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Market snapshot

G0296 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0296 — Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)

Billing groups
429
Named-group FFS services
28,332
FFS of Medicare
49%
Services YoY
+8.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~55,936 services

28,332 observed fee-for-service (51%) · ~27,604 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 — G0296 (CY2024)

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

Named-group submitted charges
$2.9M
Named-group allowed amount
$695K
Named-group Medicare payments
$695K
Avg charge / svc
$104
Avg allowed / svc
$25
Avg payment / svc
$25
Average charge per group
$0 429 groups · avg submitted charge / service $1,442
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0296 services, CY2024
#Physician group City St Specialty Providers G0296 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 931 $79,135 $85 premium 23.3% (845) 703-6999
2 CLEVELAND CLINIC CLEVELAND OH PHYSICIAN ASSISTANT 6828 799 $176,579 $221 premium 31.5%
3 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 753 $79,065 $105 premium 30.4%
4 CHRISTIANA CARE HEALTH SERVICES INC NEWARK DE PHYSICIAN ASSISTANT 1537 682 $61,810 $91 premium 77.5%
5 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 597 $164,175 $275 premium 14.9%
6 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 568 $128,720 $227 premium 49.1% (928) 458-7583
7 OPTUM MEDICAL CARE PC MOUNT KISCO NY INTERNAL MEDICINE 1040 520 $18,757 $36 premium 13.0% (914) 241-1050
8 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 459 $35,026 $76 premium 72.6% (913) 588-1227
9 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIA PA PHYSICIAN ASSISTANT 489 433 $34,640 $80 premium 24.0% (215) 890-3030
10 SAINTS MEDICAL GROUP, LLC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 435 411 $37,791 $92 premium 50.9%
11 MARTIN MEMORIAL MEDICAL CENTER INC STUART FL PHYSICIAN ASSISTANT 504 367 $76,336 $208 premium 17.4% (772) 223-5665
12 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 322 $26,812 $83 premium 30.3% (410) 761-1222
13 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 300 $18,000 $60 premium 16.7%
14 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH GA PULMONARY DISEASE 23 296 $8,998 $30 premium 28.7% (912) 629-2290
15 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 277 $17,171 $62 premium 28.9% (313) 916-2600
16 STRAND PHYSICIAN SPECIALISTS PA MYRTLE BEACH SC PHYSICIAN ASSISTANT 55 273 $20,475 $75 premium 11.0% (843) 497-5929
17 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 259 $21,561 $83 premium 16.5%
18 FRANCISCAN PHYSICIAN NETWORK INDIANAPOLIS IN PHYSICIAN ASSISTANT 1151 249 $16,185 $65 premium 30.2%
19 WEILL CORNELL IMAGING AT NEW YORK PRESBYTERIAN NEW YORK NY DIAGNOSTIC RADIOLOGY 146 245 $55,125 $225 premium 6.1% (212) 746-6000
20 OCEAN PULMONARY ASSOCIATES, P.A. TOMS RIVER NJ PULMONARY DISEASE 9 241 $21,690 $90 premium 32.7% (732) 341-1380
21 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 240 $50,400 $210 premium 22.6% (615) 322-5000
22 LEE HEALTH SYSTEM INC FORT MYERS FL NURSE PRACTITIONER 1370 234 $24,804 $106 premium 11.1% (239) 343-9888
23 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 233 $27,316 $117 premium 9.4% (843) 792-1414
24 MOUNT SHASTA RADIOLOGY INC MOUNT SHASTA CA DIAGNOSTIC RADIOLOGY 5 213 $2 $0 premium 16.6% (530) 926-6111
25 AGHA MEDICAL INC MORRIS IL NURSE PRACTITIONER 5 212 $15,900 $75 premium 24.4% (815) 941-2007
26 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIA CA PHYSICIAN ASSISTANT 249 210 $44,100 $210 premium 16.4% (805) 349-8514
27 BUCKS COUNTY MEDICAL ASSOCIATES, P.C. DOYLESTOWN PA PULMONARY DISEASE 10 209 $10,450 $50 premium 11.6% (215) 348-1310
28 ROPER SAINT FRANCIS PHYSICIANS NETWORK CHARLESTON SC PHYSICIAN ASSISTANT 539 206 $23,072 $112 premium 8.3% (843) 720-8448
29 SIGNATURE HEALTHCARE MEDICAL GROUP INC BROCKTON MA PHYSICIAN ASSISTANT 241 195 $14,625 $75 premium 14.2% (508) 941-7000
