Who bills the most Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490) to Medicare in Ohio?
Medicare Part B FFS · CY2024 · as published by CMS103 physician groups billed Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490) to Medicare fee-for-service in Ohio in 2024; the top five named groups hold 33% of that volume, and independent (non-hospital-affiliated) groups deliver 5%.
99490 — Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.
Snapshot covers the whole Ohio market — the table below shows the top 100 groups (free tier).
Medicare fee-for-service covers 43% of Medicare in Ohio; Medicare Advantage penetration 46% → 57% since 2020.
| # | Physician group | City | St | Specialty | Providers | 99490 svcs | Share* | Phone |
|---|---|---|---|---|---|---|---|---|
| 1 | TOLEDO CLINIC INCORPORATED | TOLEDO | OH | NURSE PRACTITIONER | 217 | 6,240 | 6.7% | (419) 874-3246 |
| 2 | NEO UROLOGY ASSOCIATES INC | BOARDMAN | OH | UROLOGY | 18 | 4,865 | 5.2% | (330) 729-9214 |
| 3 | OSH-OH PHYSICIANS GROUP PC | CLEVELAND | OH | NURSE PRACTITIONER | 68 | 2,990 | 3.2% | (216) 682-7703 |
| 4 | CURA WOUNDS LLC | YOUNGSTOWN | OH | NURSE PRACTITIONER | 2 | 2,890 | 3.1% | (330) 333-8293 |
| 5 | CENTRAL OHIO UROLOGY GROUP, LLC. | GAHANNA | OH | UROLOGY | 45 | 2,767 | 3.0% | (614) 396-2684 |
| 6 | TRI STATE UROLOGIC SERVICES PSC INC | CINCINNATI | OH | UROLOGY | 74 | 2,068 | 2.2% | (513) 841-7750 |
| 7 | CLEVELAND PRIME CARE BELMONT LLC | MARTINS FERRY | OH | NURSE PRACTITIONER | 3 | 1,858 | 2.0% | (740) 296-5702 |
| 8 | SOUTHWEST UROLOGY, LLC | MIDDLEBURG HEIGHTS | OH | UROLOGY | 14 | 1,805 | 1.9% | (440) 845-0900 |
| 9 | PROMEDICA CENTRAL PHYSICIANS | TOLEDO | OH | PHYSICIAN ASSISTANT | 794 | 1,682 | 1.8% | (419) 291-2003 |
| 10 | MEMORIAL PROFESSIONAL SERVICES LTD | FREMONT | OH | NURSE PRACTITIONER | 40 | 1,548 | 1.7% | (419) 333-6462 |
| 11 | CARDIOVASCULAR SPECIALISTS, LLC | LANCASTER | OH | NURSE PRACTITIONER | 7 | 1,448 | 1.6% | 74065375113132 |
| 12 | MIDWEST INTERNAL MEDICINE ASSOCIATES LLC | MARION | OH | FAMILY PRACTICE | 2 | 1,405 | 1.5% | (740) 389-2297 |
| 13 | PREMIER RENAL CARE ASSOCIATES LLC, | CUYAHOGA FALLS | OH | NURSE PRACTITIONER | 10 | 1,362 | 1.5% | (330) 331-4466 |
| 14 | ATRIUM MEDICAL GROUP INC | MAYFIELD VILLAGE | OH | NURSE PRACTITIONER | 12 | 1,229 | 1.3% | (440) 449-1540 |
| 15 | POST ACUTE PHYSICIAN CARE PC | TROY | OH | NURSE PRACTITIONER | 4 | 1,027 | 1.1% | (248) 515-4735 |
