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Medicare California · CY2024

Who bills the most New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare in California?

Medicare Part B FFS · CY2024 · as published by CMS
2,618
Billing groups
815,017
Named-group FFS services
$401,349,199
Named-group submitted charges
$492
Avg charge / service
$171
Avg allowed / service
18%
Top-5 concentration
4%
Independent share

2,618 physician groups billed New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare fee-for-service in California in 2024; the top five named groups hold 18% of that volume, and independent (non-hospital-affiliated) groups deliver 4%.

99204 — New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole California market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 49% of Medicare in California; Medicare Advantage penetration 45% → 51% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99204 svcs Share*Phone
1 SUTTER BAY MEDICAL FOUNDATION PALO ALTOCAINTERNAL MEDICINE 3716 44,781 3.7% (415) 600-1020
2 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTOCADIAGNOSTIC RADIOLOGY 2420 33,608 2.8% (916) 681-8852
3 SCRIPPS HEALTH LA JOLLACAPHYSICIAN ASSISTANT 1431 32,609 2.7% (858) 455-9100
4 STANFORD HEALTH CARE STANFORDCADIAGNOSTIC RADIOLOGY 3039 19,885 1.7% (650) 723-4000
5 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAINTERNAL MEDICINE 1424 19,402 1.6% (310) 825-7922
6 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELESCAPHYSICIAN ASSISTANT 1699 17,299 1.4% (310) 423-0674
7 EISENHOWER MEDICAL CENTER RANCHO MIRAGECANURSE PRACTITIONER 457 16,628 1.4% (760) 340-3911
8 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOMCADIAGNOSTIC RADIOLOGY 1197 16,324 1.4% (916) 983-7476
9 PROVIDENCE MEDICAL FOUNDATION FULLERTONCAPHYSICIAN ASSISTANT 1455 14,441 1.2% (714) 871-3006
10 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGOCADIAGNOSTIC RADIOLOGY 2057 11,852 1.0% (800) 926-8273
11 USC CARE MEDICAL GROUP INC LOS ANGELESCADIAGNOSTIC RADIOLOGY 1374 11,222 0.9% (800) 872-2273
12 BASS MEDICAL GROUP WALNUT CREEKCAOTOLARYNGOLOGY 318 9,538 0.8%
13 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAORTHOPEDIC SURGERY 136 8,328 0.7% (310) 443-8999
14 GENESIS HEALTHCARE PARTNERS PC TORRANCECAGASTROENTEROLOGY 211 7,892 0.7% (310) 534-8400
15 ADVENTIST HEALTH PHYSICIANS NETWORK HANFORDCANURSE PRACTITIONER 651 7,210 0.6% (559) 583-4695
16 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCOCAPHYSICIAN ASSISTANT 277 6,580 0.5% (415) 476-1000
17 SANSUM CLINIC SANTA BARBARACAINTERNAL MEDICINE 322 6,495 0.5% (805) 681-7500
18 EXER MEDICAL CORPORATION LOS ANGELESCAPHYSICIAN ASSISTANT 319 6,121 0.5% (323) 464-1336
19 CITY OF HOPE MEDICAL FOUNDATION DUARTECANURSE PRACTITIONER 942 5,967 0.5% (626) 256-4673
20 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEKCAFAMILY PRACTICE 489 5,951 0.5% (925) 296-9720
21 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIACAPHYSICIAN ASSISTANT 249 5,897 0.5% (805) 349-8514
22 GOLDEN STATE ORTHOPEDICS AND SPINE WALNUT CREEKCAORTHOPEDIC SURGERY 190 5,740 0.5% (925) 939-8585
23 HOAG CLINIC NEWPORT BEACHCAPHYSICIAN ASSISTANT 436 5,427 0.5% (949) 791-3370
24 CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC LOS ANGELESCAPHYSICIAN ASSISTANT 342 4,673 0.4% (310) 504-1825
25 REGENTS OF THE UNIV OF CA SACRAMENTOCADIAGNOSTIC RADIOLOGY 1608 4,415 0.4% (877) 827-7463
26 DESERT ORTHOPEDIC CENTER A MEDICAL GROUP INC RANCHO MIRAGECAPHYSICIAN ASSISTANT 50 4,300 0.4% (760) 340-3911
27 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTONCAINTERNAL MEDICINE 332 4,248 0.4% (925) 462-7060
