NEVVI Medicare utilization intelligence
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Market snapshot

99406 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99406 — Smoking and tobacco use intensive counseling, 4-10 minutes

Billing groups
1,665
Named-group FFS services
112,765
FFS of Medicare
49%
Services YoY
-10.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~226,720 services

112,765 observed fee-for-service (50%) · ~113,955 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 — 99406 (CY2024)

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

Named-group submitted charges
$4.4M
Named-group allowed amount
$1.5M
Named-group Medicare payments
$1.5M
Avg charge / svc
$39
Avg allowed / svc
$13
Avg payment / svc
$13
Average charge per group
$0 1,665 groups · avg submitted charge / service $330
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99406 services, CY2024
#Physician group City St Specialty Providers 99406 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,455 $155,685 $107 premium 10.3% (212) 263-9700
2 TOTAL CARE 2 U, LLC WAXAHACHIE TX NURSE PRACTITIONER 25 1,174 $32,872 $28 premium 11.4% (877) 868-2528
3 SPINECARE ASSOCIATES, LLC CLEARWATER FL PHYSICAL MEDICINE AND REHABILITATION 12 930 $93,000 $100 premium 6.9% (727) 797-7463
4 RACC MEDICAL ASSOCIATES LLC FORT WAYNE IN PHYSICIAN ASSISTANT 22 927 $32,445 $35 premium 17.5% (260) 748-3650
5 PULMONARY ASSOCIATES OF RICHMOND INC MIDLOTHIAN VA PULMONARY DISEASE 49 809 $28,395 $35 premium 14.8% (804) 639-9910
6 VALLEY MEDICAL GROUP PC GREENFIELD MA PHYSICIAN ASSISTANT 108 804 $31,210 $39 premium 12.4% (413) 774-6301
7 ACCESS PAIN SOLUTIONS TULSA OK NURSE PRACTITIONER 13 799 $38,352 $48 premium 15.9% (918) 710-4112
8 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 755 $21,957 $29 premium 19.5%
9 PULMONARY ASSOCIATES OF MOBILE PC MOBILE AL PULMONARY DISEASE 35 752 $12,784 $17 premium 20.3% (251) 343-6848
10 NORCAL PAIN TREATMENT CENTER CORP TURLOCK CA NURSE PRACTITIONER 10 734 $37,972 $52 premium 5.3% (209) 448-3000
11 ABSOLUTE MEDICAL GROUP LLC LAS VEGAS NV NURSE PRACTITIONER 2 608 $11,924 $20 premium 23.5% (702) 664-9520
12 MIDDLETOWN MEDICAL PC MIDDLETOWN NY NURSE PRACTITIONER 172 585 $10,443 $18 premium 4.2% (845) 342-4774
13 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 576 $27,648 $48 premium 8.9%
14 MOHAMED H KHAN MD INC REDDING CA NURSE PRACTITIONER 9 575 $10,350 $18 premium 4.2% (530) 241-1144
15 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 558 $15,624 $28 premium 5.4% (254) 724-2663
16 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 554 $24,850 $45 premium 11.5% (502) 937-2209
17 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 546 $22,562 $41 premium 18.2% (928) 458-7583
18 AGHA MEDICAL INC MORRIS IL NURSE PRACTITIONER 5 505 $45,150 $89 premium 5.7% (815) 941-2007
19 SIGNATURE HEALTHCARE MEDICAL GROUP INC BROCKTON MA PHYSICIAN ASSISTANT 241 481 $19,569 $41 premium 7.4% (508) 941-7000
20 BOSTON PAIN CLINIC AND PRIMARY CARE PC HYDE PARK MA ANESTHESIOLOGY 3 481 $19,240 $40 premium 7.4% (617) 361-2166
21 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 457 $35,646 $78 premium 9.2%
22 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 452 $14,689 $32 premium 8.7% (202) 429-2401
23 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 429 $36,036 $84 premium 3.0%
24 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 425 $21,371 $50 premium 3.1% (916) 681-8852
25 HALEYVILLE MEDICAL ASSOCIATES, INC. HALEYVILLE AL NURSE PRACTITIONER 9 419 $9,218 $22 premium 11.3% (205) 486-8899
26 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 416 $12,222 $29 premium 8.6% (502) 629-2398
27 FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE,PA CLARKSVILLE AR FAMILY PRACTICE 3 394 $9,850 $25 premium 11.5% (479) 754-4721
28 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 377 $13,209 $35 premium 3.9% (910) 662-6000
