NEVVI Medicare utilization intelligence
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Market snapshot

99316 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99316 — Nursing facility discharge management, more than 30 minutes

Billing groups
1,543
Named-group FFS services
159,896
FFS of Medicare
49%
Services YoY
+2.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~317,386 services

159,896 observed fee-for-service (50%) · ~157,490 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; 1 state without payer-mix data excluded. How we scale

Top states — 99316 (CY2024)

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

Named-group submitted charges
$41.2M
Named-group allowed amount
$18.7M
Named-group Medicare payments
$14.6M
Avg charge / svc
$258
Avg allowed / svc
$117
Avg payment / svc
$92
Average charge per group
$78 1,543 groups · avg submitted charge / service $1,003
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99316 services, CY2024
#Physician group City St Specialty Providers 99316 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HDC CARE SOLUTIONS LLC MIDDLETOWN CT NURSE PRACTITIONER 168 1,355 $234,200 $173 premium 18.3% (888) 964-6681
2 BRONX MEDICAL PRACTICE PC BRONX NY NURSE PRACTITIONER 135 1,193 $229,231 $192 premium 3.4% (718) 299-7295
3 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 1,149 $315,665 $275 premium 4.2% (858) 455-9100
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,088 $307,219 $282 premium 3.1%
5 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,078 $306,152 $284 premium 8.8% (847) 459-1160
6 VIRGINIA INTERNAL MEDICINE INC ASHBURN VA NURSE PRACTITIONER 94 1,012 $253,000 $250 premium 6.5% (347) 761-7200
7 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 947 $724,632 $765 premium 10.1%
8 FAIRVIEW CLINICS EAGAN MN FAMILY PRACTICE 816 865 $401,990 $465 premium 12.5% (651) 406-8860
9 TRUMEN PHYSICIANS AND ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 140 853 $223,335 $262 premium 10.6% (713) 795-9955
10 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 815 $172,020 $211 premium 4.9% (484) 526-2400
11 IMPACT HEALTH PC ORANGE CT NURSE PRACTITIONER 70 777 $140,014 $180 premium 10.5% (203) 497-3861
12 VANTAGE HEALTHCARE LLC CANTON MA NURSE PRACTITIONER 80 756 $214,253 $283 premium 4.5% (781) 867-2050
13 QUALITY CARE SOLUTION INC SAN JOSE CA NURSE PRACTITIONER 11 752 $167,085 $222 premium 2.8% (832) 618-8479
14 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 737 $408,232 $554 premium 4.4% (978) 741-4133
15 FULTON MEDICAL PC SYOSSET NY NURSE PRACTITIONER 17 728 $418,425 $575 premium 2.1% (631) 271-9151
16 AFFILIATED HOSPITALISTS PLC PHOENIX AZ INTERNAL MEDICINE 84 725 $116,000 $160 premium 11.8% (602) 445-0751
17 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 703 $201,216 $286 premium 4.2%
18 HEBREW REHABILITATION CENTER ROSLINDALE MA NURSE PRACTITIONER 50 697 $200,987 $288 premium 4.1% (617) 363-8010
19 POST ACUTE PHYSICIAN PARTNERS LLC HEBRON MD NURSE PRACTITIONER 36 634 $140,916 $222 premium 4.6% (410) 548-2343
