NEVVI Medicare utilization intelligence
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Market snapshot

99496 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99496 — Transitional care management services for problem of high complexity

Billing groups
3,633
Named-group FFS services
265,193
FFS of Medicare
49%
Services YoY
+4.5%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~535,162 services

265,193 observed fee-for-service (50%) · ~269,969 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; 1 state without payer-mix data excluded. How we scale

Top states — 99496 (CY2024)

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

Named-group submitted charges
$137.0M
Named-group allowed amount
$66.2M
Named-group Medicare payments
$51.7M
Avg charge / svc
$517
Avg allowed / svc
$250
Avg payment / svc
$195
Average charge per group
$28 3,633 groups · avg submitted charge / service $4,592
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99496 services, CY2024
#Physician group City St Specialty Providers 99496 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 4,793 $2,677,717 $559 premium 5.9% (941) 255-3535
2 SEGUE HEALTH OF MISSISSIPPI LLC FLOWOOD MS NURSE PRACTITIONER 24 2,061 $556,470 $270 premium 25.5% 8885512538101
3 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 2,015 $1,575,200 $782 premium 3.9% (916) 681-8852
4 ST LUKES PHYSICIAN GROUP INC BETHLEHEM PA PHYSICIAN ASSISTANT 2164 1,657 $776,226 $468 premium 7.2% (484) 526-2400
5 SEGUE HEALTH OF TEXAS PLLC AZLE TX NURSE PRACTITIONER 22 1,546 $454,524 $294 premium 4.8% 8885512538101
6 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 1,358 $805,359 $593 premium 8.3%
7 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 1,351 $1,150,973 $852 premium 2.6% (415) 600-1020
8 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 1,271 $487,624 $384 premium 8.6%
9 FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC FORT MYERS FL HEMATOLOGY/ONCOLOGY 437 1,243 $897,446 $722 premium 1.5% (239) 561-9622
10 BAYCARE MEDICAL GROUP, INC. CLEARWATER FL CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 1526 1,240 $837,000 $675 premium 1.5% (727) 725-5060
11 TOTAL CARE 2 U, LLC WAXAHACHIE TX NURSE PRACTITIONER 25 1,224 $683,820 $559 premium 3.8% (877) 868-2528
12 CORA HEALTH SERVICES INC THE VILLAGES FL ORTHOPEDIC SURGERY 1187 1,133 $407,202 $359 premium 1.4% (352) 693-3378
13 SEGUE HEALTH PARTNERS LLC CORDOVA TN NURSE PRACTITIONER 28 1,100 $302,500 $275 premium 10.9% (901) 626-3515
14 CARILION HEALTHCARE CORPORATION ROANOKE VA PHYSICIAN ASSISTANT 545 1,083 $570,243 $527 premium 7.3% (703) 562-2110
15 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 1,080 $1,255,127 $1,162 premium 4.7%
16 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 1,064 $833,112 $783 premium 26.3% (608) 260-2900
17 GHODS INC LOS ANGELES CA FAMILY PRACTICE 6 1,033 $671,450 $650 premium 2.0% (424) 258-0124
18 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER MA NURSE PRACTITIONER 868 1,014 $869,203 $857 premium 8.3% (508) 973-5919
19 CENTRAL FLORIDA INPATIENT MEDICINE LLC LAKE MARY FL INTERNAL MEDICINE 120 998 $1,085,624 $1,088 premium 1.2% (407) 647-2346
20 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 951 $1,387,959 $1,459 premium 1.8% (310) 825-7922
21 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FL FAMILY PRACTICE 423 943 $774,203 $821 premium 1.2% (407) 831-4040
22 FLORIDA KIDNEY PHYSICIANS LLC TAMPA FL NEPHROLOGY 165 903 $491,371 $544 premium 1.1% (813) 910-8708
23 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 892 $823,749 $923 premium 3.9%
24 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 882 $628,438 $713 premium 5.4% (847) 459-1160
25 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 877 $1,022,350 $1,166 premium 7.2% (978) 741-4133
26 EINSTEIN COMMUNITY HEALTH ASSOCIATES INC PHILADELPHIA PA FAMILY PRACTICE 195 844 $481,080 $570 premium 3.7% (215) 927-1937
27 ASSOCIATED CLINICIANS OF EAST TEXAS LONGVIEW TX PHYSICIAN ASSISTANT 107 841 $345,431 $411 premium 2.6%
