075
65 HH PHYSICIANS NETWORK HUNTSVILLE AL PULMONARY DISEASE 105 953 $377,450 $396 — 1.5% (256) 265-8553
66 NATIONAL JEWISH HEALTH DENVER CO PULMONARY DISEASE 243 930 $465,110 $500 — 1.3% (303) 398-1355
67 PITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION PITTSBURG CA PULMONARY DISEASE 14 893 $327,239 $366 2.7% 0.1% (925) 432-3318
68 RESPIRATORY, CRITICAL CARE AND SLEEP SPECIALISTS, LLC DES PLAINES IL PULMONARY DISEASE 9 888 $540,792 $609 — 0.4% (847) 376-8969
69 CHEST AND SLEEP MEDICINE CONSULTANTS,PLC FLINT MI PULMONARY DISEASE 6 870 $348,000 $400 — 0.5% (810) 720-1144
70 CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA LLC BOCA RATON AR PULMONARY DISEASE 21 823 $381,049 $463 — 1.6% (561) 955-7100
71 CENTRAL COAST CHEST CONSULTANTS, A MEDICAL CORPORATION SAN LUIS OBISPO CA PULMONARY DISEASE 9 822 $433,765 $528 2.4% 0.1% (805) 543-4407
72 SALEM PULMONARY ASSOCIATES PC SALEM OR PULMONARY DISEASE 13 804 $414,060 $515 — 2.0% (503) 588-3945
73 RENAISSANCE ICU GROUP MISSION TX PULMONARY DISEASE 14 775 $585,969 $756 2.0% 0.2% (956) 362-8677
74 MASS LUNG AND CRITICAL CARE PLLC MARLBOROUGH MA PULMONARY DISEASE 2 775 $445,625 $575 — 0.5% (508) 246-7080
75 VALENCIA PULMONARY MEDICAL GROUP INC NEWHALL CA PULMONARY DISEASE 3 729 $582,600 $799 2.2% 0.1% (661) 254-7216
76 INLAND PHYSICIANS PULMONARY SERVICES MONTCLAIR CA PULMONARY DISEASE 7 709 $623,920 $880 2.1% 0.1% (909) 626-1205
77 SOUTH SHORE PULMONARY MEDICINE PC LAWRENCE NY PULMONARY DISEASE 5 696 $261,000 $375 — 0.2% (516) 569-6966
78 TEXAS IPS LLC SAN ANTONIO IN PULMONARY DISEASE 42 625 $417,500 $668 — 0.7% (210) 690-7400
79 TAMPA PULMONARY AND SLEEP SPECIALIST MDS LLP GEN PTR TAMPA FL PULMONARY DISEASE 12 581 $243,708 $419 4.0% 0.1% (813) 875-9362
80 JERSEY INTENSIVIST ASSOCIATES LLC HAMILTON NJ PULMONARY DISEASE 15 573 $768,164 $1,341 — 0.3% (609) 586-7900
81 LUNG HEALTH CENTER OF METROWEST FRAMINGHAM MA PULMONARY DISEASE 5 551 $704,729 $1,279 — 0.3% (508) 383-1525
82 KANSAS CITY PULMONOLOGY PRACTICE LLC BELTON MO PULMONARY DISEASE 6 548 $241,826 $441 — 0.5% (816) 333-1919
83 DALLAS MEDICAL PHYSICIAN GROUP MESQUITE TX PULMONARY DISEASE 17 538 $335,712 $624 1.4% 0.1% (972) 226-0505
84 COLORADO PULMONARY ASSOCIATES PC DENVER CO PULMONARY DISEASE 5 538 $234,030 $435 — 0.7% 3038630300113
85 KATY CRITICAL CARE CONSULTANTS PLLC KATY TX PULMONARY DISEASE 5 507 $204,168 $403 1.3% 0.1% (281) 644-7000
86 PALOMA MEDICAL GROUP INC SAN JUAN CAPISTRANO CA PULMONARY DISEASE 13 502 $318,428 $634 1.5% 0.1% (949) 443-4303
87 PULMONARY CRITICAL CARE AND SLEEP PHYSICIANS OF THE MAIN LINE PC MEDIA PA PULMONARY DISEASE 7 490 $171,500 $350 4.4% 0.2% (484) 442-8235
88 PULMONARY ASSOCIATES COLORADO SPRINGS CO PULMONARY DISEASE 15 468 $203,959 $436 — 0.6% (719) 471-1069
89 VIRGINIA PULMONARY ASSOCIATES, P.C. WOODBRIDGE VA PULMONARY DISEASE 2 467 $210,150 $450 — 0.3% (703) 497-0212
90 DALLAS LUNG CARE ROCKWALL TX PULMONARY DISEASE 3 459 $193,040 $421 1.2% 0.1% (469) 626-1577
91 VENTURA PULMONARY AND CRITICAL CARE MEDICAL GROUP VENTURA CA PULMONARY DISEASE 8 455 $139,790 $307 1.4% 0.1% (805) 653-6371
92 EAST VALLEY CENTER FOR PULMONARY AND SLEEP DISORDERS INC MESA AZ PULMONARY DISEASE 5 445 $184,777 $415 — 0.4% (480) 325-8173
93 CHEST MEDICINE ASSOCIATES PA SOUTH PORTLAND ME PULMONARY DISEASE 31 430 $261,699 $609 — 3.0% (207) 828-1122
94 GEORGETOWN PULMONARY ASSOCIATES, P.A. GEORGETOWN TX PULMONARY DISEASE 6 423 $223,603 $529 1.1% 0.1% (512) 819-0132
95 PULMONARY AND CRITICAL CARE SPECIALISTS, P.C. NOVI MI PULMONARY DISEASE 6 421 $185,129 $440 — 0.3% —
96 PULMONARY CRITICAL CARE AND SLEEP DISORDERS MEDICINE PA PENSACOLA FL PULMONARY DISEASE 3 411 $221,095 $538 2.8% 0.1% (850) 435-7448
97 PULMONARY ASSOCIATES, PC FLINT AL PULMONARY DISEASE 11 404 $151,500 $375 — 0.6% (810) 230-6800
98 RUTHERFORD INTENSIVIST GROUP PC MURFREESBORO TN PULMONARY DISEASE 19 402 $361,586 $899 — 0.4% (675) 396-4100
99 SOUTH TEXAS PULMONARY AND CRITICAL CARE ASSOCIATES CORPUS CHRISTI TX PULMONARY DISEASE 2 391 $152,490 $390 1.0% 0.1% (361) 884-2687
100 PULMONARY MEDICINE ASSOCIATES SC LIBERTYVILLE LA PULMONARY DISEASE 11 368 $115,920 $315 — 0.5% (708) 450-4557

Showing the top 100 of 4,488 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →