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Market snapshot

G0453 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0453 — Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)

Billing groups
101
Named-group FFS services
178,438
FFS of Medicare
49%
Services YoY
+4.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~366,848 services

178,437 observed fee-for-service (49%) · ~188,411 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; 1 state without payer-mix data excluded. How we scale

Top states — G0453 (CY2024)

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

Named-group submitted charges
$59.8M
Named-group allowed amount
$5.7M
Named-group Medicare payments
$4.6M
Avg charge / svc
$335
Avg allowed / svc
$32
Avg payment / svc
$26
Average charge per group
$13 101 groups · avg submitted charge / service $5,600
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0453 services, CY2024
#Physician group City St Specialty Providers G0453 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 MPOWER CLINICAL TX PHOENIX TX PHYSICIAN ASSISTANT 32 15,005 $4,200,500 $280 premium 34.6% (210) 598-4268
2 QUANTUM NEUROMONITORING CORPORATION FOLSOM CA NEUROLOGY 2 7,811 $3,082,036 $395 premium 11.0% 9166310112533
3 TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK NEW YORK NY NURSE PRACTITIONER 2273 6,271 $1,254,200 $200 premium 21.1% (212) 305-8559
4 STANFORD HEALTH CARE STANFORD CA DIAGNOSTIC RADIOLOGY 3039 6,264 $2,098,440 $335 premium 8.9% (650) 723-4000
5 NEW YORK UNIVERSITY NEW YORK NY DIAGNOSTIC RADIOLOGY 5704 5,725 $3,498,536 $611 premium 19.3% (212) 263-9700
6 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA NEUROLOGY 102 4,886 $795,770 $163 premium 6.9%
7 PACIFIC NEUROMONITORING ASSOCIATES INC ENCINO CA NEUROLOGY 7 4,361 $1,139,040 $261 premium 6.2% (734) 213-9240
8 NEUROLOGIC LLC BOULDER MI NEUROLOGY 4 3,407 $2,091,551 $614 premium 56.9% (303) 888-4384
9 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY KS NURSE PRACTITIONER 1815 3,277 $255,876 $78 premium 83.8% (913) 588-1227
10 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIA PA PHYSICIAN ASSISTANT 3505 3,229 $274,465 $85 premium 20.5% (215) 662-2777
11 UNIVERSITY OF MIAMI MIAMI FL NURSE PRACTITIONER 2331 3,185 $404,828 $127 premium 16.2% (305) 689-5437
12 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN FL NEUROLOGY 29 3,143 $942,900 $300 premium 16.0% (734) 213-9249
13 ROCKY MOUNTAIN NEURODIAGNOSTICS LLC BELLAIRE CA NEUROLOGY 9 2,939 $5,418,244 $1,844 premium 4.2% (303) 776-5298
14 MAYO CLINIC ROCHESTER MN NURSE PRACTITIONER 4896 2,883 $296,949 $103 premium 48.4% (507) 284-2511
15 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE TN NURSE PRACTITIONER 3394 2,833 $280,467 $99 premium 37.8% (615) 322-5000
16 REGENTS OF THE UNIVERSITY OF CLAIFORNIA UNIV NEURSCIENCES ORANGE CA NEUROLOGY 75 2,813 $407,885 $145 premium 4.0% (714) 456-7004
17 ROCKY MOUNTAIN NEURODIAGNOSTICS LLC BELLAIRE CO NEUROLOGY 9 2,684 $2,096,059 $781 premium 21.3% (303) 776-5298
18 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI NEW YORK NY PHYSICIAN ASSISTANT 2818 2,636 $421,760 $160 premium 8.9% (212) 241-4812
