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Market snapshot

99442 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99442 — Telephone medical discussion with physician, 11-20 minutes

Billing groups
3,587
Named-group FFS services
549,894
FFS of Medicare
49%
Services YoY
-11.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,104,982 services

549,894 observed fee-for-service (50%) · ~555,088 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 — 99442 (CY2024)
CA 214,235 NY 192,426 FL 57,678 TX 44,877 MA 41,388

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

Named-group submitted charges
$106.2M
Named-group allowed amount
$45.6M
Named-group Medicare payments
$32.8M
Avg charge / svc
$193
Avg allowed / svc
$83
Avg payment / svc
$60
Average charge per group
$25 3,587 groups · avg submitted charge / service $1,408
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99442 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 MILL BASIN MEDICAL HEALTH PC BROOKLYN NY PHYSICIAN ASSISTANT 101 16,779 $3,075,812 $183 8.7% (646) 296-1508
2 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 6,462 $1,129,582 $175 15.9% —
3 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 5,373 $1,536,833 $286 2.5% (714) 871-3006
4 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 4,265 $756,834 $177 9.5% (713) 592-5433
5 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 4,185 $1,780,416 $425 2.2% —
6 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 3,418 $598,739 $175 8.3% —
7 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 3,301 $856,429 $259 1.5% (626) 256-4673
8 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 3,160 $1,056,067 $334 1.5% (310) 423-0674
9 SHORE MEDICINE LLC LAKEWOOD NJ INTERNAL MEDICINE 2 3,072 $368,640 $120 7.5% (732) 730-0020
10 THE CENTER FOR PAIN OF MONTGOMERY LLC MONTGOMERY AL NURSE PRACTITIONER 50 2,937 $1,233,540 $420 30.0% (334) 288-7808
11 MILL BASIN MEDICAL HEALTH PC BROOKLYN DC PHYSICIAN ASSISTANT 101 2,789 $544,314 $195 61.9% (646) 296-1508
12 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 2,681 $522,798 $195 1.3% (559) 583-4695
13 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 2,524 $754,820 $299 1.3% —
14 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,495 $480,798 $193 6.1% —
15 COMPREHENSIVE COMMUNITY HEALTH CENTERS INC LOS ANGELES CA PHYSICIAN ASSISTANT 48 2,406 $216,540 $90 1.1% (323) 256-4116
16 RACC MEDICAL ASSOCIATES LLC FORT WAYNE IN PHYSICIAN ASSISTANT 22 2,394 $409,374 $171 23.7% (260) 748-3650
17 MILL BASIN MEDICAL HEALTH PC BROOKLYN NJ PHYSICIAN ASSISTANT 101 2,374 $462,960 $195 5.8% (646) 296-1508
18 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 2,291 $308,990 $135 4.0% (941) 255-3535
19 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 2,269 $265,473 $117 5.5% (413) 447-2695
20 HOUSE CALL MEDICAL SERVICES OF NEW YORK, PLLC BRONX NY NURSE PRACTITIONER 163 2,241 $308,220 $138 1.2% (718) 618-0401
21 INTERBOROUGH DEVELOPMENTAL AND CONSULTATION CENTER INC BROOKLYN NY CLINICAL SOCIAL WORKER 140 2,216 $462,180 $209 1.2% 9292737601426
22 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 2,195 $390,784 $178 7.9% —
23 VISITING SERVICES, LLC SPRING VALLEY NY NURSE PRACTITIONER 32 2,192 $322,897 $147 1.1% (845) 374-0410
24 HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP CARSON CA INTERNAL MEDICINE 771 2,075 $531,252 $256 1.0% (310) 830-9706
25 VIRGINIA ONCOLOGY ASSOCIATES NORFOLK VA PHYSICIAN ASSISTANT 123 2,066 $347,088 $168 12.5% —
26 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 2,016 $441,854 $219 22.3% (612) 863-4000
27 INTEGRATED PAIN MANAGEMENT MEDICAL GROUP INC WALNUT CREEK CA PHYSICAL MEDICINE AND REHABILITATION 40 1,974 $899,180 $456 0.9% (925) 482-8151
28 EPIC CARE PLEASANT HILL CA HEMATOLOGY/ONCOLOGY 54 1,882 $579,771 $308 0.9% (925) 687-2570
