NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99291 in CA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99291 — Critical care, first 30-74 minutes

Billing groups
746
Named-group FFS services
460,063
FFS of Medicare
49%
Services YoY
+4.9%
FFS enrollment +0.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~933,407 services

460,063 observed fee-for-service (49%) · ~473,344 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

Named-group submitted charges
$477.4M
Named-group allowed amount
$99.6M
Named-group Medicare payments
$78.7M
Avg charge / svc
$1,038
Avg allowed / svc
$217
Avg payment / svc
$171
Average charge per group
$250 746 groups · avg submitted charge / service $4,459
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Pulmonary Disease: 33,688 services across 23 groups; top group 13%. See Pulmonary Disease across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99291 services, CY2024
#Physician group City Specialty Providers 99291 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 PRESTIGE PULMONARY CONSULTANTS INC MONTEREY PARK PULMONARY DISEASE 12 4,435 $2,651,185 $598 premium 13.2% 0.6% (626) 280-4393
2 CALIFORNIA PULMONARY ASSOCIATES INC UPLAND PULMONARY DISEASE 7 4,286 $1,419,794 $331 premium 12.7% 0.5% (626) 914-5219
3 MUIR PULMONARY CRITICAL CARE WALNUT CREEK PULMONARY DISEASE 13 3,296 $881,294 $267 premium 9.8% 0.4% (925) 939-3050
4 HUNTINGTON PULMONARY MEDICAL GROUP PASADENA PULMONARY DISEASE 8 3,251 $1,412,820 $435 premium 9.7% 0.4% (626) 486-0181
5 MID-VALLEY PULMONARY MEDICAL GROUP, INC. SHERMAN OAKS PULMONARY DISEASE 10 2,226 $1,113,000 $500 premium 6.6% 0.3% (818) 325-0200
6 WHITTIER PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC. WHITTIER PULMONARY DISEASE 14 1,797 $1,375,724 $766 premium 5.3% 0.2% (562) 789-5470
7 CONSULTANTS FOR LUNG DISEASES MEDICAL GROUP INC BURBANK PULMONARY DISEASE 6 1,758 $791,100 $450 premium 5.2% 0.2% (818) 842-4819
8 PULMONARY ASSOCIATES BURLINGAME MEDICAL CORPORATION BURLINGAME PULMONARY DISEASE 12 1,541 $1,001,650 $650 premium 4.6% 0.2% (650) 697-7079
9 VISTA CRITICAL CARE ASSOCIATES INC GLENDALE PULMONARY DISEASE 15 1,517 $700,854 $462 premium 4.5% 0.2% (818) 637-2200
10 DIABLO PULMONARY MEDICAL GROUP INC CONCORD PULMONARY DISEASE 8 1,422 $682,950 $480 premium 4.2% 0.2% (925) 676-2942
11 GEORGE K SHAHINIAN M D INCORPORATED LAGUNA BEACH PULMONARY DISEASE 7 1,342 $805,200 $600 premium 4.0% 0.2% (949) 715-0505
12 LOS ANGELES LUNG CENTER A PROFESSIONAL MEDICAL CORP LOS ANGELES PULMONARY DISEASE 3 1,229 $798,850 $650 premium 3.6% 0.2% (323) 913-9130
13 ARTHUR F GELB MEDICAL CORP LAKEWOOD PULMONARY DISEASE 3 993 $327,690 $330 premium 2.9% 0.1% (562) 633-2204
14 PITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION PITTSBURG PULMONARY DISEASE 14 893 $327,239 $366 premium 2.7% 0.1% (925) 432-3318
15 CENTRAL COAST CHEST CONSULTANTS, A MEDICAL CORPORATION SAN LUIS OBISPO PULMONARY DISEASE 9 822 $433,765 $528 premium 2.4% 0.1% (805) 543-4407
16 VALENCIA PULMONARY MEDICAL GROUP INC NEWHALL PULMONARY DISEASE 3 729 $582,600 $799 premium 2.2% 0.1% (661) 254-7216
17 INLAND PHYSICIANS PULMONARY SERVICES MONTCLAIR PULMONARY DISEASE 7 709 $623,920 $880 premium 2.1% 0.1% (909) 626-1205
18 PALOMA MEDICAL GROUP INC SAN JUAN CAPISTRANO PULMONARY DISEASE 13 502 $318,428 $634 premium 1.5% 0.1% (949) 443-4303
19 VENTURA PULMONARY AND CRITICAL CARE MEDICAL GROUP VENTURA PULMONARY DISEASE 8 455 $139,790 $307 premium 1.4% 0.1% (805) 653-6371
20 ANTELOPE VALLEY LUNG AND SLEEP INSTITUTE INC PALMDALE PULMONARY DISEASE 2 255 $189,125 $742 premium 0.8% 0.0% (661) 945-8717
21 REDWOOD PULMONARY MEDICAL ASSOCIATES A MEDICAL CORPORATION REDWOOD CITY PULMONARY DISEASE 3 139 $61,160 $440 premium 0.4% 0.0% (650) 367-5636
22 INSPIRE PULMONARY AND SLEEP MEDICINE SPECIALIST MURRIETA PULMONARY DISEASE 4 54 $36,588 $678 premium 0.2% 0.0% (951) 566-5646
23 DALLAS MEDICAL PHYSICIAN GROUP MESQUITE PULMONARY DISEASE 17 37 $20,413 $552 premium 0.1% 0.0% (972) 226-0505

*"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 →