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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS
99474 Self measured blood pressure measurements CPT · E&M
Classification E&M Care Management/Coordination (CMS RBCS)
First observed 2020
National scale 3,163 services ▼ 6.4% YoY · 1,071 beneficiaries (CY2024, Medicare FFS)
Medicare paid $37K · $11.75 avg / service, national
CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window
Billing groups
21
Named-group FFS services
2,324
FFS of Medicare
49%
Services YoY
-6.4%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,301 services

2,324 observed fee-for-service (54%) · ~1,977 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 — 99474 (CY2024)

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

Named-group submitted charges
$71K
Named-group allowed amount
$36K
Named-group Medicare payments
$27K
Avg charge / svc
$30
Avg allowed / svc
$15
Avg payment / svc
$12
Average charge per group
$20 21 groups · avg submitted charge / service $100
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Data year: CY2024 CY2023 CY2022 locked column CY2021 locked column CY2020 locked column
Physician groups ranked by 99474 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 99474 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 MS STATE DEPARTMENT OF HEALTH CLARKSDALE MS NURSE PRACTITIONER 22 1,682 $41,900 $25 premium 97.8% (662) 624-8316
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 145 $7,830 $54 premium 34.6% (212) 263-9700
3 FREDERICKSBURG CLINIC PLLC FREDERICKSBURG TX FAMILY PRACTICE 10 53 $2,650 $50 premium 63.1% 8309972181290
4 NORTH COAST FAMILY MEDICAL GROUP ENCINITAS CA PHYSICIAN ASSISTANT 11 38 $2,060 $54 premium 16.7% 76094261181142
5 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 36 $2,052 $57 premium 15.9% (415) 600-1020
6 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 34 $1,076 $32 premium 42.5%
7 CARDIAC ELECTROPHYSIOLOGY CONSULTANTS LLC EAST SYRACUSE NY CARDIAC ELECTROPHYSIOLOGY 3 31 $775 $25 premium 7.4% (315) 277-2707
8 ST. LUKE'S DIAGNOSTIC CATH LAB, LLP HOUSTON TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 16 31 $1,727 $56 premium 36.9% (713) 275-2200
9 BRYAN C DAVIS MD PA WINFIELD KS FAMILY PRACTICE 3 31 $620 $20 premium 53.4% (620) 221-9500
10 ALMA FAMILY PRACTICE PC ALMA MI FAMILY PRACTICE 5 29 $1,450 $50 premium 36.2% 98946321812151
11 STONECREEK FAMILY PHYSICIANS, LLP MANHATTAN KS FAMILY PRACTICE 17 27 $594 $22 premium 46.6% (785) 587-4101
12 DTC FAMILY HEALTH AND WALK-IN L L C GREENWOOD VILLAGE CO FAMILY PRACTICE 2 23 $575 $25 premium 100.0% (303) 771-3939
13 DR. BUTLER AND ASSOCIATES, PLLC PADUCAH KY INTERNAL MEDICINE 2 22 $440 $20 premium 100.0% (270) 443-2900
14 SOUTHVIEW MEDICAL GROUP, PC BIRMINGHAM AL INTERNAL MEDICINE 39 21 $420 $20 premium 100.0% (205) 933-4640
15 HAROLD WEISSMAN MD PC ELMHURST NY INTERNAL MEDICINE 4 20 $2,000 $100 premium 4.8% (718) 592-3200
16 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 19 $1,581 $83 premium 8.4% (310) 825-7922
17 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 18 $936 $52 premium 7.9% (916) 681-8852
18 LESTER E COX MEDICAL CENTERS SPRINGFIELD MO NURSE PRACTITIONER 245 17 $536 $32 premium 100.0% (417) 269-5158
19 PREMIER THERAPY CENTERS, INC WEST BLOOMFIELD MI INTERNAL MEDICINE 139 17 $595 $35 premium 21.2%
20 DIAGNOSTIC READERS GROUP INC SOUTH MIAMI FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 39 15 $555 $37 premium 4.5% (786) 662-4000
21 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 15 $450 $30 premium 4.5% (321) 622-8730

*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 →