28 ONCLICK HEALTHCARE INCORPORATED CALABASAS CA NURSE PRACTITIONER 60 824 $867,944 $1,053 premium 1.6% (818) 230-2116
29 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 782 $317,266 $406 premium 1.5% (760) 340-3911
30 MY CHOICE OPERATING COMPANY LLC JACKSONVILLE FL NURSE PRACTITIONER 54 781 $418,691 $536 premium 1.0% (904) 570-9404
31 KINGS COUNTY HOUSE CALLS NP IN FAMILY HEALTH PLLC BROOKLYN NY NURSE PRACTITIONER 29 746 $427,426 $573 premium 3.3% (646) 535-1545
32 UNITED PHYSICIANS GROUP LLC PHOENIX AZ NURSE PRACTITIONER 3 728 $464,955 $639 premium 6.3% (602) 363-1116
33 SPARTANBURG MEDICAL CENTER SPARTANBURG SC NURSE PRACTITIONER 1070 716 $674,022 $941 premium 9.7% (864) 587-3000
34 INPATIENT PHYSICIAN ASSOCIATES PLLC DALLAS TX INTERNAL MEDICINE 28 706 $421,764 $597 premium 2.2% (214) 443-3000
35 NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC SMITHTOWN NY NURSE PRACTITIONER 462 680 $388,315 $571 premium 3.0% (631) 751-3000
36 NORTHEAST KIDNEY CARE LLC FLORHAM PARK NJ NEPHROLOGY 66 674 $450,373 $668 premium 3.6% (973) 736-2212
37 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 662 $466,298 $704 premium 3.9% (202) 429-2401
38 LEGACY HEALTHCARE SERVICES INC DURHAM FL INTERNAL MEDICINE 3859 660 $244,783 $371 premium 0.8% (919) 419-9600
39 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 644 $277,779 $431 premium 25.1% (515) 239-4400
40 FAMILY PRACTICE CENTER PC MIDDLEBURG PA PHYSICAL THERAPIST IN PRIVATE PRACTICE 345 632 $219,800 $348 premium 2.7% (570) 837-5889
41 ONCLICK HEALTHCARE INCORPORATED CALABASAS MD NURSE PRACTITIONER 60 615 $647,798 $1,053 premium 3.6% (818) 230-2116
42 NORTH MISSISSIPPI MEDICAL CLINICS INC TUPELO MS FAMILY PRACTICE 121 613 $171,640 $280 premium 7.6% (662) 377-5300
43 UNIVERSITY PRIMARY CARE PRACTICES INC CONNEAUT OH FAMILY PRACTICE 1067 613 $261,138 $426 premium 5.8%
44 ESOP REHABILITATION LLC CONYERS NC ORTHOPEDIC SURGERY 237 597 $334,917 $561 premium 5.3% (770) 785-7669
45 PHYSIATRY CONSULTANTS OF GA LLC RIVERDALE GA NURSE PRACTITIONER 10 585 $211,470 $361 premium 6.0% (855) 611-8783
46 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 583 $724,059 $1,242 premium 0.7% (772) 223-5665
47 MEDICAL SPECIALISTS OF THE PALM BEACHES INC ATLANTIS FL INTERNAL MEDICINE 120 581 $320,205 $551 premium 0.7% (561) 295-6962
48 PRIVIA MEDICAL GROUP, LLC ARLINGTON VA NURSE PRACTITIONER 1477 579 $333,314 $576 premium 3.9%
49 HEART AND MEDICAL CENTER INC DURANT OK CARDIOVASCULAR DISEASE (CARDIOLOGY) 3 571 $171,300 $300 premium 12.2% (580) 931-0500
50 BOWEN PRIMARY AND URGENT CARE PA HICKORY NC NURSE PRACTITIONER 12 553 $138,250 $250 premium 4.9% (828) 855-1192
51 JACKSON CLINIC PA JACKSON TN NURSE PRACTITIONER 183 547 $276,782 $506 premium 5.4% (731) 422-0213
52 BAPTIST PRIMARY CARE INC JACKSONVILLE FL FAMILY PRACTICE 446 547 $373,086 $682 premium 0.7%
53 AMERICAN TELEHEALTH LLC ALLENTOWN PA NURSE PRACTITIONER 38 542 $169,763 $313 premium 2.4% (888) 982-8594
54 CFP CARE TEAM LLC CASSELBERRY FL FAMILY PRACTICE 21 542 $192,796 $356 premium 0.7% (407) 831-5252
55 CALVERT INTERNAL MEDICINE GROUP, PA PRINCE FREDERICK MD NURSE PRACTITIONER 39 540 $203,515 $377 premium 3.2% (410) 535-2005
56 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 528 $290,094 $549 premium 15.6% (402) 559-4000
57 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 520 $575,241 $1,106 premium 4.9%
58 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTH MA PHYSICIAN ASSISTANT 434 509 $279,441 $549 premium 4.2% (508) 996-3991
59 HORIZON MEDICAL GROUP PC CHESTER NY GASTROENTEROLOGY 69 507 $244,374 $482 premium 2.2% (845) 469-4211
60 ELIAS KANAAN MD PA CLEARWATER FL INTERNAL MEDICINE 3 500 $140,000 $280 premium 0.6% (727) 298-8496
61 FLORIDA MEDICAL SPECIALISTS LLC SARASOTA FL INTERNAL MEDICINE 123 492 $266,853 $542 premium 0.6%
62 ADVANCED HEALTHCARE INTEGRATION LLC MELBOURNE FL NURSE PRACTITIONER 8 492 $202,054 $411 premium 0.6% (321) 622-4877
63 ST BERNARDS PHYSICIAN CLINICS INC JONESBORO AR NURSE PRACTITIONER 206 490 $107,800 $220 premium 7.8% (870) 972-8181
64 PIONEER PHYSICIANS NETWORK INC UNIONTOWN OH FAMILY PRACTICE 94 460 $196,420 $427 premium 4.4%