28 TORRANCE HEALTH ASSOCIATION INC TORRANCECAFAMILY PRACTICE 298 4,204 0.4% (310) 257-7260
29 COMMUNITY FOUNDATION MEDICAL GROUP FRESNOCAPHYSICIAN ASSISTANT 292 4,050 0.3%
30 UNITED MEDICAL DOCTORS FALLBROOKCAGASTROENTEROLOGY 160 3,907 0.3% (760) 728-9560
31 SVMHS CLINICS SALINASCAPHYSICIAN ASSISTANT 245 3,589 0.3% (831) 422-3636
32 UC REGENTS ORANGECAINTERNAL MEDICINE 296 3,491 0.3% (714) 456-7002
33 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICACAORTHOPEDIC SURGERY 67 3,461 0.3% (310) 319-1234
34 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDACADIAGNOSTIC RADIOLOGY 1317 3,455 0.3%
35 PIH HEALTH PHYSICIANS WHITTIERCAINTERNAL MEDICINE 606 3,444 0.3% (562) 698-0811
36 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICACAPHYSICIAN ASSISTANT 287 3,429 0.3% (310) 829-6789
37 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGOCAPHYSICIAN ASSISTANT 872 3,249 0.3% (858) 499-2600
38 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJOCAOTOLARYNGOLOGY 16 3,153 0.3% (949) 364-4361
39 PROVIDENCE MEDICAL INSTITUTE TORRANCECAINTERNAL MEDICINE 339 3,087 0.3% (310) 303-7496
40 MONTAGE MEDICAL GROUP MONTEREYCAFAMILY PRACTICE 125 2,857 0.2% (831) 718-9701
41 BAY AREA FOOT CARE INC SAN FRANCISCOCAPODIATRY 125 2,837 0.2% (415) 759-2014
42 EL CAMINO HEALTH MEDICAL NETWORK LLC SAN JOSECAPHYSICIAN ASSISTANT 199 2,814 0.2% (408) 871-3400
43 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOODCANURSE PRACTITIONER 802 2,664 0.2% (310) 423-3277
44 EMERGENCY PHYSICIANS URGENT CARE INC BAKERSFIELDCAPHYSICIAN ASSISTANT 140 2,564 0.2% (661) 336-2050
45 ARCH HEALTH PARTNERS INC POWAYCAPHYSICIAN ASSISTANT 161 2,525 0.2% (858) 485-0050
46 MARQUE MEDICAL CLINIC, INC. SAN DIEGOCAFAMILY PRACTICE 23 2,467 0.2% (949) 760-9222
47 COMMUNITY HEALTH PARTNERS FRESNOCAINTERNAL MEDICINE 509 2,360 0.2% (559) 459-6000
48 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGECAOPHTHALMOLOGY 51 2,318 0.2% (714) 456-8068
49 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELESCAINTERNAL MEDICINE 11157 2,250 0.2% (800) 954-8000
50 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAUROLOGY 48 2,176 0.2% (310) 794-8492
51 ORTHOPAEDIC SPECIALTY INSTITUTE MEDICAL GROUP OF ORANGE COUNTY ORANGECAPHYSICIAN ASSISTANT 58 2,085 0.2% (714) 634-4567
52 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCOCADIAGNOSTIC RADIOLOGY 1548 2,044 0.2% (415) 476-1000
53 MONTEREY SPINE AND JOINT PC MONTEREYCAPHYSICAL THERAPIST IN PRIVATE PRACTICE 80 2,038 0.2% (831) 648-7200
54 RETINA VITREOUS ASSOCIATES MEDICAL GROUP LOS ANGELESCAOPHTHALMOLOGY 17 2,009 0.2% (213) 483-8810
55 JULES STEIN EYE INSTITUTE MEDICAL GROUP ARCADIACAOPHTHALMOLOGY 116 1,915 0.2% (323) 442-7122
56 COMMUNITY MEMORIAL HEALTH SYSTEM VENTURACAFAMILY PRACTICE 190 1,839 0.2% (805) 652-5011
57 VITREO-RETINAL MEDICAL GROUP, INC. YUBA CITYCAOPHTHALMOLOGY 21 1,808 0.2% (530) 273-8358
58 VENTURA ORTHOPEDICS MEDICAL GROUP INC VENTURACAPHYSICIAN ASSISTANT 79 1,769 0.1%
59 ENLOE MEDICAL CENTER CHICOCADIAGNOSTIC RADIOLOGY 362 1,760 0.1% (530) 332-4470
60 ORANGE COUNTY UROLOGY ASSOCIATES INC A MEDICAL GROUP LAGUNA HILLSCAUROLOGY 18 1,758 0.1% (949) 855-1101
61 REGENTS OF THE UNIVERSITY OF CALIFORNIA ORANGECAORTHOPEDIC SURGERY 47 1,631 0.1% (714) 456-7004
62 CENTRAL COAST HEAD AND NECK SURGEONS A M C INC SALINASCAOTOLARYNGOLOGY 14 1,627 0.1% (408) 422-8798
63 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAOTOLARYNGOLOGY 34 1,626 0.1% (310) 794-1110
64 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDINGCAPODIATRY 37 1,605 0.1% (530) 246-2467
65 MEMORIALCARE MEDICAL FOUNDATION LONG BEACHCAFAMILY PRACTICE 549 1,564 0.1% (562) 346-2222
66 SONORA COMMUNITY HOSPITAL SONORACAPHYSICIAN ASSISTANT 139 1,560 0.1%