30 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE WI NURSE PRACTITIONER 799 191 $36,672 $192 premium 24.1% (715) 838-5222
31 NEW LEXINGTON CLINIC PSC LEXINGTON KY PHYSICIAN ASSISTANT 322 186 $17,180 $92 premium 29.5% (859) 258-4568
32 BILLINGS CLINIC BILLINGS MT PHYSICIAN ASSISTANT 811 183 $11,749 $64 premium 81.3% (406) 657-4000
33 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 175 $9,432 $54 premium 8.3% (941) 255-3535
34 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC NEWPORT NEWS VA FAMILY PRACTICE 274 169 $11,999 $71 premium 10.7% (757) 595-9880
35 MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC CINCINNATI OH NURSE PRACTITIONER 347 156 $13,260 $85 premium 6.1% (513) 751-4222
36 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 152 $15,960 $105 premium 6.1% (803) 749-5101
37 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 151 $12,080 $80 premium 8.4%
38 MUNSON HEALTHCARE CADILLAC CADILLAC MI CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 99 151 $10,117 $67 premium 15.8% (231) 876-3876
39 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 150 $114,568 $764 premium 19.0% (608) 260-2900
40 ABINGTON MEMORIAL HOSPITAL ABINGTON PA NURSE PRACTITIONER 454 149 $11,920 $80 premium 8.3% (215) 481-2222
41 UCLA RADIOLOGY MEDICAL GROUP LOS ANGELES CA DIAGNOSTIC RADIOLOGY 191 140 $28,000 $200 premium 10.9% (310) 301-6800
42 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS IN NURSE PRACTITIONER 4250 135 $16,200 $120 premium 16.4% (888) 484-3258
43 KENT PULMONARY ASSOCIATES DOVER DE PULMONARY DISEASE 2 134 $10,050 $75 premium 15.2% (302) 674-7155
44 ST JOSEPH HOSPITAL BANGOR ME NURSE PRACTITIONER 190 134 $6,792 $51 premium 43.2% (207) 907-3777
45 CENTRAL MAINE MEDICAL CENTER LEWISTON ME NURSE PRACTITIONER 358 134 $10,298 $77 premium 43.2% (207) 753-3900
46 PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC MOUNT VERNON IL NURSE PRACTITIONER 125 132 $7,374 $56 premium 15.2% (618) 899-3278
47 MEMORIAL HOSPITAL AT GULFPORT GULFPORT MS NURSE PRACTITIONER 462 132 $19,800 $150 premium 24.8%
48 MONTEFIORE MEDICAL CENTER BRONX NY PHYSICAL THERAPIST IN PRIVATE PRACTICE 2796 129 $27,735 $215 premium 3.2% (866) 633-8255
49 COVENANT MEDICAL GROUP INC KNOXVILLE TN NURSE PRACTITIONER 333 124 $19,220 $155 premium 11.7% (865) 632-5885
50 CHS PHYSICIAN PARTNERS PC ROSLYN NY PHYSICIAN ASSISTANT 734 120 $10,830 $90 premium 3.0%
51 MATRIX PULMONARY, P.A. BRADENTON FL PULMONARY DISEASE 4 119 $3,224 $27 premium 5.7% (941) 744-1336
52 PEDRO SEVILLA LLC MIAMI FL PULMONARY DISEASE 6 119 $9,270 $78 premium 5.7% (786) 299-5419
53 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 118 $8,024 $68 premium 11.1%
54 UNMC PHYSICIANS OMAHA NE PHYSICIAN ASSISTANT 1514 117 $7,956 $68 premium 68.0% (402) 559-4000
55 SOUTHERN PLAINS MEDICAL CENTER INC CHICKASHA OK NURSE PRACTITIONER 13 117 $6,962 $60 premium 14.5% (405) 224-8111
56 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 116 $9,164 $79 premium 48.9%
57 MARY IMOGENE BASSETT HOSPITAL COOPERSTOWN NY PHYSICIAN ASSISTANT 792 115 $5,980 $52 premium 2.9%
58 NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC GAINESVILLE GA PHYSICIAN ASSISTANT 83 115 $8,050 $70 premium 11.1% (770) 536-9864
59 MCLEOD PHYSICIAN ASSOCIATES II FLORENCE SC PHYSICIAN ASSISTANT 534 114 $8,340 $73 premium 4.6%
60 KENNEDY MEDICAL GROUP PRACTICE, P.C. CHERRY HILL NJ PHYSICIAN ASSISTANT 403 114 $9,120 $80 premium 15.5% (844) 542-2273
61 BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC NURSE PRACTITIONER 288 114 $6,270 $55 premium 4.6% (864) 255-1901
62 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS VA PHYSICIAN ASSISTANT 793 112 $7,056 $63 premium 7.1%
63 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 111 $5,550 $50 premium 9.6%
64 BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC TAPPAHANNOCK VA FAMILY PRACTICE 97 110 $9,240 $84 premium 7.0% (804) 443-5378
65 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 108 $8,479 $79 premium 33.4% (253) 428-2200
