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Medicare California · CY2024

Who bills the most Pelvic exam (99459) to Medicare in California?

Medicare Part B FFS · CY2024 · as published by CMS
70
Billing groups
11,995
Named-group FFS services
$920,052
Named-group submitted charges
$77
Avg charge / service
$26
Avg allowed / service
46%
Top-5 concentration
0%
Independent share

70 physician groups billed Pelvic exam (99459) to Medicare fee-for-service in California in 2024; the top five named groups hold 46% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

99459 — Pelvic exam · 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 99459 svcs Share*Phone
1 COMMUNITY FOUNDATION MEDICAL GROUP FRESNOCAPHYSICIAN ASSISTANT 292 1,703 10.0%
2 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAOBSTETRICS/GYNECOLOGY 54 1,276 7.5% (310) 794-7274
3 UROLOGY ASSOCIATES OF THE CENTRAL COAST SAN LUIS OBISPOCAPHYSICIAN ASSISTANT 13 1,042 6.1%
4 ORANGE COUNTY UROLOGY ASSOCIATES INC A MEDICAL GROUP LAGUNA HILLSCAUROLOGY 18 811 4.8% (949) 855-1101
5 SCRIPPS HEALTH LA JOLLACAPHYSICIAN ASSISTANT 1431 707 4.2% (858) 455-9100
6 HOAG CLINIC NEWPORT BEACHCAPHYSICIAN ASSISTANT 436 599 3.5% (949) 791-3370
7 CEDARS-SINAI MEDICAL CARE FOUNDATION LOS ANGELESCAPHYSICIAN ASSISTANT 1699 583 3.4% (310) 423-0674
8 PROVIDENCE MEDICAL INSTITUTE TORRANCECAINTERNAL MEDICINE 339 451 2.7% (310) 303-7496
9 EISENHOWER MEDICAL CENTER RANCHO MIRAGECANURSE PRACTITIONER 457 319 1.9% (760) 340-3911
10 BAY AREA GYNECOLOGY ONCOLOGY INC CAMPBELLCAPHYSICIAN ASSISTANT 10 289 1.7% (408) 827-4274
11 OBHG CALIFORNIA PC LA MESACAOBSTETRICS/GYNECOLOGY 90 256 1.5% (619) 740-6000
12 TRI-VALLEY UROLOGY MEDICAL GROUP MURRIETACAUROLOGY 9 223 1.3% (951) 698-1901
13 GENESIS HEALTHCARE PARTNERS PC TORRANCECAGASTROENTEROLOGY 211 221 1.3% (310) 534-8400
14 SVMHS CLINICS SALINASCAPHYSICIAN ASSISTANT 245 210 1.2% (831) 422-3636
15 LAMIA L GABAL MD INC SANTA ANACAPHYSICIAN ASSISTANT 7 169 1.0% (949) 825-7650
16 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGOCADIAGNOSTIC RADIOLOGY 2057 167 1.0% (800) 926-8273
17 COMMUNITY MEMORIAL HEALTH SYSTEM VENTURACAFAMILY PRACTICE 190 159 0.9% (805) 652-5011
18 ASSOCIATES IN WOMENS HEALTH CARE ROSEVILLECAOBSTETRICS/GYNECOLOGY 7 158 0.9%
19 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDACADIAGNOSTIC RADIOLOGY 1317 153 0.9%
20 REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELESCAGYNECOLOGICAL ONCOLOGY 6 147 0.9%
21 CITY OF HOPE MEDICAL FOUNDATION DUARTECANURSE PRACTITIONER 942 130 0.8% (626) 256-4673
22 DIGNITY HEALTH MEDICAL FOUNDATION FOLSOMCADIAGNOSTIC RADIOLOGY 1197 128 0.8% (916) 983-7476
23 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITYCANURSE PRACTITIONER 1815 119 0.7% (913) 588-1227
24 PACIFIC CENTRAL COAST HEALTH CENTERS SANTA MARIACAPHYSICIAN ASSISTANT 249 118 0.7% (805) 349-8514
25 REGENTS UNIV OF CALIFORNIA UCSF SAN FRANCISCOCAPHYSICIAN ASSISTANT 277 105 0.6% (415) 476-1000
26 WEST COAST OB/GYN, INC. SAN DIEGOCAOBSTETRICS/GYNECOLOGY 14 98 0.6% (858) 277-9378
27 PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACHCAINTERNAL MEDICINE 228 87 0.5% (562) 495-4952
28 BEN B. SHENASSA, M.D. INC. LOS ANGELESCAUROLOGY 2 80 0.5% (818) 241-3125
29 MONTAGE MEDICAL GROUP MONTEREYCAFAMILY PRACTICE 125 77 0.5% (831) 718-9701
30 BARNABAS HEALTH MEDICAL GROUP PC LIVINGSTONCANURSE PRACTITIONER 990 76 0.4%
31 LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP LOS ANGELESCAHEMATOLOGY/ONCOLOGY 51 75 0.4% (213) 977-1214
32 REGENTS OF THE UNIV OF CA SACRAMENTOCADIAGNOSTIC RADIOLOGY 1608 69 0.4% (877) 827-7463
33 CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE INC FRESNOCAHEMATOLOGY/ONCOLOGY 62 66 0.4% (559) 326-1222
