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Market snapshot

G0246 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0246 — Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a)

Billing groups
24
Named-group FFS services
1,029
FFS of Medicare
49%
Services YoY
-23.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,116 services

1,029 observed fee-for-service (49%) · ~1,087 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 — G0246 (CY2024)

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

Named-group submitted charges
$68K
Named-group allowed amount
$35K
Named-group Medicare payments
$24K
Avg charge / svc
$66
Avg allowed / svc
$34
Avg payment / svc
$24
Average charge per group
$37 24 groups · avg submitted charge / service $126
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0246 services, CY2024
#Physician group City St Specialty Providers G0246 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 SAN ANTONIO PODIATRY ASSOCIATES PLLC SAN ANTONIO TX PODIATRY 10 128 $7,337 $57 premium 35.0% (210) 899-1026
2 ANDERSON PHYSICIAN ALLIANCE INC MERIDIAN MS NURSE PRACTITIONER 70 104 $6,058 $58 premium 78.2% (601) 553-6399
3 GOLDEN TRIANGLE FOOT AND ANKLE SPECIALISTS PA BEAUMONT TX PODIATRY 5 64 $2,342 $37 premium 17.5% (409) 899-1538
4 ALTA RIDGE FOOT SPECIALISTS, PLLC SPRUCE PINE NC PODIATRY 4 62 $4,578 $74 premium 14.2% (828) 766-7667
5 LOUDOUN MEDICAL GROUP, PC LEESBURG VA NURSE PRACTITIONER 293 61 $3,050 $50 premium 53.0% (703) 437-0001
6 INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC CONCORD NC PODIATRY 46 59 $4,404 $75 premium 13.5% (704) 786-4482
7 ASSOCIATES IN MEDICINE LLC PORT SAINT LUCIE FL INTERNAL MEDICINE 2 59 $3,540 $60 premium 100.0% (772) 398-5339
8 PIEDMONT HEALTHCARE PA STATESVILLE NC PHYSICIAN ASSISTANT 226 50 $3,600 $72 premium 11.4% (704) 838-8210
9 COASTAL CAROLINA HEALTH CARE PA NEW BERN NC PHYSICIAN ASSISTANT 122 46 $3,588 $78 premium 10.5% (252) 634-3278
10 CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC FAYETTEVILLE NC PHYSICIAN ASSISTANT 280 46 $4,278 $93 premium 10.5% (910) 829-6588
11 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 44 $3,960 $90 premium 12.0% (254) 724-2663
12 MEDICAL FACULTY ASSOCIATES, INC WASHINGTON DC PHYSICIAN ASSISTANT 685 36 $1,800 $50 premium 100.0% (202) 715-4000
13 ALTA RIDGE FOOT SPECIALISTS, PLLC SPRUCE PINE VA PODIATRY 4 32 $2,363 $74 premium 27.8% (828) 766-7667
14 ORTHOPEDICS RHODE ISLAND INC WARWICK RI PHYSICIAN ASSISTANT 124 31 $3,906 $126 premium 100.0% (401) 777-7000
15 FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC KENSINGTON NC PODIATRY 157 26 $1,941 $75 premium 5.9% (301) 949-2000
16 PLATTSBURGH PODIATRY CENTER LLP PLATTSBURGH NY PODIATRY 2 24 $1,440 $60 premium 100.0% (518) 562-5600
17 26 MEDICAL, LLC WATKINSVILLE GA PODIATRY 6 24 $936 $39 premium 10.9% (762) 999-8090
18 MARLBORO PODIATRY CENTER LLC MANALAPAN NJ PODIATRY 4 23 $1,085 $47 premium 100.0% (732) 780-8787
19 EASTERN CAROLINA FOOT AN ANKLE SPECIALISTS, INC GREENVILLE NC PODIATRY 3 20 $900 $45 premium 4.6% (252) 830-1000
20 CENTRAL VERMONT MEDICAL CENTER INC BERLIN VT NURSE PRACTITIONER 243 18 $1,330 $74 premium 18.0% (802) 225-1266
21 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 16 $1,456 $91 premium 3.7% (919) 684-8111
22 LANCASTER GENERAL MEDICAL GROUP LANCASTER PA PHYSICIAN ASSISTANT 580 16 $1,115 $70 premium 100.0%
23 MOSES CONE AFFILIATED PHYSICIANS, INC. GREENSBORO NC NURSE PRACTITIONER 78 15 $1,140 $76 premium 3.4% (336) 544-5400
24 FOOT ASSOCIATES OF CENTRAL TEXAS, LLC ROUND ROCK TX PODIATRY 2 14 $910 $65 premium 3.8% (512) 733-8600
25 INTERNAL MEDICINE AND CARDIOLOGY GREENVILLE SC INTERNAL MEDICINE 5 11 $847 $77 premium 100.0% 86423327442427

*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 →