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Market snapshot

99423 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99423 — Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes

Billing groups
83
Named-group FFS services
27,468
FFS of Medicare
49%
Services YoY
+11.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~49,660 services

27,468 observed fee-for-service (55%) · ~22,192 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. How we scale

Top states — 99423 (CY2024)

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

Named-group submitted charges
$2.2M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$980K
Avg charge / svc
$79
Avg allowed / svc
$45
Avg payment / svc
$36
Average charge per group
$35 83 groups · avg submitted charge / service $268
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99423 services, CY2024
#Physician group City St Specialty Providers 99423 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 FREEDMAN RPM MEDICAL SC SKOKIE IL FAMILY PRACTICE 2 20,789 $1,455,370 $70 premium 98.0% (847) 443-1170
2 ENDOCRINE ASSOCIATES HOUSTON TX INTERNAL MEDICINE 2 1,418 $85,080 $60 premium 19.7% (713) 520-8385
3 ARVID LADE MD PLC TULSA OK NURSE PRACTITIONER 8 918 $64,260 $70 premium 81.0% (918) 743-2565
4 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 468 $119,808 $256 premium 8.8% (310) 825-7922
5 PAK MEDICAL GROUP PLLC NEW BRAUNFELS TX INTERNAL MEDICINE 10 288 $27,983 $97 premium 4.0% (830) 730-8580
6 SYED F AZAM MEDICAL ASSOCIATES INC RANCHO MIRAGE CA INTERNAL MEDICINE 4 229 $19,239 $84 premium 4.3% (760) 202-0686
7 NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC FAIRFAX VA NEPHROLOGY 15 225 $28,125 $125 premium 70.3% (703) 476-1740
8 CARDIOCARE LLC CHEVY CHASE MD CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 160 $17,600 $110 premium 65.8% (301) 656-5050
9 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 159 $19,899 $125 premium 2.2%
10 VIDANT MEDICAL GROUP LLC KENANSVILLE NC PHYSICIAN ASSISTANT 956 137 $12,741 $93 premium 56.8% (910) 296-0941
11 AGING WELL HEALTH CARE, LLC SAINT LOUIS MO INTERNAL MEDICINE 243 120 $6,000 $50 premium 100.0%
12 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 99 $10,494 $106 premium 45.2% (615) 322-5000
13 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 93 $11,433 $123 premium 0.4%
14 ADVANCED DIAGNOSTIC IMAGING PC NASHVILLE TN NURSE PRACTITIONER 534 88 $18,553 $211 premium 40.2% (615) 612-2146
15 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 81 $4,050 $50 premium 37.9% (800) 603-0558
16 MOUNTAINVIEW BEHAVIORAL AND NEUROSCIENCE CENTER LLC SOMERSET KY PSYCHIATRY 2 77 $6,280 $82 premium 81.9% (606) 451-9748
17 ELITE WOUND CARE AND MEDICAL SERVICES INC SHERMAN OAKS CA HOSPITALIST 2 77 $15,470 $201 premium 1.4% (747) 877-2788
18 TELEMEDICINE GROUP PC ROSEVILLE OR REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 76 $11,780 $155 premium 70.4% (916) 740-3721
19 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICA CA PHYSICIAN ASSISTANT 287 74 $16,576 $224 premium 1.4% (310) 829-6789
20 MED INSTITUTE BEVERLY HILLS CA NURSE PRACTITIONER 8 65 $10,218 $157 premium 1.2% (310) 256-2426
21 KINGS DIAGNOSTICS MEDICAL PC BROOKLYN NY PULMONARY DISEASE 3 63 $3,701 $59 premium 4.0% (786) 614-0685
22 CARDIAC VISION LLC JACKSONVILLE FL NURSE PRACTITIONER 61 55 $8,242 $150 premium 5.4% (904) 231-1204
23 UCI DEPARTMENT OF DERMATOLOGY ORANGE CA DERMATOLOGY 37 54 $11,664 $216 premium 1.0% (714) 456-7004
