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Market snapshot

99310 nationwide CY2023

Medicare Part B FFS · CY2023 · as published by CMS

99310 — Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes

Billing groups
2,633
Named-group FFS services
918,591
FFS of Medicare
49%
Services YoY
+11.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,779,516 services

918,591 observed fee-for-service (52%) · ~860,925 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2023) — scaled estimate — assumes MA utilization mirrors FFS; not an observation; 2 states without payer-mix data excluded. How we scale

Top states — 99310 (CY2024)

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

Named-group submitted charges
$266.4M
Named-group allowed amount
$126.4M
Named-group Medicare payments
$98.7M
Avg charge / svc
$290
Avg allowed / svc
$138
Avg payment / svc
$107
Average charge per group
$71 2,633 groups · avg submitted charge / service $7,335
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Specialty market — Geriatric Medicine: 2,532 services across 11 groups; top group 24%. See Geriatric Medicine across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99310 services, CY2023
#Physician group City St Specialty Providers 99310 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 HUNTINGTON GERIATRIC MEDICAL GROUP PASADENA CA GERIATRIC MEDICINE 3 620 $119,090 $192 premium 0.3% (626) 229-9865
2 THE UNITED METHODIST RETIREMENT HOMES, INCORPORATED DURHAM NC GERIATRIC MEDICINE 6 588 $88,200 $150 premium 1.2% (919) 384-2571
3 LIMA GERONTOLOGY ASSOCIATES LLP GLEN RIDDLE-LIMA PA GERIATRIC MEDICINE 2 447 $78,225 $175 premium 0.4% (610) 891-5840
4 MEDSTAR TOTAL ELDER CARE, LLC WASHINGTON MD GERIATRIC MEDICINE 25 244 $112,286 $460 premium 0.4% (202) 877-0570
5 ALLIANCE POST ACUTE ASSOCIATES LLC RICHARDSON TX GERIATRIC MEDICINE 2 240 $76,889 $320 premium 0.2% (214) 797-6149
6 GRACE GERIATRIC CARE INC GARDEN GROVE CA GERIATRIC MEDICINE 2 151 $45,300 $300 premium 0.1% (657) 208-2221
7 GERIATRIC HEALTH AND WELLNESS LTD CO. WEST COLUMBIA SC GERIATRIC MEDICINE 3 100 $26,200 $262 premium 0.2% (803) 788-5916
8 TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND UTICA NY GERIATRIC MEDICINE 4 50 $7,467 $149 premium 0.1% (315) 798-4811
9 CAROLINA MEADOWS INC CHAPEL HILL VA GERIATRIC MEDICINE 8 29 $4,698 $162 premium 0.1% (919) 370-7299
10 CAROLINA MEADOWS INC CHAPEL HILL PA GERIATRIC MEDICINE 8 25 $4,050 $162 premium 0.0% (919) 370-7299
11 GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC LAS VEGAS NV GERIATRIC MEDICINE 2 21 $5,775 $275 premium 0.1% (702) 960-4312
12 MEDASSIST NJ II SPRING VALLEY PA GERIATRIC MEDICINE 23 17 $8,143 $479 premium 0.0% (845) 377-6670

*"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 →