NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99349 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99349 — Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes

Billing groups
3,149
Named-group FFS services
1,772,797
FFS of Medicare
49%
Services YoY
+6.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,609,446 services

1,772,797 observed fee-for-service (49%) · ~1,836,649 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 — 99349 (CY2024)

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

Named-group submitted charges
$402.1M
Named-group allowed amount
$195.2M
Named-group Medicare payments
$145.2M
Avg charge / svc
$227
Avg allowed / svc
$110
Avg payment / svc
$82
Average charge per group
$101 3,149 groups · avg submitted charge / service $1,260
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Geriatric Medicine: 7,418 services across 13 groups; top group 22%. See Geriatric Medicine across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99349 services, CY2024
#Physician group City St Specialty Providers 99349 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 GRACE GERIATRIC CARE INC GARDEN GROVE CA GERIATRIC MEDICINE 2 1,642 $377,660 $230 premium 0.5% (657) 208-2221
2 FAITH FAMILY WELLNESS CLINIC PLLC SHELBYVILLE TN GERIATRIC MEDICINE 3 1,413 $252,051 $178 premium 2.0% (931) 492-5290
3 CENTRAL JERSEY MEDICINE AND GERIATRICS, LLC PRINCETON NJ GERIATRIC MEDICINE 3 1,181 $206,675 $175 premium 0.8% (609) 921-8766
4 ASPEN MEDICAL ASSOCIATES, PA TEANECK NJ GERIATRIC MEDICINE 3 838 $115,107 $137 premium 0.6% (201) 928-0200
5 HUNTINGTON GERIATRIC MEDICAL GROUP PASADENA CA GERIATRIC MEDICINE 3 779 $140,867 $181 premium 0.2% (626) 229-9865
6 MEDSTAR TOTAL ELDER CARE, LLC WASHINGTON DC GERIATRIC MEDICINE 25 416 $131,424 $316 premium 5.8% (202) 877-0570
7 GERIATRIC HEALTH AND WELLNESS LTD CO. WEST COLUMBIA SC GERIATRIC MEDICINE 3 266 $66,500 $250 premium 0.2% (803) 788-5916
8 MEDSTAR TOTAL ELDER CARE, LLC WASHINGTON MD GERIATRIC MEDICINE 25 201 $65,295 $325 premium 0.2% (202) 877-0570
9 MEDSTAR TOTAL ELDER CARE, LLC WASHINGTON VA GERIATRIC MEDICINE 25 177 $56,439 $319 premium 0.1% (202) 877-0570
10 TWILIGHT PHYSICIAN GROUP ALBUQUERQUE NM GERIATRIC MEDICINE 2 152 $20,739 $136 premium 3.2% (505) 512-1880
11 GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC LAS VEGAS NV GERIATRIC MEDICINE 2 139 $48,741 $351 premium 0.3% (702) 960-4312
12 GERIATRIC MEDICAL ASSOCIATES PLLC WHITE PLAINS NY GERIATRIC MEDICINE 2 135 $20,174 $149 premium 0.1% 91450561422
13 CAROLINA MEADOWS INC CHAPEL HILL OR GERIATRIC MEDICINE 8 27 $4,185 $155 premium 0.3% (919) 370-7299
14 MONTANA STILLWATER HEALTH PLLC MISSOULA MT GERIATRIC MEDICINE 2 21 $5,607 $267 premium 0.5% (406) 272-3746
15 GIO PLLC TULSA OK GERIATRIC MEDICINE 2 17 $3,264 $192 premium 0.0% (918) 528-4189
16 CAROLINA MEADOWS INC CHAPEL HILL VA GERIATRIC MEDICINE 8 14 $2,170 $155 premium 0.0% (919) 370-7299

*"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 →