Unknown Supplier/Provider Specialty in California
Individual Unknown Supplier/Provider Specialty providers billing Original Medicare Part B in California: 5 in 2024.
See available data · View sample report · What a Market Comparison contains
Available data
- individual providers, 2024
- 5
- data years
- 5
- groups listed
- 3
Specialty, geography, providers by year and peer group
- Specialty
- Unknown Supplier/Provider Specialty (the provider type on the Medicare claims record; individuals only)
- Geography
- California.
- Data years
- 2020, 2021, 2022, 2023, 2024
- Providers by year
- 2020: 1 · 2021: 1 · 2022: 2 · 2023: 3 · 2024: 5
- Peer group for ranks
- Fewer than 20 providers in California with a value of a ranked measure (payment or work RVUs) in the latest year, so each clinician's rank of that measure uses national peers; positions in the ranked list are still among the providers in California.
Fee schedule change for Unknown Supplier/Provider Specialty, 2026 to 2027 (proposed rule)
At the 2027 proposed rule rates, the median change in calculated Medicare allowed for Unknown Supplier/Provider Specialty clinicians nationally is +1.8%, on the same services as in 2024 (middle half −4.0% to +7.6%, 33 clinicians).
calculated at each clinician's published code mix; volume held fixed; proposed rule.
Fewer than 20 Unknown Supplier/Provider Specialty clinicians in this state have a calculation, so the state is not shown; the national figure is.
By area, and what the calculation leaves out1 area
| Area | Clinicians | Median change | Middle half |
|---|---|---|---|
| United States | 33 | +1.8% | −4.0% to +7.6% |
Codes this specialty billed in 2024 that have no 2027 rate in the proposed rule (deleted or not listed; left out of the calculation, never estimated): 92507.
104 codes are new in the 2027 proposed rule (not in any 2024 code mix); 53 codes move to a national rate from a 2026 status without one (carrier-priced and others); lines in those codes are left out of the calculation.
Each clinician’s own figure, with the codes behind it, is in the Physician Report. How this is calculated.
Telehealth-only services and setting, Unknown Supplier/Provider Specialty, 2020–2024
In 2024, 0.0% of Unknown Supplier/Provider Specialty Medicare work nationally was in telehealth-only services (0.0% in 2020), a floor of all telehealth work; 99% was billed at the office (non-facility) rate and 1% at the facility rate.
Share of work by setting, by year: table1 area
United States: share of calculated Medicare work RVUs by setting
| Year | Telehealth-only | Office rate | Facility rate | Clinicians | Share with any telehealth-only |
|---|---|---|---|---|---|
| 2020 | 0.0% | 80% | 20% | 12 | 0% |
| 2021 | 0.0% | 92% | 8% | 13 | 0% |
| 2022 | 0.0% | 97% | 3% | 18 | 0% |
| 2023 | 0.0% | 96% | 4% | 21 | 0% |
| 2024 | 0.0% | 99% | 1% | 33 | 0% |
Telehealth-only services are codes that exist only as remote services (telephone and online visits, virtual check-ins, telehealth consultations). The share is a floor, not total telehealth: CMS publishes the place of service only as facility or non-facility and does not publish telehealth modifiers, so a video visit billed with an ordinary visit code is counted in the setting CMS records. Every year is weighted at the 2024 work relative values, so a share moves only when the services billed move. Cells of at least 11 clinicians. How this is calculated.
Market Comparison
One specialty in one market (a metro area, a state's area outside metro areas, a whole state or the United States): each cohort member's figures and rank, the distribution, percentiles and trend, plus the full report of a selected physician who is in that market, for 12 months.
Reports are not on sale yet.
View sample reportWhat the Market Comparison contains
Show details3 known limitations
Included
- The cohort table: each clinician's exact Medicare payment, calculated work RVUs and rank in this specialty and market
- A ranked list of every clinician in this specialty and market by Medicare payment or work RVUs, opening at the selected physician with those just above and below
- Each listed clinician's codes for a data year: every code line with place of service, services, beneficiaries, Medicare payment and work RVUs
- Medians, percentiles, the distribution and the trend for this specialty and market
- Estimated figures and the offer calculator for this market
- The full Physician Report of the selected physician, when that physician is in this market
- A downloadable market report (PDF)
Not included
- Other specialties and other markets
- Multi-year history, peer comparisons and the printable report of clinicians other than the selected physician (each one's Physician Report)
- Peer comparison flags (professional subscription, not sold)
Known limitations
- Fewer than 20 providers in California with a value of a ranked measure (payment or work RVUs) in the latest year, so each clinician's rank of that measure uses national peers; positions in the ranked list are still among the providers in California.
- CMS suppresses code lines with fewer than 11 beneficiaries, so calculated work RVUs are a floor.
- Estimated figures are not part of this Market Comparison: no sourced Medicare share of work for this specialty, or anesthesia, whose work RVUs are not measured.
Unknown Supplier/Provider Specialty by metro area in California
Show details3 areas
A Market Comparison is also prepared for each metro area and for the area outside metro areas. Alphabetical; provider counts are for 2024.
Groups with the most Unknown Supplier/Provider Specialty providers in California
Show details3 groups
- Stanford Health Care (1 Unknown Supplier/Provider Specialty providers)
- Torrance Health Association Inc (1 Unknown Supplier/Provider Specialty providers)
- Uc Regents (1 Unknown Supplier/Provider Specialty providers)
Group affiliation: CMS Doctors and Clinicians file; data year 2024. Ordered by the count of providers of the specialty, then by name; groups tied at the end of the list are left out.
Original Medicare Part B fee-for-service only; payments go to the billing entity. How every figure is computed: methodology, including known limitations.
Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service).