NEVVI Medicare utilization intelligence
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Market snapshot

99494 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99494 — Psychiatric collaborative care management per calendar month, each additional 30 minutes

Billing groups
54
Named-group FFS services
31,980
FFS of Medicare
49%
Services YoY
+155.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~66,857 services

31,980 observed fee-for-service (48%) · ~34,877 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 — 99494 (CY2024)

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

Named-group submitted charges
$5.7M
Named-group allowed amount
$1.7M
Named-group Medicare payments
$1.3M
Avg charge / svc
$179
Avg allowed / svc
$52
Avg payment / svc
$42
Average charge per group
$62 54 groups · avg submitted charge / service $376
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99494 services, CY2024
#Physician group City St Specialty Providers 99494 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 INFINITE MEDICAL PC LAKELAND NY NURSE PRACTITIONER 87 13,390 $2,678,175 $200 premium 79.3% (212) 734-6621
2 INFINITE MEDICAL PC LAKELAND FL NURSE PRACTITIONER 87 3,679 $735,800 $200 premium 44.4% (212) 734-6621
3 INFINITE MEDICAL PC LAKELAND PA NURSE PRACTITIONER 87 2,379 $475,800 $200 premium 74.0% (212) 734-6621
4 AMERICAN TELEHEALTH LLC ALLENTOWN NJ NURSE PRACTITIONER 38 1,845 $122,998 $67 premium 80.6% (888) 982-8594
5 INFINITE MEDICAL PC LAKELAND RI NURSE PRACTITIONER 87 1,741 $348,200 $200 premium 100.0% (212) 734-6621
6 ENCORA HEALTH INC PASADENA CA PSYCHIATRY 2 1,061 $135,154 $127 premium 30.6% (866) 334-3006
7 FOOTHILL CARDIOLOGY MEDICAL GROUP INC PASADENA CA CARDIOVASCULAR DISEASE (CARDIOLOGY) 38 791 $154,245 $195 premium 22.8% (626) 793-4139
8 POST ACUTE SPECIALISTS OF TEXAS PA AUSTIN TX NURSE PRACTITIONER 25 652 $130,400 $200 premium 42.8% (866) 473-0663
9 DFW PHYSICIANS MEDICAL ASSOCIATES LLC SHERMAN TX PSYCHIATRY 7 593 $145,250 $245 premium 38.9% (903) 957-0082
10 HONORHEALTH MEDICAL GROUP, LLC PHOENIX AZ FAMILY PRACTICE 326 593 $64,483 $109 premium 29.7% (602) 371-3100
11 SELECT REHABILITATION, LLC GLENVIEW VA FAMILY PRACTICE 2028 519 $51,900 $100 premium 31.7%
12 TRANSITIONAL CARE SERVICES LLC WATERFORD MI NURSE PRACTITIONER 49 283 $31,413 $111 premium 19.3% (855) 466-3631
13 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 234 $32,526 $139 premium 16.0% (616) 885-5000
14 AMERICAN TELEHEALTH LLC ALLENTOWN PA NURSE PRACTITIONER 38 229 $15,270 $67 premium 7.1% (888) 982-8594
15 INFINITE MEDICAL PC LAKELAND MD NURSE PRACTITIONER 87 217 $43,400 $200 premium 28.3% (212) 734-6621
16 FLORIDA CARDIOLOGY PA WINTER PARK FL INTERVENTIONAL CARDIOLOGY 21 217 $31,990 $147 premium 2.6% (407) 645-1847
