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Market snapshot

G0400 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0400 — Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels

Billing groups
43
Named-group FFS services
5,184
FFS of Medicare
49%
Services YoY
+109.1%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~10,813 services

5,184 observed fee-for-service (48%) · ~5,629 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 — G0400 (CY2024)
IL 20,156 NY 1,071 WA 856 PA 660 MN 647

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

Named-group submitted charges
$2.3M
Named-group allowed amount
$419K
Named-group Medicare payments
$315K
Avg charge / svc
$446
Avg allowed / svc
$81
Avg payment / svc
$61
Average charge per group
$84 43 groups · avg submitted charge / service $1,149
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City St Specialty Providers G0400 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 867 $415,293 $479 81.0% —
2 BUCKS COUNTY MEDICAL ASSOCIATES, P.C. DOYLESTOWN PA PULMONARY DISEASE 10 354 $79,650 $225 53.6% (215) 348-1310
3 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 338 $343,070 $1,015 63.8% (800) 603-0558
4 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 333 $382,578 $1,149 51.5% (507) 284-2511
5 COMMUNITY PHYSICIANS OF INDIANA INC INDIANAPOLIS IN PHYSICIAN ASSISTANT 1594 252 $32,760 $130 73.9% —
6 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 242 $20,598 $85 36.7% (570) 271-6144
7 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 201 $128,093 $637 23.5% —
8 KADLEC REGIONAL MEDICAL CENTER RICHLAND WA PHYSICIAN ASSISTANT 382 198 $24,500 $124 23.1% (509) 946-4611
9 VALLEY MEDICAL GROUP-RENTON RENTON WA FAMILY PRACTICE 440 169 $76,975 $455 19.7% (425) 656-4224
10 COMMUNITY CARE SERVICES LLC RENO NV NURSE PRACTITIONER 601 156 $114,824 $736 66.7% —
11 THE DULUTH CLINIC LTD DULUTH MN PHYSICIAN ASSISTANT 1082 148 $43,808 $296 22.9% (218) 576-0680
12 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 147 $16,170 $110 13.7% (212) 241-4812
13 CHRISTIE CLINIC, PLLC CHAMPAIGN IL INTERNAL MEDICINE 220 139 $68,110 $490 0.7% (217) 366-1200
14 MAINEHEALTH PORTLAND ME NURSE PRACTITIONER 2574 136 $25,697 $189 59.9% (207) 885-9905
15 PROVIDENCE MEDICAL FOUNDATION FULLERTON CA PHYSICIAN ASSISTANT 1455 119 $35,700 $300 32.9% (714) 871-3006
16 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA WA FAMILY PRACTICE 477 106 $13,992 $132 12.4% (360) 493-4083
17 DESERT PULMONARY AND SLEEP CONSULTANTS PLC GILBERT AZ PULMONARY DISEASE 5 102 $27,940 $274 19.2% (480) 962-1650
18 SANFORD MEDICAL CENTER FARGO FARGO ND NURSE PRACTITIONER 1198 98 $16,856 $172 41.4% (701) 234-2000
19 ST LUKES CLINIC-TREASURE VALLEY LLC BOISE ID PHYSICIAN ASSISTANT 1159 78 $6,623 $85 62.4% (208) 381-4210
