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Market snapshot

99490 in TX CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99490 — Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month

Billing groups
386
Named-group FFS services
374,368
FFS of Medicare
46%
Services YoY
+12.6%
FFS enrollment -1.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~803,633 services

374,368 observed fee-for-service (47%) · ~429,265 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

Named-group submitted charges
$39.3M
Named-group allowed amount
$22.2M
Named-group Medicare payments
$16.8M
Avg charge / svc
$105
Avg allowed / svc
$59
Avg payment / svc
$45
Average charge per group
$41 386 groups · avg submitted charge / service $616
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99490 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ORTHOLONESTAR PLLC DALLAS PHYSICIAN ASSISTANT 407 16,803 $2,167,587 $129 2.7% (214) 220-2468
2 WEST TEXAS HEART AND VASCULAR PLLC LUBBOCK CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 15,616 $968,192 $62 2.5% (806) 701-4263
3 TYLER INTERNAL MEDICINE ASSOCIATES, P.A TYLER NURSE PRACTITIONER 14 14,124 $1,102,876 $78 2.3% (903) 533-0644
4 UROLOGY CLINICS OF NORTH TEXAS, PLLC DALLAS UROLOGY 72 13,555 $1,664,551 $123 2.2% (214) 691-9377
5 RENAL ASSOCIATES, P.A. SAN ANTONIO NEPHROLOGY 39 12,747 $1,274,700 $100 2.0% (210) 403-7978
6 UROLOGY AUSTIN PLLC AUSTIN PHYSICIAN ASSISTANT 57 12,099 $1,152,701 $95 1.9% (512) 788-9688
7 ETMC PHYSICIAN GROUP, INC. TYLER NURSE PRACTITIONER 373 10,200 $1,195,675 $117 1.6% (903) 590-5611
8 AMARILLO MEDICAL SPECIALISTS,LLP AMARILLO NURSE PRACTITIONER 37 9,229 $599,459 $65 1.5% (806) 358-8331
9 HOUSTON METRO UROLOGY HOUSTON UROLOGY 31 8,383 $536,728 $64 1.3% (713) 634-4441
10 BAYLOR ST. LUKE'S MEDICAL GROUP THE WOODLANDS PHYSICIAN ASSISTANT 177 7,471 $814,339 $109 1.2% (281) 444-3278
11 TEXARKANA GASTROENTEROLOGY CONSULTANTS, PA TEXARKANA CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 18 6,910 $840,256 $122 1.1% 90379280302080
12 FMC MEDICAL FOUNDATION, INC. AMARILLO NURSE PRACTITIONER 40 5,761 $645,092 $112 0.9% (806) 350-3000
13 LEGACY HEALTHCARE SERVICES INC DURHAM INTERNAL MEDICINE 3859 5,402 $551,755 $102 0.9% (919) 419-9600
14 TEXAS HEALTH CARE PLLC FORT WORTH NURSE PRACTITIONER 364 4,477 $594,939 $133 0.7% (817) 920-0484
15 AMER AL-KARADSHEH, M.D., P.A HOUSTON ENDOCRINOLOGY 9 4,320 $293,760 $68 0.7% —
16 AULT MCINNIS PLLC JACKSONVILLE FAMILY PRACTICE 5 4,245 $424,500 $100 0.7% (903) 284-6105
17 LFM ASSOCIATES LUBBOCK NURSE PRACTITIONER 11 4,034 $483,574 $120 0.6% (806) 698-8088
18 PHYNET, INC. LINDEN NURSE PRACTITIONER 16 4,020 $482,400 $120 0.6% (903) 756-5581
19 RIO GRANDE VALLEY ADULT AND INTERNAL MEDICINE SPECIALISTS PLLC WESLACO INTERNAL MEDICINE 9 3,975 $298,125 $75 0.6% (956) 968-1621