65 AHS OKLAHOMA PHYSICIAN GROUP LLC TULSA OK FAMILY PRACTICE 308 456 $218,424 $479 premium 9.7%
66 PERSONAL PHYSICIAN CARE, LLC COLUMBIA MD NURSE PRACTITIONER 13 456 $118,560 $260 premium 2.7% (410) 531-2355
67 TEXOMACARE DENISON TX FAMILY PRACTICE 48 455 $247,065 $543 premium 1.4% (903) 416-7544
68 NORTHERN OHIO MEDICAL SPECIALISTS, LLC SANDUSKY OH NURSE PRACTITIONER 294 454 $204,280 $450 premium 4.3% (419) 626-6161
69 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 451 $286,038 $634 premium 1.4%
70 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN NJ NURSE PRACTITIONER 1404 445 $319,209 $717 premium 2.4% (973) 971-5596
71 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 444 $222,000 $500 premium 2.7% (630) 933-4800
72 AMERICAN HEALTH NETWORK OF INDIANA LLC FISHERS IN FAMILY PRACTICE 204 442 $232,492 $526 premium 5.6% (317) 842-7928
73 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 440 $232,275 $528 premium 1.9%
74 HEALTH SERVICE SYSTEMS, INC NEW LENOX IL FAMILY PRACTICE 60 437 $258,840 $592 premium 2.7% (815) 727-4292
75 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC LA CROSSE WI FAMILY PRACTICE 547 436 $253,132 $581 premium 10.8% (608) 785-0940
76 PROFESSIONAL HEALTH CARE OF PINELLAS, LLC ST PETERSBURG FL INTERNAL MEDICINE 84 422 $236,136 $560 premium 0.5% (727) 322-1054
77 COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC COLUMBUS IN NURSE PRACTITIONER 216 412 $229,072 $556 premium 5.2% (812) 373-3025
78 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 410 $149,449 $365 premium 4.1% (865) 632-5885
79 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE MD INTERNAL MEDICINE 760 404 $206,822 $512 premium 2.4% (410) 522-9800
80 DERRY MEDICAL CENTER, PA DERRY NH FAMILY PRACTICE 106 403 $207,140 $514 premium 27.2% (603) 537-1300
81 EXCELLENCE HEALTH LLC DAYTONA BEACH FL NURSE PRACTITIONER 48 403 $130,181 $323 premium 0.5% (386) 238-9064
82 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 400 $294,800 $737 premium 3.3%
83 MEDICAL ASSOCIATES OF BREVARD LLC MELBOURNE FL NURSE PRACTITIONER 82 396 $228,888 $578 premium 0.5% (321) 622-8730
84 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 395 $199,765 $506 premium 2.4% (630) 469-9200
85 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELD MA PHYSICIAN ASSISTANT 1326 387 $235,286 $608 premium 3.2%
86 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 386 $205,892 $533 premium 0.7% (855) 434-7763
87 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 382 $427,840 $1,120 premium 9.4% (414) 421-8400
88 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 380 $189,620 $499 premium 4.8%
89 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 377 $213,759 $567 premium 2.5% (757) 595-9880
90 GENESIS MEDICAL ASSOCIATES, INC. PITTSBURGH PA PHYSICIAN ASSISTANT 96 375 $133,594 $356 premium 1.6% (412) 369-9943
91 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 374 $299,750 $801 premium 10.4% (253) 428-2200
92 CAPITAL CARDIOLOGY ASSOCIATES PLLC ALBANY NY NURSE PRACTITIONER 68 373 $201,420 $540 premium 1.6% (518) 292-6000
93 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 370 $258,945 $700 premium 11.0% (502) 937-2209
94 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 366 $179,370 $490 premium 1.6%
95 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES CA INTERNAL MEDICINE 11157 363 $145,200 $400 premium 0.7% (800) 954-8000
96 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTRO CA FAMILY PRACTICE 23 363 $163,350 $450 premium 0.7% (760) 353-6363
97 ARROYO OAKS MEDICAL ASSOCIATES INC THOUSAND OAKS CA INTERNAL MEDICINE 11 360 $144,000 $400 premium 0.7% 80549510665000
98 RWJBH PRIMARY CARE SERVICES WARREN NJ INTERNAL MEDICINE 264 360 $444,136 $1,234 premium 1.9%
99 PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC ZANESVILLE OH FAMILY PRACTICE 61 359 $171,000 $476 premium 3.4% (740) 455-3304
100 LUMINIS HEALTH MEDICAL GROUP, LLC ANNAPOLIS MD PHYSICIAN ASSISTANT 544 359 $165,499 $461 premium 2.1% (443) 481-1000

Showing the top 100 of 3,633 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 →