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Market snapshot

TX CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99442 Telephone medical discussion with physician, 11-20 minutes CPT · E&M
Classification E&M › Office/Outpatient Services › Telephone Services (CMS RBCS)
First observed 2020
National scale 954,193 services ▼ 11.1% YoY · 634,915 beneficiaries (CY2024, Medicare FFS)
Medicare paid $57.9M · $60.68 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the TX market is below
Market analyticsPlatform Methods →

The structure and trend panels below are live for everyone — free to look at. The rank & score analytics, baskets, and export are the platform.

The read
What am I looking at, in one breath?
The read Platform

In Texas, 225 groups bill 99442 — 27,007 fee-for-service services, and volume is roughly flat year over year.

Unlock the Platform — the full read, every number below, code baskets, and export. Looking is free; the depth is paid. Notify me at launch →

The orienting line is free; the comparative synthesis — growth rank, concentration, and $/service against the national figure — unlocks with Platform.

The snapshot
The honest, real numbers — free, always.
Billing groups

225

Named groups billing this code in TX
Named-group FFS services

27,007

Attributable volume · fee-for-service
FFS of Medicare

46%

Payer-mix frame
Named-group coverage

51%

Of Texas’s disclosed Part B services (2024). The rest is billed by clinicians whose volume isn’t attributed to any group — they belong to several groups, or none. How attribution works →
Services · year over year
Services YoY

+0.5%

FFS enrollment -1.5%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~57,974 services

27,007 observed fee-for-service (47%) · ~30,967 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
The market
How big, moving which way, worth how much.
Billed → allowed → paid
Named-group submitted charges
$4.8M
Named-group allowed amount
$2.1M
Named-group Medicare payments
$1.6M
Avg charge / svc
$178
Avg allowed / svc
$79
Avg payment / svc
$58
Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.
Per-service vs national + the payments trend unlock with Platform
Market trend — 12-year view
services 2020–2024
YearServices Services per 1,000 Part B FFS beneficiaries Medicare payments
2020 (2020) (introduction year) 211,742 101.5 $10,133,723
2021 113,398 57.4 $6,130,194
2022 73,960 38.8 $4,038,591
2023 44,651 24.4 $2,466,467
2024 44,877 24.9 $2,611,737

CAGR 2021–2024: -26.6%/yr · CAGR excludes 2020 and the introduction year.

Rates are per 1,000 Part B fee-for-service beneficiaries in the market's geography. See Methods.

The structure
Who's in this market and how it's shaped.
Average charge per group
$44 225 groups · avg submitted charge / service $632
Market structure

400 HHI (named-group grain, CY2024) · fragmented · top 5 hold 35% of named-group volume

List shares are of named-group volume; bar segments are of disclosed volume (named groups cover 60% of it — the hatched segment is the remainder, drawn per D-062).

Of volume attributable to named groups, independents account for 2%; hospital-affiliated 98%.

Disclosed setting mix: 93% office · 7% facility.

HHI trend: 2020: 178 · 2021: 282 · 2022: 326 · 2023: 427 · 2024: 390 (group rosters begin 2019)

Provider-setting count 2020 → 2024: 4,763 → 999 (-79%).

Named groups cover 60% of disclosed volume. CMS suppresses provider-code rows under 11 beneficiaries at the source; suppressed volume is excluded and cannot be estimated from this file. Volume shares describe the volume attributable to named groups; the coverage line above states how much of disclosed Medicare fee-for-service volume that is.

Market position

Where this market sits on volume and growth among all state markets, and its rank.

National benchmarks

Where each group's volume sits nationally and within its specialty.

The opportunity
So where do I act?
Worth a look

Every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume. The cross-market compare view sits alongside.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022  CY2021  CY2020 
# Physician group City Specialty Providers 99442 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSICIANS REFERRAL SERVICE HOUSTON NURSE PRACTITIONER 2696 4,265 $756,834 $177 9.5% (713) 592-5433
2 ABKSW PREFERRED HEALTH PARTNERS, PLLC DALLAS INTERNAL MEDICINE 48 1,762 $264,300 $150 3.9% (241) 823-4800
3 HEALTHTEXAS PROVIDER NETWORK DALLAS PHYSICIAN ASSISTANT 2482 1,478 $311,807 $211 3.3% —
4 DALLAS COUNTY HOSPITAL DISTRICT DALLAS NURSE PRACTITIONER 568 1,039 $245,166 $236 2.3% (214) 590-8006
5 CRAIG CARDIOVASCULAR CENTER PA SAN ANTONIO CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 891 $163,944 $184 2.0% (830) 672-3845
That's the top 5 of 225 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. 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 →