| 16 | KIDNEY AND HYPERTENSION CONSULTANTS INC | CANTON | OH | NEPHROLOGY | 9 | 1,022 | 1.1% | (330) 649-9400 |
| 17 | KNOX COMMUNITY HOSPITAL | MOUNT VERNON | OH | NURSE PRACTITIONER | 115 | 1,005 | 1.1% | (740) 393-9000 |
| 18 | MARIETTA MEMORIAL HOSPITAL | MARIETTA | OH | NURSE PRACTITIONER | 394 | 931 | 1.0% | (740) 568-2214 |
| 19 | PARMINDER B. SINGH M.D., INC. | MARION | OH | PHYSICIAN ASSISTANT | 3 | 884 | 1.0% | (740) 382-9293 |
| 20 | INTERNAL MEDICINE CARE, INC | BEAVERCREEK | OH | INTERNAL MEDICINE | 7 | 852 | 0.9% | (937) 429-0607 |
| 21 | FISHER-TITUS MEDICAL CARE LLC | NORWALK | OH | PHYSICIAN ASSISTANT | 80 | 815 | 0.9% | (419) 668-8110 |
| 22 | DR MIODRAG ZIVIC LLC | BEACHWOOD | OH | INTERNAL MEDICINE | 6 | 789 | 0.8% | (216) 383-2834 |
| 23 | MEDICAL HOUSECALLS LLC | CINCINNATI | OH | NURSE PRACTITIONER | 57 | 714 | 0.8% | (513) 699-9090 |
| 24 | RIDGEPARK MEDICAL ASSOCIATES, INC. | PARMA | OH | INTERNAL MEDICINE | 3 | 696 | 0.7% | (216) 749-8276 |
| 25 | SCOTT RIOCH, D.O., INC. | FINDLAY | OH | FAMILY PRACTICE | 2 | 640 | 0.7% | (419) 423-2754 |
| 26 | COLUMBUS CARDIOVASCULAR ASSOCIATES, INC. | COLUMBUS | OH | PHYSICIAN ASSISTANT | 2 | 636 | 0.7% | (614) 367-0585 |
| 27 | DAYTON GASTROENTEROLOGY, LLC | DAYTON | OH | GASTROENTEROLOGY | 75 | 611 | 0.7% | (937) 320-5050 |
| 28 | MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC | LIMA | OH | NURSE PRACTITIONER | 251 | 564 | 0.6% | (419) 227-3361 |
| 29 | TRIHEALTH G LLC | CINCINNATI | OH | FAMILY PRACTICE | 298 | 563 | 0.6% | (513) 246-7000 |
| 30 | THOMAS AND HUSAIN MEDICAL ASSOC INC | EAST LIVERPOOL | OH | INTERNAL MEDICINE | 2 | 516 | 0.6% | (330) 385-4004 |
| 31 | UNIVERSITY PRIMARY CARE PRACTICES INC | CONNEAUT | OH | FAMILY PRACTICE | 1067 | 512 | 0.6% | — |
| 32 | TRUMBULL MAHONING MEDICAL GROUP, INC. | CORTLAND | OH | INTERNAL MEDICINE | 7 | 505 | 0.5% | (330) 372-8800 |
| 33 | NEPHROLOGY ASSOCIATES, INC. | POLAND | OH | NURSE PRACTITIONER | 6 | 487 | 0.5% | (330) 729-0059 |
| 34 | ASTHMA AND RESPIRATORY CENTER OF SOUTH DAYTON INC | DAYTON | OH | NURSE PRACTITIONER | 3 | 485 | 0.5% | (937) 859-5864 |
| 35 | JTDM FAMILY PRACTICE LLC | SAINT MARYS | OH | NURSE PRACTITIONER | 46 | 467 | 0.5% | (419) 394-9522 |
| 36 | WESTLAND FAMILY CARE LLC | COLUMBUS | OH | FAMILY PRACTICE | 4 | 446 | 0.5% | (614) 878-6400 |
| 37 | WOOD HEALTH COMPANY LLC | BOWLING GREEN | OH | NURSE PRACTITIONER | 61 | 431 | 0.5% | (419) 352-1121 |