34 NORTH COAST UROLOGY MEDICAL ASSOCIATES INC OCEANSIDECAUROLOGY 4 65 0.4% (760) 637-2500
35 CENTRAL COAST FAMILY CARE MEDICAL ASSOCIATES INC SANTA MARIACAFAMILY PRACTICE 9 65 0.4% (805) 938-7444
36 TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK LUBBOCKCACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 374 65 0.4% (806) 743-2800
37 ADVANCED WOMENS HEALTH CENTER A MEDICAL CORPORATION BAKERSFIELDCAOBSTETRICS/GYNECOLOGY 2 63 0.4% (661) 410-2942
38 MEMORIALCARE MEDICAL FOUNDATION LONG BEACHCAFAMILY PRACTICE 549 59 0.3% (562) 346-2222
39 USC CARE MEDICAL GROUP INC LOS ANGELESCADIAGNOSTIC RADIOLOGY 1374 55 0.3% (800) 872-2273
40 HM MEDICAL INC A PROFESSIONAL MEDICAL CORP NEWPORT BEACHCAOBSTETRICS/GYNECOLOGY 2 44 0.3% (949) 646-2800
41 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTOCADIAGNOSTIC RADIOLOGY 2420 41 0.2% (916) 681-8852
42 PROVIDENCE MEDICAL FOUNDATION FULLERTONCAPHYSICIAN ASSISTANT 1455 39 0.2% (714) 871-3006
43 VIRGINIA GYNECOLOGIC ONCOLOGY LLC RICHMONDCAOBSTETRICS/GYNECOLOGY 7 38 0.2% (804) 285-4763
44 UROLOGY ASSOCIATES OF CENTRAL CALIFORNIA MEDICAL GROUP INC FRESNOCAUROLOGY 11 35 0.2% (559) 321-2800
45 STANFORD HEALTH CARE STANFORDCADIAGNOSTIC RADIOLOGY 3039 35 0.2% (650) 723-4000
46 REGENTS OF THE UNIVERSITY OF CALIFORNIA SACRAMENTOCAFAMILY PRACTICE 561 34 0.2% (916) 734-7777
47 NAGHMEH KHODAI MD INC WEST HILLSCANURSE PRACTITIONER 2 32 0.2% (818) 887-5000
48 SIMI OBSTETRICS AND GYNECOLOGY MEDICAL GROUP A MEDICAL CORP SIMI VALLEYCAOBSTETRICS/GYNECOLOGY 4 28 0.2% (805) 527-8055
49 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCOCADIAGNOSTIC RADIOLOGY 1842 28 0.2% (415) 476-4029
50 CEDARS-SINAI MEDICAL CENTER WEST HOLLYWOODCANURSE PRACTITIONER 802 28 0.2% (310) 423-3277
51 PETER A CASTILLO MD INC LOS GATOSCAOBSTETRICS/GYNECOLOGY 2 26 0.2% (925) 905-9922
52 UROLOGY SPECIALISTS OF SANTA BARBARA INC SANTA BARBARACAPHYSICIAN ASSISTANT 2 26 0.2% (805) 687-7719
53 REGENTS OF THE UNIVERSITY OF CALIFORNIA RIVERSIDECAFAMILY PRACTICE 34 24 0.1% (951) 827-7793
54 INOVA HEALTH CARE SERVICES FALLS CHURCHCANURSE PRACTITIONER 1818 24 0.1%
55 ALVARADO-LA MESA UROLOGY MEDICAL GROUP, INC. LA MESACAUROLOGY 2 22 0.1% (619) 229-2626
56 PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION SANTA MONICACAPHYSICIAN ASSISTANT 287 22 0.1% (310) 829-6789
57 IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP A P C EL CENTROCAFAMILY PRACTICE 23 22 0.1% (760) 353-6363
58 CENTRAL VALLEY GENERAL HOSPITAL HANFORDCAFAMILY PRACTICE 92 20 0.1%
59 SUTTER BAY MEDICAL FOUNDATION PALO ALTOCAINTERNAL MEDICINE 3716 20 0.1% (415) 600-1020
60 SHOBHANA GANDHI MD INC LOS ANGELESCAOBSTETRICS/GYNECOLOGY 3 20 0.1% (323) 953-8821
61 CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC FRESNOCAEMERGENCY MEDICINE 252 18 0.1% (559) 459-6000
62 HELEN HUYNH D O INC ROSEMEADCAOBSTETRICS/GYNECOLOGY 2 18 0.1% (626) 773-8900
63 GOLDEN GATE UROLOGY INC SAN FRANCISCOCAUROLOGY 12 16 0.1% (415) 922-3255
64 SCOTT DAVID SIMON MD FACS MEDICAL CORPORATION LA JOLLACAUROLOGY 2 15 0.1% (858) 458-0099
65 MING-WEI WU INC BREACANURSE PRACTITIONER 38 15 0.1% 88843488806
66 ROSE WOMEN'S HEALTH ARCADIACAOBSTETRICS/GYNECOLOGY 2 14 0.1% (626) 461-7071
67 MONTEREY OBGYN MEDICAL GROUP INC RANCHO MIRAGECAOBSTETRICS/GYNECOLOGY 3 13 0.1% (760) 779-5511
68 UNIVERSITY HEALTHCARE ALLIANCE PLEASANTONCAINTERNAL MEDICINE 332 12 0.1% (925) 462-7060
69 ONE UROLOGY LONG BEACHCAUROLOGY 2 12 0.1% (562) 283-4876
70 JOHN MUIR PHYSICIAN NETWORK WALNUT CREEKCAFAMILY PRACTICE 489 11 0.1% (925) 296-9720

*Share of California's disclosed Medicare-FFS services for 99459, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99459 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 →