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Market snapshot

G2252 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

G2252 — Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic

Billing groups
9
Named-group FFS services
1,247
FFS of Medicare
49%
Services YoY
-11.9%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,299 services

1,247 observed fee-for-service (54%) · ~1,052 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 — G2252 (CY2024)

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

Named-group submitted charges
$68K
Named-group allowed amount
$32K
Named-group Medicare payments
$24K
Avg charge / svc
$54
Avg allowed / svc
$25
Avg payment / svc
$19
Average charge per group
$30 9 groups · avg submitted charge / service $108
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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by G2252 services, CY2024
#Physician group City St Specialty Providers G2252 svcs Submitted charges Avg charge Medicare $ locked column Share* Phone
1 RHEUMATIC DISEASE CENTER PHYSICIANS SC DES PLAINES IL RHEUMATOLOGY 4 936 $46,800 $50 premium 98.0% (847) 800-0998
2 RODOLFO LONGORIA MD, PA BROWNSVILLE TX INTERNAL MEDICINE 2 101 $5,148 $51 premium 10.7% (956) 525-7310
3 LARRY TETSOTI MD LLC BROOKLYN NY PATHOLOGY 2 70 $7,000 $100 premium 100.0% (718) 336-6166
4 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN WV PHYSICIAN ASSISTANT 1996 32 $1,856 $58 premium 53.3% (304) 598-4865
5 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN PA PHYSICIAN ASSISTANT 1996 25 $1,450 $58 premium 100.0% (304) 598-4865
6 OCONNOR PHYSICIAN GROUP INC PINOLE CA ENDOCRINOLOGY 2 23 $690 $30 premium 26.1% (510) 724-7644
7 UNITED HOSPITAL CENTER INC BRIDGEPORT WV PHYSICIAN ASSISTANT 298 17 $986 $58 premium 28.3% (681) 342-1842
8 LEGACY MERIDIAN PARK HOSPITAL TUALATIN OR INTERNAL MEDICINE 108 16 $1,389 $87 premium 57.1% (503) 413-4330
9 FAMILY PRACTICE ASSOCIATES OF LEXINGTON PSC LEXINGTON KY NURSE PRACTITIONER 21 15 $1,620 $108 premium 100.0% (859) 977-2120
10 LEGACY CLINICS LLC PORTLAND OR PHYSICIAN ASSISTANT 717 12 $983 $82 premium 42.9% (503) 413-8988

*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 →