| 38 | OGLE FAMILY PRACTICE | MOUNT VERNON | OH | FAMILY PRACTICE | 2 | 426 | 0.5% | (740) 397-3553 |
| 39 | TERRA NOVA MEDICAL CLINIC | FINDLAY | OH | FAMILY PRACTICE | 2 | 384 | 0.4% | (419) 424-0815 |
| 40 | TRAVELING NURSE PRACTITIONER, LLC | AKRON | OH | NURSE PRACTITIONER | 5 | 383 | 0.4% | (330) 590-0847 |
| 41 | CLEVELAND CLINIC | CLEVELAND | OH | PHYSICIAN ASSISTANT | 6828 | 339 | 0.4% | — |
| 42 | EXTENDED CARE SPECIALISTS, INC | LEXINGTON | OH | NURSE PRACTITIONER | 277 | 329 | 0.4% | (260) 483-9081 |
| 43 | COMPLEXCARE MEDICAL GROUP MIDWEST H PLLC | DETROIT | OH | NURSE PRACTITIONER | 124 | 327 | 0.4% | (313) 533-5002 |
| 44 | DAYTON PHYSICIANS LLC | CENTERVILLE | OH | NURSE PRACTITIONER | 40 | 319 | 0.3% | (937) 293-1622 |
| 45 | NEUROPSYCH CENTER OF GREATER CINCINNATI LLC | CINCINNATI | OH | CLINICAL PSYCHOLOGIST | 18 | 285 | 0.3% | (513) 563-0488 |
| 46 | DHARAM BIR BATISH, INC. | EAST LIVERPOOL | OH | INTERNAL MEDICINE | 2 | 284 | 0.3% | (330) 385-7394 |
| 47 | KIDNEY CARE SPECIALISTS, LLC | KETTERING | OH | PHYSICIAN ASSISTANT | 9 | 281 | 0.3% | (937) 643-0015 |
| 48 | MOBILE PHYSICIAN SERVICES INC | NEW PORT RICHEY | OH | NURSE PRACTITIONER | 49 | 277 | 0.3% | (727) 232-0644 |
| 49 | LAKE HOSPITAL SYSTEM, INC. | WILLOUGHBY | OH | NURSE PRACTITIONER | 98 | 269 | 0.3% | (440) 516-0530 |
| 50 | BETHANY MEDICAL CENTER INC | CANTON | OH | INTERNAL MEDICINE | 4 | 259 | 0.3% | (330) 492-7171 |
| 51 | ARBOR VIEW FAMILY MEDICINE INC. | LANCASTER | OH | FAMILY PRACTICE | 4 | 251 | 0.3% | (740) 689-3627 |
| 52 | KINGSTON CARE PARTNERS, LLC | SYLVANIA | OH | NURSE PRACTITIONER | 13 | 239 | 0.3% | (419) 517-8200 |
| 53 | SURMEET BEDI MD LLC | WILMINGTON | OH | NEPHROLOGY | 2 | 224 | 0.2% | (937) 383-2700 |
| 54 | CARELINE POH100 LLC | MAUMEE | OH | NURSE PRACTITIONER | 7 | 194 | 0.2% | (419) 452-2140 |
| 55 | VPA PC | TROY | OH | NURSE PRACTITIONER | 185 | 190 | 0.2% | (248) 824-6060 |
| 56 | NORTHERN OHIO MEDICAL SPECIALISTS, LLC | SANDUSKY | OH | NURSE PRACTITIONER | 294 | 190 | 0.2% | (419) 626-6161 |
| 57 | OXFORD PHYSICAL THERAPY AND REHABILITATION | MASON | OH | ORTHOPEDIC SURGERY | 425 | 188 | 0.2% | — |
| 58 | THEORIA MEDICAL | GRAND BLANC | OH | NURSE PRACTITIONER | 436 | 176 | 0.2% | (810) 695-8920 |
| 59 | REID PHYSICIAN ASSOCIATES INC | RICHMOND | OH | NURSE PRACTITIONER | 392 | 171 | 0.2% | (765) 962-8551 |
| 60 | NIGHTINGALE NP, INC. | KINSMAN | OH | NURSE PRACTITIONER | 2 | 166 | 0.2% | (330) 876-1111 |