20 PROGRESSIVE CARE MEDICAL GROUP OF TN PLLC GALLATIN TN NURSE PRACTITIONER 15 629 $140,091 $223 premium 7.2% (615) 452-2322
21 PEMBROKE MEDICAL ASSOCIATES INC PEMBROKE MA NURSE PRACTITIONER 25 628 $143,117 $228 premium 3.7% (781) 202-9292
22 CRM PHYSICIANS LLC BEAVERTON OR NURSE PRACTITIONER 54 599 $239,518 $400 premium 21.3% (503) 643-8626
23 OAK MEDICAL SC MILWAUKEE WI NURSE PRACTITIONER 118 598 $123,767 $207 premium 10.1% (414) 453-9290
24 TRI-COUNTY HEALTH CONNECTIONS, PC GLASSBORO NJ NURSE PRACTITIONER 16 597 $130,345 $218 premium 3.6% (856) 507-2783
25 OPTIMA HEALTH CORP RIVERSIDE CA NURSE PRACTITIONER 23 595 $357,000 $600 premium 2.2% (951) 788-0008
26 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 587 $187,840 $320 premium 2.6% (727) 725-5060
27 FANDM HEALTHCARE, LLC TACOMA WA NURSE PRACTITIONER 26 578 $173,271 $300 premium 8.6% (253) 777-1423
28 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 577 $239,830 $416 premium 8.3% (651) 221-3456
29 SNF LTC PARTNERS OF VIRGINIA RICHMOND VA NURSE PRACTITIONER 29 570 $109,532 $192 premium 3.6% (804) 543-2120
30 GERIATRIC MEDICINE CONSULTANTS PA WILMINGTON DE NURSE PRACTITIONER 25 570 $79,800 $140 premium 23.1% (302) 543-6165
31 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 560 $137,760 $246 premium 7.9%
32 GOOD SAMARITAN PHYSICIAN SERVICES CHAMBERSBURG PA NURSE PRACTITIONER 105 559 $105,816 $189 premium 3.4% (717) 217-6020
33 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 556 $122,083 $220 premium 3.3% (856) 247-7260
34 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 549 $178,962 $326 premium 9.2% (608) 287-2050
35 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 546 $194,174 $356 premium 2.0% (415) 600-1020
36 M MEDICAL GROUP, INC. WASHINGTON MD NURSE PRACTITIONER 111 543 $136,050 $251 premium 3.9% (202) 535-1100
37 MARYLAND MEDICAL FIRST PA PARKVILLE MD NURSE PRACTITIONER 28 539 $86,240 $160 premium 3.9% (410) 661-4670
38 SENIOR CARE PARTNERS OF EAST TENNESSEE PLLC MARYVILLE TN NURSE PRACTITIONER 33 535 $64,200 $120 premium 6.1% (865) 980-5200
39 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 533 $200,365 $376 premium 7.7% (507) 284-2511
40 100 PERCENT HEALTHCARE LLC NORTHFIELD NJ NURSE PRACTITIONER 15 525 $94,495 $180 premium 3.2% (609) 699-5750
41 SUMMIT MEDICAL CONSULTANTS PLLC PARKER CO NURSE PRACTITIONER 72 525 $138,584 $264 premium 14.2% (720) 644-9355
42 PRO CARE MEDICAL GROUP INC CONCORD ND INTERNAL MEDICINE 2 521 $124,519 $239 premium 55.4% (925) 322-3442
43 HNI MEDICAL SERVICES OF FLORIDA, LLC JACKSONVILLE FL INTERNAL MEDICINE 111 507 $163,254 $322 premium 2.2% (512) 730-3056
44 M MEDICAL GROUP, INC. WASHINGTON VA NURSE PRACTITIONER 111 502 $125,500 $250 premium 3.2% (202) 535-1100
45 PREFERRED PROFESSIONAL MEDICAL CARE PC RONKONKOMA NY PHYSICIAN ASSISTANT 14 500 $68,725 $137 premium 1.4% (631) 676-7656
46 HHC PHYSICIAN SERVICES PLLC WEST HAVEN CT NURSE PRACTITIONER 134 499 $101,611 $204 premium 6.7% (203) 932-6481
47 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 494 $167,245 $339 premium 3.0% (973) 971-5596
48 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 487 $159,249 $327 premium 8.2% (715) 838-5222
49 CARESPRING NP, LLC ERLANGER OH NURSE PRACTITIONER 13 482 $73,660 $153 premium 5.1% (513) 943-4000
50 KANSAS POST ACUTE MEDICAL SERVICES 1 PA WICHITA KS NURSE PRACTITIONER 56 477 $184,304 $386 premium 10.6% (316) 518-5045
51 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 474 $118,598 $250 premium 35.5% (207) 885-9905
52 SHANNONDELL, INC. AUDUBON PA NURSE PRACTITIONER 17 470 $94,940 $202 premium 2.8% (610) 728-5236
53 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 466 $94,806 $203 premium 2.8%
54 UNIVERSAL HEALTH CORPORATION SALEM VA NURSE PRACTITIONER 119 461 $94,935 $206 premium 2.9% (540) 345-3894
55 PRESTIGE OUTPATIENT PROVIDERS LLC NAPLES FL NURSE PRACTITIONER 14 459 $210,442 $458 premium 2.0% (239) 775-7715
56 ADVANCED MOBILE MEDICINE LLC BELLEVUE NE NURSE PRACTITIONER 7 458 $105,340 $230 premium 18.4% (402) 875-2001
57 LONG ISLAND COMPREHENSIVE MEDICAL CARE PLLC NORTH BABYLON NY NURSE PRACTITIONER 41 450 $157,500 $350 premium 1.3% 6316670388612
58 NY PRIORITY MEDICAL CARE PLLC BAYSIDE NY INTERNAL MEDICINE 2 450 $134,701 $299 premium 1.3% (917) 717-1072
59 VITAE HEALTH MEDICAL ILLINOIS, PLLC CHICAGO IL CLINICAL SOCIAL WORKER 202 449 $80,546 $179 premium 3.7%
60 CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA NURSE PRACTITIONER 127 445 $80,763 $181 premium 17.7% (877) 260-4747
61 BORO PARK OPERATING CO LLC BROOKLYN NY NURSE PRACTITIONER 7 439 $87,800 $200 premium 1.2% (718) 851-3700
62 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGS CA PHYSICIAN ASSISTANT 148 438 $65,700 $150 premium 1.6%
63 MANA HEALTH PARTNERS PA ORLANDO FL NURSE PRACTITIONER 91 431 $96,867 $225 premium 1.9% (732) 552-8922
64 CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN NURSE PRACTITIONER 50 430 $79,620 $185 premium 4.9% (337) 991-9276
65 DAVID B HEVERT MD PA BOCA RATON FL INTERNAL MEDICINE 9 424 $86,920 $205 premium 1.8% (561) 394-3088
66 DELAWARE POST ACUTE MEDICAL SERVICES 1 WILMINGTON DE NURSE PRACTITIONER 34 418 $169,097 $405 premium 16.9% (302) 764-0181
67 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON MA INTERNAL MEDICINE 294 415 $168,235 $405 premium 2.5% (781) 784-9212
68 CHRONIC DISEASE MANAGEMENT OF GEORGIA LLC MONROE GA NURSE PRACTITIONER 79 413 $66,010 $160 premium 8.1% (888) 772-0076
69 PROGRESSIVE CARE MEDICAL GROUP PLLC NEW YORK NY NURSE PRACTITIONER 38 413 $95,102 $230 premium 1.2% (646) 505-3500
70 PLATINUM HOSPITALISTS LLP LAS VEGAS NV INTERNAL MEDICINE 192 409 $134,970 $330 premium 8.5% (702) 407-7700
71 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 407 $94,424 $232 premium 3.3%
72 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 401 $118,800 $296 premium 2.9% (202) 429-2401
73 COMMUNITY HOME PHYSICIANS LLC OAKBROOK TERRACE IL NURSE PRACTITIONER 86 392 $117,297 $299 premium 3.2% (630) 320-6871
74 SNF SPECIALISTS MEDICAL CORPORATION FAIRFIELD CA NURSE PRACTITIONER 25 388 $76,500 $197 premium 1.4% (800) 973-1540
