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Market snapshot

G0399 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0399 — Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation

Billing groups
354
Named-group FFS services
38,410
FFS of Medicare
49%
Services YoY
-4.3%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~77,534 services

38,410 observed fee-for-service (50%) · ~39,124 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 — G0399 (CY2024)
CA 9,107 FL 5,700 PA 3,610 WA 3,328 IL 3,294

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

Named-group submitted charges
$15.7M
Named-group allowed amount
$2.6M
Named-group Medicare payments
$1.9M
Avg charge / svc
$409
Avg allowed / svc
$67
Avg payment / svc
$50
Average charge per group
$43 354 groups · avg submitted charge / service $1,500
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0399 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 798 $174,412 $219 24.2% (847) 459-1160
2 AVERA MCKENNAN SIOUX FALLS SD NURSE PRACTITIONER 964 788 $34,220 $43 57.7% (605) 322-5180
3 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY MO NURSE PRACTITIONER 1228 645 $259,935 $403 35.5% —
4 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 532 $204,004 $383 5.8% (310) 423-0674
5 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 508 $522,412 $1,028 5.6% (800) 926-8273
6 IHA HEALTH SERVICES CORPORATION YPSILANTI MI PHYSICIAN ASSISTANT 1144 501 $60,854 $121 19.2% —
7 AURORA MEDICAL GROUP, INC. MILWAUKEE WI DIAGNOSTIC RADIOLOGY 3696 492 $456,350 $928 19.8% (414) 421-8400
8 MILLENNIUM PHYSICIAN GROUP LLC PORT CHARLOTTE FL PHYSICIAN ASSISTANT 953 486 $102,661 $211 8.5% (941) 255-3535
9 PHYSICIANS CLINIC INC OMAHA NE PHYSICIAN ASSISTANT 561 483 $198,856 $412 47.9% (402) 354-8163
10 KOOTENAI HEALTH INC COEUR D ALENE ID PHYSICIAN ASSISTANT 383 473 $176,660 $373 42.4% —
11 UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC MADISON WI PHYSICIAN ASSISTANT 2523 457 $266,120 $582 18.4% (608) 287-2050
12 BEND MEMORIAL CLINIC PC BEND OR PHYSICIAN ASSISTANT 233 452 $200,236 $443 42.3% (541) 382-2811
13 PULMONARY PHYSICIANS OF SOUTH FLORIDA LLC MIAMI FL PULMONARY DISEASE 39 452 $298,808 $661 7.9% (305) 267-5544
14 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 448 $419,730 $937 4.9% (714) 871-3006
15 FRANCISCAN MEDICAL GROUP TACOMA WA PHYSICIAN ASSISTANT 1407 425 $252,510 $594 12.8% (253) 428-2200
16 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 366 $207,562 $567 28.6% (919) 684-8111
17 NORTH IOWA MERCY CLINICS MASON CITY IA NURSE PRACTITIONER 316 361 $90,250 $250 25.7% —
18 SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC SPRINGFIELD MA NURSE PRACTITIONER 6 352 $176,000 $500 19.0% (413) 253-2767
19 COMMUNITY MEDICAL ASSOCIATES INC LOUISVILLE KY NURSE PRACTITIONER 1377 330 $179,628 $544 13.3% (502) 937-2209