| 61 | OVP HEALTH CARE INC | HUNTINGTON | OH | NURSE PRACTITIONER | 12 | 163 | 0.2% | (304) 781-0076 |
| 62 | MY MOBILE MD OHIO LLC | GALLOWAY | OH | NURSE PRACTITIONER | 10 | 156 | 0.2% | (765) 969-7841 |
| 63 | GERIATRIC CARE PROVIDERS INC | BEAVERCREEK | OH | NURSE PRACTITIONER | 3 | 146 | 0.2% | (937) 534-0172 |
| 64 | MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC | CINCINNATI | OH | NURSE PRACTITIONER | 347 | 142 | 0.2% | (513) 751-4222 |
| 65 | ABODE CARE PARTNERS AL VB LLC | MASON | OH | NURSE PRACTITIONER | 57 | 138 | 0.1% | (513) 754-3100 |
| 66 | TRIHEALTH H LLC | CINCINNATI | OH | OBSTETRICS/GYNECOLOGY | 853 | 133 | 0.1% | (513) 246-7000 |
| 67 | TRI-STATE CENTERS FOR SIGHT INC | CRESTVIEW HILLS | OH | OPHTHALMOLOGY | 39 | 127 | 0.1% | (859) 341-4525 |
| 68 | GATEWAY MEDICAL CENTER LLC | COLUMBUS | OH | NURSE PRACTITIONER | 3 | 119 | 0.1% | (614) 453-1065 |
| 69 | PARTNERS PHYSICIAN GROUP | AKRON | OH | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 428 | 115 | 0.1% | (330) 344-6505 |
| 70 | METROPOLITAN FAMILY CARE, INC. | REYNOLDSBURG | OH | FAMILY PRACTICE | 4 | 111 | 0.1% | 6142371067210 |
| 71 | DENNISON RENAL CARE, INC. | COLUMBUS | OH | INTERNAL MEDICINE | 2 | 101 | 0.1% | (614) 291-0022 |
| 72 | SENECTUM MEDICAL GROUP LLC | MAINEVILLE | OH | NURSE PRACTITIONER | 3 | 101 | 0.1% | (513) 275-6551 |
| 73 | FIRST STEP RECOVERY CENTER | REYNOLDSBURG | OH | NURSE PRACTITIONER | 9 | 94 | 0.1% | (614) 300-5878 |
| 74 | SAMARITAN FAMILY CARE INC | ENGLEWOOD | OH | NURSE PRACTITIONER | 57 | 89 | 0.1% | (937) 832-9322 |
| 75 | VOHRA WOUND PHYSICIANS OF FL LLC | RICHMOND | OH | FAMILY PRACTICE | 72 | 85 | 0.1% | (804) 264-6000 |
| 76 | OSF MULTI-SPECIALTY GROUP | PEORIA | OH | NURSE PRACTITIONER | 2091 | 83 | 0.1% | (309) 683-5050 |
| 77 | OH INDEPENDENT MEDICAL GROUP LLC | WESTERVILLE | OH | OBSTETRICS/GYNECOLOGY | 113 | 71 | 0.1% | (614) 890-1914 |
| 78 | NEPHROLOGY ASSOCIATES OF DAYTON INC | DAYTON | OH | NEPHROLOGY | 15 | 70 | 0.1% | (937) 438-3132 |
| 79 | HEALTH PROFESSIONALS OF HOLMES COUNTY, INC. | MILLERSBURG | OH | NURSE PRACTITIONER | 37 | 67 | 0.1% | — |
| 80 | QUICK MED URGENT CARE LLC | YOUNGSTOWN | OH | PHYSICIAN ASSISTANT | 57 | 66 | 0.1% | (330) 759-0085 |
| 81 | VENVISOR HEALTH OHIO LLC | DUBLIN | OH | NURSE PRACTITIONER | 11 | 64 | 0.1% | (708) 269-1017 |
| 82 | COMMONWEALTH HEALTH CORPORATION, INC. | BOWLING GREEN | OH | NURSE PRACTITIONER | 273 | 62 | 0.1% | — |
