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Market snapshot

G0520 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G0520 — Management of new patient-caregiver dyad with dementia, moderate complexity, for use in cmmi model

Billing groups
26
Named-group FFS services
2,273
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~4,803 services

2,273 observed fee-for-service (47%) · ~2,530 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 — G0520 (CY2024)

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

Named-group submitted charges
$1.1M
Named-group allowed amount
$623K
Named-group Medicare payments
$623K
Avg charge / svc
$472
Avg allowed / svc
$274
Avg payment / svc
$274
Average charge per group
$275 26 groups · avg submitted charge / service $1,238
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G0520 services, CY2024
#Physician group City St Specialty Providers G0520 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES CA INTERNAL MEDICINE 1424 335 $368,500 $1,100 premium 31.5% (310) 825-7922
2 MEMORYCARE ASHEVILLE NC INTERNAL MEDICINE 8 208 $57,200 $275 premium 32.7% (828) 771-2219
3 HOSPICE OF WAKE COUNTY, INC RALEIGH NC NURSE PRACTITIONER 20 169 $46,475 $275 premium 26.5% (919) 828-0890
4 HEALING HANDS HEALTHCARE WICHITA FALLS TX NURSE PRACTITIONER 5 162 $44,550 $275 premium 65.9% (940) 432-0588
5 AUTHORACARE COLLECTIVE GREENSBORO NC NURSE PRACTITIONER 11 138 $37,950 $275 premium 21.7% (336) 621-2500
6 OCHSNER CLINIC LLC NEW ORLEANS LA NURSE PRACTITIONER 2839 129 $40,893 $317 premium 100.0% (504) 842-3000
7 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA DIAGNOSTIC RADIOLOGY 1317 121 $39,325 $325 premium 11.4%
8 THE COUNCIL ON AGING OF MARTIN COUNTY INC STUART FL NURSE PRACTITIONER 7 120 $39,000 $325 premium 48.0% (772) 223-7864
9 ARIZONA SUPPORTIVE CARE, LLC PHOENIX AZ NURSE PRACTITIONER 5 116 $31,900 $275 premium 100.0% (602) 530-6900
10 NORTH SHORE-LIJ MEDICAL PC MANHASSET NY PHYSICIAN ASSISTANT 6294 104 $128,752 $1,238 premium 100.0%
11 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOOD CA NURSE PRACTITIONER 802 93 $28,086 $302 premium 8.7% (310) 423-3277
12 MY MEMORY CARE LLC VIERA FL GERIATRIC MEDICINE 2 75 $24,750 $330 premium 30.0% (321) 247-7063
13 CARE DIMENSIONS INC DANVERS MA NURSE PRACTITIONER 13 66 $18,180 $275 premium 47.8% (978) 774-7566
14 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO TX PHYSICIAN ASSISTANT 1326 64 $17,600 $275 premium 26.0% (210) 450-7044
15 UNIVERSITY PHYSICIANS INCORPORATED AURORA CO PHYSICIAN ASSISTANT 3122 59 $16,225 $275 premium 100.0% (720) 777-1234
16 UNIVERSITY OF CONNECTICUT HEALTH CENTER FARMINGTON CT NURSE PRACTITIONER 630 49 $40,425 $825 premium 72.1% (860) 679-3692
17 CARE GUIDE PARTNERS INC LOUISVILLE KY NURSE PRACTITIONER 30 42 $11,550 $275 premium 17.6% (502) 456-6200
18 THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY INDIANAPOLIS IN NURSE PRACTITIONER 237 35 $9,625 $275 premium 100.0% (317) 266-2901
19 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEK CA FAMILY PRACTICE 489 31 $10,664 $344 premium 2.9% (925) 296-9720
20 EMPOWERME MEDICAL GROUP PC BRENTWOOD KY NURSE PRACTITIONER 11 30 $12,360 $412 premium 12.6% (877) 367-9772
21 DELAWARE HOSPICE, INC. NEWARK DE NURSE PRACTITIONER 9 26 $7,150 $275 premium 100.0% (302) 478-5707
22 OU HEALTH PARTNERS INC OKLAHOMA CITY OK PHYSICIAN ASSISTANT 1160 25 $6,875 $275 premium 100.0% (405) 271-4311
23 CHAPA-DE INDIAN HEALTH PROGRAM, INC. AUBURN CA FAMILY PRACTICE 51 25 $8,125 $325 premium 2.3% (530) 887-2800
24 RIPPL CARE PC OF WASHINGTON INC AUSTIN TX NURSE PRACTITIONER 5 20 $6,500 $325 premium 8.1% (512) 996-2290
25 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM NC PHYSICIAN ASSISTANT 2609 16 $11,619 $726 premium 2.5% (336) 713-9800
26 J M GEISS DO APC SANTA ANA CA NURSE PRACTITIONER 156 15 $8,250 $550 premium 1.4% (855) 434-7763

*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 →