67 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION SAN DIEGOCAINTERNAL MEDICINE 450 1,552 0.1% (858) 939-3400
68 RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR PASADENACAOPHTHALMOLOGY 82 1,539 0.1% (800) 898-2020
69 ALTA ORTHOPAEDIC MEDICAL GROUP INC SANTA BARBARACAPHYSICIAN ASSISTANT 22 1,519 0.1% (805) 963-9377
70 MARSHALL MEDICAL CENTER PLACERVILLECAPHYSICIAN ASSISTANT 154 1,516 0.1%
71 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPOCAPHYSICIAN ASSISTANT 13 1,496 0.1%
72 WASHINGTON TOWNSHIP MEDICAL FOUNDATION FREMONTCACRITICAL CARE (INTENSIVISTS) 120 1,476 0.1% (510) 248-1000
73 ZEITER EYE MEDICAL GROUP INC STOCKTONCAOPHTHALMOLOGY 13 1,475 0.1% (209) 466-5566
74 PROVIDENCE FACEY MEDICAL FOUNDATION MISSION HILLSCAFAMILY PRACTICE 320 1,465 0.1% (818) 365-9531
75 MONTEREY BAY GI CONSULTANTS MEDICAL GROUP INC MONTEREYCAGASTROENTEROLOGY 21 1,458 0.1% (831) 375-3577
76 COMMUNITY ORTHOPEDIC MEDICAL GROUP MISSION VIEJOCAPHYSICIAN ASSISTANT 16 1,440 0.1% (949) 348-4000
77 J ROBERT WEST MD INC LAS VEGASCADERMATOLOGY 140 1,422 0.1% (702) 258-1001
78 BAKERSFIELD EYE INSTITUTE INC BAKERSFIELDCAOPHTHALMOLOGY 6 1,394 0.1% (661) 589-9400
79 ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP NEWPORT BEACHCAPHYSICIAN ASSISTANT 30 1,394 0.1% (949) 722-7038
80 GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. WALNUT CREEKCADERMATOLOGY 118 1,393 0.1% (925) 932-7704
81 TOWER UROLOGY INC LOS ANGELESCAUROLOGY 13 1,382 0.1% 3108549898159
82 FOOTHILL CARDIOLOGY MEDICAL GROUP INC PASADENACACARDIOVASCULAR DISEASE (CARDIOLOGY) 38 1,347 0.1% (626) 793-4139
83 REDWOOD ORTHOPAEDIC SURGERY ASSOCIATES AMC SANTA ROSACAORTHOPEDIC SURGERY 11 1,334 0.1% (707) 544-3400
84 UNIVERSITY HEAD AND NECK SURGEONS ORANGECAOTOLARYNGOLOGY 27 1,324 0.1% (714) 456-5731
85 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTOCAOTOLARYNGOLOGY 34 1,315 0.1% (916) 736-3399
86 CSI MEDICAL GROUP SARATOGACADERMATOLOGY 97 1,276 0.1% (408) 253-4407
87 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTOCAFAMILY PRACTICE 561 1,271 0.1% (916) 734-7777
88 RIVERSIDE MEDICAL CLINIC INC RIVERSIDECAFAMILY PRACTICE 175 1,264 0.1% (951) 683-6370
89 CALIFORNIA URGENT CARE CENTER PROFESSIONAL CORPORATION LODICAFAMILY PRACTICE 3 1,228 0.1% (209) 224-8517
90 RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION CAMPBELLCAOPHTHALMOLOGY 6 1,222 0.1% (408) 559-0666
91 CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC FRESNOCAEMERGENCY MEDICINE 252 1,207 0.1% (559) 459-6000
92 SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC. SANTA MARIACACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 23 1,160 0.1% (805) 922-6581
93 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGECAOTOLARYNGOLOGY 8 1,149 0.1% (760) 340-4566
94 SAINT AGNES MEDICAL FOUNDATION FRESNOCAINTERNAL MEDICINE 155 1,148 0.1% (559) 450-5777
95 PERMANENTE MEDICAL GROUP INC SANTA CLARACAINTERNAL MEDICINE 10890 1,129 0.1% (408) 851-1000
96 FIRST CHOICE PHYSICIAN PARTNERS PALM SPRINGSCAPHYSICIAN ASSISTANT 148 1,127 0.1%
97 ORTHOPEDIC ASSOCIATES OF NORTHERN CALIFORNIA A MEDICAL GROUP CHICOCAANESTHESIOLOGY 31 1,112 0.1% 5308974500128
98 UC SAN DIEGO HEALTH COMMUNITY GROUP SAN DIEGOCAPHYSICIAN ASSISTANT 110 1,102 0.1% (800) 926-8273
99 REGENTS OF THE UNIVERSITY OF CALIFORNIA SANTA MONICACAANESTHESIOLOGY 232 1,100 0.1% (310) 794-1841
100 GLENDALE ADVENTIST MEDICAL CENTER GLENDALECAANESTHESIOLOGY 100 1,067 0.1% (818) 863-4099

*Share of California's disclosed Medicare-FFS services for 99204, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99204 in California — 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 →