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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99452 Telephone or internet referral service, 30 minutes CPT · E&M - Miscellaneous
Classification E&M E&M - Miscellaneous (CMS RBCS)
First observed 2019
National scale 38,279 services ▲ 67.6% YoY · 10,797 beneficiaries (CY2024, Medicare FFS)
Medicare paid $864K · $22.58 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
45
Named-group FFS services
21,924
FFS of Medicare
49%
Services YoY
+67.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~44,569 services

21,924 observed fee-for-service (49%) · ~22,645 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 — 99452 (CY2024)

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

Named-group submitted charges
$1.6M
Named-group allowed amount
$626K
Named-group Medicare payments
$495K
Avg charge / svc
$75
Avg allowed / svc
$29
Avg payment / svc
$23
Average charge per group
$34 45 groups · avg submitted charge / service $200
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99452 services, highest first, CY2024
# Physician group activate to sort City activate to sort St activate to sort Specialty activate to sort Providers activate to sort 99452 svcs sorted descending — activate to reverse Submitted charges activate to sort Avg charge activate to sort Medicare $ locked column Share* activate to sort Phone
1 BEHAVIORAL HEALTH SOLUTIONS LLC HENDERSON NV NURSE PRACTITIONER 57 7,729 $579,675 $75 premium 55.7% (702) 589-4871
2 COLORADO IN-HOME COUNSELING DENVER CO NURSE PRACTITIONER 42 3,484 $261,300 $75 premium 41.3% (702) 589-4871
3 JANDA MAHAJAN AND BALSIGER PLLC LAS VEGAS NV NEUROLOGY 32 1,929 $144,675 $75 premium 13.9% (702) 432-2233
4 HARBOR YOUTH AND FAMILY COUNSELING TUKWILA WA NURSE PRACTITIONER 29 978 $73,350 $75 premium 53.9% 70279035833583
5 HEART CENTERED COUNSELING PC FORT COLLINS CO MENTAL HEALTH COUNSELOR 283 939 $70,425 $75 premium 11.1% (970) 310-3406
6 HEALTH GROUP PROVIDERS LLC TEMPE AZ NURSE PRACTITIONER 22 708 $53,100 $75 premium 29.1% (602) 734-5664
7 COLORADO IN-HOME COUNSELING DENVER OH NURSE PRACTITIONER 42 574 $43,050 $75 premium 40.5% (702) 589-4871
8 DEBORAH A CHRISTENSEN PHD AND ASSOCIATES, INC DRAPER UT NURSE PRACTITIONER 24 560 $42,000 $75 premium 22.7% (702) 483-5044
9 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 465 $15,810 $34 premium 100.0%
10 HARBOR YOUTH AND FAMILY COUNSELING TUKWILA TX NURSE PRACTITIONER 29 383 $28,725 $75 premium 17.9% 70279035833583
11 PRINE HEALTH MEDICAL GROUP, PLLC MANHASSET NY NEPHROLOGY 75 334 $35,944 $108 premium 54.0% (516) 407-2727
12 SONDERMIND PROVIDER NETWORK LLC DENVER CO CLINICAL SOCIAL WORKER 1194 313 $23,475 $75 premium 3.7% (844) 843-7279
13 TRI-STATE COMMUNITY HEALTHCARE CENTER MOHAVE VALLEY AZ NURSE PRACTITIONER 9 299 $22,425 $75 premium 12.3% (928) 768-7113
14 BRONX MEDICAL PRACTICE PC BRONX NY NURSE PRACTITIONER 135 284 $14,200 $50 premium 46.0% (718) 299-7295
15 ST VINCENT INFIRMARY MEDICAL CENTER LITTLE ROCK AR NURSE PRACTITIONER 47 284 $18,744 $66 premium 74.5% (501) 255-6000
16 SMILE PSYCHIATRY AND BEHAVIORAL LEHI UT NURSE PRACTITIONER 5 247 $18,525 $75 premium 10.0% (801) 406-6256
17 ALBERTO SOUZA PLLC ST GEORGE NV NURSE PRACTITIONER 9 238 $17,850 $75 premium 1.7% (435) 703-9647
18 HUMAN SUPPORTS OF IDAHO BOISE ID MENTAL HEALTH COUNSELOR 9 232 $17,400 $75 premium 49.5% (208) 321-0160
19 NATCHAUG HOSPITAL, INC MANSFIELD CENTER CT PSYCHIATRY 35 216 $16,200 $75 premium 100.0% (860) 456-1311
