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Market snapshot

G0316 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0316 — Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th

Billing groups
729
Named-group FFS services
268,972
FFS of Medicare
49%
Services YoY
+56.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~549,232 services

268,972 observed fee-for-service (49%) · ~280,260 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 — G0316 (CY2024)
CA 59,682 PA 27,538 IL 26,674 TX 25,534 GA 24,663

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

Named-group submitted charges
$30.3M
Named-group allowed amount
$7.6M
Named-group Medicare payments
$6.1M
Avg charge / svc
$113
Avg allowed / svc
$28
Avg payment / svc
$23
Average charge per group
$29 729 groups · avg submitted charge / service $735
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0316 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 11,936 $2,387,080 $200 44.7% —
2 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 8,813 $785,238 $89 68.0% (801) 581-2121
3 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 7,283 $1,058,148 $145 12.2% (310) 825-7922
4 HENRY FORD HEALTH SYSTEM DETROIT MI PHYSICIAN ASSISTANT 2536 5,165 $474,540 $92 35.2% (313) 916-2600
5 THE MEDICAL COLLEGE OF WISCONSIN INC MILWAUKEE WI DIAGNOSTIC RADIOLOGY 2137 4,299 $692,014 $161 34.5% (414) 955-4263
6 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN FRANCISCO CA HOSPITALIST 746 4,246 $702,048 $165 7.1% (415) 476-4029
7 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 4,185 $305,052 $73 15.2% (570) 271-6144
8 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 4,059 $483,745 $119 16.5% (404) 778-7525
9 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 3,855 $525,218 $136 49.2% (314) 747-3000
10 ROSWELL PARK CANCER INSTITUTE BUFFALO NY NURSE PRACTITIONER 502 3,453 $443,184 $128 24.1% (716) 845-2300
11 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 3,384 $231,902 $69 12.7% —
12 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS CO PHYSICIAN ASSISTANT 2390 3,207 $198,619 $62 41.0% —
13 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 2,841 $464,876 $164 27.0% (617) 724-0287
14 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 2,773 $361,989 $131 22.3% (608) 287-2050
15 REGENTS OF THE UNIV OF CA SACRAMENTO CA DIAGNOSTIC RADIOLOGY 1608 2,603 $296,784 $114 4.4% (877) 827-7463
16 HEALTHTEXAS PROVIDER NETWORK DALLAS TX PHYSICIAN ASSISTANT 2482 2,540 $133,375 $53 9.9% —
17 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 2,465 $304,310 $123 28.6% (919) 684-8111
18 FAIRVIEW HEALTH SERVICES PRINCETON MN INTERNAL MEDICINE 673 2,442 $334,412 $137 20.1% (763) 389-7740
19 OHI WEST MEDICAL GROUP II LLC ZEPHYRHILLS FL NURSE PRACTITIONER 417 2,284 $205,968 $90 12.4% (813) 751-3375
20 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 2,254 $147,882 $66 12.2% (941) 255-3535
21 IHC HEALTH SERVICES INC MURRAY UT PHYSICIAN ASSISTANT 3944 2,254 $162,288 $72 17.4% (801) 261-8346
22 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 2,126 $162,140 $76 53.1% (207) 885-9905
23 LEGACY CLINICS LLC PORTLAND OR PHYSICIAN ASSISTANT 717 2,118 $180,200 $85 17.3% (503) 413-8988
24 H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC TAMPA FL PHYSICIAN ASSISTANT 1103 2,035 $294,492 $145 11.0% (813) 745-4673
25 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 2,021 $361,120 $179 28.2% (800) 603-0558
26 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 1,954 $234,230 $120 16.1% (612) 863-4000
27 EPIC MEDICAL GROUP,INC SHERMAN OAKS CA NURSE PRACTITIONER 52 1,881 $191,400 $102 3.2% (818) 528-1260
28 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 1,785 $133,793 $75 58.5% (913) 588-1227
29 NORTHWEST NEUROLOGY, LTD LAKE BARRINGTON IL NEUROLOGY 31 1,746 $235,710 $135 6.5% 84788266042191