20 COLLABORATIVE GERIATRICS INC KATY NURSE PRACTITIONER 46 3,956 $494,350 $125 0.6% (346) 387-7171
21 GRACE CLINIC OF LUBBOCK LUBBOCK PHYSICIAN ASSISTANT 45 3,858 $287,614 $75 0.6% (806) 744-7223
22 DONNA L CASEY MD PLLC DALLAS INTERNAL MEDICINE 2 3,608 $360,800 $100 0.6% (214) 691-5491
23 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW PHYSICIAN ASSISTANT 107 3,605 $234,325 $65 0.6% —
24 NORTH TEXAS KIDNEY DISEASE ASSOCIATES LEWISVILLE NEPHROLOGY 25 3,377 $424,446 $126 0.5% (972) 219-0558
25 DIABETES AND METABOLISM SPECIALISTS SHAVANO PARK ENDOCRINOLOGY 7 3,341 $272,024 $81 0.5% (210) 494-3739
26 FAMILY MEDICAL GROUP OF TEXARKANA TEXARKANA NURSE PRACTITIONER 12 3,292 $246,900 $75 0.5% —
27 AURELIO R CERVERA MD PA LUBBOCK CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 3,255 $474,610 $146 0.5% (806) 516-5922
28 ANDREW CHUNG, M.D. PLLC DALLAS PHYSICIAN ASSISTANT 5 3,092 $231,900 $75 0.5% (214) 823-4200
29 PCP FOR LIFE PA HOUSTON INTERNAL MEDICINE 5 2,964 $285,700 $96 0.5% (281) 370-7272
30 NORTHEAST ENDOCRINOLGY ASSOCIATES SAN ANTONIO ENDOCRINOLOGY 5 2,897 $217,275 $75 0.5% (210) 650-3360
31 LIEBER-MOORE CARDIOLOGY ASSOCIATES PA KINGWOOD CARDIOVASCULAR DISEASE (CARDIOLOGY) 16 2,774 $655,088 $236 0.4% (281) 358-1950
32 CYPRESS HEART AND VASCULAR CENTER PLLC CYPRESS INTERVENTIONAL CARDIOLOGY 9 2,762 $276,356 $100 0.4% (832) 688-8400
33 PARIS FAMILY PHYSICIANS,PA PARIS NURSE PRACTITIONER 6 2,742 $170,004 $62 0.4% (903) 669-0800
34 JAIME S GOMEZ MDPA BROWNSVILLE CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 2,509 $187,536 $75 0.4% (956) 504-7121
35 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILTY-PHYSICIAN TYLER NURSE PRACTITIONER 124 2,498 $237,310 $95 0.4% (903) 877-7200
36 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS GASTROENTEROLOGY 613 2,459 $245,900 $100 0.4% —
37 AUSTIN GERIATRIC SPECIALISTS PLLC AUSTIN NURSE PRACTITIONER 62 2,449 $297,672 $122 0.4% (512) 477-4088
38 DEEP EAST TEXAS MATERNAL AND FAMILY HEALTH PA JASPER NURSE PRACTITIONER 7 2,430 $199,260 $82 0.4% (409) 384-3430
39 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON NURSE PRACTITIONER 515 2,403 $318,275 $132 0.4% (713) 512-7500
40 FREDERICKSBURG CLINIC PLLC FREDERICKSBURG FAMILY PRACTICE 10 2,384 $214,560 $90 0.4% 8309972181290
41 NEW BOSTON MEDICAL GROUP, LLP NEW BOSTON INTERNAL MEDICINE 3 2,366 $160,888 $68 0.4% (903) 628-0422
42 ANTONIO A. FLORES M.D. P.A. SEGUIN NURSE PRACTITIONER 5 2,305 $184,400 $80 0.4% (830) 379-8811
43 SAN ANTONIO ENDOCRINOLOGY AND DIABETES CARE PLLC SAN ANTONIO INTERNAL MEDICINE 3 2,111 $211,100 $100 0.3% (210) 352-5006
44 SAN ANTONIO-MMC, P.A. SAN ANTONIO INTERNAL MEDICINE 8 2,007 $150,525 $75 0.3% (210) 690-2273
45 ARGYLE HEALTH SERVICES, PLLC ARGYLE NURSE PRACTITIONER 8 1,990 $368,150 $185 0.3% (214) 518-5016
