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99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes CPT · E&M - Miscellaneous
Classification E&M E&M - Miscellaneous (CMS RBCS)
First observed 2020
National scale 2.07M services ▲ 47.8% YoY · 291,927 beneficiaries (CY2024, Medicare FFS)
Medicare paid $63.3M · $30.61 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window · National figures — the CA 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 California, 182 groups bill 99458 — 210,472 fee-for-service services, and volume is up 72.3% year over year.

premium
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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

182

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

210,472

Attributable volume · fee-for-service
FFS of Medicare

49%

Payer-mix frame
Named-group coverage

48%

Of California’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

+72.3%

FFS enrollment +0.0%
Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.
Estimated all-Medicare volume estimate
FFS + estimated MA

~427,020 services

210,472 observed fee-for-service (49%) · ~216,548 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
$19.3M
Named-group allowed amount
$8.7M
Named-group Medicare payments
$6.8M
Avg charge / svc
$92
Avg allowed / svc
$41
Avg payment / svc
$32
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 Platformpremium
Market trend — 12-year view
services 2020–2024
YearServices Services per 1,000 Part B FFS beneficiaries Medicare payments
2020 (2020) (introduction year) 13,386 4.6 $477,131
2021 59,047 20.5 $2,056,853
2022 158,134 55.5 $5,261,962
2023 261,912 92.8 $8,752,566
2024 451,295 159.8 $14,858,290

CAGR 2021–2024: +97.0%/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
$29 182 groups · avg submitted charge / service $460
Market structure

426 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 47% of it — the hatched segment is the remainder, drawn per D-062).

Of volume attributable to named groups, independents account for 3%; hospital-affiliated 97%.

Disclosed setting mix: 97% office · 3% facility.

HHI trend: 2020: 852 · 2021: 588 · 2022: 966 · 2023: 305 · 2024: 475 (group rosters begin 2019)

Provider-setting count 2020 → 2024: 84 → 694 (+726%).

Named groups cover 47% 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 positionpremium

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

National benchmarkspremium

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

The opportunity
So where do I act?
Worth a lookpremium

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

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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99458 services, highest first, CY2024
# Physician group locked column City locked column Specialty locked column Providers locked column 99458 svcs Submitted charges locked column Avg charge locked column Medicare $ locked column Share* locked column Phone
1 CABRILLO CARDIOLOGY MEDICAL GROUP INC OXNARD CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 34,720 $3,472,000 $100 premium 7.7% (805) 351-8212
2 INTERVENTIONAL PAIN SOLUTIONS PC CHICO ANESTHESIOLOGY 8 14,224 $1,135,486 $80 premium 3.2% (530) 343-4757
3 RENAL CONSULTANTS MEDICAL GROUP NEWHALL NEPHROLOGY 8 9,552 $858,286 $90 premium 2.1% (661) 254-0193
4 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO FAMILY PRACTICE 23 8,995 $589,497 $66 premium 2.0% (760) 353-6363
5 PULMONARY MEDICAL CORPORATION TARZANA CRITICAL CARE (INTENSIVISTS) 2 6,199 $1,054,340 $170 premium 1.4% (818) 758-0020
That's the top 5 of 182 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 →