20 THUTHI ENTERPRISES LLC SELAH WA NURSE PRACTITIONER 7 327 $163,500 $500 9.8% (509) 698-2624
21 OSU INTERNAL MEDICINE LLC COLUMBUS OH NURSE PRACTITIONER 1155 326 $177,380 $544 22.0% (614) 293-8000
22 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 318 $120,573 $379 13.7% (903) 606-5560
23 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 314 $119,634 $381 34.6% (615) 322-5000
24 OSF MULTI-SPECIALTY GROUP PEORIA IL NURSE PRACTITIONER 2091 305 $79,221 $260 9.3% (309) 683-5050
25 NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC SUWANEE GA PHYSICIAN ASSISTANT 314 298 $70,966 $238 33.2% (678) 474-9633
26 WEST COAST EAR, NOSE AND THROAT, INC CLEARWATER FL OTOLARYNGOLOGY 22 285 $29,640 $104 5.0% (727) 791-1368
27 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 1570 283 $57,160 $202 7.8% —
28 SPECTRUM HEALTH PRIMARY CARE PARTNERS GRAND RAPIDS MI PHYSICIAN ASSISTANT 2255 279 $81,405 $292 10.7% (616) 885-5000
29 HEAD AND NECK COSMETIC SURGERY ASSOCIATES LLC CHICAGO IL OTOLARYNGOLOGY 21 278 $82,525 $297 8.4% (773) 296-5500
30 UMASS MEMORIAL MEDICAL GROUP INC WORCESTER MA PHYSICIAN ASSISTANT 2483 275 $319,000 $1,160 14.8% (508) 334-1000
31 LAYOUS LLC CROWN POINT IN PULMONARY DISEASE 4 275 $77,850 $283 13.7% (219) 595-5754
32 WENTWORTH DOUGLASS PHYSICIAN CORPORATION DOVER NH PHYSICIAN ASSISTANT 429 271 $136,278 $503 19.5% —
33 DUPAGE MEDICAL GROUP LTD GLEN ELLYN IL PHYSICIAN ASSISTANT 1323 265 $119,370 $450 8.0% (630) 469-9200
34 FOX VALLEY PULMONARY MEDICINE SC APPLETON WI PULMONARY DISEASE 11 263 $154,644 $588 10.6% (920) 358-1139
35 RESPIRATORY SPECIALISTS LTD WYOMISSING PA PULMONARY DISEASE 19 260 $102,100 $393 7.2% (610) 685-5864
36 PULMONARY ASSOCIATES OF LANCASTER, LTD LANCASTER PA NURSE PRACTITIONER 25 259 $51,800 $200 7.2% (717) 826-9781
37 MCFARLAND CLINIC PC AMES IA PHYSICIAN ASSISTANT 352 254 $52,006 $205 18.1% (515) 239-4400
38 PRECISION HEALTHCARE SPECIALISTS, LLC FORT MYERS FL PHYSICIAN ASSISTANT 100 253 $206,996 $818 4.4% (239) 291-6970
39 BERKSHIRE FACULTY SERVICES INC PITTSFIELD CT PHYSICIAN ASSISTANT 276 249 $46,314 $186 43.7% (413) 447-2695
40 CRYSTAL RUN HEALTHCARE PHYSICIANS LLP MIDDLETOWN NY NURSE PRACTITIONER 372 246 $163,590 $665 14.1% (845) 703-6999
41 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO CA PHYSICIAN ASSISTANT 872 245 $186,383 $761 2.7% (858) 499-2600
42 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO IL NURSE PRACTITIONER 4339 244 $223,791 $917 7.4% —
43 UPMC COMMUNITY MEDICINE INC PITTSBURGH PA FAMILY PRACTICE 749 235 $127,605 $543 6.5% (412) 281-0322
44 DSM SLEEP SPECIALISTS CLIVE IA PHYSICIAN ASSISTANT 5 234 $63,552 $272 16.6% (734) 502-6716
45 NCHMD INC NAPLES FL NEUROLOGY 515 232 $73,544 $317 4.1% (239) 436-5100
46 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE WA PHYSICIAN ASSISTANT 771 232 $28,056 $121 7.0% —
