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Market snapshot

99443 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99443 — Telephone medical discussion with physician, 21-30 minutes

Billing groups
2,472
Named-group FFS services
381,882
FFS of Medicare
49%
Services YoY
-12.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~748,708 services

381,882 observed fee-for-service (51%) · ~366,826 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 — 99443 (CY2024)

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

Named-group submitted charges
$114.9M
Named-group allowed amount
$45.6M
Named-group Medicare payments
$33.4M
Avg charge / svc
$301
Avg allowed / svc
$119
Avg payment / svc
$88
Average charge per group
$39 2,472 groups · avg submitted charge / service $1,830
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99443 services, CY2024
#Physician group City St Specialty Providers 99443 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 10,072 $2,508,097 $249 premium 27.4%
2 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 7,553 $4,131,789 $547 premium 10.4% (617) 724-0287
3 UNIVERSAL PAIN MANAGEMENT MEDICAL CORPORATION PALMDALE CA ANESTHESIOLOGY 11 7,432 $3,155,729 $425 premium 4.3% (661) 267-6876
4 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 6,486 $3,130,950 $483 premium 8.9% (617) 732-5500
5 ARCHIS DESAI MD INC Redlands CA INTERNAL MEDICINE 2 4,693 $939,650 $200 premium 2.7%
6 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 4,677 $1,951,006 $417 premium 2.7% (714) 871-3006
7 EPIC CARE PLEASANT HILL CA HEMATOLOGY/ONCOLOGY 54 4,486 $1,941,634 $433 premium 2.6% (925) 687-2570
8 THE GENERAL HOSPITAL CORPORATION BOSTON MA NURSE PRACTITIONER 1294 3,712 $1,512,025 $407 premium 5.1% (617) 726-2000
9 ONCLICK HEALTHCARE INCORPORATED CALABASAS CA NURSE PRACTITIONER 60 3,653 $1,781,641 $488 premium 2.1% (818) 230-2116
10 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 3,516 $906,512 $258 premium 4.8%
11 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 3,446 $2,059,337 $598 premium 5.7%
12 CHARLES RIVER MEDICAL ASSOCIATES, PC FRAMINGHAM MA INTERNAL MEDICINE 117 2,945 $1,171,700 $398 premium 4.1%
13 LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH LOS ANGELES CA CLINICAL SOCIAL WORKER 291 2,831 $1,879,006 $664 premium 1.6% (323) 298-3680
14 PHYSICIANS REFERRAL SERVICE HOUSTON TX NURSE PRACTITIONER 2696 2,707 $745,665 $275 premium 7.4% (713) 592-5433
15 AJAY PATEL MD A PROFESSIONAL MEDICAL CORPORATION DOWNEY CA ANESTHESIOLOGY 3 2,467 $715,430 $290 premium 1.4% (562) 869-3585
16 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 2,328 $1,068,459 $459 premium 1.3% (310) 423-0674
17 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 2,250 $1,118,428 $497 premium 1.3% (310) 825-7922
18 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 2,115 $301,778 $143 premium 18.4% (734) 763-5459
19 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORD CA NURSE PRACTITIONER 651 1,980 $552,096 $279 premium 1.1% (559) 583-4695
20 NOVASPINE PAIN INSTITUTE PLC SUN CITY AZ PHYSICIAN ASSISTANT 20 1,895 $727,680 $384 premium 13.4% (623) 777-4747
21 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,797 $499,190 $278 premium 4.9%
22 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 1,693 $511,586 $302 premium 2.3% (781) 983-9088
23 HOUSE CALL MEDICAL SERVICES OF NEW YORK, PLLC BRONX NY NURSE PRACTITIONER 163 1,650 $339,975 $206 premium 2.7% (718) 618-0401
24 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 1,628 $341,880 $210 premium 4.4% (312) 563-2875
25 UC REGENTS ORANGE CA INTERNAL MEDICINE 296 1,603 $752,475 $469 premium 0.9% (714) 456-7002
26 MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTON MA PHYSICIAN ASSISTANT 280 1,559 $478,357 $307 premium 2.1% (413) 582-2441
27 PAIN AND WELLNESS CENTER PEABODY MA ANESTHESIOLOGY 10 1,543 $305,443 $198 premium 2.1% (978) 826-7230
28 MALLADI AND REDDY, PA LUFKIN TX GASTROENTEROLOGY 2 1,539 $538,650 $350 premium 4.2% (936) 634-3713
