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Market snapshot

99213 in MD CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99213 — Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more

Billing groups
1,105
Named-group FFS services
1,165,648
FFS of Medicare
75%
Services YoY
-1.1%
FFS enrollment -1.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,533,288 services

1,165,648 observed fee-for-service (76%) · ~367,640 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. How we scale

Named-group submitted charges
$225.4M
Named-group allowed amount
$102.8M
Named-group Medicare payments
$71.6M
Avg charge / svc
$193
Avg allowed / svc
$88
Avg payment / svc
$61
Average charge per group
$57 1,105 groups · avg submitted charge / service $750
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Specialty market — Dermatology: 66,782 services across 42 groups; top group 15%. See Dermatology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99213 services, CY2024
#Physician group City Specialty Providers 99213 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 DERM ASSOCIATES LLC SILVER SPRING DERMATOLOGY 40 9,938 $3,065,516 $308 premium 14.9% 0.5% (301) 681-7000
2 EPIPHANY DERMATOLOGY OF MARYLAND, PA BETHESDA DERMATOLOGY 12 8,482 $1,494,583 $176 premium 12.7% 0.5% (301) 530-8300
3 MCCAGH AND HERRING MD PA CUMBERLAND DERMATOLOGY 5 5,807 $1,088,047 $187 premium 8.7% 0.3% (301) 777-7900
4 SKIN CARE SPECIALTY PHYSICIANS LLC LUTHERVILLE DERMATOLOGY 17 5,753 $1,392,090 $242 premium 8.6% 0.3% (410) 252-9090
5 FREDERICK DERMATOLOGY ASSOCIATES LLC FREDERICK DERMATOLOGY 8 3,743 $411,730 $110 premium 5.6% 0.2% (301) 662-6755
6 INTEGRATED DERMATOLOGY OF SHADY GROVE LLC ROCKVILLE DERMATOLOGY 5 3,280 $550,539 $168 premium 4.9% 0.2% (240) 246-7417
7 DRS POULTON AND SMITH LLC BALTIMORE DERMATOLOGY 2 2,990 $448,500 $150 premium 4.5% 0.2% (410) 574-3100
8 INTEGRATED DERMATOLOGY GROUP LLC ELLICOTT CITY DERMATOLOGY 6 2,632 $377,580 $143 premium 3.9% 0.1% (410) 203-0607
9 UNIVERSITY OF MARYLAND DERMATOLOGISTS PA BALTIMORE DERMATOLOGY 18 2,183 $449,593 $206 premium 3.3% 0.1% (410) 238-8025
10 MEDICAL AND AESTHETIC DERMATOLOGY COLUMBIA DERMATOLOGY 2 2,019 $231,316 $115 premium 3.0% 0.1% (443) 542-0505
11 TIDEWATER DERMATOLOGY LLC BERLIN DERMATOLOGY 2 1,975 $279,660 $142 premium 3.0% 0.1% (410) 641-2222
12 CLEMMENSEN, ADAMS, AND TACK PSC CARSON CITY DERMATOLOGY 8 1,781 $170,767 $96 premium 2.7% 0.1% (775) 883-7811
13 DRS. FORD AND ROTHMAN COSMETIC AND CLINICAL DERMATOLOGY, LLC GAITHERSBURG DERMATOLOGY 6 1,727 $352,794 $204 premium 2.6% 0.1% (301) 977-2070
14 SAMANTHA A TOERGE MD LLC CHEVY CHASE DERMATOLOGY 4 1,499 $232,439 $155 premium 2.2% 0.1% (301) 951-7905
15 DERMATOLOGIC SURGERY CENTER OF WASHINGTON, LLC CHEVY CHASE DERMATOLOGY 9 1,406 $193,738 $138 premium 2.1% 0.1% (301) 652-8081
16 DRS RUMBARGER AND SCHIRO PA HAGERSTOWN DERMATOLOGY 2 1,278 $127,800 $100 premium 1.9% 0.1% (301) 739-4900