29 MAGNOLIA REGIONAL HEALTH CENTER CORINTH MS CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 373 $11,936 $32 premium 9.6% (662) 293-1000
30 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 371 $10,759 $29 premium 5.7% (413) 447-2695
31 VIVEK GUPTA, M.D., S.C. CHICAGO IL NURSE PRACTITIONER 26 370 $13,080 $35 premium 4.2% (773) 772-7858
32 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 369 $16,434 $45 premium 7.1% (410) 761-1222
33 PETER JAHANGIR PARKER M D INC Glendale CA ALLERGY/IMMUNOLOGY 2 355 $17,736 $50 premium 2.6%
34 TN LUNG AND SLEEP CENTER LLC COOKEVILLE TN INTERNAL MEDICINE 2 346 $10,440 $30 premium 5.8% (931) 202-3697
35 CENTRAL VIRGINIA HEALTH SERVICES INC CHARLOTTE COURT HOUSE VA NURSE PRACTITIONER 94 341 $5,115 $15 premium 6.2% (434) 542-5560
36 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 340 $11,700 $34 premium 3.8% (847) 459-1160
37 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 336 $11,760 $35 premium 3.3% (903) 606-5560
38 OCEAN PULMONARY ASSOCIATES, P.A. TOMS RIVER NJ PULMONARY DISEASE 9 335 $13,400 $40 premium 5.2% (732) 341-1380
39 JAISWAL CLINIC PLLC DURANT OK INTERNAL MEDICINE 2 334 $7,098 $21 premium 6.6% (580) 924-4704
40 BETHANY MEDICAL CENTER HIGH POINT NC PHYSICIAN ASSISTANT 63 333 $8,325 $25 premium 3.4% (336) 883-0029
41 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 332 $12,616 $38 premium 6.4%
42 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 326 $13,649 $42 premium 26.2% (253) 428-2200
43 TRINITY HOUSECALLS GRAND PRAIRIE TX NURSE PRACTITIONER 2 309 $6,180 $20 premium 3.0% (469) 520-5133
44 CENTINELA HOSPITALIST MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 11 307 $23,025 $75 premium 2.2% (310) 673-4660
45 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 303 $9,696 $32 premium 7.9% (843) 497-5929
46 HAMILTON CARDIOLOGY ASSOCIATES PA HAMILTON NJ INTERVENTIONAL CARDIOLOGY 20 302 $9,060 $30 premium 4.7% (609) 584-1212
47 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 299 $17,940 $60 premium 2.1% (631) 444-1560
48 SUMMIT MEDICAL GROUP INC EDGEWOOD KY NURSE PRACTITIONER 806 295 $10,620 $36 premium 6.1% (859) 578-5880
49 UNIVERSITY MEDICAL PROFESSIONALS LLC ELIZABETH NJ PHYSICIAN ASSISTANT 5 292 $7,300 $25 premium 4.5% (908) 350-4444
50 KASHYAP PATEL MD PA ORMOND BEACH FL NURSE PRACTITIONER 7 291 $6,754 $23 premium 2.1% (386) 615-8971
51 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 291 $9,021 $31 premium 7.5% (662) 377-5300
52 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 286 $10,599 $37 premium 5.2%
53 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 285 $17,082 $60 premium 7.4% (803) 395-3400
54 GENESIS MEDICAL GROUP, LLC ZANESVILLE OH NURSE PRACTITIONER 254 284 $8,191 $29 premium 5.7% (740) 454-4038
55 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 276 $9,386 $34 premium 26.5% (302) 744-4700
56 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 274 $7,744 $28 premium 5.2%
57 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 268 $9,610 $36 premium 3.8% (770) 422-2004
58 CARDINAL REHAB SERVICES, INC. AZLE TX GENERAL PRACTICE 2 268 $4,288 $16 premium 2.6% (214) 900-8669
59 GLENDALE INTERNAL MEDICINE AND CARDIOLOGY MEDICAL GROUP INC GLENDALE CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 262 $8,384 $32 premium 1.9% (818) 242-4191
60 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 262 $6,875 $26 premium 24.8% (785) 354-9591
61 PROFESSIONAL HEALTH CARE OF PINELLAS, LLC ST PETERSBURG FL INTERNAL MEDICINE 84 253 $7,643 $30 premium 1.9% (727) 322-1054
62 SVMHS CLINICS SALINAS CA PHYSICIAN ASSISTANT 245 248 $8,363 $34 premium 1.8% (831) 422-3636
63 COMCARE PRIMARY MEDICAL GROUP A CALIFORNIA GENERAL PARTNERSHIP GLENDALE CA INTERNAL MEDICINE 14 245 $7,459 $30 premium 1.8% (818) 500-9393
64 MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC JACKSON MS NURSE PRACTITIONER 266 244 $9,272 $38 premium 6.3% (601) 292-4261