29 HUNTINGTON GERIATRIC MEDICAL GROUP PASADENA CA GERIATRIC MEDICINE 3 1,459 $229,396 $157 premium 0.8% (626) 229-9865
30 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,459 $206,377 $141 premium 0.8% (415) 600-1020
31 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 1,429 $549,888 $385 premium 0.8% (650) 723-4000
32 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 1,427 $429,399 $301 premium 3.9%
33 SEGUE HEALTH OF TEXAS PLLC AZLE TX NURSE PRACTITIONER 22 1,422 $191,970 $135 premium 3.9% 8885512538101
34 BRIGHAM AND WOMENS HOSPITAL INC BOSTON MA INTERNAL MEDICINE 61 1,376 $560,790 $408 premium 1.9% (617) 983-6039
35 DFW PHYSICIANS MEDICAL ASSOCIATES LLC SHERMAN TX PSYCHIATRY 7 1,339 $191,477 $143 premium 3.6% (903) 957-0082
36 SEGUE HEALTH PARTNERS LLC CORDOVA TN NURSE PRACTITIONER 28 1,316 $172,137 $131 premium 20.8% (901) 626-3515
37 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 1,279 $691,223 $540 premium 1.8% (978) 741-4133
38 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 1,273 $318,250 $250 premium 3.5% (630) 933-4800
39 CITY OF HOPE MEDICAL FOUNDATION DUARTE CA NURSE PRACTITIONER 942 1,265 $432,422 $342 premium 0.7% (626) 256-4673
40 CITY AND COUNTY OF SAN FRANCISCO SAN FRANCISCO CA NURSE PRACTITIONER 366 1,251 $420,319 $336 premium 0.7%
41 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 1,250 $398,406 $319 premium 29.2% (503) 494-8311
42 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 1,233 $760,064 $616 premium 16.1%
43 REGENTS OF THE UNIVERSITY OF ORANGE CA ANESTHESIOLOGY 227 1,216 $527,840 $434 premium 0.7% (714) 456-7004
44 MATTHEW L. BLOOM, D.O., PC VENTURA CA PHYSICAL MEDICINE AND REHABILITATION 4 1,199 $902,331 $753 premium 0.7% (805) 351-0745
45 REVERE MEDICAL OF MASSACHUSETTS PC BROCKTON MA INTERNAL MEDICINE 113 1,178 $433,504 $368 premium 1.6% (508) 897-6050
46 SONORA COMMUNITY HOSPITAL SONORA CA PHYSICIAN ASSISTANT 139 1,146 $173,325 $151 premium 0.7%
47 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 1,134 $294,840 $260 premium 18.5% (507) 284-2511
48 PRESTIGE PULMONARY CONSULTANTS INC MONTEREY PARK CA PULMONARY DISEASE 12 1,095 $193,929 $177 premium 0.6% (626) 280-4393
49 UROPARTNERS LLC WESTCHESTER IL UROLOGY 130 1,089 $264,866 $243 premium 3.0% (708) 486-0076
50 GASTROENTEROLOGY MEDICAL CLINIC FOLSOM CA GASTROENTEROLOGY 8 1,043 $286,825 $275 premium 0.6% (916) 983-4444
51 ONCLICK HEALTHCARE INCORPORATED CALABASAS MD NURSE PRACTITIONER 60 1,034 $504,302 $488 premium 6.8% (818) 230-2116
52 CARDIOVASCULAR MEDICAL GROUP OF SOUTHERN CALIFORNIA BEVERLY HILLS CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 11 1,022 $291,270 $285 premium 0.6% (310) 278-3400
53 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 1,020 $375,612 $368 premium 12.8% (253) 428-2200
54 SUN RISE REHAB LLC GREENBELT MD FAMILY PRACTICE 17 1,018 $200,700 $197 premium 6.7% (301) 613-8923
55 ELIOT COMMUNITY HUMAN SERVICES CONCORD MA MENTAL HEALTH COUNSELOR 88 1,007 $174,094 $173 premium 1.4% (978) 369-1113
56 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSE CA PHYSICIAN ASSISTANT 199 1,006 $458,382 $456 premium 0.6% (408) 871-3400
57 DONNA L CASEY MD PLLC DALLAS TX INTERNAL MEDICINE 2 1,002 $300,600 $300 premium 2.7% (214) 691-5491
58 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 993 $395,393 $398 premium 0.6% (800) 872-2273
59 MEDICAL ASSOCIATE OF WALL STREET, P.C NEW YORK NY NURSE PRACTITIONER 11 959 $167,825 $175 premium 1.6% (212) 233-3040
60 COLORADO SPRINGS PAIN CONSULTANTS LLC COLORADO SPRINGS CO NURSE PRACTITIONER 6 959 $276,911 $289 premium 16.9% (719) 375-5400
61 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 957 $168,168 $176 premium 0.5% (877) 827-7463
62 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 944 $239,900 $254 premium 8.1%
63 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 936 $236,607 $253 premium 0.5%
64 CARDIAC VISION LLC JACKSONVILLE FL NURSE PRACTITIONER 61 926 $125,010 $135 premium 2.6% (904) 231-1204
