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Market snapshot

G0396 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0396 — Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

Billing groups
132
Named-group FFS services
37,065
FFS of Medicare
49%
Services YoY
+27.2%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~75,981 services

37,065 observed fee-for-service (49%) · ~38,916 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 — G0396 (CY2024)
TX 13,820 CA 9,244 FL 7,666 TN 5,957 MD 4,290

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

Named-group submitted charges
$3.5M
Named-group allowed amount
$1.2M
Named-group Medicare payments
$918K
Avg charge / svc
$95
Avg allowed / svc
$33
Avg payment / svc
$25
Average charge per group
$0 132 groups · avg submitted charge / service $344
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0396 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 DAVID R. JONES, MDPA BEAUMONT TX PHYSICAL THERAPIST IN PRIVATE PRACTICE 5 5,000 $375,015 $75 36.2% (409) 434-4735
2 FLORIDA INSTITUTE OF PAIN MEDICINE LLC JACKSONVILLE FL NURSE PRACTITIONER 26 2,923 $298,146 $102 38.1% (904) 449-7246
3 ASSOCIATED PAIN SPECIALISTS, PC KNOXVILLE TN PHYSICIAN ASSISTANT 12 1,690 $101,400 $60 28.4% (865) 558-3476
4 AVORS MEDICAL GROUP LANCASTER CA ORTHOPEDIC SURGERY 19 1,402 $175,250 $125 15.2% (661) 726-5005
5 PREMIER HEALTHCARE OF PLACERVILLE PLACERVILLE CA CHIROPRACTIC 6 1,380 $55,200 $40 14.9% (530) 622-3536
6 INTERVENTIONAL PAIN SOLUTIONS PC CHICO CA ANESTHESIOLOGY 8 1,236 $86,124 $70 13.4% (530) 343-4757
7 OUCH, PA SAINT AUGUSTINE FL INTERVENTIONAL PAIN MANAGEMENT 3 1,194 $71,640 $60 15.6% (904) 808-7246
8 ALAN D SILBERBERG MD PA KYLE TX INTERVENTIONAL PAIN MANAGEMENT 6 1,172 $331,630 $283 8.5% (512) 298-1645
9 SPCSA PLLC SAN ANTONIO TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 3 1,101 $112,302 $102 8.0% —
10 STEPHEN A GEPHARDT MD LTD LAS VEGAS NV PHYSICIAN ASSISTANT 7 1,004 $150,600 $150 100.0% (702) 912-4100
11 CUCAMONGA VALLEY MEDICAL GROUP INC FONTANA CA PHYSICIAN ASSISTANT 23 787 $78,700 $100 8.5% (909) 429-2864
12 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL MD ORTHOPEDIC SURGERY 675 749 $22,470 $30 17.5% —
13 PAIN MEDICINE OF THE SOUTH, PLLC KNOXVILLE MA PAIN MANAGEMENT 2 545 $19,664 $36 47.8% (865) 672-5070
14 LONE STAR PAIN INSTITUTE WEATHERFORD TX PHYSICIAN ASSISTANT 4 532 $53,200 $100 3.8% —
15 PRESCOTT HEALTHCARE SOLUTIONS LLC PRESCOTT VALLEY AZ PHYSICIAN ASSISTANT 197 524 $52,300 $100 40.6% (928) 458-7583
16 PALMETTO PAIN MANAGEMENT LLC COLUMBIA SC ANESTHESIOLOGY 11 496 $54,560 $110 92.7% (803) 779-3263
17 GREATER MARYLAND PAIN MANAGEMENT LLC ODENTON MD PHYSICIAN ASSISTANT 9 476 $70,048 $147 11.1% (703) 347-1962
18 ADVANCEXING PAIN AND REHABILITATION CLINIC PA NEWARK DE NURSE PRACTITIONER 4 465 $32,550 $70 72.1% (302) 384-7439
