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Market snapshot

99449 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99449 — Telephone or internet assessment with verbal and written report by consulting physician, more than 30 minutes

Billing groups
39
Named-group FFS services
1,581
FFS of Medicare
49%
Services YoY
-9.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,142 services

1,581 observed fee-for-service (50%) · ~1,561 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 — 99449 (CY2024)
CA 1,128 TX 416 NY 193 GA 187 PA 176

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

Named-group submitted charges
$366K
Named-group allowed amount
$112K
Named-group Medicare payments
$86K
Avg charge / svc
$231
Avg allowed / svc
$71
Avg payment / svc
$55
Average charge per group
$107 39 groups · avg submitted charge / service $465
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers 99449 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 SAINT THOMAS MEDICAL PARTNERS NASHVILLE CA NURSE PRACTITIONER 591 215 $23,650 $110 19.1% (615) 269-4545
2 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 118 $35,518 $301 10.5% (916) 681-8852
3 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD IL NURSE PRACTITIONER 321 71 $19,021 $268 100.0% (217) 545-8000
4 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 69 $20,079 $291 6.1% (415) 600-1020
5 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 68 $31,620 $465 35.2% (866) 633-8255
6 CENTRAL IOWA HOSPITAL CORPORATION DES MOINES IA NURSE PRACTITIONER 221 66 $10,956 $166 81.5% (515) 241-5700
7 WELLSTAR MEDICAL GROUP LLC MARIETTA GA NURSE PRACTITIONER 3060 55 $8,283 $151 29.4% (770) 422-2004
8 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 45 $7,029 $156 24.1% (404) 778-7525
9 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 45 $16,650 $370 23.3% —
10 ALLEGHENY CLINIC PITTSBURGH PA PHYSICIAN ASSISTANT 2293 42 $8,634 $206 23.9% —
11 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 42 $10,185 $242 3.7% (310) 423-3277
12 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 40 $6,480 $162 100.0% (304) 598-4865
13 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 38 $5,164 $136 21.6% (484) 526-2400
14 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 38 $17,290 $455 44.2% —
15 WELLSPAN MEDICAL GROUP YORK PA PHYSICIAN ASSISTANT 2312 37 $5,402 $146 21.0% —
16 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL DE PHYSICIAN ASSISTANT 403 34 $7,990 $235 66.7% (844) 542-2273
17 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 33 $5,907 $179 17.1% (212) 241-4812
18 CLEVELAND CLINIC CLEVELAND MD PHYSICIAN ASSISTANT 6828 33 $15,015 $455 19.0% —
19 ALAMEDA HEALTH SYSTEM OAKLAND CA INTERNAL MEDICINE 601 32 $7,821 $244 2.8% (510) 437-4800
20 CLEVELAND CLINIC CLEVELAND KS PHYSICIAN ASSISTANT 6828 32 $14,560 $455 100.0% —
21 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEM NC PHYSICIAN ASSISTANT 2389 31 $5,270 $170 52.5% (704) 384-8200
22 MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC TOLEDO OH NURSE PRACTITIONER 341 26 $2,782 $107 30.2% (419) 251-3180
23 SUTTER BAY MEDICAL FOUNDATION PALO ALTO NJ INTERNAL MEDICINE 3716 25 $7,275 $291 48.1% (415) 600-1020
24 INOVA HEALTH CARE SERVICES FALLS CHURCH MD NURSE PRACTITIONER 1818 25 $4,850 $194 14.4% —
25 STURDY MEMORIAL HOSPITAL INC ATTLEBORO MA EMERGENCY MEDICINE 42 24 $3,607 $150 43.6% (508) 236-8110
26 PARK NICOLLET CLINIC ST LOUIS PARK OH PHYSICIAN ASSISTANT 1754 22 $5,874 $267 25.6% (952) 993-3123
27 BEHAVIORAL CARE SOLUTIONS FOR ADULTS AND SENIORS INC NOVI MI NURSE PRACTITIONER 72 22 $3,520 $160 64.7% (877) 906-9699
28 PULMONARY MEDICINE ASSOCIATES MEDICAL GROUP INC. ROSEVILLE CA CRITICAL CARE (INTENSIVISTS) 91 21 $6,321 $301 1.9% (916) 679-3590
29 CENTRAL IOWA HOSPITAL CORPORATION DES MOINES FL NURSE PRACTITIONER 221 18 $2,988 $166 100.0% (515) 241-5700
30 HENDERSON COUNTY HOSPITAL CORPORATION HENDERSONVILLE NC PHYSICIAN ASSISTANT 230 17 $2,431 $143 28.8% (828) 694-8427
31 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD PHYSICIAN ASSISTANT 386 16 $3,040 $190 9.2% —
32 SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MA PHYSICIAN ASSISTANT 386 16 $3,040 $190 29.1% —
33 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC HARTFORD MA PHYSICIAN ASSISTANT 591 15 $2,400 $160 27.3% (860) 714-3500
34 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 14 $3,276 $234 26.9% (856) 247-7260
35 OCHSNER CLINIC LLC NEW ORLEANS AL NURSE PRACTITIONER 2839 14 $2,114 $151 100.0% (504) 842-3000
36 TS BILLINGS LLC PORTLAND OR MAXILLOFACIAL SURGERY 6 14 $4,236 $303 100.0% (503) 528-0704
37 NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP CARLSBAD CA NEUROLOGY 44 13 $1,713 $132 1.2% (760) 631-3000
38 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 13 $2,860 $220 31.0% —
39 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH TN DIAGNOSTIC RADIOLOGY 4291 12 $2,376 $198 21.1% —
40 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 12 $2,820 $235 6.8% —
41 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 12 $3,742 $312 52.2% —
42 THE HEART AND VASCULAR CLINIC, PC BEDFORD IN NURSE PRACTITIONER 3 12 $2,424 $202 100.0% (812) 277-9692
43 CLEVELAND CLINIC CLEVELAND MI PHYSICIAN ASSISTANT 6828 12 $5,460 $455 35.3% —
44 SWEDISH HEALTH SERVICES SEATTLE WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 11 $2,134 $194 100.0% (206) 386-6000
45 POSITIVE PATHWAYS LLC MADISON NC CLINICAL SOCIAL WORKER 2 11 $2,145 $195 18.6% (336) 612-1827

*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 →