47 LEXINGTON HEALTH INC WEST COLUMBIA SC NURSE PRACTITIONER 909 230 $91,383 $397 15.3% (803) 744-4900
48 THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION HASTINGS NE NURSE PRACTITIONER 119 222 $29,304 $132 22.0% (402) 463-4521
49 DARYA SOTO MD INC NOVATO CA SLEEP MEDICINE 3 221 $110,500 $500 2.4% (415) 878-0225
50 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 215 $35,475 $165 19.3% —
51 SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU MO NURSE PRACTITIONER 435 209 $45,980 $220 11.5% (573) 331-3000
52 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA MO PHYSICIAN ASSISTANT 1116 208 $42,594 $205 11.4% (573) 882-2667
53 LAUREATE MEDICAL GROUP AT NORTHSIDE, LLC ATLANTA GA INTERNAL MEDICINE 74 208 $63,514 $305 23.2% —
54 UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC TOWSON MD NURSE PRACTITIONER 292 206 $45,320 $220 30.8% (410) 337-4877
55 SD DIAGNOSTICS INC SAN DIEGO CA SLEEP MEDICINE 6 205 $155,800 $760 2.3% (866) 801-9440
56 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 204 $111,965 $549 5.7% (215) 662-2777
57 ALEGENT CREIGHTON CLINIC OMAHA NE PHYSICIAN ASSISTANT 942 204 $55,149 $270 20.2% —
58 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 203 $28,420 $140 10.1% —
59 CARILION MEDICAL CENTER ROANOKE VA PHYSICIAN ASSISTANT 964 194 $42,937 $221 30.4% (540) 981-7925
60 WILMINGTON HEALTH PLLC WILMINGTON NC PHYSICIAN ASSISTANT 393 193 $212,300 $1,100 15.1% (910) 341-1540
61 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 189 $103,992 $550 5.2% (570) 271-6144
62 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY SD PHYSICIAN ASSISTANT 559 188 $43,992 $234 13.8% (605) 755-7200
63 NEUROSCIENCE CONSULTANTS LLP MIAMI FL NEUROLOGY 104 186 $114,390 $615 3.3% (305) 596-2080
64 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM MA NURSE PRACTITIONER 803 183 $180,812 $988 9.9% (978) 741-4133
65 LIVING GEM PROFESSIONAL CORPORATION TUCSON AZ SLEEP MEDICINE 3 181 $36,381 $201 7.9% (520) 849-7222
66 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 181 $62,898 $348 5.4% —
67 UNIVERSITY OF LOUISVILLE PHYSICIANS INC LOUISVILLE KY NURSE PRACTITIONER 1442 176 $38,808 $220 7.1% (502) 629-2398
68 MEDSTAR MEDICAL GROUP II LLC WASHINGTON DC PHYSICIAN ASSISTANT 3707 175 $73,079 $418 71.4% (202) 429-2401
69 SCRIPPS HEALTH LA JOLLA CA PHYSICIAN ASSISTANT 1431 169 $47,604 $282 1.9% (858) 455-9100
70 CENTRAL DUPAGE PHYSICIAN GROUP WHEATON IL PHYSICIAN ASSISTANT 1097 169 $103,090 $610 5.1% (630) 933-4800
71 AMERICAN HEALTH NETWORK OF INDIANA LLC FISHERS IN FAMILY PRACTICE 204 167 $54,108 $324 8.3% (317) 842-7928
72 VIRGINIA MASON MEDICAL CENTER SEATTLE WA PHYSICIAN ASSISTANT 879 167 $70,164 $420 5.0% (206) 223-6600
73 BAYVIEW PHYSICIAN SERVICES PC CHESAPEAKE VA PHYSICIAN ASSISTANT 322 167 $49,055 $294 26.2% (757) 410-4488
74 BATON ROUGE GENERAL PHYSICIANS INC BATON ROUGE LA INTERNAL MEDICINE 182 166 $112,050 $675 17.4% —