17 ENNOBLE HC NJ PC HACKENSACK NJ NURSE PRACTITIONER 114 217 $43,929 $202 premium 9.5% (973) 241-1356
18 POUYA AFSHAR MD INC SAN DIEGO CA NURSE PRACTITIONER 19 205 $20,500 $100 premium 5.9% (619) 738-5566
19 ADVANCED SPINE AND PAIN LLC PHOENIX AZ PHYSICIAN ASSISTANT 27 205 $77,046 $376 premium 10.3% (480) 573-0130
20 MY BRIGHT FUTURE, LLC HOUSTON TX CLINICAL PSYCHOLOGIST 5 200 $20,000 $100 premium 13.1% (817) 706-8415
21 SURRAJ MEDICAL ASSOCIATES PLLC PEORIA AZ NURSE PRACTITIONER 10 193 $11,924 $62 premium 9.7% (623) 249-2100
22 CARE RITE PLLC DYERSBURG TN FAMILY PRACTICE 8 167 $16,700 $100 premium 59.9% (731) 286-1900
23 BLUESTONE PHYSICIAN SERVICES PA STILLWATER MN NURSE PRACTITIONER 58 144 $10,835 $75 premium 80.9% (651) 342-1039
24 GATEWAY HOMES INC CHESTERFIELD VA NURSE PRACTITIONER 6 142 $12,441 $88 premium 8.7% (804) 571-0767
25 ESSENTIAL FAMILY MEDICINE OF OMAHA LLC OMAHA NE FAMILY PRACTICE 4 139 $17,375 $125 premium 100.0% (402) 991-5353
26 APOSTLE GROUP LLC GERMANTOWN MD INTERNAL MEDICINE 5 132 $14,490 $110 premium 17.2% (240) 335-2247
27 GREATER PHOENIX COLLABORATIVE CARE PC PHOENIX AZ NURSE PRACTITIONER 118 124 $21,576 $174 premium 6.2% (602) 567-4800
28 PHYSICIAN HOUSECALLS LLC LAKEWOOD CO NURSE PRACTITIONER 119 111 $13,320 $120 premium 24.2% (720) 923-1250
29 BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC PEORIA AZ FAMILY PRACTICE 238 104 $16,640 $160 premium 5.2% (623) 876-3800
30 NORTH BEND MEDICAL CENTER INC COOS BAY OR NURSE PRACTITIONER 88 90 $12,600 $140 premium 100.0% (541) 267-5151
31 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 88 $12,792 $145 premium 1.1%
32 HOLY CROSS HOSPITAL INC FT LAUDERDALE FL PHYSICIAN ASSISTANT 303 76 $15,200 $200 premium 0.9% (954) 772-2136
33 ENNOBLE HC NJ PC HACKENSACK PA NURSE PRACTITIONER 114 74 $14,981 $202 premium 2.3% (973) 241-1356
34 ALICJA STEINER MD A PROFESSIONAL MEDICAL CORPORATION SAN DIEGO CA INTERVENTIONAL PAIN MANAGEMENT 3 71 $7,100 $100 premium 2.0% (619) 948-8464
35 INFINITE MEDICAL PC LAKELAND GA NURSE PRACTITIONER 87 70 $14,000 $200 premium 2.5% (212) 734-6621
36 PENN MEDICINE-PMA BALA CYNWYD PA FAMILY PRACTICE 52 64 $12,992 $203 premium 2.0% (610) 747-3470
37 HOUSECALLS MEDICINE NY PC NEW YORK NY NURSE PRACTITIONER 22 60 $12,146 $202 premium 0.4% (718) 360-9370
38 HOSPICE OF THE PANHANDLE, INC. KEARNEYSVILLE MD NURSE PRACTITIONER 2 56 $11,337 $202 premium 7.3% 30426404061241
39 GREATER BALTIMORE MEDICAL CENTER INC BALTIMORE MD HOSPITALIST 348 48 $5,904 $123 premium 6.3%
40 ENNOBLE HC DMV LLC WASHINGTON MD NURSE PRACTITIONER 101 47 $9,515 $202 premium 6.1% (862) 812-9010
41 NORTHVIEW MEDICAL HOUSE CALLS PLC SAGINAW MI NURSE PRACTITIONER 34 46 $7,130 $155 premium 3.1% (989) 282-4003