19 WEILL MEDICAL COLLEGE OF CORNELL NEW YORK NY INTERNAL MEDICINE 2053 2,581 $389,550 $151 premium 8.7% (212) 746-5454
20 SJHMC PHYSICIAN SERVICES PHOENIX AZ NURSE PRACTITIONER 690 2,521 $231,932 $92 premium 28.5% (602) 406-6017
21 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN OH NEUROLOGY 29 2,379 $713,700 $300 premium 34.8% (734) 213-9249
22 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN NV NEUROLOGY 29 2,366 $451,046 $191 premium 44.7% (734) 213-9249
23 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON IL NURSE PRACTITIONER 3380 2,294 $172,050 $75 premium 21.8%
24 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 2,074 $226,374 $109 premium 2.9% (310) 423-3277
25 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO CA DIAGNOSTIC RADIOLOGY 2057 2,027 $218,893 $108 premium 2.9% (800) 926-8273
26 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN MD NEUROLOGY 29 1,857 $415,726 $224 premium 24.8% (734) 213-9249
27 USC CARE MEDICAL GROUP INC LOS ANGELES CA DIAGNOSTIC RADIOLOGY 1374 1,830 $164,700 $90 premium 2.6% (800) 872-2273
28 NEURO DIAGNOSTIC MONITORING, LLC LAFAYETTE LA NEUROLOGY 6 1,816 $69,008 $38 premium 17.7% (337) 406-0883
29 NEUROLOGY OF THE ROCKIES LLC PARKER CO NEUROLOGY 10 1,803 $72,120 $40 premium 14.3% (303) 840-5051
30 GAMMA NEURO NETWORK INC LEANDER CA NEUROLOGY 5 1,780 $1,215,473 $683 premium 2.5% (310) 923-1437
31 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY UT PHYSICIAN ASSISTANT 1783 1,765 $180,560 $102 premium 12.4% (801) 581-2121
32 ADVANCED MONITORING SERVICES LLC SPRINGDALE AR NEUROLOGY 4 1,690 $1,947,294 $1,152 premium 100.0% (877) 295-2554
33 RTNA, PC NEW YORK AZ NEUROLOGY 7 1,656 $370,120 $224 premium 18.7% 6153468182932
34 UT PHYSICIANS HOUSTON TX NEUROLOGY 202 1,638 $171,990 $105 premium 3.8% (713) 486-8000
35 RTNA, PC NEW YORK TN NEUROLOGY 7 1,622 $413,643 $255 premium 21.7% 6153468182932
36 GEISINGER CLINIC DANVILLE PA PHYSICIAN ASSISTANT 3426 1,572 $315,618 $201 premium 10.0% (570) 271-6144
37 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTON MA PHYSICIAN ASSISTANT 2942 1,571 $215,170 $137 premium 28.8% (617) 732-5500
38 MAYO CLINIC ARIZONA PHOENIX AZ PHYSICIAN ASSISTANT 1635 1,557 $604,116 $388 premium 17.6% (800) 603-0558
39 ALLINA HEALTH SYSTEM MINNEAPOLIS MN PHYSICIAN ASSISTANT 3855 1,557 $157,724 $101 premium 26.1% (612) 863-4000
40 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN TX NEUROLOGY 29 1,519 $465,556 $306 premium 3.5% (734) 213-9249
41 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN WI NEUROLOGY 29 1,513 $453,900 $300 premium 23.2% (734) 213-9249
42 NY SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING NEW YORK NY PHYSICIAN ASSISTANT 174 1,491 $350,385 $235 premium 5.0% (516) 240-2700
43 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE IL NURSE PRACTITIONER 3045 1,472 $163,392 $111 premium 14.0% (847) 459-1160
44 NEUROLOGICAL MONITORING SERVICES INC WEST READING PA NEUROLOGY 2 1,462 $190,060 $130 premium 9.3% (610) 373-8900
45 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM NC PHYSICIAN ASSISTANT 3051 1,406 $142,006 $101 premium 18.0% (919) 684-8111
