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Market snapshot

G0509 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0509 — Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth

Billing groups
16
Named-group FFS services
1,717
FFS of Medicare
49%
Services YoY
-5.7%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,527 services

1,717 observed fee-for-service (49%) · ~1,810 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 — G0509 (CY2024)

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

Named-group submitted charges
$985K
Named-group allowed amount
$324K
Named-group Medicare payments
$256K
Avg charge / svc
$573
Avg allowed / svc
$189
Avg payment / svc
$149
Average charge per group
$390 16 groups · avg submitted charge / service $689
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0509 services, CY2024
#Physician group City St Specialty Providers G0509 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWN PA PHYSICIAN ASSISTANT 2389 217 $84,630 $390 premium 27.3%
2 BAPTIST HEALTH SERVICES FORT SMITH TX FAMILY PRACTICE 107 151 $71,725 $475 premium 8.1% (479) 709-7250
3 CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC SLEEPY HOLLOW FL CRITICAL CARE (INTENSIVISTS) 24 128 $88,192 $689 premium 50.8% (917) 608-5303
4 CCMMA SC LLC MC LEAN MA CRITICAL CARE (INTENSIVISTS) 18 123 $84,808 $689 premium 45.1% (845) 702-2711
5 CCMMA SC LLC MC LEAN VA CRITICAL CARE (INTENSIVISTS) 18 105 $72,345 $689 premium 34.5% (845) 702-2711
6 HP INTENSIVIST MEDICAL GROUP, INC LOS ANGELES NY INTERNAL MEDICINE 15 101 $47,975 $475 premium 14.5% (310) 698-5452
7 ACCESS TELECARE PLLC SPRING NC NEUROLOGY 399 96 $47,390 $494 premium 100.0% (972) 449-0540
8 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLAS TX PHYSICIAN ASSISTANT 3200 87 $42,948 $494 premium 4.7% (214) 633-5555
9 CCMMA NJ LLC PASSAIC PA INTERNAL MEDICINE 26 78 $53,742 $689 premium 9.8% (973) 636-7200
10 CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC SLEEPY HOLLOW NY CRITICAL CARE (INTENSIVISTS) 24 67 $46,163 $689 premium 9.6% (917) 608-5303
11 CCMMA NJ LLC PASSAIC NY INTERNAL MEDICINE 26 66 $45,474 $689 premium 9.5% (973) 636-7200
12 TELEMEDICINE GROUP PC ROSEVILLE OR REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 64 $41,280 $645 premium 79.0% (916) 740-3721
13 CCMMA CA PC BERKELEY NY EMERGENCY MEDICINE 8 55 $26,125 $475 premium 7.9% (845) 702-2711
14 TELEMEDICINE GROUP PC ROSEVILLE CA REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 49 $31,605 $645 premium 13.8% (916) 740-3721
15 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIE NY PHYSICIAN ASSISTANT 578 47 $32,383 $689 premium 6.7%
16 TELEMEDICINE GROUP PC ROSEVILLE HI REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL 91 44 $28,380 $645 premium 52.4% (916) 740-3721
17 CCMMA SC LLC MC LEAN NY CRITICAL CARE (INTENSIVISTS) 18 44 $30,316 $689 premium 6.3% (845) 702-2711
18 ARIZONA PULMONARY SPECIALISTS LTD SCOTTSDALE AZ CRITICAL CARE (INTENSIVISTS) 44 38 $26,182 $689 premium 67.9% (602) 261-7830
19 CCMMA TX PLLC PAMPA TX CRITICAL CARE (INTENSIVISTS) 12 38 $18,050 $475 premium 2.0% (806) 665-3721
20 MEDICAL SPECIALISTS ASSOCIATES PC CLEARLAKE CA ANESTHESIOLOGY 8 36 $20,304 $564 premium 10.2% (707) 994-6486
21 CCMMA NJ LLC PASSAIC NJ INTERNAL MEDICINE 26 30 $20,670 $689 premium 100.0% (973) 636-7200
22 STATCARE INPATIENT LLC KNOXVILLE TN INTERNAL MEDICINE 132 29 $14,616 $504 premium 23.6% (865) 770-5920
23 PRACTICE ASSOCIATES MEDICAL GROUP MORRISTOWN PA NURSE PRACTITIONER 1404 24 $9,360 $390 premium 3.0% (973) 971-5596

*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 →