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Market snapshot

G2211 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's

Billing groups
9,132
Named-group FFS services
17,965,393
FFS of Medicare
49%
Services YoY
Estimated all-Medicare volume FFS + estimated MA estimate
~36,043,217 services

17,965,393 observed fee-for-service (50%) · ~18,077,824 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; 4 states without payer-mix data excluded. How we scale

Top states — G2211 (CY2024)

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

Named-group submitted charges
$794.8M
Named-group allowed amount
$284.8M
Named-group Medicare payments
$215.7M
Avg charge / svc
$44
Avg allowed / svc
$16
Avg payment / svc
$12
Average charge per group
$0 9,132 groups · avg submitted charge / service $500
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Specialty market — Sleep Medicine: 2,047 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Sleep Medicine across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G2211 services, CY2024
#Physician group City St Specialty Providers G2211 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 SIRISH NAKKA MD INC SANTA CRUZ CA SLEEP MEDICINE 5 1,692 $84,600 $50 premium 0.1% (844) 387-5337
2 SARAH PATEL MD PC GLENDALE AZ SLEEP MEDICINE 5 355 $17,750 $50 premium 0.1% (602) 206-6262

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →