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Market snapshot

99212 nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99212 — Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more

Billing groups
14,726
Named-group FFS services
3,730,316
FFS of Medicare
49%
Services YoY
-9.6%
FFS enrollment -2.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~7,488,638 services

3,730,316 observed fee-for-service (50%) · ~3,758,322 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; 2 states without payer-mix data excluded. How we scale

Top states — 99212 (CY2024)

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

Named-group submitted charges
$447.5M
Named-group allowed amount
$192.6M
Named-group Medicare payments
$135.9M
Avg charge / svc
$120
Avg allowed / svc
$52
Avg payment / svc
$36
Average charge per group
$22 14,726 groups · avg submitted charge / service $2,000
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Specialty market — Maxillofacial Surgery: 1,170 services across 13 groups; top group 37%. See Maxillofacial Surgery across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99212 services, CY2024
#Physician group City St Specialty Providers 99212 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 MARK L GLYMAN MD DDS AND ERIC D SWANSON MD DMD LTD LAS VEGAS NV MAXILLOFACIAL SURGERY 2 432 $30,240 $70 premium 0.8% (702) 507-5555
2 WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE SHREVEPORT LA MAXILLOFACIAL SURGERY 4 181 $15,364 $85 premium 0.3% (318) 212-5944
3 UNIVERSITY OF MARYLAND ORAL MAXILLOFACIAL SURGERY ASSOC PA BALTIMORE MD MAXILLOFACIAL SURGERY 6 163 $22,820 $140 premium 0.1% (410) 706-6195
4 BRAZOS VALLEY OMS PLLC COLLEGE STATION TX MAXILLOFACIAL SURGERY 5 95 $10,925 $115 premium 0.0% (979) 764-7101
5 STRAUSS AND STRAUSS D.M.D.S, PA STUART FL MAXILLOFACIAL SURGERY 5 68 $3,885 $57 premium 0.0% (772) 283-6757
6 ORAL-FACIAL SURGERY CENTER APC HOUMA LA MAXILLOFACIAL SURGERY 3 50 $3,160 $63 premium 0.1% (985) 879-1972
7 MONESMITH AND WOOD ORAL AND MAXILLOFACIAL SURGERY PC JASPER IN MAXILLOFACIAL SURGERY 2 38 $4,510 $119 premium 0.0% (812) 482-2280
8 CHICAGO SURGICAL SPECIALISTS LLC PARK RIDGE IL MAXILLOFACIAL SURGERY 3 32 $2,400 $75 premium 0.0% (847) 268-3910
9 OREGON ORAL AND IMPLANT SURGEONS PC EUGENE OR MAXILLOFACIAL SURGERY 2 30 $3,297 $110 premium 0.1% (541) 686-9750
10 HARRIS COUNTY HOSPITAL DISTRICT HOUSTON TX MAXILLOFACIAL SURGERY 22 30 $1,590 $53 premium 0.0% (713) 873-2000
11 DRS B NOORBAKHSH AND T DEAN BOBBITT PLLC PARKERSBURG WV MAXILLOFACIAL SURGERY 2 18 $1,800 $100 premium 0.0% (304) 428-2800
12 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NC MAXILLOFACIAL SURGERY 4 17 $2,074 $122 premium 0.0% (919) 537-3944
13 UB ORAL AND MAXILLOFACIAL SURGERY, INC BUFFALO NY MAXILLOFACIAL SURGERY 4 16 $1,792 $112 premium 0.0% (716) 829-6004

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. 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 →