24 SOUTHERN COLORADO MEDICINE INC COLORADO SPRINGS CO NURSE PRACTITIONER 3 53 $4,516 $85 premium 100.0% (719) 494-1950
25 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 52 $6,292 $121 premium 24.0% (734) 763-5459
26 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA UROLOGY 48 49 $12,544 $256 premium 0.9% (310) 794-8492
27 CLEVELAND CLINIC CLEVELAND MN PHYSICIAN ASSISTANT 6828 49 $5,390 $110 premium 100.0%
28 RAU PHYSICAL THERAPY INC FRANKENMUTH MI ORTHOPEDIC SURGERY 95 48 $4,560 $95 premium 22.1%
29 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 47 $1,988 $42 premium 11.4% (504) 842-3000
30 NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC FAIRFAX CA NEPHROLOGY 15 47 $5,875 $125 premium 0.9% (703) 476-1740
31 GASTROENTEROLOGY CONSULTANTS OF THE NORTH SHORE GLENVIEW IL GASTROENTEROLOGY 2 46 $2,040 $44 premium 0.2% (847) 998-0510
32 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL MD ORTHOPEDIC SURGERY 675 46 $2,622 $57 premium 18.9%
33 VILLAGE INTERNAL MEDICINE, PA FAYETTEVILLE CA INTERNAL MEDICINE 5 40 $1,771 $44 premium 0.8% (910) 483-8080
34 MEDICAL CARE SOLUTIONS, LLC LAUREL SPRINGS NJ GENERAL PRACTICE 2 38 $5,130 $135 premium 26.0% (856) 232-6058
35 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER MCCOMB MS NURSE PRACTITIONER 88 35 $2,100 $60 premium 100.0% (601) 249-5500
36 SOUTHWEST FLORIDA MEDICINE PLLC BRADENTON FL FAMILY PRACTICE 3 35 $3,220 $92 premium 3.4% (941) 877-7000
37 MANISH SAINI MD LLC TOMS RIVER NJ INTERNAL MEDICINE 5 33 $3,250 $98 premium 22.6%
38 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 33 $1,188 $36 premium 67.3% (864) 255-1901
39 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 32 $3,520 $110 premium 0.6% (310) 278-3400
40 GASTROENTEROLOGY ASSOCIATES OF NORTHERN NEW YORK PC GLENS FALLS NY GASTROENTEROLOGY 11 29 $2,130 $73 premium 1.8% (518) 793-5034
41 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA INTERNAL MEDICINE 228 29 $4,527 $156 premium 0.5% (562) 495-4952
42 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 29 $2,668 $92 premium 2.8% (407) 831-4040
43 CLEVELAND CLINIC FLORIDA WESTON FL NURSE PRACTITIONER 720 28 $3,080 $110 premium 2.7% (954) 659-5000
44 ENDOCRINE ASSOCIATE OF WEST VILLAGE PC NEW YORK NY NURSE PRACTITIONER 12 28 $5,600 $200 premium 1.8% (212) 675-9332
45 SANTA CLARITA EAR NOSE AND THROAT MEDICAL ASSOCIATES VALENCIA CA OTOLARYNGOLOGY 8 28 $7,168 $256 premium 0.5% (661) 259-2500
46 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 28 $4,788 $171 premium 0.5% (877) 827-7463
47 TMH PHYSICIAN ASSOCIATES PLLC HOUSTON TX NURSE PRACTITIONER 1930 26 $2,600 $100 premium 0.4% (713) 266-9955
48 VIDANT MEDICAL GROUP LLC KENANSVILLE IL PHYSICIAN ASSISTANT 956 26 $2,418 $93 premium 0.1% (910) 296-0941
49 ORLANDO HEALTH MEDICAL GROUP INC ORLANDO NC PHYSICIAN ASSISTANT 2145 25 $3,525 $141 premium 10.4% (407) 896-1100
50 WARREN CLINIC INC TULSA OK NURSE PRACTITIONER 772 24 $1,680 $70 premium 2.1% (918) 502-4720
51 MESA WEST MEDICAL INC BAKERSFIELD CA INTERNAL MEDICINE 2 24 $2,096 $87 premium 0.5% 6618297677202
52 VHS OUTPATIENT CLINICS INC PHOENIX AZ PHYSICIAN ASSISTANT 180 24 $4,320 $180 premium 11.2% (602) 274-6506
53 OPENLOOP HEALTHCARE PARTNERS PC CHARLOTTE AZ NURSE PRACTITIONER 25 24 $2,160 $90 premium 11.2% (984) 400-4984
54 CARDIOCARE LLC CHEVY CHASE NY CARDIOVASCULAR DISEASE (CARDIOLOGY) 17 24 $2,640 $110 premium 1.5% (301) 656-5050
55 SALINA REGIONAL HEALTH CENTER INC SALINA KS NURSE PRACTITIONER 160 24 $3,211 $134 premium 100.0%
56 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 23 $2,099 $91 premium 7.2%