46 ROCKY MOUNTAIN NEURODIAGNOSTICS LLC BELLAIRE NC NEUROLOGY 9 1,329 $2,443,224 $1,838 premium 17.1% (303) 776-5298
47 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN CT NEUROLOGY 29 1,195 $358,500 $300 premium 26.0% (734) 213-9249
48 ROCKY MOUNTAIN NEURODIAGNOSTICS LLC BELLAIRE TX NEUROLOGY 9 1,160 $2,128,669 $1,835 premium 2.7% (303) 776-5298
49 ROCKY MOUNTAIN NEURODIAGNOSTICS LLC BELLAIRE NV NEUROLOGY 9 1,128 $2,098,681 $1,861 premium 21.3% (303) 776-5298
50 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN NY NEUROLOGY 29 1,125 $337,500 $300 premium 3.8% (734) 213-9249
51 UNIVERSITY PROFESSIONAL SERVICES PORTLAND OR PHYSICIAN ASSISTANT 1717 1,119 $99,871 $89 premium 37.5% (503) 494-8311
52 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY NE NURSE PRACTITIONER 1815 1,106 $85,932 $78 premium 100.0% (913) 588-1227
53 NEUROLOGIC SERVICES OF OKLAHOMA LLC TULSA TX NEUROLOGY 3 1,100 $132,000 $120 premium 2.5%
54 ATLAS NEUROPHYSIOLOGICAL ASSESSMENT PLANO TX NEUROLOGY 3 1,080 $238,509 $221 premium 2.5% (888) 344-2947
55 TRUE NORTH MEDICAL AT NORTH SUFFOLK, PLLC COMMACK NY NEUROLOGY 20 1,079 $1,270,742 $1,178 premium 3.6% (631) 364-9119
56 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN WA NEUROLOGY 29 1,061 $318,300 $300 premium 29.5% (734) 213-9249
57 PAVILION NEUROLOGY MEDICAL GROUP INC. ORANGE CA NEUROLOGY 5 1,047 $78,525 $75 premium 1.5% 7145416800221
58 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN AZ NEUROLOGY 29 1,019 $305,700 $300 premium 11.5% (734) 213-9249
59 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON MA DIAGNOSTIC RADIOLOGY 3532 997 $137,246 $138 premium 18.3% (617) 724-0287
60 JOHNS HOPKINS UNIVERSITY BALTIMORE MD NURSE PRACTITIONER 2900 978 $82,384 $84 premium 13.1% (410) 502-4340
61 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN PA NEUROLOGY 29 975 $292,500 $300 premium 6.2% (734) 213-9249
62 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN CO NEUROLOGY 29 974 $1,050,946 $1,079 premium 7.7% (734) 213-9249
63 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA ORTHOPEDIC SURGERY 136 971 $67,970 $70 premium 1.4% (310) 443-8999
64 STATE UNIVERSITY OF IOWA IOWA CITY IA PHYSICIAN ASSISTANT 1902 903 $168,875 $187 premium 84.2% (319) 678-8201
65 CLINICAL NEUROPHYSIOLOGICAL SERVICES LLC PITTSBURGH PA NEUROLOGY 3 902 $452,800 $502 premium 5.7% (412) 681-9990
66 FLETCHER HOSPITAL INC HENDERSONVILLE NC PHYSICIAN ASSISTANT 290 866 $174,066 $201 premium 11.1%
67 REGENTS OF THE UNIVERSITY OF MICHIGAN ANN ARBOR MI INTERNAL MEDICINE 3330 830 $57,068 $69 premium 13.9% (734) 763-5459
68 SENTARA MEDICAL GROUP NORFOLK VA PHYSICIAN ASSISTANT 1404 816 $244,800 $300 premium 17.6%
69 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN IL NEUROLOGY 29 813 $243,900 $300 premium 7.7% (734) 213-9249
70 NEUROSCIENCE CONSULTANTS LLP MIAMI FL NEUROLOGY 104 776 $112,520 $145 premium 4.0% (305) 596-2080
71 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC BOISE ID PHYSICIAN ASSISTANT 647 748 $45,392 $61 premium 100.0%
72 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN DC NEUROLOGY 29 731 $219,300 $300 premium 94.1% (734) 213-9249