75 MULTIVIZ MEDICAL SERVICES PC FAR ROCKAWAY NY NURSE PRACTITIONER 27 385 $74,548 $194 premium 1.1% (718) 327-7307
76 PRO CARE MEDICAL GROUP INC CONCORD CA INTERNAL MEDICINE 2 385 $92,015 $239 premium 1.4% (925) 322-3442
77 EXCELLENCE HEALTH LLC DAYTONA BEACH FL NURSE PRACTITIONER 48 382 $45,718 $120 premium 1.7% (386) 238-9064
78 JERSEY SHORE GERIATRICS INC MARLBORO NJ NURSE PRACTITIONER 12 380 $85,500 $225 premium 2.3% (732) 866-9922
79 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 378 $121,716 $322 premium 6.4% (608) 260-2900
80 HGRT MEDICAL GROUP INC SAN JUAN CAPISTRANO CA INTERNAL MEDICINE 3 377 $94,250 $250 premium 1.4% (949) 248-8855
81 GALEN INPATIENT PHYSICIANS PC PENSACOLA CA HOSPITALIST 1012 375 $163,599 $436 premium 1.4% (850) 416-7000
82 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 366 $78,522 $215 premium 2.9% (704) 384-8200
83 MARYLAND ELDER CARE LLC CROFTON MD NURSE PRACTITIONER 6 361 $79,420 $220 premium 2.6% (410) 507-7617
84 PIONEER MEDICAL GROUP PL ZEPHYRHILLS FL INTERNAL MEDICINE 71 361 $93,138 $258 premium 1.6% (813) 779-6303
85 DANDG MEDICAL ASSOCIATES PLLC MERIDIAN ID PHYSICIAN ASSISTANT 16 360 $90,000 $250 premium 14.8% (208) 286-8670
86 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF IA NURSE PRACTITIONER 1202 355 $106,984 $301 premium 15.7%
87 HEALTHDRIVE MEDICAL SERVICES PC COLUMBIA MD NURSE PRACTITIONER 28 355 $42,245 $119 premium 2.6% (888) 964-6681
88 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 352 $126,428 $359 premium 1.3% (916) 983-7476
89 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 350 $107,100 $306 premium 3.4% (734) 763-5459
90 MENORAH HOME AND HOSPITAL FOR THE AGED AND INFIRM BROOKLYN NY INTERNAL MEDICINE 4 346 $50,645 $146 premium 1.0% (212) 342-9301
91 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 342 $126,279 $369 premium 1.3% (714) 871-3006
92 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 334 $63,610 $190 premium 7.4% (785) 354-9591
93 MARYLAND MEDICAL GROUP INC ROCKVILLE MD NURSE PRACTITIONER 11 333 $58,275 $175 premium 2.4% (301) 780-4745
94 ALIGNMED MEDICAL GROUP PC POTTSTOWN MD NURSE PRACTITIONER 59 332 $58,388 $176 premium 2.4% (610) 323-1800
95 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 332 $104,248 $314 premium 9.4% (859) 578-5880
96 HIGHGATE MEDICAL GROUP PC WILLIAMSVILLE NY NURSE PRACTITIONER 55 330 $52,470 $159 premium 0.9% (716) 636-7979
97 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG VA DIAGNOSTIC RADIOLOGY 267 329 $77,585 $236 premium 2.1% (540) 741-5610
98 ARIZONA INPATIENT MEDICINE ASSOCIATES LLC TUCSON AZ INTERNAL MEDICINE 69 327 $45,780 $140 premium 5.3% (520) 318-3434
99 MEADOWS FAMILY MEDICAL CENTER INC DENVER CO NURSE PRACTITIONER 68 327 $70,632 $216 premium 8.8% (720) 355-0539
100 UPMC WESTERN MARYLAND HEALTH SERVICES LLC CUMBERLAND MD PHYSICIAN ASSISTANT 171 326 $43,977 $135 premium 2.4%

Showing the top 100 of 1,543 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. 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 →