66 BOICE-WILLIS CLINIC PA ROCKY MOUNT NC PHYSICIAN ASSISTANT 57 106 $7,087 $67 premium 9.2% (252) 937-0200
67 BERKELEY FAMILY PRACTICE LLC MONCKS CORNER SC FAMILY PRACTICE 5 104 $4,160 $40 premium 4.2% 84376188002262
68 PRIMA CARE, PC FALL RIVER MA NURSE PRACTITIONER 220 103 $9,373 $91 premium 7.5%
69 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTH MA PHYSICIAN ASSISTANT 434 101 $9,090 $90 premium 7.4% (508) 996-3991
70 CLEVELAND CLINIC FLORIDA WESTON MA NURSE PRACTITIONER 720 97 $20,176 $208 premium 7.1% (954) 659-5000
71 MEDICAL ASSOCIATES OF ENGLEWOOD PC ENGLEWOOD NJ INTERNAL MEDICINE 550 97 $7,070 $73 premium 13.2% (201) 894-3158
72 FOUNDATION MEDICAL PARTNERS INC NASHUA NH PHYSICIAN ASSISTANT 304 95 $6,840 $72 premium 50.0% (603) 577-2045
73 PULMONARY ASSOCIATES OF RICHMOND INC MIDLOTHIAN VA PULMONARY DISEASE 49 95 $6,935 $73 premium 6.0% (804) 639-9910
74 MEMORIAL HEALTH PARTNERS FOUNDATION, INC CHATTANOOGA TN NURSE PRACTITIONER 459 95 $5,700 $60 premium 9.0% (423) 495-2620
75 MUSC COMMUNITY PHYSICIANS ORANGEBURG SC NURSE PRACTITIONER 1307 94 $11,070 $118 premium 3.8% (803) 395-3400
76 MOUNT AUBURN PROFESSIONAL SERVICES INC CAMBRIDGE MA INTERNAL MEDICINE 223 94 $10,700 $114 premium 6.9% (617) 499-5112
77 MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC LIMA OH NURSE PRACTITIONER 251 93 $7,905 $85 premium 3.7% (419) 227-3361
78 STURDY HEALTH INC ATTLEBORO MA NURSE PRACTITIONER 196 92 $5,520 $60 premium 6.7% (508) 222-3200
79 MERCY HEALTH PHYSICIANS KENTUCKY LLC PADUCAH KY NURSE PRACTITIONER 21 92 $7,820 $85 premium 14.6% (270) 441-4357
80 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 91 $9,555 $105 premium 3.6% (614) 293-8000
81 UNIVERSITY OF VIRGINIA PHYSICIANS GROUP CHARLOTTESVILLE VA NURSE PRACTITIONER 1704 89 $12,104 $136 premium 5.7% (434) 924-5959
82 PULMONOLOGY ASSOCIATES INC PAOLI PA PULMONARY DISEASE 18 88 $3,960 $45 premium 4.9% (610) 648-0553
83 TIDALHEALTH SPECIALTY CARE LLC SALISBURY MD NURSE PRACTITIONER 329 87 $5,243 $60 premium 8.2%
84 THE UNIVERSITY OF CHICAGO MEDICAL CENTER CHICAGO IL NURSE PRACTITIONER 906 86 $16,168 $188 premium 9.9% (773) 702-1000
85 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 85 $12,083 $142 premium 39.0% (507) 284-2511
86 HALLMARK HEALTH MEDICAL ASSOCIATES INC MELROSE MA NURSE PRACTITIONER 150 85 $8,075 $95 premium 6.2% (781) 979-3070
87 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 84 $12,516 $149 premium 10.6% (414) 955-4263
88 PULMONARY ASSOCIATES OF MOBILE PC MOBILE AL PULMONARY DISEASE 35 83 $2,490 $30 premium 40.9% (251) 343-6848
89 MERCY HEALTH PHYSICIANS-NORTH LLC TOLEDO OH FAMILY PRACTICE 135 83 $7,055 $85 premium 3.3%
90 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 83 $5,312 $64 premium 55.0% (202) 429-2401
91 AUGUSTA MEDICAL GROUP FISHERSVILLE VA PHYSICIAN ASSISTANT 424 82 $3,362 $41 premium 5.2% (540) 332-5595
92 COTTON-O'NEIL CLINIC REVOCABLE TRUST TOPEKA KS NURSE PRACTITIONER 649 78 $5,128 $66 premium 12.3% (785) 354-9591
93 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE NY NURSE PRACTITIONER 458 78 $6,500 $83 premium 1.9% (410) 761-1222
94 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 77 $4,445 $58 premium 37.4% (701) 234-2000
95 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 77 $3,739 $49 premium 32.0% (605) 332-2883
96 MOSES CONE MEDICAL SERVICES INC GREENSBORO NC NURSE PRACTITIONER 224 77 $11,550 $150 premium 6.7% (336) 522-8999
97 MERCY HEALTH PHYSICIANS YOUNGSTOWN, LLC YOUNGSTOWN OH FAMILY PRACTICE 123 76 $6,460 $85 premium 3.0%
98 DEACONESS HOSPITAL, INC. EVANSVILLE IN HOSPITALIST 420 76 $6,992 $92 premium 9.2% (812) 450-7338
99 PINNACLE HEALTH MEDICAL SERVICES HARRISBURG PA PHYSICIAN ASSISTANT 1060 75 $4,275 $57 premium 4.2% (717) 782-2100
100 MERCY HEALTH SYSTEM CORPORATION JANESVILLE WI EMERGENCY MEDICINE 755 74 $9,651 $130 premium 9.4% (608) 756-6000

Showing the top 100 of 429 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 →