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Market snapshot

G0239 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0239 — Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)

Billing groups
11
Named-group FFS services
6,501
FFS of Medicare
49%
Services YoY
+59.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,452 services

6,501 observed fee-for-service (48%) · ~6,951 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 — G0239 (CY2024)
NY 2,136 CA 1,614 NV 1,084 AZ 950 CO 533

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

Named-group submitted charges
$1.7M
Named-group allowed amount
$89K
Named-group Medicare payments
$69K
Avg charge / svc
$266
Avg allowed / svc
$14
Avg payment / svc
$11
Average charge per group
$13 11 groups · avg submitted charge / service $729
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0239 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 EISENHOWER MEDICAL CENTER RANCHO MIRAGE CA NURSE PRACTITIONER 457 1,614 $1,176,240 $729 100.0% (760) 340-3911
2 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 1,186 $355,800 $300 55.5% (212) 263-9700
3 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 950 $77,900 $82 100.0% (800) 603-0558
4 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 714 $57,393 $80 33.4% —
5 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 533 $15,457 $29 100.0% —
6 SPRING MOUNTAIN REHAB LLC LAS VEGAS NV PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 383 $15,320 $40 35.3% (702) 869-4401
7 INDIGO PARTNERS LLC MUNSTER IN FAMILY PRACTICE 4 347 $6,246 $18 84.4% (219) 267-1799
8 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIA PA PHYSICIAN ASSISTANT 1330 206 $8,240 $40 100.0% —
9 CONSULTANTS IN SLEEP AND PULMONARY MEDICINE PLLC NOVI MI PULMONARY DISEASE 14 154 $4,620 $30 100.0% (248) 465-4100
10 NEW HEART, INC ALBUQUERQUE NM CARDIAC ELECTROPHYSIOLOGY 2 144 $1,848 $13 100.0% (505) 881-8195
11 SPRING MOUNTAIN REHAB LLC LAS VEGAS NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 6 86 $3,440 $40 4.0% (702) 869-4401
12 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS WI PHYSICIAN ASSISTANT 2390 73 $2,117 $29 100.0% —
13 MAYO CLINIC ARIZONA PHOENIX NC PHYSICIAN ASSISTANT 1635 65 $5,330 $82 100.0% (800) 603-0558
14 PIEDMONT PROVIDERS LLC ATLANTA GA PHYSICIAN ASSISTANT 509 46 $1,978 $43 40.7% (404) 367-3210

*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 →