46 DOCTORS OF INTERNAL MEDICINE PA PLANO FAMILY PRACTICE 25 1,941 $98,325 $51 0.3% (972) 758-4455
47 SOUTHERN ENDOCRINOLOGY ASSOCIATES MESQUITE ENDOCRINOLOGY 7 1,927 $80,934 $42 0.3% (214) 909-8903
48 SOLAR HEALTH, P.A. DALLAS ANESTHESIOLOGY 19 1,903 $452,914 $238 0.3% (972) 636-5727
49 LUBBOCK PRIMARY CARE, PLLC LUBBOCK NURSE PRACTITIONER 14 1,889 $265,469 $141 0.3% (806) 701-4040
50 DORA ROBERTS REHABILITATION CENTER BIG SPRING ORTHOPEDIC SURGERY 100 1,884 $211,008 $112 0.3% (432) 267-3806
51 CRAIG CARDIOVASCULAR CENTER PA SAN ANTONIO CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 1,838 $174,631 $95 0.3% (830) 672-3845
52 INTERNAL MEDICINE ASSOCIATES OF PLANO PA PLANO FAMILY PRACTICE 23 1,836 $103,400 $56 0.3% (972) 981-7500
53 DEAN L ZINCONE MD PA SEGUIN PHYSICIAN ASSISTANT 2 1,647 $123,525 $75 0.3% (830) 401-4401
54 AUSTIN PULMONARY CONSULTANTS PA AUSTIN PULMONARY DISEASE 13 1,517 $189,625 $125 0.2% (512) 977-0123
55 DAVID P ELLENT PLLC KINGWOOD FAMILY PRACTICE 53 1,443 $758,094 $525 0.2% (281) 440-5300
56 NORTHWEST HOUSTON HEART CENTER, P.A. TOMBALL CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 1,436 $361,872 $252 0.2% (281) 351-4911
57 ACTON MEDICAL CLINIC PA GRANBURY NURSE PRACTITIONER 4 1,421 $176,204 $124 0.2% (817) 326-3440
58 TEXAS ASSOCIATES OF ENDOCRINOLOGY AND DIABETES PA MCKINNEY ENDOCRINOLOGY 3 1,362 $136,200 $100 0.2% (214) 547-7557
59 SYCAMORE MEDICAL CLINIC PALESTINE NURSE PRACTITIONER 5 1,323 $108,486 $82 0.2% (903) 729-8328
60 NIRAJ CHOUDHARY MD PA WEBSTER INTERNAL MEDICINE 3 1,314 $151,571 $115 0.2% —
61 THURMOND EYE ASSOCIATES PLLC WESLACO OPHTHALMOLOGY 10 1,293 $96,975 $75 0.2% (956) 968-3171
62 GASTROENTEROLOGY CLINIC OF SAN ANTONIO PA SAN ANTONIO GASTROENTEROLOGY 8 1,293 $219,787 $170 0.2% (210) 615-8308
63 TEXAS CENTER FOR UROLOGY LLP FORT WORTH PHYSICIAN ASSISTANT 14 1,290 $201,597 $156 0.2% (817) 871-9069
64 SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. SAN ANTONIO NEPHROLOGY 35 1,278 $230,040 $180 0.2% (210) 549-3524
65 MEDCHOICE PRIMARY CARE PLLC BULVERDE INTERNAL MEDICINE 2 1,262 $265,020 $210 0.2% (830) 252-5155
66 SOUTHEAST TEXAS CARDIOLOGY ASSOCIATES II LLP BEAUMONT CARDIOVASCULAR DISEASE (CARDIOLOGY) 7 1,258 $94,350 $75 0.2% (409) 832-8862
67 NORTH TEXAS FAMILY MEDICINE PLLC PILOT POINT NURSE PRACTITIONER 4 1,236 $92,700 $75 0.2% (940) 686-0860
68 MEDICAL ASSOCIATES OF KATY PLLC HOUSTON INTERNAL MEDICINE 5 1,235 $247,000 $200 0.2% (281) 206-8070
69 KIDNEY CARE ASSOCIATES LLP DENISON NEPHROLOGY 7 1,202 $74,679 $62 0.2% (903) 893-7170
70 BEAUMONT INTERNAL MEDICINE AND GERIATRIC ASSOC. BEAUMONT NURSE PRACTITIONER 17 1,167 $87,525 $75 0.2% (409) 898-2994
71 KIDNEY SPECIALISTS OF NORTH HOUSTON SHENANDOAH NEPHROLOGY 8 1,151 $147,086 $128 0.2% (936) 273-0836
72 COVENANT MEDICAL GROUP LUBBOCK NURSE PRACTITIONER 227 1,149 $142,761 $124 0.2% (806) 725-5844
