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Market snapshot

G0249 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0249 — Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the

Billing groups
13
Named-group FFS services
3,764
FFS of Medicare
49%
Services YoY
-11.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,339 services

3,764 observed fee-for-service (51%) · ~3,575 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 — G0249 (CY2024)

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

Named-group submitted charges
$1.3M
Named-group allowed amount
$257K
Named-group Medicare payments
$182K
Avg charge / svc
$347
Avg allowed / svc
$68
Avg payment / svc
$48
Average charge per group
$245 13 groups · avg submitted charge / service $545
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0249 services, CY2024
#Physician group City St Specialty Providers G0249 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 810 $267,300 $330 premium 70.7% (507) 284-2511
2 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 600 $180,778 $301 premium 0.1% (415) 600-1020
3 CATHOLIC HEALTH INITIATIVES-IOWA CORP WEST DES MOINES IA CARDIOVASCULAR DISEASE (CARDIOLOGY) 113 476 $150,892 $317 premium 11.2% (515) 358-8000
4 VIRTUA MEDICAL GROUP, PA VOORHEES NJ PHYSICIAN ASSISTANT 1662 383 $143,625 $375 premium 96.2% (856) 247-7260
5 ST. LUKE'S HOSPITAL OF DULUTH DULUTH IA PHYSICIAN ASSISTANT 418 316 $100,172 $317 premium 7.4% (218) 249-7000
6 MAYO CLINIC ARIZONA PHOENIX MN PHYSICIAN ASSISTANT 1635 234 $127,530 $545 premium 20.4% (800) 603-0558
7 TRINITY REGIONAL MEDICAL CENTER FORT DODGE IA NURSE PRACTITIONER 177 205 $64,985 $317 premium 4.8% (515) 573-2121
8 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 199 $108,455 $545 premium 80.2% (800) 603-0558
9 PROHEALTH MEDICAL GROUP INC WAUKESHA IA PHYSICIAN ASSISTANT 465 138 $43,746 $317 premium 3.2% (262) 696-0808
10 CARDIOVASCULAR MEDICINE PLLC DAVENPORT IA NURSE PRACTITIONER 49 134 $39,932 $298 premium 3.1% (563) 324-2992
11 COUNTY OF SANTA CLARA SAN JOSE IA INTERNAL MEDICINE 1001 129 $40,893 $317 premium 3.0% (408) 885-5000
12 MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION MANKATO MN DIAGNOSTIC RADIOLOGY 689 71 $19,880 $280 premium 6.2% (507) 625-4031
13 THE IOWA CLINIC PC WEST DES MOINES IA PHYSICIAN ASSISTANT 302 54 $13,230 $245 premium 1.3% (515) 343-1000
14 CARDIOVASCULAR ASSOCIATES OF THE DELAWARE VALLEY,P A HADDON HEIGHTS NJ CARDIOVASCULAR DISEASE (CARDIOLOGY) 94 15 $5,625 $375 premium 3.8% (856) 546-3003

*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 →