19 BOSTON PAIN CLINIC AND PRIMARY CARE PC HYDE PARK MA ANESTHESIOLOGY 3 447 $45,100 $101 39.2% (617) 361-2166
20 ALAVIE INTERVENTIONAL PAIN MANAGEMENT, PLLC LIVE OAK TX INTERVENTIONAL PAIN MANAGEMENT 2 404 $58,402 $145 2.9% (210) 664-4446
21 INTERVENTIONAL PARTNERS PLLC FRISCO TX PODIATRY 93 392 $26,670 $68 2.8% (972) 712-4161
22 AMERICAN PAIN AND WELLNESS PA ALLEN TX CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 16 390 $58,500 $150 2.8% (469) 326-5100
23 OMNI SPINE PAIN MANAGEMENT, PLLC SUNNYVALE TX ANESTHESIOLOGY 4 376 $37,247 $99 2.7% (214) 705-1200
24 COASTAL SPINE AND PAIN INSTITUTE PLLC BEAUMONT TX NURSE PRACTITIONER 7 364 $12,740 $35 2.6% (409) 892-4600
25 PREMIER ANESTHESIA OF GEORGIA LLC SNELLVILLE GA ANESTHESIOLOGY ASSISTANT 63 359 $32,310 $90 19.8% (770) 979-0200
26 ENLOE MEDICAL CENTER CHICO CA DIAGNOSTIC RADIOLOGY 362 346 $24,109 $70 3.7% (530) 332-4470
27 ABERCROMBIE RADIOLOGICAL CONSULTANTS INC KNOXVILLE TN DIAGNOSTIC RADIOLOGY 54 341 $20,460 $60 5.7% 86555898623215
28 PALMETTO PAIN MANAGEMENT LLC COLUMBIA NC ANESTHESIOLOGY 11 322 $35,420 $110 34.3% (803) 779-3263
29 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON PA PAIN MANAGEMENT 24 321 $32,100 $100 25.1% (844) 365-7246
30 SATISH ANGRA MD PC SILVER SPRING MD NURSE PRACTITIONER 3 311 $17,105 $55 7.2% (301) 593-3400
31 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA MD INTERNAL MEDICINE 875 306 $13,036 $43 7.1% —
32 PAIN CARE LLC STOCKBRIDGE GA ANESTHESIOLOGY 8 293 $29,300 $100 16.1% (770) 960-2701
33 FLAGSTAFF PAIN AND TREATMENT CENTER FLAGSTAFF AZ NURSE PRACTITIONER 13 283 $97,012 $343 21.9% —
34 JAMES E. FOX MD PLLC KNOXVILLE TN NURSE PRACTITIONER 2 269 $21,690 $81 4.5% (865) 246-0143
35 DALTON FAMILY PRACTICE, P.C. DALTON GA PHYSICIAN ASSISTANT 11 269 $8,985 $33 14.8% (706) 278-0138
36 PRIMARY CARE ASSOCIATES LTD BERWYN IL FAMILY PRACTICE 8 267 $23,496 $88 40.2% —
37 INTERVENTIONAL SPINE AND PAIN PHYSICIANS PA MAPLE GROVE MN PHYSICIAN ASSISTANT 44 267 $27,715 $104 82.9% (763) 201-8191
38 EXCEL CARDIAC CARE PLLC FORT WORTH TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 257 $19,278 $75 1.9% (817) 518-9005
39 METRO SPINE P.C. OXON HILL MD NURSE PRACTITIONER 2 253 $37,950 $150 5.9% (540) 760-6285
40 INTERVENTIONAL PAIN SPECIALISTS PLLC HOUSTON TX NURSE PRACTITIONER 10 251 $17,721 $71 1.8% (281) 991-2200
41 CONNECTED CARDIOVASCULAR CARE ASSOCIATES, PLLC DALLAS TX INTERVENTIONAL CARDIOLOGY 6 237 $17,777 $75 1.7% (214) 814-1550
42 OCHSNER CLINIC LLC NEW ORLEANS AL NURSE PRACTITIONER 2839 224 $11,200 $50 32.8% (504) 842-3000
43 SPRINGS REHABILITATION FOUNDER HOLDINGS, PC COLORADO SPRINGS CO ANESTHESIOLOGY 10 222 $11,100 $50 65.3% (719) 634-7246
44 GEORGIA PAIN INSTITUTE. LLC MACON GA INTERVENTIONAL PAIN MANAGEMENT 4 205 $22,421 $109 11.3% (478) 476-9642
45 FOUNDATION PAIN AND SPINE PLLC DALLAS TX NURSE PRACTITIONER 2 195 $21,645 $111 1.4% (469) 214-5735