| 83 | MULTIVIZ MEDICAL SERVICES PC | FAR ROCKAWAY | OH | NURSE PRACTITIONER | 27 | 62 | 0.1% | (718) 327-7307 |
| 84 | PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC | COSHOCTON | OH | FAMILY PRACTICE | 29 | 61 | 0.1% | (740) 622-6411 |
| 85 | COLUMBUS INPATIENT CARE INC. | GROVE CITY | OH | INTERNAL MEDICINE | 27 | 57 | 0.1% | (614) 234-4242 |
| 86 | MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATED | OXFORD | OH | NURSE PRACTITIONER | 9 | 54 | 0.1% | (513) 523-2111 |
| 87 | INTEGRATED PAIN SOLUTIONS INCORPORATED | COLUMBUS | OH | NURSE PRACTITIONER | 19 | 54 | 0.1% | (614) 383-6450 |
| 88 | VISTA COMPLETE CARE INC | AUBURN | OH | FAMILY PRACTICE | 8 | 53 | 0.1% | 5308853951113 |
| 89 | HOSPICE OF CINCINNATI INCORPORATED | CINCINNATI | OH | NURSE PRACTITIONER | 22 | 52 | 0.1% | (513) 246-9373 |
| 90 | GLUTALITY PROVIDER GROUP PA | LOUISVILLE | OH | FAMILY PRACTICE | 10 | 47 | 0.1% | (561) 678-2026 |
| 91 | COMMUNITY HOME PHYSICIANS LLC | OAKBROOK TERRACE | OH | NURSE PRACTITIONER | 86 | 46 | 0.0% | (630) 320-6871 |
| 92 | FAIRFIELD COMMUNITY HEALTH CENTER | LANCASTER | OH | FAMILY PRACTICE | 16 | 45 | 0.0% | (740) 277-6043 |
| 93 | OHMAN FAMILY LIVING MEDICAL SERVICES LLC | CHAGRIN FALLS | OH | NURSE PRACTITIONER | 5 | 43 | 0.0% | (440) 338-2320 |
| 94 | EVENTUS ECS, INC | INDIANAPOLIS | OH | NURSE PRACTITIONER | 246 | 37 | 0.0% | (855) 743-2247 |
| 95 | THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | NURSE PRACTITIONER | 26 | 34 | 0.0% | — |
| 96 | SOUTHWEST MEDICAL ASSOCIATES, LLC | ALBUQUERQUE | OH | PHYSICIAN ASSISTANT | 328 | 30 | 0.0% | (505) 727-7090 |
| 97 | PRIMARY CARE INTERNISTS, INC. | TROY | OH | NURSE PRACTITIONER | 3 | 30 | 0.0% | (937) 778-1000 |
| 98 | OHIO LIVING PALLIATIVE CARE GREATER TOLEDO LLC | TOLEDO | OH | NURSE PRACTITIONER | 13 | 26 | 0.0% | (419) 865-1499 |
| 99 | AMERICAN HEALTH NETWORK OF OHIO, LLC | COLUMBUS | OH | FAMILY PRACTICE | 51 | 25 | 0.0% | (614) 279-9905 |
| 100 | TOTAL CARE FAMILY PRACTICE RICK BOBAY LLC | JEFFERSONVILLE | OH | NURSE PRACTITIONER | 79 | 22 | 0.0% | (812) 284-2273 |
*Share of Ohio's disclosed Medicare-FFS services for 99490, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99490 in Ohio — including groups registered elsewhere ("City" is each 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.
How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.
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 →