42 OPTUMCARE NEW MEXICO LLC ALBUQUERQUE NM FAMILY PRACTICE 71 43 $7,482 $174 premium 100.0% (505) 275-4288
43 NEUROLOGY OF THE ROCKIES LLC PARKER CO NEUROLOGY 10 42 $5,629 $134 premium 9.2% (303) 840-5051
44 PRIVIA MEDICAL GROUP ARIZONA, LLC GOODYEAR AZ NURSE PRACTITIONER 88 42 $6,003 $143 premium 2.1% (623) 512-4390
45 HEALTH FIRST MEDICAL GROUP, LLC MELBOURNE FL NURSE PRACTITIONER 669 38 $4,420 $116 premium 0.5% (321) 434-8878
46 SCL HEALTH MEDICAL GROUP - BILLINGS LLC BILLINGS MT PHYSICIAN ASSISTANT 285 37 $4,708 $127 premium 100.0% (406) 237-3913
47 NORTH SHORE-LIJ MEDICAL GROUP PC NEW HYDE PARK NY NURSE PRACTITIONER 32 37 $4,595 $124 premium 0.2% (516) 876-4100
48 BAPTIST AGEWELL PHYSICIANS INC JACKSONVILLE FL NURSE PRACTITIONER 20 36 $5,226 $145 premium 0.4% (904) 202-4243
49 TMC MEDICAL NETWORK TUCSON AZ NURSE PRACTITIONER 273 34 $5,848 $172 premium 1.7% (520) 324-4230
50 OPTUMCARE COLORADO MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 193 31 $5,368 $173 premium 6.8% (719) 635-5148
51 ALLENDALE COUNTY HOSPITAL BOARD FAIRFAX FL NURSE PRACTITIONER 3 31 $4,478 $144 premium 0.4% (803) 632-3421
52 THUNDERBIRD FAMILY MEDICINE LTD GLENDALE AZ FAMILY PRACTICE 2 31 $6,234 $201 premium 1.6% (623) 979-2565
53 MY CHOICE OPERATING COMPANY LLC JACKSONVILLE FL NURSE PRACTITIONER 54 30 $3,743 $125 premium 0.4% (904) 570-9404
54 HONORHEALTH MEDICAL GROUP, LLC PHOENIX WI FAMILY PRACTICE 326 28 $3,045 $109 premium 100.0% (602) 371-3100
55 CENTERWELL SENIOR PRIMARY CARE AZ PC PHOENIX AZ INTERNAL MEDICINE 42 27 $4,320 $160 premium 1.4% (602) 834-5515
56 HOUSE CALLS OF THE DISTRICT OF COLUMBIA INC WASHINGTON DC NURSE PRACTITIONER 4 27 $2,619 $97 premium 36.5% (202) 683-4340
57 HONORHEALTH MEDICAL GROUP, LLC PHOENIX IL FAMILY PRACTICE 326 22 $2,392 $109 premium 4.2% (602) 371-3100
58 VISAVIS HEALTH CARE MEDICAL GROUP OF FL, PLLC TAMPA AZ NURSE PRACTITIONER 15 21 $2,658 $127 premium 1.1% (718) 534-0689
59 GROUP HEALTH PLAN INC SAINT PAUL MN PHYSICIAN ASSISTANT 1627 21 $1,580 $75 premium 11.8% (651) 221-3456
60 HONORHEALTH MEDICAL GROUP, LLC PHOENIX TX FAMILY PRACTICE 326 21 $2,284 $109 premium 1.4% (602) 371-3100
61 VANTAGE MEDICAL ASSOCIATES PC FAR ROCKAWAY NY NURSE PRACTITIONER 56 21 $2,589 $123 premium 0.1% (516) 792-1600
62 HONORHEALTH MEDICAL GROUP, LLC PHOENIX GA FAMILY PRACTICE 326 19 $2,066 $109 premium 0.7% (602) 371-3100
63 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 18 $2,754 $153 premium 2.3% (202) 429-2401
64 CARELOCK LLC PHOENIX AZ NURSE PRACTITIONER 13 15 $5,062 $338 premium 0.8% (480) 681-3450
65 QUALITY OF LIFE MEDICAL CENTERS LLC TUCSON AZ NURSE PRACTITIONER 12 12 $1,020 $85 premium 0.6% (520) 733-2250

*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 →