73 RHEUMATOLOGY SOLUTIONS PLLC WINDCREST RHEUMATOLOGY 3 1,143 $74,295 $65 0.2% (210) 590-9596
74 OWEN HEALTH GROUP, PLLC LUBBOCK FAMILY PRACTICE 2 1,097 $99,092 $90 0.2% (806) 749-7975
75 RENAL SPECIALISTS OF HOUSTON, PA HOUSTON NEPHROLOGY 24 1,077 $137,468 $128 0.2% —
76 MEDICAL ASSOCIATES OF TEXAS, PA SHERMAN NEPHROLOGY 4 1,065 $138,450 $130 0.2% (903) 870-4611
77 CARMEN PURL MD PLLC DUMAS FAMILY PRACTICE 2 1,030 $66,950 $65 0.2% (806) 948-1459
78 PREMIER INTERNAL MEDICINE ASSOCIATES OF HOUSTON PLLC KATY INTERNAL MEDICINE 2 1,014 $110,350 $109 0.2% (281) 398-8044
79 HOUSTON KIDNEY SPECIALISTS CENTER PLLC CYPRESS NEPHROLOGY 11 1,005 $128,196 $128 0.2% (281) 429-8780
80 FAIRFIELD FAMILY PHYSICIANS, PA CYPRESS FAMILY PRACTICE 2 998 $74,800 $75 0.2% (281) 373-0162
81 STRATEGIC MEDICAL GROUP TX PLLC FORT WORTH FAMILY PRACTICE 19 979 $129,228 $132 0.2% (817) 789-6333
82 MEHTA MEDICAL GROUP PLLC HUMBLE INTERNAL MEDICINE 25 966 $62,820 $65 0.2% (281) 446-7173
83 HEREKAR PLLC EL PASO NEUROLOGY 3 943 $172,569 $183 0.2% (915) 974-2200
84 SOUTH LAREDO FAMILY CLINIC PA LAREDO FAMILY PRACTICE 2 931 $65,170 $70 0.1% (956) 722-5007
85 CSH CORP. DALLAS NURSE PRACTITIONER 14 888 $84,228 $95 0.1% (972) 798-8001
86 CENTER FOR FAMILY MEDICINE PA SHERMAN FAMILY PRACTICE 11 884 $107,970 $122 0.1% (903) 892-8398
87 CORPUS CHRISTI UROLOGY GROUP PLLC CORPUS CHRISTI UROLOGY 12 871 $150,513 $173 0.1% (361) 561-4106
88 SOUTH TEXAS ALLERGY AND ASTHMA MEDICAL PROFESSIONALS PLLC SAN ANTONIO NURSE PRACTITIONER 5 870 $65,250 $75 0.1% (210) 616-5385
89 FMC PALLIATIVE CARE, LLC AMARILLO NURSE PRACTITIONER 9 847 $67,603 $80 0.1% (806) 350-7325
90 INPATIENT MEDICINE PHYSICIANS PA NEW BRAUNFELS NURSE PRACTITIONER 14 842 $71,570 $85 0.1% (830) 620-0330
91 ATLAS VISITING PROVIDERS LLC GRAPEVINE NURSE PRACTITIONER 4 838 $77,096 $92 0.1% (214) 385-2808
92 FREDERICKSBURG FAMILY CLINIC PA COMFORT FAMILY PRACTICE 8 832 $54,080 $65 0.1% (830) 995-5633
93 TAPIA INTERNAL MEDICINE CLINIC PLLC PARIS NURSE PRACTITIONER 6 811 $60,825 $75 0.1% (903) 739-7920
94 EPIPHANY MEDICAL SERVICES PA LUBBOCK FAMILY PRACTICE 2 796 $59,342 $75 0.1% (806) 576-3856
95 TOTAL CARE 2 U, LLC WAXAHACHIE NURSE PRACTITIONER 25 794 $94,486 $119 0.1% (877) 868-2528
96 ATHENS FAMILY MEDICINE LLC PIEDMONT FAMILY PRACTICE 12 782 $84,044 $107 0.1% (864) 845-3331
97 CARITAS FAMILY MEDICINE PA LIVE OAK FAMILY PRACTICE 3 773 $57,780 $75 0.1% (210) 650-9066
98 MICAH BOYER MD WICHITA FALLS MENTAL HEALTH COUNSELOR 14 772 $83,067 $108 0.1% (940) 397-5431
99 LUBBOCK UROLOGY CLINIC, LLP LUBBOCK UROLOGY 9 771 $57,897 $75 0.1% (806) 771-5882
100 KATY INTERNAL MEDICINE ASSOCIATES, L.L.P KATY INTERNAL MEDICINE 8 749 $70,406 $94 0.1% (281) 392-8620

Showing the top 100 of 386 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 →