30 JOHNS HOPKINS UNIVERSITY BALTIMORE MD INTERNAL MEDICINE 720 1,687 $197,379 $117 9.5% (410) 550-0100
31 STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK NY HOSPITALIST 414 1,631 $224,500 $138 11.4% (631) 444-1560
32 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,597 $114,689 $72 6.0% (847) 459-1160
33 UNIVERSITY OF MARYLAND PHYSICIANS PA BALTIMORE MD NURSE PRACTITIONER 396 1,552 $77,550 $50 8.7% (410) 328-7877
34 PROVIDENCE HEALTH AND SERVICES OREGON MEDFORD OR HOSPICE/PALLIATIVE CARE 16 1,483 $151,266 $102 12.1% (541) 732-6274
35 HEBREW REHABILITATION CENTER ROSLINDALE MA NURSE PRACTITIONER 50 1,403 $96,267 $69 13.3% (617) 363-8010
36 VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP LLC ARLINGTON VA NURSE PRACTITIONER 345 1,397 $92,667 $66 19.5% —
37 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 1,396 $216,132 $155 11.2% (414) 421-8400
38 REHABILITATION ASSOCIATES PTR LONG BEACH CA PHYSICAL MEDICINE AND REHABILITATION 7 1,379 $62,055 $45 2.3% (562) 424-8111
39 HH PHYSICIANS NETWORK HUNTSVILLE AL PULMONARY DISEASE 105 1,320 $79,200 $60 54.9% (256) 265-8553
40 SCOTT AND WHITE CLINIC TEMPLE TX PHYSICIAN ASSISTANT 2435 1,309 $57,923 $44 5.1% (254) 724-2663
41 COMMUNITY HEALTH PARTNERS FRESNO CA INTERNAL MEDICINE 509 1,300 $112,841 $87 2.2% (559) 459-6000
42 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 1,251 $77,447 $62 8.5% (616) 885-5000
43 UNIVERSITY HEALTH SYSTEM, INC. KNOXVILLE TN NURSE PRACTITIONER 561 1,235 $324,320 $263 28.2% (865) 305-6333
44 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 1,229 $144,883 $118 15.7% (720) 777-1234
45 CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA NURSE PRACTITIONER 127 1,188 $52,272 $44 45.4% (877) 260-4747
46 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 1,183 $77,215 $65 4.3% —
47 PRISMA HEALTH UNIVERSITY MEDICAL GROUP GREENVILLE SC NURSE PRACTITIONER 2447 1,153 $83,088 $72 28.8% —
48 FAIRVIEW EXPRESS CARE MINNEAPOLIS MN PHYSICIAN ASSISTANT 2007 1,141 $161,202 $141 9.4% (612) 672-7422
49 PRIME 5 MEDICAL GROUP INC WEST HOLLYWOOD CA INTERNAL MEDICINE 4 1,133 $621,517 $549 1.9% (310) 788-0074
50 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 1,125 $84,498 $75 56.6% (202) 429-2401
51 PROVIDENCE HEALTH AND SERVICES OREGON PORTLAND OR INTERNAL MEDICINE 1411 1,111 $113,910 $103 9.1% —
52 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 1,102 $66,871 $61 14.1% —
53 COMPASS PALLIATIVE CARE INC BURBANK HI INTERNAL MEDICINE 5 1,101 $110,487 $100 46.9% (818) 856-9535
54 PALOMA INCARE MISSION VIEJO CA INTERNAL MEDICINE 11 1,092 $80,661 $74 1.8% (949) 364-7756
55 PRISMA HEALTH MEDICAL GROUP-MIDLANDS COLUMBIA SC PHYSICIAN ASSISTANT 1017 1,066 $76,752 $72 26.6% (803) 749-5101
56 UNITED REGIONAL PHYSICIAN GROUP WICHITA FALLS TX NURSE PRACTITIONER 101 1,051 $383,292 $365 4.1% (940) 766-3320
57 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 1,047 $100,728 $96 11.5% (206) 364-0500
58 FLORIDA CLINICAL PRACTICE ASSOCIATION INC GAINESVILLE FL NURSE PRACTITIONER 1912 1,047 $182,147 $174 5.7% (352) 265-8990
59 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY MN PHYSICIAN ASSISTANT 1783 1,035 $92,218 $89 8.5% (801) 581-2121
60 OMNI HEALTHCARE, INC MELBOURNE FL DIAGNOSTIC RADIOLOGY 43 1,032 $103,200 $100 5.6% (321) 777-7888
61 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 1,024 $100,084 $98 9.7% (781) 983-9088
62 MEDSTAR MEDICAL GROUP II LLC WASHINGTON MD PHYSICIAN ASSISTANT 3707 1,000 $74,275 $74 5.6% (202) 429-2401
63 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 988 $91,884 $93 10.8% —
64 ST JOSEPH HOSPITALIST MEDICAL GROUP INC BURBANK CA INTERNAL MEDICINE 12 977 $144,550 $148 1.6% (818) 843-5111
65 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTER PA NURSE PRACTITIONER 616 974 $74,402 $76 3.5% (610) 431-5000