46 SIKORA INTEGRATIVE MEDICINE PA VERO BEACH FL PHYSICIAN ASSISTANT 4 184 $12,880 $70 2.4% (772) 228-6882
47 METRO MEDICAL CENTER PLLC HAMTRAMCK MI PHYSICIAN ASSISTANT 4 182 $13,650 $75 40.5% (586) 276-7436
48 MEMPHIS HEALTH CENTER, INC. MEMPHIS TN NURSE PRACTITIONER 14 163 $4,890 $30 2.7% (901) 261-2025
49 KPW HEALTH LLC ST PETERSBURG FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 159 $11,130 $70 2.1% (727) 230-3423
50 SPECIALTY INSTITUTE PLLC NEWINGTON NH PHYSICIAN ASSISTANT 5 159 $23,850 $150 57.6% (603) 778-9921
51 NEW DIRECTIONS NORTHWEST INC BAKER CITY OR CLINICAL SOCIAL WORKER 6 157 $9,063 $58 90.8% (541) 523-4099
52 INTERVENTIONAL PAIN CENTER, PLLC HENDERSONVILLE TN NURSE PRACTITIONER 8 156 $10,920 $70 2.6% (615) 972-1100
53 TEXAS SPINE AND PAIN MD PLLC PARIS TX NURSE PRACTITIONER 2 155 $10,236 $66 1.1% (903) 401-5145
54 RITU BHAMBHANI LLC ABINGDON MD NURSE PRACTITIONER 7 151 $21,895 $145 3.5% —
55 HOSPITAL MEDICINE SERVICES OF FL, LLC LAKE CITY FL INTERNAL MEDICINE 523 147 $27,048 $184 1.9% (850) 719-9000
56 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLE NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 144 $14,688 $102 15.3% (252) 847-4100
57 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTON DE PAIN MANAGEMENT 24 140 $14,000 $100 21.7% (844) 365-7246
58 INTEGRATED PAIN CONSULTANTS LLC SCOTTSDALE AZ PHYSICIAN ASSISTANT 10 137 $9,590 $70 10.6% —
59 MY MD INC ORANGE CA NURSE PRACTITIONER 7 134 $15,561 $116 1.4% (714) 356-6105
60 APG NETWORK, LLC EDWARDSVILLE IL NURSE PRACTITIONER 18 125 $9,375 $75 18.8% (888) 363-8333
61 SPINE VUE PLLC DALLAS TX ORTHOPEDIC SURGERY 2 124 $21,700 $175 0.9% (214) 452-7705
62 M PARTNERS, LLC BONITA SPRINGS FL ANESTHESIOLOGY 3 124 $8,680 $70 1.6% (239) 690-7791
63 STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC JOHNSON CITY TN NURSE PRACTITIONER 279 123 $7,380 $60 2.1% (423) 926-8181
64 ALL PARTNERS NETWORK LLC JENSEN BEACH FL PHYSICIAN ASSISTANT 7 123 $42,312 $344 1.6% 80073511781001
65 COASTAL NEUROLOGY INC ORMOND BEACH FL NEUROLOGY 6 122 $18,300 $150 1.6% (386) 788-2300
66 NORTHEAST MEDICAL CONSULTANTS PC BARRINGTON NH NURSE PRACTITIONER 6 117 $25,300 $216 42.4% (603) 664-0100
67 SOUTH SHORE FAMILY MEDICAL ASSOCIATES PC INWOOD NY PHYSICIAN ASSISTANT 7 115 $5,750 $50 5.1% (516) 371-6884
68 WACO CARDIOLOGY ASSOCIATES WACO TX CARDIOVASCULAR DISEASE (CARDIOLOGY) 20 106 $7,951 $75 0.8% (254) 399-5400
69 GATEWAY PAIN CENTER INC SAINT LOUIS MO ANESTHESIOLOGY 5 105 $14,961 $142 23.6% 3149853002112
70 ALLIANCE SPINE AND PAIN MANAGEMENT PLLC BOERNE TX ANESTHESIOLOGY 3 102 $10,812 $106 0.7% (210) 920-8945
71 MULBERRY MEDICAL ASSOCIATES, P.C MONTGOMERY AL INTERNAL MEDICINE 4 100 $11,000 $110 14.7% (334) 265-6153
72 SUN RISE REHAB LLC GREENBELT MD FAMILY PRACTICE 17 94 $5,358 $57 2.2% (301) 613-8923
73 TEXOMA LIVER CENTER PLLC DENISON TX INFECTIOUS DISEASE 2 87 $12,190 $140 0.6% (903) 461-6110