65 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 241 $6,025 $25 premium 4.8%
66 HURON FAMILY PRACTICE CENTER PC PORT HURON MI NURSE PRACTITIONER 4 240 $7,200 $30 premium 2.7%
67 HRACHYA PARUYRYAN, M.D., INC GLENDALE CA FAMILY PRACTICE 2 239 $7,680 $32 premium 1.7% (818) 243-4500
68 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 237 $6,979 $29 premium 1.7% (941) 255-3535
69 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 237 $10,665 $45 premium 1.7% (845) 703-6999
70 BHS PHYSICIANS NETWORK, INC SAN ANTONIO TX PHYSICIAN ASSISTANT 696 236 $9,580 $41 premium 2.3% (210) 614-7414
71 BUCKS COUNTY MEDICAL ASSOCIATES, P.C. DOYLESTOWN PA PULMONARY DISEASE 10 226 $6,780 $30 premium 4.9% (215) 348-1310
72 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIA PA PHYSICIAN ASSISTANT 489 226 $6,780 $30 premium 4.9% (215) 890-3030
73 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 223 $18,915 $85 premium 1.6% (916) 983-7476
74 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC MOUNT VERNON IL NURSE PRACTITIONER 125 221 $4,387 $20 premium 2.5% (618) 899-3278
75 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 221 $6,230 $28 premium 4.2%
76 SC HOUSE CALLS INC WEST COLUMBIA SC NURSE PRACTITIONER 435 218 $3,626 $17 premium 5.7% (800) 491-0909
77 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 218 $13,080 $60 premium 2.1% (512) 244-4272
78 CENTER FOR PULMONARY AND SLEEP MEDICINE PC PETOSKEY MI PULMONARY DISEASE 2 214 $4,708 $22 premium 2.4% (231) 487-2100
79 PRIVIA MEDICAL GROUP OF GEORGIA LLC FAYETTEVILLE GA NURSE PRACTITIONER 453 212 $7,420 $35 premium 3.0%
80 HOMETOWN FAMILY CARE, LLC COOKEVILLE TN GENERAL PRACTICE 2 211 $7,385 $35 premium 3.5% (931) 854-0050
81 PULMONARY PHYSICIANS OF NORWICH PC PLAINFIELD CT PULMONARY DISEASE 9 211 $6,330 $30 premium 29.5% (860) 886-1862
82 PULMONARY CRITICAL CARE AND SLEEP DISORDERS MEDICINE PA PENSACOLA FL PULMONARY DISEASE 3 207 $5,601 $27 premium 1.5% (850) 435-7448
83 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 206 $4,856 $24 premium 1.5% (760) 340-3911
84 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 205 $6,267 $31 premium 4.1% (918) 502-4720
85 PHYSICIANS TO YOU HOME HEALTH LIMITED BERWYN IL NURSE PRACTITIONER 10 204 $4,896 $24 premium 2.3% (708) 933-3840
86 HEART AND LUNG ASSOCIATES, PC BAYSIDE NY INTERNAL MEDICINE 2 204 $7,140 $35 premium 1.5% (718) 225-5106
87 EXCLUSIVE PHYSICIANS PLLC DETROIT MI FAMILY PRACTICE 22 202 $6,060 $30 premium 2.2% (313) 861-4400
88 NEW SOUTHTOWN MEDICAL GROUP S C DARIEN IL NURSE PRACTITIONER 14 199 $5,355 $27 premium 2.2% (773) 840-4747
89 CMC DEPARTMENT OF MEDICINE GROUP PA CAMDEN NJ NURSE PRACTITIONER 474 198 $7,965 $40 premium 3.1%
90 BLOUNT MEMORIAL PHYSICIAN GROUP INC MARYVILLE TN PHYSICIAN ASSISTANT 252 196 $4,116 $21 premium 3.3% (865) 980-5100
91 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 196 $9,468 $48 premium 3.0% (508) 973-5919
92 OWENSBORO HEALTH MEDICAL GROUP INC OWENSBORO KY NURSE PRACTITIONER 467 195 $5,153 $26 premium 4.1%
93 SYED F AZAM MEDICAL ASSOCIATES INC RANCHO MIRAGE CA INTERNAL MEDICINE 4 194 $4,260 $22 premium 1.4% (760) 202-0686
94 MCH PROFESSIONAL CARE ODESSA TX NURSE PRACTITIONER 50 193 $10,204 $53 premium 1.9% (432) 337-3117
95 STURDY HEALTH INC ATTLEBORO MA NURSE PRACTITIONER 196 192 $6,186 $32 premium 3.0% (508) 222-3200
96 REID PHYSICIAN ASSOCIATES INC RICHMOND IN NURSE PRACTITIONER 392 190 $7,980 $42 premium 3.6% (765) 962-8551
97 SPRINGFIELD CLINIC, LLP SPRINGFIELD IL NURSE PRACTITIONER 686 190 $13,064 $69 premium 2.1% (217) 544-6464
98 DEACONESS SPECIALTY PHYSICIANS, INC NEWBURGH IN NURSE PRACTITIONER 207 188 $7,708 $41 premium 3.5% (812) 842-2737
99 OKALOOSA CARDIOLOGY PA CRESTVIEW FL NURSE PRACTITIONER 11 185 $4,810 $26 premium 1.4% (850) 682-7212
100 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 184 $6,624 $36 premium 7.1%

Showing the top 100 of 1,665 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 →