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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 — Geriatric Medicine: 15,685 services across 18 groups; top group 28%. See Geriatric Medicine 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 ASPEN MEDICAL ASSOCIATES, PA TEANECK NJ GERIATRIC MEDICINE 3 4,361 $508,737 $117 premium 0.6% (201) 928-0200
2 LIMA GERONTOLOGY ASSOCIATES LLP GLEN RIDDLE-LIMA PA GERIATRIC MEDICINE 2 2,476 $334,260 $135 premium 0.3% (610) 891-5840
3 GEROMED LLC ST LOUIS MO GERIATRIC MEDICINE 2 2,280 $307,800 $135 premium 1.0% (314) 752-8600
4 ALLIANCE POST ACUTE ASSOCIATES LLC RICHARDSON TX GERIATRIC MEDICINE 2 1,615 $359,467 $223 premium 0.2% (214) 797-6149
5 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND UTICA NY GERIATRIC MEDICINE 4 745 $76,012 $102 premium 0.1% (315) 798-4811
6 GERIATRIC HEALTH AND WELLNESS LTD CO. WEST COLUMBIA SC GERIATRIC MEDICINE 3 643 $113,811 $177 premium 0.3% (803) 788-5916
7 GRACE GERIATRIC CARE INC GARDEN GROVE CA GERIATRIC MEDICINE 2 542 $154,470 $285 premium 0.0% (657) 208-2221
8 CENTRAL JERSEY MEDICINE AND GERIATRICS, LLC PRINCETON NJ GERIATRIC MEDICINE 3 478 $71,750 $150 premium 0.1% (609) 921-8766
9 MEDSTAR TOTAL ELDER CARE, LLC WASHINGTON MD GERIATRIC MEDICINE 25 457 $133,524 $292 premium 0.1% (202) 877-0570
10 MEDASSIST NJ II SPRING VALLEY PA GERIATRIC MEDICINE 23 444 $143,856 $324 premium 0.1% (845) 377-6670
11 HEELEX 2 LLC SURPRISE AZ GERIATRIC MEDICINE 3 385 $69,670 $181 premium 0.2% (623) 270-7441
12 HUNTINGTON GERIATRIC MEDICAL GROUP PASADENA CA GERIATRIC MEDICINE 3 355 $45,965 $129 premium 0.0% (626) 229-9865
13 GIO PLLC TULSA OK GERIATRIC MEDICINE 2 304 $39,216 $129 premium 0.2% (918) 528-4189
14 GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC LAS VEGAS NV GERIATRIC MEDICINE 2 155 $45,655 $295 premium 0.1% (702) 960-4312
15 CAROLINA MEADOWS INC CHAPEL HILL OR GERIATRIC MEDICINE 8 107 $11,770 $110 premium 0.4% (919) 370-7299
16 CAROLINA MEADOWS INC CHAPEL HILL VA GERIATRIC MEDICINE 8 100 $11,000 $110 premium 0.0% (919) 370-7299
17 CAROLINA MEADOWS INC CHAPEL HILL PA GERIATRIC MEDICINE 8 96 $10,560 $110 premium 0.0% (919) 370-7299
18 GERIATRIC MEDICAL ASSOCIATES PLLC WHITE PLAINS NY GERIATRIC MEDICINE 2 72 $9,135 $127 premium 0.0% 91450561422
19 CAROLINA MEADOWS INC CHAPEL HILL NC GERIATRIC MEDICINE 8 43 $4,730 $110 premium 0.0% (919) 370-7299
20 YDR GERIATRICS AND NEPHROLOGY, LLP BRONX NY GERIATRIC MEDICINE 4 14 $1,946 $139 premium 0.0% (718) 690-3666
21 MID ATLANTIC GERIATRIC ASSOCIATION OCEAN NJ GERIATRIC MEDICINE 2 13 $2,535 $195 premium 0.0% (732) 663-0099

*"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 →