20 CHEST PHYSICIAN CONSULTANTS, LTD MUNSTER IN PULMONARY DISEASE 8 75 $25,343 $338 22.0% (219) 836-7723
21 THE OREGON CLINIC, PC PORTLAND OR PHYSICIAN ASSISTANT 347 74 $31,466 $425 22.4% (503) 239-6673
22 OWENSBORO MEDICAL PRACTICE, PLLC OWENSBORO KY NURSE PRACTITIONER 19 74 $18,650 $252 34.4% (270) 683-8672
23 MCHS HOSPITALS INC MARSHFIELD WI NURSE PRACTITIONER 1179 68 $69,768 $1,026 33.2% —
24 QUINCY PHYSICIANS AND SURGEONS CLINIC, PLLC QUINCY IL NURSE PRACTITIONER 230 65 $21,791 $335 0.3% —
25 ST LUKES CLINIC LLC TWIN FALLS ID NURSE PRACTITIONER 308 47 $3,965 $84 37.6% —
26 MAYO CLINIC JACKSONVILLE JACKSONVILLE FL NURSE PRACTITIONER 1587 45 $47,565 $1,057 64.3% (904) 953-2000
27 PROVIDENCE MEDICAL FOUNDATION FULLERTON WA PHYSICIAN ASSISTANT 1455 44 $5,808 $132 5.1% (714) 871-3006
28 PEACEHEALTH VANCOUVER OR PHYSICIAN ASSISTANT 245 43 $12,247 $285 13.0% —
29 ST LOUIS HEART AND VASCULAR PC SAINT LOUIS MO INTERVENTIONAL CARDIOLOGY 23 43 $7,935 $185 47.3% (314) 741-0911
30 OHIO SLEEP MEDICINE AND NEUROSCIENCE INSTITUTE INC DUBLIN OH NURSE PRACTITIONER 6 43 $27,950 $650 32.3% —
31 THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 722 33 $5,610 $170 63.5% (336) 832-7000
32 OHIO SLEEP MEDICINE AND NEUROSCIENCE INSTITUTE INC DUBLIN WI NURSE PRACTITIONER 6 32 $20,800 $650 15.6% —
33 HENNEPIN HEALTHCARE SYSTEM INC MINNEAPOLIS MN PHYSICIAN ASSISTANT 895 30 $12,360 $412 4.6% (612) 873-6963
34 LOUISIANA EAR, NOSE, AND THROAT SPECIALISTS, INC. THIBODAUX LA OTOLARYNGOLOGY 65 30 $6,600 $220 100.0% 9854465079110
35 PRIVIA MEDICAL GROUP GULF COAST PLLC HOUSTON TX NURSE PRACTITIONER 515 29 $7,330 $253 9.1% (713) 512-7500
36 GRACE CLINIC OF LUBBOCK LUBBOCK TX PHYSICIAN ASSISTANT 45 26 $6,443 $248 8.2% (806) 744-7223
37 JUPITER MEDICAL CENTER PHYSICIANS GROUP INC JUPITER FL PHYSICIAN ASSISTANT 147 25 $12,300 $492 35.7% (561) 747-2234
38 COMMUNITY CARE SERVICES LLC RENO CA NURSE PRACTITIONER 601 24 $19,708 $821 6.6% —
39 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON SEATTLE WA PHYSICIAN ASSISTANT 1531 23 $9,747 $424 2.7% (206) 721-5600
40 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 23 $23,539 $1,023 100.0% (734) 763-5459
41 NORTH SHORE LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC NEW HYDE PARK NY PULMONARY DISEASE 6 23 $11,017 $479 2.1% (516) 326-0707
42 CHEST AND SLEEP MEDICINE ASSOCIATES SC LIBERTYVILLE IL PULMONARY DISEASE 7 18 $9,000 $500 0.1% (847) 855-2493
43 MIDWEST DERMATOLOGY, LASER AND VEIN CLINIC TROY OH NURSE PRACTITIONER 4 18 $9,000 $500 13.5% (937) 339-8426
44 CNOS PC SIOUX CITY SD PHYSICIAN ASSISTANT 99 17 $2,190 $129 44.7% (712) 279-3500
45 NASSIM HADDAD MD PLLC SCOTTSDALE AZ NURSE PRACTITIONER 11 15 $7,920 $528 2.8% (480) 747-6532
46 RUSH UNIVERSITY MEDICAL GROUP CHICAGO IN PHYSICIAN ASSISTANT 1496 14 $1,946 $139 4.1% (312) 563-2875

*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 →