17 SANJIV K SAINI MD LLC EDGEWATER DERMATOLOGY 4 1,182 $326,802 $276 premium 1.8% 0.1% 4109567777124
18 DOCKSIDE DERMATOLOGY LLC MILLERSVILLE DERMATOLOGY 5 996 $207,801 $209 premium 1.5% 0.1% (410) 934-5400
19 MANA DERMATOLOGY LLC GREENBELT DERMATOLOGY 2 977 $124,687 $128 premium 1.5% 0.1%
20 CYLBURN E SODEN M.D.P.A LAUREL DERMATOLOGY 2 891 $142,560 $160 premium 1.3% 0.0% (301) 776-1094
21 MARYLAND SKIN CANCER SPECIALISTS, PA FREDERICK DERMATOLOGY 3 673 $90,493 $134 premium 1.0% 0.0% (240) 453-0050
22 NAKUL GOYAL, MD, PA SILVER SPRING DERMATOLOGY 2 569 $94,047 $165 premium 0.9% 0.0% (301) 598-4500
23 DERMATOLOGY TREATMENT AND RESEARCH CENTER, PA DALLAS DERMATOLOGY 2 514 $163,452 $318 premium 0.8% 0.0% (972) 661-2729
24 DERMATOLOGY CENTER PC FREDERICKSBURG DERMATOLOGY 6 492 $98,400 $200 premium 0.7% 0.0% (540) 371-7118
25 CURRENT DERMATOLOGY AND COSMETIC CENTER LLC ANNAPOLIS DERMATOLOGY 4 469 $82,700 $176 premium 0.7% 0.0% (410) 384-3045
26 PENNSYLVANIA DERMATOLOGY PARTNERS INC READING DERMATOLOGY 75 396 $49,452 $125 premium 0.6% 0.0% (610) 288-2908
27 CLEARLINE DERMATOLOGY LLC CHARLESTON DERMATOLOGY 4 376 $50,760 $135 premium 0.6% 0.0% (843) 723-6529
28 ALI HENDI, MD, PC CHEVY CHASE DERMATOLOGY 2 349 $49,430 $142 premium 0.5% 0.0% (301) 986-1006
29 RICHMOND DERMATOLOGY SPECIALISTS RICHMOND DERMATOLOGY 12 297 $86,466 $291 premium 0.4% 0.0% (804) 286-4927
30 ALLISON LINQUIST, MD, PC ELKRIDGE DERMATOLOGY 3 274 $51,255 $187 premium 0.4% 0.0% (410) 465-2681
31 MODERN DERMATOLOGY OF MARYLAND, LLC ANNAPOLIS DERMATOLOGY 2 270 $49,478 $183 premium 0.4% 0.0% (410) 216-0993
32 CENTRAL OHIO SKIN AND CANCER INC WESTERVILLE DERMATOLOGY 11 263 $34,911 $133 premium 0.4% 0.0% (614) 898-7546
33 JEN JOHN INC FREDERICK DERMATOLOGY 2 233 $27,960 $120 premium 0.3% 0.0% (301) 694-5292
34 ELITE DERMATOLOGY, PLLC FULSHEAR DERMATOLOGY 25 192 $35,492 $185 premium 0.3% 0.0% (281) 612-0050
35 RENEWAL DERMATOLOGY AND MEDSPA PC GAINESVILLE DERMATOLOGY 18 189 $23,625 $125 premium 0.3% 0.0% (703) 753-9860
36 DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP SACRAMENTO DERMATOLOGY 4 177 $20,355 $115 premium 0.3% 0.0% (916) 739-1505
37 PARISER DERMATOLOGY SPECIALISTS LTD NEWPORT NEWS DERMATOLOGY 34 169 $33,800 $200 premium 0.3% 0.0% (757) 595-8816
38 INTEGRATED DERMATOLOGY OF 19TH STREET LLC WASHINGTON DERMATOLOGY 5 147 $22,030 $150 premium 0.2% 0.0% (202) 955-6995
39 DERMATOLOGY AND SKIN CARE ASSOC PC WELLESLEY DERMATOLOGY 10 124 $37,944 $306 premium 0.2% 0.0% (781) 235-8155
40 KESSOUS AND KESSOUS MD PC GAITHERSBURG DERMATOLOGY 4 34 $5,100 $150 premium 0.1% 0.0% (301) 208-2273
41 DERMATOLOGY OF VIRGINIA FAIRFAX DERMATOLOGY 2 23 $3,523 $153 premium 0.0% 0.0% (703) 828-7128
42 DERMATOLOGY GROUP OF FLORIDA, P.A. MIAMI DERMATOLOGY 53 13 $2,199 $169 premium 0.0% 0.0% (305) 585-1111

*"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 →