20 SEATTLE INDIAN HEALTH BOARD SEATTLE WA FAMILY PRACTICE 29 185 $13,875 $75 premium 10.2% (206) 324-9360
21 CENTER FOR ADULT HEALTHCARE SC BLOOMINGDALE IL INTERNAL MEDICINE 2 152 $30,400 $200 premium 53.0% (630) 893-0347
22 DOORSTEP PROCARE MANAGEMENT LLC MESQUITE TX NURSE PRACTITIONER 11 145 $6,525 $45 premium 6.8% 9722892273107
23 SONDERMIND PROVIDER NETWORK LLC DENVER ID CLINICAL SOCIAL WORKER 1194 125 $9,375 $75 premium 26.7% (844) 843-7279
24 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY NV ORTHOPEDIC SURGERY 82 107 $5,846 $55 premium 0.8%
25 IC CARE CORPORATION LARGO MD INTERNAL MEDICINE 2 97 $3,298 $34 premium 34.4% (301) 773-9700
26 INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC LAS VEGAS NV NURSE PRACTITIONER 311 96 $7,200 $75 premium 0.7% (702) 873-5110
27 PRESBYTERIAN MEDICAL SERVICES SANTA FE NM NURSE PRACTITIONER 138 95 $7,125 $75 premium 35.1% (505) 982-5565
28 NOVARI PRIMARY CARE LLC MUKILTEO WA NURSE PRACTITIONER 20 91 $6,825 $75 premium 5.0% (425) 405-8089
29 NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL, INC. GANADO AZ NURSE PRACTITIONER 62 75 $5,625 $75 premium 3.1% 92875545004933
30 ST. CLAIRE MEDICAL CENTER INC MOREHEAD KY PHYSICIAN ASSISTANT 187 69 $3,657 $53 premium 65.1% (606) 783-6805
31 CHOICE PAIN AND REHABILITATION CENTER LLC DUNDALK PA NURSE PRACTITIONER 15 52 $7,800 $150 premium 35.4% (240) 786-1001
32 BEHAVIORAL CARE SOLUTIONS FOR ADULTS AND SENIORS INC NOVI MI NURSE PRACTITIONER 72 42 $3,360 $80 premium 100.0% (877) 906-9699
33 SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY SCOTTSDALE AZ NURSE PRACTITIONER 41 41 $3,075 $75 premium 1.7% (602) 466-5951
34 ASSOCIATED OPHTHALMOLOGISTS, PC DES MOINES IA OPHTHALMOLOGY 5 36 $2,700 $75 premium 100.0% (515) 244-3937
35 CHOICE PAIN AND REHABILITATION CENTER LLC DUNDALK MD NURSE PRACTITIONER 15 31 $4,650 $150 premium 11.0% (240) 786-1001
36 ESOP REHABILITATION LLC CONYERS NC ORTHOPEDIC SURGERY 237 28 $2,044 $73 premium 63.6% (770) 785-7669
37 NEW NARRATIVE TIGARD OR NURSE PRACTITIONER 4 28 $2,100 $75 premium 43.1% (503) 726-3732
38 RITU BHAMBHANI LLC ABINGDON MD NURSE PRACTITIONER 7 28 $4,200 $150 premium 9.9%
39 DESERT STAR HEALTHCARE LLC MESA AZ NURSE PRACTITIONER 2 25 $1,900 $76 premium 1.0% (480) 219-6646
40 INTRICATE MIND AND BODY LLC RENO NV NURSE PRACTITIONER 3 25 $1,875 $75 premium 0.2% (775) 384-2189
41 CHRISTINE LYNN MCCAMBRIDGE LINCOLN CITY OR NURSE PRACTITIONER 7 24 $1,800 $75 premium 36.9% (541) 921-3584
42 PHYSICAL THERAPY SPINE AND SPORTS MEDICINE LLC BALLWIN MO ORTHOPEDIC SURGERY 128 22 $2,255 $102 premium 100.0% (636) 220-6969
43 REGENTS OF THE UNIV OF CA SACRAMENTO MD DIAGNOSTIC RADIOLOGY 1608 19 $2,565 $135 premium 6.7% (877) 827-7463
44 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 18 $972 $54 premium 1.3% (513) 751-4222
45 MOBILE MED VISIT MANAGEMENT LLC PLANO TX NURSE PRACTITIONER 3 18 $810 $45 premium 0.8% (469) 999-5949
46 MEDICAL ARTS FAMILY PRACTICE PA FAYETTEVILLE NC FAMILY PRACTICE 5 16 $1,040 $65 premium 36.4% (910) 323-9111
47 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA-IRVINE ORANGE CA INTERNAL MEDICINE 96 14 $2,240 $160 premium 2.5% (714) 456-7890
48 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 12 $1,056 $88 premium 48.0% (402) 559-4000
49 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 12 $1,378 $115 premium 100.0% (508) 973-5919

*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 →