29 MATTHEW A BERGER MD PC MOOSIC PA PHYSICIAN ASSISTANT 52 1,836 $275,400 $150 6.6% (570) 346-3686
30 PRITI BHARDWAJ MD PC TAYLOR MI NURSE PRACTITIONER 5 1,802 $225,250 $125 6.2% (313) 299-7243
31 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS TX INTERNAL MEDICINE 48 1,762 $264,300 $150 3.9% (241) 823-4800
32 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 1,758 $314,682 $179 4.3% (630) 469-9200
33 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,731 $268,845 $155 19.2% (507) 284-2511
34 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 1,660 $796,863 $480 0.8% (310) 825-7922
35 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 1,637 $248,880 $152 0.8% (760) 340-3911
36 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 1,593 $414,530 $260 14.4% (253) 428-2200
37 NEW ENGLAND CENTER FOR PSYCHIATRIC AND ADDICTION DISORDERS LLC ATTLEBORO MA NURSE PRACTITIONER 6 1,562 $148,286 $95 3.8% (508) 222-0089
38 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,529 $613,188 $401 10.2% —
39 RONALD C FAGAN MD PC FARMINGDALE NY INTERNAL MEDICINE 4 1,489 $184,726 $124 0.8% (516) 752-7000
40 SOUNDVIEW MEDICAL GROUP PLLC GREAT NECK NY INTERNAL MEDICINE 2 1,480 $257,678 $174 0.8% (516) 439-5223
41 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,478 $311,807 $211 3.3% —
42 SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC GREEN BAY WI NURSE PRACTITIONER 15 1,453 $217,950 $150 22.1% (920) 328-1220
43 UNIVERSAL PAIN MANAGEMENT MEDICAL CORPORATION PALMDALE CA ANESTHESIOLOGY 11 1,430 $521,327 $365 0.7% (661) 267-6876
44 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 1,396 $536,510 $384 3.4% —
45 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 1,393 $204,771 $147 3.4% (312) 563-2875
46 INPATIENT CONSULTANTS OF FLORIDA, INC OCALA FL INTERNAL MEDICINE 169 1,360 $204,000 $150 2.4% (352) 291-3000
47 HOAG CLINIC NEWPORT BEACH CA PHYSICIAN ASSISTANT 436 1,340 $329,852 $246 0.6% (949) 791-3370
48 STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC STOCKTON CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 14 1,319 $163,460 $124 0.6% —
49 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 1,309 $268,345 $205 0.6% (310) 278-3400
50 PRAIRIESHORE PAIN CENTER PC. LINCOLNSHIRE IL ANESTHESIOLOGY 4 1,302 $359,339 $276 3.2% (847) 883-0077
51 BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION POMONA CA INTERVENTIONAL PAIN MANAGEMENT 2 1,293 $245,670 $190 0.6% (909) 865-9500
52 ADVANCED CENTER FOR PSYCHOTHERAPY INC FOREST HILLS NY CLINICAL SOCIAL WORKER 16 1,286 $358,794 $279 0.7% 7182613330221
53 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,278 $413,359 $323 3.1% (617) 732-5500
54 REGENTS OF THE UNIVERSITY OF ORANGE CA ANESTHESIOLOGY 227 1,253 $367,256 $293 0.6% (714) 456-7004
55 FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP BRADENTON FL GASTROENTEROLOGY 86 1,233 $223,173 $181 2.1% (941) 794-1980
56 CENTRIC HEALTH BAKERSFIELD CA INTERNAL MEDICINE 63 1,216 $182,325 $150 0.6% —
57 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,202 $306,897 $255 0.6% (212) 263-9700
58 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,191 $136,447 $115 0.6% (415) 600-1020
59 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 1,185 $321,922 $272 0.6% (800) 872-2273
60 LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA CLINICAL SOCIAL WORKER 291 1,181 $468,125 $396 0.6% (323) 298-3680
61 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 1,179 $235,800 $200 17.9% (608) 287-2050
62 BAYHEALTH MEDICAL CENTER, INC DOVER DE NURSE PRACTITIONER 394 1,171 $227,477 $194 27.3% (302) 744-4700
63 CORE REHAB LLC PARK CITY KS FAMILY PRACTICE 2 1,168 $146,000 $125 23.0% (316) 854-3200
64 JAMAICA PSYCHIATRIC SERVICES, PC JAMAICA NY PSYCHIATRY 34 1,166 $233,200 $200 0.6% (718) 206-7160
65 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 1,139 $342,537 $301 2.8% (508) 334-1000
