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Market snapshot

99309 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99309 — Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes

Billing groups
5,138
Named-group FFS services
7,013,241
FFS of Medicare
49%
Services YoY
+19.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~14,133,486 services

7,013,241 observed fee-for-service (50%) · ~7,120,245 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 — 99309 (CY2024)

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

Named-group submitted charges
$1.5B
Named-group allowed amount
$677.6M
Named-group Medicare payments
$524.7M
Avg charge / svc
$209
Avg allowed / svc
$97
Avg payment / svc
$75
Average charge per group
$60 5,138 groups · avg submitted charge / service $1,378
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Specialty market — General Practice: 18,389 services across 16 groups; top group 30%. See General Practice across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99309 services, CY2024
#Physician group City St Specialty Providers 99309 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 MAIN LINE MEDICAL GROUP LTD PENN VALLEY PA GENERAL PRACTICE 9 5,461 $1,228,725 $225 premium 0.7% (610) 664-2951
2 CLOUD CARE LLC SAINT CLOUD FL GENERAL PRACTICE 6 1,718 $223,806 $130 premium 0.1% (407) 593-0323
3 PREVENTIVE AND DIAGONOSTIC MEDICAL CENTER P.A. RAMSEY NJ GENERAL PRACTICE 3 1,634 $483,585 $296 premium 0.2% (201) 818-6800
4 BEVERLY HILLS MEDICAL CORPORATION MARINA DEL REY CA GENERAL PRACTICE 2 1,441 $250,360 $174 premium 0.1% (310) 274-5510
5 AFRA HEALTH INC FOLSOM PA GENERAL PRACTICE 9 1,081 $143,762 $133 premium 0.1% (888) 707-2372
6 FLORIDA MEDICAL ASSOCIATES LLC LADY LAKE FL GENERAL PRACTICE 187 1,075 $114,296 $106 premium 0.1% (352) 751-9900
7 PLATINUM PEAKS HEALTHCARE PC TACOMA WA GENERAL PRACTICE 32 985 $191,246 $194 premium 0.7% (253) 844-4327
8 PETER R HONIG DO PC PHILADELPHIA PA GENERAL PRACTICE 2 721 $98,080 $136 premium 0.1% (215) 467-7666
9 SUNSHINE SURGICAL AND WOUND CARE LLC NAPLES GA GENERAL PRACTICE 3 612 $123,677 $202 premium 0.2% (239) 307-3100
10 COMPLETE WOUND CARE LLC WALLINGFORD CT GENERAL PRACTICE 7 605 $171,215 $283 premium 0.2% (203) 408-2462
11 JAVIER RICARDO MD PA HIALEAH FL GENERAL PRACTICE 5 556 $168,701 $303 premium 0.0% (305) 267-6774
12 AFRA HEALTH INC FOLSOM MD GENERAL PRACTICE 9 501 $67,635 $135 premium 0.1% (888) 707-2372
13 DOCTORS OFFICE AND WALK IN CLINIC CA INC SAN DIEGO CA GENERAL PRACTICE 2 451 $81,631 $181 premium 0.0% (858) 483-5570
14 RICHMOND PRIMARY CARE SPECIALISTS PC STATEN ISLAND NY GENERAL PRACTICE 2 304 $57,080 $188 premium 0.0% (718) 967-8300
15 KAPADIA MEDICAL CORPORATION LOS ANGELES CA GENERAL PRACTICE 2 283 $81,787 $289 premium 0.0% (323) 212-5775
16 DAVID A BUTLER DO LLC PORT CHARLOTTE FL GENERAL PRACTICE 10 241 $29,911 $124 premium 0.0% (941) 273-3611
17 AFRA HEALTH INC FOLSOM FL GENERAL PRACTICE 9 216 $29,220 $135 premium 0.0% (888) 707-2372
18 PEYMON ZARREII MD PA DELRAY BEACH FL GENERAL PRACTICE 2 199 $35,428 $178 premium 0.0% (561) 272-9600
19 SUNSHINE SURGICAL AND WOUND CARE LLC NAPLES FL GENERAL PRACTICE 3 180 $36,856 $205 premium 0.0% (239) 307-3100
20 COMPLETE WOUND CARE LLC WALLINGFORD NY GENERAL PRACTICE 7 125 $14,125 $113 premium 0.0% (203) 408-2462

*"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 →