75 PEACEHEALTH VANCOUVER WA PHYSICIAN ASSISTANT 245 164 $23,924 $146 4.9% —
76 THE CHRIST HOSPITAL MEDICAL ASSOCIATES, LLC CINCINNATI OH FAMILY PRACTICE 268 158 $51,982 $329 10.7% (513) 624-9100
77 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA PA DIAGNOSTIC RADIOLOGY 398 157 $31,400 $200 4.3% (215) 955-6161
78 GANDIS G MAZEIKA MD PS REDMOND WA NEUROLOGY 2 155 $139,500 $900 4.7% (425) 636-2400
79 OLYMPIA MULTI SPECIALTY CLINIC OLYMPIA WA CARDIOVASCULAR DISEASE (CARDIOLOGY) 20 153 $45,840 $300 4.6% (360) 754-1727
80 OPTUM MEDICAL CARE OF NEW JERSEY PC BAYONNE NJ PHYSICIAN ASSISTANT 182 150 $94,150 $628 8.1% (201) 471-7012
81 PULMONARY CONSULTANTS OF OCALA , PLLC OCALA FL NURSE PRACTITIONER 4 147 $7,355 $50 2.6% 3522372826103
82 PCCC OF VOLUSIA LLC NEW SMYRNA BEACH FL NURSE PRACTITIONER 13 147 $66,150 $450 2.6% (386) 423-0505
83 PHOENIX MEDICAL GROUP PC PEORIA AZ PULMONARY DISEASE 4 147 $26,607 $181 6.4% (623) 815-7800
84 PREMIER HEALTH ASSOCIATES LLC SPARTA NJ INTERNAL MEDICINE 45 146 $80,954 $554 7.9% (973) 729-2121
85 NEW ORLEANS PHYSICIAN SERVICES INC MARRERO LA INTERNAL MEDICINE 173 143 $62,062 $434 15.0% (504) 349-6360
86 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILL PA PHYSICIAN ASSISTANT 700 141 $13,959 $99 3.9% (717) 972-4250
87 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 137 $173,572 $1,267 5.3% (734) 763-5459
88 PRINCETON MEDICAL GROUP,P.A. PRINCETON NJ INTERNAL MEDICINE 36 136 $28,560 $210 7.3% (609) 924-9300
89 LEGACY HEALTHCARE SERVICES INC DURHAM KY INTERNAL MEDICINE 3859 136 $47,600 $350 5.5% (919) 419-9600
90 PARAGON PHYSICAL THERAPY AND REHAB LLC BULLHEAD CITY AZ ORTHOPEDIC SURGERY 82 135 $54,270 $402 5.9% —
91 PROVIDENCE MEDICAL GROUP, LLC TERRE HAUTE IN CARDIOVASCULAR DISEASE (CARDIOLOGY) 25 134 $34,036 $254 6.7% (812) 232-5936
92 ADVOCARE, LLC HADDONFIELD PA NURSE PRACTITIONER 384 134 $38,300 $286 3.7% (856) 354-2211
93 UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC GLEN BURNIE MD NURSE PRACTITIONER 458 134 $29,480 $220 20.1% (410) 761-1222
94 NEUROLOGICAL SERVICES OF ORLANDO PA ORLANDO FL NEUROLOGY 7 134 $53,600 $400 2.4% (407) 240-1762
95 TEAMWORK HEALTH PLLC FAYETTEVILLE NC NURSE PRACTITIONER 7 133 $166,250 $1,250 10.4% (910) 491-6793
96 OPTUM CARE WASHINGTON PLLC EVERETT WA PHYSICIAN ASSISTANT 695 132 $64,058 $485 4.0% (425) 339-5442
97 GREENBERGER WU DUNN AND FIELDS PLLC ROYAL OAK MI PULMONARY DISEASE 4 128 $25,275 $197 4.9% (248) 548-2114
98 UNITED HEALTH SERVICES HOSPITALS, INC. JOHNSON CITY NY PHYSICIAN ASSISTANT 462 127 $17,252 $136 7.3% (607) 763-6101
99 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEY MI PHYSICIAN ASSISTANT 1599 125 $20,500 $164 4.8% (717) 531-5638
100 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 123 $60,538 $492 24.2% (612) 863-4000

Showing the top 100 of 354 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 →