74 GENESIS MEDICAL PLLC ARDMORE OK ANESTHESIOLOGY 4 84 $7,980 $95 14.2% (580) 221-2022
75 PENSACOLA CARDIOLOGY, PA PENSACOLA FL CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 83 $9,130 $110 1.1% (850) 912-6100
76 OSH MI PHYSICIANS GROUP, PC MEMPHIS TN NURSE PRACTITIONER 164 82 $2,460 $30 1.4% (901) 401-7150
77 APG NETWORK, LLC EDWARDSVILLE IN NURSE PRACTITIONER 18 81 $6,075 $75 53.3% (888) 363-8333
78 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURA CA PHYSICIAN ASSISTANT 79 81 $7,371 $91 0.9% —
79 BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA PHYSICIAN ASSISTANT 276 77 $5,621 $73 6.7% (413) 447-2695
80 TEXAS PARTNERS HEALTHCARE GROUP PA FRISCO TX ANESTHESIOLOGY 7 75 $7,500 $100 0.5% (972) 435-4002
81 ORLES PAIN MANAGEMENT AND REGENERATIVE MEDICINE GRP JACKSONVILLE FL INTERVENTIONAL PAIN MANAGEMENT 3 72 $2,436 $34 0.9% (904) 274-8813
82 KREMPA MEDICAL ASSOCIATES LLP JAMESTOWN NY INTERNAL MEDICINE 2 71 $3,195 $45 3.2% (716) 483-2285
83 SOUTHERN INTERNAL MEDICINE PLLC LAKE CITY FL NURSE PRACTITIONER 4 68 $5,100 $75 0.9% (386) 719-2540
84 MARK MALONE MD PA AUSTIN TX PHYSICIAN ASSISTANT 95 67 $5,226 $78 0.5% (512) 244-4272
85 ANIL GEORGE MD PA JACKSONVILLE FL FAMILY PRACTICE 4 66 $7,260 $110 0.9% (904) 353-8562
86 FLORIDA PAIN AND REHABILITATION ASSOCIATES INC WINTER PARK FL NURSE PRACTITIONER 71 66 $7,128 $108 0.9% (407) 622-5766
87 UNITED MEDICAL DOCTORS FALLBROOK CA GASTROENTEROLOGY 160 65 $6,500 $100 0.7% (760) 728-9560
88 ADDISON INTERNAL MEDICINE PA ADDISON TX INTERNAL MEDICINE 4 65 $4,876 $75 0.5% (972) 733-3090
89 NOVUS PAIN MANAGEMENT - MARYLAND, LLC ANNAPOLIS MD NURSE PRACTITIONER 8 61 $9,150 $150 1.4% (301) 722-0484
90 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 60 $8,830 $147 0.4% (713) 512-7500
91 MEDSTAR MEDICAL GROUP - SOUTHERN MARYLAND LLC HOLLYWOOD MD INTERNAL MEDICINE 236 60 $8,830 $147 1.4% —
92 GEORGIALINA PHYSICAL THERAPY ASSOCIATES LLC AUGUSTA GA ORTHOPEDIC SURGERY 460 58 $3,712 $64 3.2% (706) 945-0810
93 APG NETWORK, LLC EDWARDSVILLE MO NURSE PRACTITIONER 18 55 $4,125 $75 12.4% (888) 363-8333
94 THE HEMLOCK PAIN CENTER, LLC. DUBLIN GA ANESTHESIOLOGY 2 54 $2,650 $49 3.0% (478) 219-3745
95 CENTRAL FLORIDA HEALTH CARE INC DUNDEE FL NURSE PRACTITIONER 32 46 $3,101 $67 0.6% (866) 234-8534
96 ERNEST L HENDRIX MD PC ATHENS AL FAMILY PRACTICE 2 44 $2,077 $47 6.5% (256) 230-1116
97 BROOKS FAMILY MEDICAL LLC LOUISVILLE KY NURSE PRACTITIONER 10 44 $2,796 $64 17.5% (502) 357-9211
98 ATHENS LIMESTONE PAIN CENTER ATHENS AL ANESTHESIOLOGY 3 43 $1,935 $45 6.3% (256) 262-2190
99 GLK ENTERPRISES, LLC BROWNSVILLE KY INTERNAL MEDICINE 2 42 $2,520 $60 16.7% (270) 597-2155
100 HICKSVILLE FAMILY MEDICAL CARE PLLC ASTORIA NY PHYSICIAN ASSISTANT 51 41 $2,409 $59 1.8% (855) 936-7362

Showing the top 100 of 132 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 →