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Market snapshot

G0237 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0237 — Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)

Billing groups
8
Named-group FFS services
9,722
FFS of Medicare
49%
Services YoY
+10.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~18,779 services

9,722 observed fee-for-service (52%) · ~9,057 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 — G0237 (CY2024)

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

Named-group submitted charges
$440K
Named-group allowed amount
$116K
Named-group Medicare payments
$91K
Avg charge / svc
$45
Avg allowed / svc
$12
Avg payment / svc
$9
Average charge per group
$11 8 groups · avg submitted charge / service $728
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0237 services, CY2024
#Physician group City St Specialty Providers G0237 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 HUDSON MD GROUP FORT LEE NJ INTERNAL MEDICINE 107 3,222 $64,440 $20 premium 100.0% (201) 224-0011
2 SPRING MOUNTAIN REHAB LLC LAS VEGAS NV PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 2,948 $162,140 $55 premium 36.7% (702) 869-4401
3 NEWPORT CRITICAL CARE PHYSICIANS MEDICAL GROUP INC NEWPORT BEACH CA CRITICAL CARE (INTENSIVISTS) 15 926 $46,600 $50 premium 88.5% (949) 764-4624
4 SPRING MOUNTAIN REHAB LLC LAS VEGAS NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 678 $37,290 $55 premium 9.7% (702) 869-4401
5 NORTHSTAR ASSOCIATES, PLLC BELLINGHAM WA NEUROLOGY 3 611 $19,552 $32 premium 100.0% (360) 676-1696
6 CLINICARE CLINICAL SERVICES, INC. CLEARWATER FL NURSE PRACTITIONER 4 464 $5,257 $11 premium 92.8% (727) 796-2904
7 MEMORIAL PULMONARY AND SLEEP DISORDERS ASSOCIATES P A HOUSTON TX NURSE PRACTITIONER 27 454 $5,076 $11 premium 100.0% (832) 522-1000
8 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 299 $11,960 $40 premium 100.0%
9 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 120 $87,402 $728 premium 11.5% (760) 340-3911

*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 →