65 SEGUE HEALTH OF MISSISSIPPI LLC FLOWOOD MS NURSE PRACTITIONER 24 912 $116,234 $127 premium 24.4% 8885512538101
66 MISSION RANCH PRIMARY CARE INC CHICO CA PHYSICIAN ASSISTANT 11 911 $132,095 $145 premium 0.5% (530) 894-0500
67 FAMILY CHOICE ACO INC WESTMINSTER CA FAMILY PRACTICE 62 905 $150,612 $166 premium 0.5% (714) 898-0765
68 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 903 $152,607 $169 premium 1.2% (413) 447-2695
69 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 899 $176,069 $196 premium 11.4%
70 GASTROENTEROLOGY CLINIC OF SAN ANTONIO PA SAN ANTONIO TX GASTROENTEROLOGY 8 873 $104,760 $120 premium 2.4% (210) 615-8308
71 ENKI HEALTH SERVICES INC COMMERCE CA NURSE PRACTITIONER 24 872 $369,308 $424 premium 0.5% (323) 725-1337
72 KARIN C LI MD A PROF MED CORP CHINO CA INTERNAL MEDICINE 2 862 $258,600 $300 premium 0.5% (909) 325-2215
73 CARE TALK HEALTH FL PA SUWANEE NJ INTERNAL MEDICINE 22 832 $299,892 $360 premium 4.2% (443) 929-1478
74 RACC MEDICAL ASSOCIATES LLC FORT WAYNE IN PHYSICIAN ASSISTANT 22 827 $199,307 $241 premium 16.9% (260) 748-3650
75 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 816 $202,189 $248 premium 7.0% (570) 271-6144
76 KIDNEY CARE CENTER ELGIN LLC ELGIN IL NEPHROLOGY 8 813 $142,275 $175 premium 2.2% (224) 238-3211
77 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 803 $196,127 $244 premium 0.5% (760) 340-3911
78 KIDNEY DISEASE MEDICAL GROUP INC GLENDALE CA NEPHROLOGY 8 776 $100,880 $130 premium 0.4% (818) 500-4055
79 PALLICARE, INC TEXARKANA TX NURSE PRACTITIONER 78 766 $273,340 $357 premium 2.1% (903) 278-5747
80 MARCUS MAYUS MD INC GREENWICH CT INTERNAL MEDICINE 2 761 $95,125 $125 premium 11.4% (203) 884-8420
81 NORTH END COMMUNITY HEALTH COMMITTEE, INC. BOSTON MA CLINICAL SOCIAL WORKER 55 754 $321,884 $427 premium 1.0%
82 DR KAMRAN PARSA INC PALMDALE CA NURSE PRACTITIONER 19 751 $1,374,214 $1,830 premium 0.4% 6614802377207
83 LAHEY CLINIC INC BURLINGTON MA NURSE PRACTITIONER 1400 749 $296,506 $396 premium 1.0%
84 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 742 $219,632 $296 premium 16.3% (608) 287-2050
85 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 734 $185,350 $253 premium 4.8% (410) 502-4340
86 EDMUND H LEW MD INC GLENDALE CA FAMILY PRACTICE 2 710 $195,250 $275 premium 0.4% (818) 246-7115
87 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 710 $213,000 $300 premium 0.4% (530) 343-4757
88 HILLVIEW MENTAL HEALTH CENTER, INC. PACOIMA CA PSYCHIATRY 6 707 $166,345 $235 premium 0.4% (818) 896-1161
89 ATLANTIC COAST UROLOGY,PA NEPTUNE NJ NURSE PRACTITIONER 3 704 $176,000 $250 premium 3.5% (732) 775-8444
90 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 700 $308,712 $441 premium 1.0% (508) 334-1000
91 INTEGRATED PAIN MANAGEMENT MEDICAL GROUP INC WALNUT CREEK CA PHYSICAL MEDICINE AND REHABILITATION 40 700 $434,163 $620 premium 0.4% (925) 482-8151
92 YALE UNIVERSITY NEW HAVEN CT PHYSICIAN ASSISTANT 2649 694 $260,250 $375 premium 10.4% (203) 688-4242
93 SANSUM CLINIC SANTA BARBARA CA INTERNAL MEDICINE 322 692 $239,432 $346 premium 0.4% (805) 681-7500
94 RHODE ISLAND HOSPITAL PROVIDENCE RI NURSE PRACTITIONER 416 691 $116,366 $168 premium 16.6% (401) 444-3777
95 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 691 $304,040 $440 premium 15.1% (414) 421-8400
96 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 687 $240,761 $350 premium 0.4% (858) 455-9100
97 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 679 $184,678 $272 premium 12.0%
98 SIVALINGAM MEDICAL CORPORATION, INC. LANCASTER CA FAMILY PRACTICE 3 675 $135,000 $200 premium 0.4% (661) 948-6011
99 COUNTY OF LOS ANGELES LOS ANGELES CA NURSE PRACTITIONER 383 674 $142,014 $211 premium 0.4% (213) 699-7013
100 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOM CA DIAGNOSTIC RADIOLOGY 1197 673 $227,326 $338 premium 0.4% (916) 983-7476

Showing the top 100 of 2,472 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 →