66 NEW HORIZON COUNSELING CENTER INC SOUTH OZONE PARK NY CLINICAL SOCIAL WORKER 85 1,120 $168,000 $150 0.6% (718) 845-2620
67 COMMUNITY FOUNDATION MEDICAL GROUP FRESNO CA PHYSICIAN ASSISTANT 292 1,117 $318,880 $285 0.5% —
68 PSYCHIATRIC ASSOCIATES OF LYNN PC LYNN MA CERTIFIED CLINICAL NURSE SPECIALIST (CNS) 6 1,109 $110,900 $100 2.7% (781) 268-2200
69 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 1,109 $695,193 $627 0.5% (213) 699-7013
70 GENESIS HEALTHCARE PARTNERS PC TORRANCE CA GASTROENTEROLOGY 211 1,089 $479,204 $440 0.5% (310) 534-8400
71 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 1,086 $250,162 $230 0.5% (916) 983-7476
72 MENLO PARK MEDICAL GROUP P.A. EDISON NJ INTERNAL MEDICINE 2 1,084 $216,800 $200 2.6% (732) 549-2299
73 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 1,079 $144,460 $134 0.5% —
74 HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD AND EDWARD KIM MD INC SAN CLEMENTE CA OPHTHALMOLOGY 20 1,062 $276,753 $261 0.5% (949) 951-2020
75 UROPARTNERS LLC WESTCHESTER IL UROLOGY 130 1,057 $187,174 $177 2.6% (708) 486-0076
76 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE NY UROLOGY 60 1,051 $192,333 $183 0.5% (315) 478-4185
77 ANDREW W MERRITT MD INC LAGUNA HILLS CA PHYSICAL MEDICINE AND REHABILITATION 2 1,050 $232,636 $222 0.5% (949) 900-1300
78 AKRAM R. ABRAHAM, M.D.PC HOLLIS OK NURSE PRACTITIONER 4 1,041 $119,550 $115 20.1% (580) 688-2200
79 CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION WENATCHEE WA PHYSICIAN ASSISTANT 700 1,040 $176,800 $170 9.4% (509) 665-6087
80 DALLAS COUNTY HOSPITAL DISTRICT DALLAS TX NURSE PRACTITIONER 568 1,039 $245,166 $236 2.3% (214) 590-8006
81 WEST COAST WOUND AND SKIN CARE INC LYNWOOD CA FAMILY PRACTICE 31 1,022 $306,263 $300 0.5% (818) 856-9535
82 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCO CA PHYSICIAN ASSISTANT 277 1,022 $143,862 $141 0.5% (415) 476-1000
83 PRIME CARE MEDICAL CLINIC PLLC DEARBORN MI INTERNAL MEDICINE 5 1,019 $145,400 $143 3.5% (313) 581-8080
84 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 1,014 $399,006 $393 2.4% (617) 724-0287
85 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 1,009 $94,952 $94 3.5% (734) 763-5459
86 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 996 $125,540 $126 3.9% —
87 JIM C KIM MD INC BAKERSFIELD CA NURSE PRACTITIONER 2 982 $98,225 $100 0.5% (661) 716-0333
88 CITY AND COUNTY OF SAN FRANCISCO SAN FRANCISCO CA NURSE PRACTITIONER 366 975 $121,141 $124 0.5% —
89 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 974 $224,904 $231 18.5% (503) 494-8311
90 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 969 $124,483 $128 1.7% (352) 693-3378
91 OANDW ENTERPRISES STANLEYTOWN VA PHYSICIAN ASSISTANT 208 968 $242,000 $250 5.8% (888) 724-0268
92 CURANA HEALTH OF PENNSYLVANIA PC ALLENTOWN PA NURSE PRACTITIONER 92 965 $115,800 $120 3.5% (337) 991-9276
93 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTON NC PHYSICIAN ASSISTANT 560 961 $168,175 $175 8.5% (910) 662-6000
94 MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED MERCED CA FAMILY PRACTICE 27 960 $105,600 $110 0.4% (209) 722-9066
95 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 945 $241,747 $256 0.4% (858) 499-2600
96 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 944 $253,778 $269 0.4% (650) 723-4000
97 NEWPORT CENTER MEDICAL GROUP NEWPORT BEACH CA INTERNAL MEDICINE 5 939 $131,460 $140 0.4% (949) 720-4920
98 FAMILY CHOICE ACO INC WESTMINSTER CA FAMILY PRACTICE 62 933 $200,097 $214 0.4% (714) 898-0765
99 R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION BURBANK CA ANESTHESIOLOGY 7 933 $379,924 $407 0.4% (818) 325-2088
100 MISSION RANCH PRIMARY CARE INC CHICO CA PHYSICIAN ASSISTANT 11 929 $90,113 $97 0.4% (530) 894-0500

Showing the top 100 of 3,587 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 →