73 AMERICAN NEUROMONITORING ASSOCIATES, PC AUSTIN VA NEUROLOGY 29 716 $214,800 $300 premium 15.4% (734) 213-9249
74 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA CA ORTHOPEDIC SURGERY 8 705 $70,500 $100 premium 1.0% 70754619225507
75 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 705 $117,030 $166 premium 5.6% (720) 777-1234
76 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON MA INTERNAL MEDICINE 1689 689 $92,326 $134 premium 12.6% (781) 983-9088
77 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH PA DIAGNOSTIC RADIOLOGY 4291 674 $55,268 $82 premium 4.3%
78 MONMOUTH-OCEAN NEUROLOGY PC NEPTUNE NJ NEUROLOGY 9 671 $150,975 $225 premium 7.5%
79 TARRANT NEUROLOGY CONSULTANTS, P.A. FORT WORTH TX NEUROLOGY 10 670 $44,154 $66 premium 1.5% (817) 336-3968
80 SENSORY TESTING SYSTEMS LLC SCOTTSDALE AZ NEUROLOGY 8 641 $1,282,000 $2,000 premium 7.2% (484) 351-8459
81 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELES CA PHYSICIAN ASSISTANT 1699 632 $113,760 $180 premium 0.9% (310) 423-0674
82 CEP AMERICA - NEUROLOGY PC SILVERDALE CA NEUROLOGY 59 605 $148,433 $245 premium 0.9% (564) 240-1000
83 ATHENS NEUROLOGICAL ASSOCIATES, P.C ATHENS GA NEUROLOGY 6 597 $38,805 $65 premium 3.1%
84 NEUROLOGIC LLC BOULDER CO NEUROLOGY 4 573 $426,885 $745 premium 4.6% (303) 888-4384
85 NEUROLOGY MEDICAL SERVICE GROUP LLP SYRACUSE NY NEUROLOGY 40 556 $45,170 $81 premium 1.9% (315) 464-4470
86 LOYOLA UNIVERSITY MEDICAL CENTER MAYWOOD IL NURSE PRACTITIONER 933 555 $94,192 $170 premium 5.3% (708) 216-8372
87 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 555 $38,140 $69 premium 0.8%
88 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON SC PHYSICIAN ASSISTANT 1692 542 $72,096 $133 premium 44.5% (843) 792-1414
89 THE EMORY CLINIC INC ATLANTA GA NURSE PRACTITIONER 3484 518 $59,544 $115 premium 2.7% (404) 778-7525
90 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY MO PHYSICIAN ASSISTANT 1783 508 $51,968 $102 premium 52.5% (801) 581-2121
91 CHRISTUS TRINITY CLINIC TYLER TX NURSE PRACTITIONER 1495 471 $33,912 $72 premium 1.1% (903) 606-5560
92 WASHINGTON UNIVERSITY SAINT LOUIS MO NURSE PRACTITIONER 3070 459 $45,900 $100 premium 47.5% (314) 747-3000
93 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND OH NURSE PRACTITIONER 2232 454 $29,964 $66 premium 6.6%
94 SHEA PHYSICAL THERAPY SPECIALISTS LLC CORPUS CHRISTI TX NURSE PRACTITIONER 197 374 $56,100 $150 premium 0.9% (361) 994-5224
95 THE ASSOCIATION OF UNIVERSITY PHYSICIANS SEATTLE WA PHYSICIAN ASSISTANT 3612 374 $36,567 $98 premium 10.4% (206) 364-0500
96 SWEDISH HEALTH SERVICES SEATTLE WA PHYSICIAN ASSISTANT 1033 372 $36,828 $99 premium 10.4%
97 HARBIN CLINIC LLC ROME GA NURSE PRACTITIONER 252 354 $21,240 $60 premium 1.9% (762) 235-3340
98 MEMORIAL NEUROLOGY GROUP NEW YORK NY NURSE PRACTITIONER 100 346 $69,200 $200 premium 1.2% (212) 639-2000
99 NORTH COUNTRY NEUROLOGY PC WATERTOWN NY NEUROLOGY 5 313 $26,420 $84 premium 1.1% (315) 782-9003
100 EVOKES LLC MASON OH NEUROLOGY 19 311 $610,000 $1,961 premium 4.5% (484) 351-8459

Showing the top 100 of 101 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 →