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Market snapshot

G0372 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0372 — Physician service required to establish and document the need for a power mobility device

Billing groups
13
Named-group FFS services
603
FFS of Medicare
49%
Services YoY
-50.8%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,253 services

603 observed fee-for-service (48%) · ~650 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 — G0372 (CY2024)

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

Named-group submitted charges
$25K
Named-group allowed amount
$5K
Named-group Medicare payments
$4K
Avg charge / svc
$42
Avg allowed / svc
$8
Avg payment / svc
$6
Average charge per group
$21 13 groups · avg submitted charge / service $100
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0372 services, CY2024
#Physician group City St Specialty Providers G0372 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 OSU PHYSICAL MEDICINE AND REHABILITATION, LLC COLUMBUS OH PHYSICAL MEDICINE AND REHABILITATION 35 146 $5,110 $35 premium 100.0% (614) 366-9211
2 ABILITY KC KANSAS CITY MO FAMILY PRACTICE 161 93 $4,650 $50 premium 65.0% (816) 751-7832
3 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD OK OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 84 $4,200 $50 premium 100.0% (725) 309-3053
4 MEDICAL CARE SOLUTIONS, LLC LAUREL SPRINGS NJ GENERAL PRACTICE 2 45 $2,475 $55 premium 100.0% (856) 232-6058
5 TELEHEALTH CLINICAL EVALS LLC WEST HOLLYWOOD CA OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE 12 40 $2,000 $50 premium 34.8% (725) 309-3053
6 KELVIN MAI DO INC SANTA ANA CA NURSE PRACTITIONER 3 30 $750 $25 premium 26.1% (714) 332-1069
7 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 30 $633 $21 premium 100.0% (207) 885-9905
8 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 28 $1,092 $39 premium 13.4% (214) 633-5555
9 GAMPER HOLDINGS LLC OPELIKA AL NURSE PRACTITIONER 2 24 $950 $40 premium 28.9% (334) 737-5557
10 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 21 $735 $35 premium 100.0%
11 ANDERSON MEDICAL PC DBA EMERGENCY ONE KINGSTON NY PHYSICIAN ASSISTANT 22 21 $567 $27 premium 23.6% (845) 338-5600
12 BEACON MEDICAL GROUP INC SOUTH BEND IN NURSE PRACTITIONER 575 16 $384 $24 premium 100.0% (574) 647-7275
13 MANKATO CLINIC LTD MANKATO MN PHYSICIAN ASSISTANT 246 13 $365 $28 premium 100.0% (507) 389-8509
14 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 12 $1,200 $100 premium 13.5% (212) 263-9700

*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 →