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Market snapshot

99308 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99308 — Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more

Billing groups
4,975
Named-group FFS services
5,754,745
FFS of Medicare
49%
Services YoY
+8.0%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~11,579,756 services

5,754,745 observed fee-for-service (50%) · ~5,825,011 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; 3 states without payer-mix data excluded. How we scale

Top states — 99308 (CY2024)

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

Named-group submitted charges
$895.9M
Named-group allowed amount
$395.1M
Named-group Medicare payments
$305.2M
Avg charge / svc
$156
Avg allowed / svc
$69
Avg payment / svc
$53
Average charge per group
$55 4,975 groups · avg submitted charge / service $871
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Specialty market — Critical Care (Intensivists): 9,582 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Critical Care (Intensivists) across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99308 services, CY2024
#Physician group City St Specialty Providers 99308 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 EL-BERSHAWI MEDICAL CORP RIVERSIDE CA CRITICAL CARE (INTENSIVISTS) 43 4,150 $925,059 $223 premium 0.4% (951) 781-3672
2 PULMONARY MEDICAL CORPORATION TARZANA CA CRITICAL CARE (INTENSIVISTS) 2 1,605 $200,625 $125 premium 0.1% (818) 758-0020
3 NATRAJAN ENTERPRISES PLLC TUCSON AZ CRITICAL CARE (INTENSIVISTS) 5 1,338 $180,680 $135 premium 1.2% (520) 447-7411
4 MAIMONIDES MEDICAL CENTER-MAIMO CRITICARE FPP BROOKLYN NY CRITICAL CARE (INTENSIVISTS) 15 685 $143,187 $209 premium 0.0% (718) 283-8342
5 WASHINGTON TOWNSHIP MEDICAL FOUNDATION FREMONT CA CRITICAL CARE (INTENSIVISTS) 120 664 $86,320 $130 premium 0.1% (510) 248-1000
6 PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP INC. ROSEVILLE CA CRITICAL CARE (INTENSIVISTS) 91 548 $71,420 $130 premium 0.0% (916) 679-3590
7 SAADAH ALRAJAB MD MPH INC FULLERTON CA CRITICAL CARE (INTENSIVISTS) 3 352 $61,600 $175 premium 0.0% (714) 481-0172
8 ARIZONA PULMONARY SPECIALISTS LTD SCOTTSDALE AZ CRITICAL CARE (INTENSIVISTS) 44 177 $15,930 $90 premium 0.2% (602) 261-7830
9 CEP AMERICA ILLINOIS INTENSIVISTS GREENVILLE IL CRITICAL CARE (INTENSIVISTS) 50 43 $9,675 $225 premium 0.0% (618) 664-1230
10 LEE-LLACER AND LEE-LLACER, MD PA STEVENSVILLE MD CRITICAL CARE (INTENSIVISTS) 2 20 $1,911 $96 premium 0.0% (202) 403-0508

*"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 →