66 GOOD SAMARITAN PHYSICIAN SERVICES CHAMBERSBURG PA NURSE PRACTITIONER 105 941 $40,143 $43 3.4% (717) 217-6020
67 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 940 $89,300 $95 3.4% (215) 662-2777
68 CENTRAL VERMONT MEDICAL CENTER INC BERLIN VT NURSE PRACTITIONER 243 907 $113,888 $126 66.3% (802) 225-1266
69 BEAUMONT MEDICAL GROUP HOSPITAL BASED SERVICES TROY MI DIAGNOSTIC RADIOLOGY 583 904 $59,720 $66 6.2% (248) 964-1187
70 AUSTIN INFECTIOUS DISEASE CONSULTANTS, PA 080191 AUSTIN TX INFECTIOUS DISEASE 11 891 $222,750 $250 3.5% (512) 459-0301
71 CENTINELA HOSPITALIST MEDICAL GROUP INC INGLEWOOD CA INTERNAL MEDICINE 11 891 $89,100 $100 1.5% (310) 673-4660
72 COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC JACKSONVILLE FL NURSE PRACTITIONER 30 867 $33,741 $39 4.7% (904) 407-7700
73 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 864 $78,323 $91 7.1% (503) 494-8311
74 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA-IRVINE ORANGE CA INTERNAL MEDICINE 96 841 $114,112 $136 1.4% (714) 456-7890
75 EASTERN MAINE MEDICAL CENTER BANGOR ME PHYSICIAN ASSISTANT 697 805 $131,382 $163 20.1% (207) 973-7000
76 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 802 $28,070 $35 41.7% —
77 HENRY FORD MACOMB HOSPITAL CORPORATION CLINTON TOWNSHIP MI PHYSICIAN ASSISTANT 328 794 $73,048 $92 5.4% —
78 SUTTER BAY MEDICAL FOUNDATION PALO ALTO CA INTERNAL MEDICINE 3716 783 $78,746 $101 1.3% (415) 600-1020
79 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 778 $72,354 $93 4.4% (410) 337-4877
80 RELIANT PHYSICIANS KUMAR PLLC LAS VEGAS NV INTERNAL MEDICINE 39 774 $69,660 $90 19.3% (702) 202-0534
81 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIA PA PHYSICIAN ASSISTANT 489 774 $65,879 $85 2.8% (215) 890-3030
82 FLORIDA HOSPITAL MEDICAL GROUP INC MAITLAND FL PHYSICIAN ASSISTANT 1634 759 $68,310 $90 4.1% (407) 200-2700
83 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IL PHYSICIAN ASSISTANT 1496 757 $133,507 $176 2.8% (312) 563-2875
84 UTMB FACULTY GROUP PRACTICE GALVESTON TX NURSE PRACTITIONER 1068 757 $62,272 $82 3.0% (409) 772-2222
85 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 727 $43,038 $59 10.1% —
86 MILFORD REGIONAL PHYSICIAN GROUP, INC. MILFORD RI PHYSICIAN ASSISTANT 232 708 $23,732 $34 37.7% (508) 422-2305
87 GRACE MEDICAL GROUP LLC TUCSON AZ NURSE PRACTITIONER 5 702 $24,570 $35 9.8% (520) 260-0937
88 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 700 $65,100 $93 3.9% (410) 761-1222
89 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 695 $112,590 $162 4.9% —
90 DEAN HEALTH SYSTEMS INC MADISON WI PHYSICIAN ASSISTANT 1200 689 $169,494 $246 5.5% (608) 260-2900
91 CATHOLIC HEALTH INITIATIVES COLORADO WOODLAND PARK CO PHYSICIAN ASSISTANT 1266 686 $58,760 $86 8.8% (719) 776-4780
92 QUEENS UNIVERSITY MEDICAL GROUP HONOLULU HI DIAGNOSTIC RADIOLOGY 648 686 $51,908 $76 29.2% (808) 691-8200
93 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL MN PHYSICIAN ASSISTANT 691 670 $94,608 $141 5.5% —
94 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 645 $172,208 $267 14.7% (615) 322-5000
95 SANFORD MEDICAL CENTER SIOUX FALLS SD NURSE PRACTITIONER 831 641 $54,683 $85 30.1% (605) 332-2883
96 RMH MEDICAL GROUP LLC ROCKINGHAM VA PHYSICIAN ASSISTANT 263 640 $37,863 $59 8.9% (540) 689-1110
97 MAIN LINE HEALTHCARE BRYN MAWR PA NURSE PRACTITIONER 1157 638 $35,354 $55 2.3% —
98 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 622 $73,008 $117 2.3% (309) 683-5050
99 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO CA DIAGNOSTIC RADIOLOGY 2420 616 $60,752 $99 1.0% (916) 681-8852
100 LEGACY SALMON CREEK HOSPITAL VANCOUVER WA NURSE PRACTITIONER 305 615 $53,516 $87 6.8% (360) 260-2773

Showing the top 100 of 729 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 →