57 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 23 $805 $35 premium 0.1%
58 ATLAS VISITING PROVIDERS LLC GRAPEVINE TX NURSE PRACTITIONER 4 22 $2,090 $95 premium 0.3% (214) 385-2808
59 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 22 $3,696 $168 premium 32.4% (404) 367-3210
60 ARTHRITIS AND PAIN ASSOCIATES OF PRINCE GEORGES COUNTY PC GREENBELT MD RHEUMATOLOGY 17 22 $3,300 $150 premium 9.1% (301) 345-5600
61 VIDANT MEDICAL GROUP LLC KENANSVILLE GA PHYSICIAN ASSISTANT 956 21 $1,953 $93 premium 30.9% (910) 296-0941
62 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 20 $2,620 $131 premium 0.4% (805) 681-7500
63 SCOTTSDALE PULMONARY AND CRITICAL CARE LLC SCOTTSDALE AZ PULMONARY DISEASE 14 20 $2,300 $115 premium 9.3% (480) 994-9838
64 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NJ PHYSICIAN ASSISTANT 2818 20 $4,965 $248 premium 13.7% (212) 241-4812
65 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 20 $1,960 $98 premium 1.9% (561) 295-6962
66 VALID MDE INC MIAMI FL NURSE PRACTITIONER 2 19 $1,900 $100 premium 1.9% (305) 798-5037
67 VILLAGE INTERNAL MEDICINE, PA FAYETTEVILLE NC INTERNAL MEDICINE 5 19 $843 $44 premium 7.9% (910) 483-8080
68 MEDICAL CARE OF QUEENS PC FRESH MEADOWS NY HEMATOLOGY/ONCOLOGY 15 19 $5,092 $268 premium 1.2% (718) 446-0230
69 MOREHEAD PRIMARY CARE PLLC MOREHEAD KY INTERNAL MEDICINE 6 17 $850 $50 premium 18.1% (606) 780-0444
70 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROLOGY 102 17 $4,352 $256 premium 0.3%
71 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 16 $1,379 $86 premium 0.2% (254) 724-2663
72 UROLOGY AUSTIN PLLC AUSTIN TX PHYSICIAN ASSISTANT 57 16 $1,995 $125 premium 0.2% (512) 788-9688
73 CAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES SPARTANBURG SC PHYSICIAN ASSISTANT 60 16 $2,012 $126 premium 32.7% (864) 582-6396
74 BAPTIST MEMORIAL MEDICAL GROUP, INC. MEMPHIS TN NURSE PRACTITIONER 549 16 $832 $52 premium 7.3% (901) 226-3882
75 SOUTH FLORIDA WOMENS HEALTH ASSOCIATES INC DEERFIELD BEACH NJ OBSTETRICS/GYNECOLOGY 2 16 $1,542 $96 premium 11.0% (954) 427-4966
76 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 16 $3,392 $212 premium 0.2% (214) 633-5555
77 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 15 $2,840 $189 premium 0.3% (650) 723-4000
78 THE METROHEALTH SYSTEM CLEVELAND OH NURSE PRACTITIONER 1175 14 $1,022 $73 premium 41.2% (216) 778-7800
79 LONG TERM CARE SPECIALISTS, INC OKLAHOMA CITY OK NURSE PRACTITIONER 35 14 $683 $49 premium 1.2% (405) 557-1200
80 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1548 13 $3,315 $255 premium 0.2% (415) 476-1000
81 KP KARUNAKARAN MD PC SAGINAW MI INTERNAL MEDICINE 3 13 $780 $60 premium 6.0% (989) 497-5278
82 NKDHC RUDNITSKY PLLC LAS VEGAS NV NEPHROLOGY 45 13 $1,537 $118 premium 50.0% (702) 732-2438
83 PRIME MEDICAL ASSOCIATES LLC NORTH DARTMOUTH MA NURSE PRACTITIONER 7 13 $1,885 $145 premium 39.4% (508) 979-1100
84 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 12 $1,344 $112 premium 0.2% (760) 340-3911
85 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO CA DIAGNOSTIC RADIOLOGY 1842 12 $3,060 $255 premium 0.2% (415) 476-4029
86 ELIAS KANAAN MD PA CLEARWATER FL INTERNAL MEDICINE 3 11 $715 $65 premium 1.1% (727) 298-8496
87 MARCUS AVENUE MEDICAL PC NEW YORK NY INTERNAL MEDICINE 40 11 $2,618 $238 premium 0.7% (212) 352-0549
88 ORTHOPAEDIC SPECIALISTS OF DALLAS PA ROCKWALL TX PHYSICIAN ASSISTANT 39 11 $1,251 $114 premium 0.2% (972) 771-8111

*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 →