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Market snapshot

99213 in OH 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
1,592
Named-group FFS services
1,791,784
FFS of Medicare
43%
Services YoY
-4.3%
FFS enrollment -2.8%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,049,446 services

1,791,784 observed fee-for-service (44%) · ~2,257,662 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
$328.6M
Named-group allowed amount
$136.0M
Named-group Medicare payments
$91.5M
Avg charge / svc
$183
Avg allowed / svc
$76
Avg payment / svc
$51
Average charge per group
$62 1,592 groups · avg submitted charge / service $1,426
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Specialty market — Dermatology: 80,683 services across 48 groups; top group 13%. 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 CENTER FOR SURGICAL DERMATOLOGY INC WESTERVILLE DERMATOLOGY 32 10,748 $2,797,154 $260 premium 13.3% 0.4% (614) 847-4100
2 OPTIMA DERMATOLOGY LLC BOARDMAN DERMATOLOGY 75 9,142 $1,315,271 $144 premium 11.3% 0.4% (330) 965-8760
3 ALLIED DERMATOLOGY AND SKIN SURGERY, LLC FAIRLAWN DERMATOLOGY 10 6,008 $748,950 $125 premium 7.4% 0.2% (330) 665-0555
4 ANDERS DERMATOLOGY INCORPORATED TOLEDO DERMATOLOGY 11 5,470 $850,320 $155 premium 6.8% 0.2% (419) 473-3257
5 THE DERMATOLOGY GROUP INC MASON DERMATOLOGY 20 4,961 $1,032,055 $208 premium 6.1% 0.2% (513) 770-4212
6 FRED S HIRSH MD INC MAYFIELD VLG DERMATOLOGY 2 4,101 $469,524 $114 premium 5.1% 0.2% (440) 460-2884
7 CENTRAL OHIO SKIN AND CANCER INC WESTERVILLE DERMATOLOGY 11 3,522 $563,520 $160 premium 4.4% 0.1% (614) 898-7546
8 ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC MANSFIELD DERMATOLOGY 10 3,132 $815,404 $260 premium 3.9% 0.1% (419) 756-1600
9 DERMATOLOGY SPECIALISTS OF GREATER CINCINNATI INC CINCINNATI DERMATOLOGY 5 2,386 $413,107 $173 premium 3.0% 0.1% (513) 482-8968
10 NORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER GAHANNA DERMATOLOGY 6 2,328 $302,879 $130 premium 2.9% 0.1% (614) 473-9519
11 WARREN DERMATOLOGY AND MOHS SURGERY LLC WARREN DERMATOLOGY 5 2,300 $218,710 $95 premium 2.9% 0.1% (330) 856-6365
12 SIGNATURE DERMATOLOGY LLC HILLIARD DERMATOLOGY 8 1,766 $182,694 $103 premium 2.2% 0.1% (614) 777-1200
13 AKRON DERMATOLOGY INC AKRON DERMATOLOGY 4 1,552 $269,408 $174 premium 1.9% 0.1% (330) 535-7100
14 IBRAHIM M ZAYNEH MD LLC PORTSMOUTH DERMATOLOGY 3 1,429 $185,914 $130 premium 1.8% 0.1% (740) 355-6634
15 SAMIA W BORCHERS MD INC DAYTON DERMATOLOGY 2 1,385 $144,423 $104 premium 1.7% 0.1% (937) 435-4977
16 PARKER SKIN AND AESTHETIC CLINIC INC BEACHWOOD DERMATOLOGY 10 1,354 $359,758 $266 premium 1.7% 0.1% (216) 464-7333
17 INTEGRATED DERMATOLOGY OF COLUMBUS LLC COLUMBUS DERMATOLOGY 2 1,333 $142,025 $107 premium 1.7% 0.1% (614) 863-3222
18 D. NEAL MASTRUSERIO, M.D., LLC COLUMBUS DERMATOLOGY 3 1,206 $209,219 $173 premium 1.5% 0.0% (614) 442-6647
19 JOYCE LENDER MD INC ELYRIA DERMATOLOGY 2 1,205 $156,358 $130 premium 1.5% 0.0% (440) 284-1400
20 CINCINNATI DERMATOLOGY CENTER LLC CINCINNATI DERMATOLOGY 3 1,180 $165,200 $140 premium 1.5% 0.0% (513) 984-4800
21 NEW HORIZON DERMATOLOGY, INC RAVENNA DERMATOLOGY 2 1,179 $167,418 $142 premium 1.5% 0.0% (330) 296-2879
22 NORTHCOAST DERMATOLOGY ASSOCIATES, INC. INDEPENDENCE DERMATOLOGY 5 1,178 $144,760 $123 premium 1.5% 0.0% (216) 524-4009
23 DERMATOLOGY AND SKIN CARE ASSOCIATES WEST CHESTER DERMATOLOGY 7 1,154 $207,678 $180 premium 1.4% 0.0% (513) 770-3263
24 TOLEDO CLINIC PLLC WAUSEON DERMATOLOGY 12 1,029 $145,293 $141 premium 1.3% 0.0% (419) 330-5200
25 DR JENIFER R LLOYD LLC YOUNGSTOWN DERMATOLOGY 3 987 $98,700 $100 premium 1.2% 0.0% (330) 758-9189
26 CLEVELAND DERMATOLOGY GROUP LLC WESTLAKE DERMATOLOGY 3 971 $165,479 $170 premium 1.2% 0.0% (440) 617-1522
27 DAYTON SKIN SURGERY CENTER INC DAYTON DERMATOLOGY 10 849 $102,744 $121 premium 1.1% 0.0% 9372935567127
28 OHIO PREMIER DERMATOLOGY, LLC SUNBURY DERMATOLOGY 2 847 $110,110 $130 premium 1.0% 0.0%
29 LUCENT DERMATOLOGY AND SKIN SURGERY CENTER CORP BEACHWOOD DERMATOLOGY 2 753 $130,753 $174 premium 0.9% 0.0% (216) 342-3333
30 DERMATOLOGY ASSOCIATES LLC GREENVILLE DERMATOLOGY 18 586 $151,482 $259 premium 0.7% 0.0% (864) 271-7440
31 DERMATOLOGIST MEDICAL GROUP OF NORTH COUNTY INC OCEANSIDE DERMATOLOGY 19 562 $162,023 $288 premium 0.7% 0.0% (760) 758-5340
32 WESTSHORE DERMATOLOGY INC WESTLAKE DERMATOLOGY 2 553 $61,311 $111 premium 0.7% 0.0% (440) 617-9114
33 HOPE MITCHELL MD LLC PERRYSBURG DERMATOLOGY 2 471 $61,313 $130 premium 0.6% 0.0% (419) 872-4673
34 BRECKSVILLE DERMATOLOGY INC BRECKSVILLE DERMATOLOGY 2 423 $57,150 $135 premium 0.5% 0.0% (440) 792-4802
35 ANTHONY R ELIAS MD AND CHRISTINE C TAM MD LLC NORTH ROYALTON DERMATOLOGY 2 396 $59,079 $149 premium 0.5% 0.0% (440) 582-3010
36 SKIN CARE EXPERTS LLC PERRYSBURG DERMATOLOGY 3 388 $104,760 $270 premium 0.5% 0.0% (419) 873-6963
37 CHRISTINE S RAUSCH MD PC RICHMOND DERMATOLOGY 9 387 $71,595 $185 premium 0.5% 0.0% (804) 282-4940
38 DR MICHAEL MCGUINESS PA MURPHY DERMATOLOGY 15 353 $109,077 $309 premium 0.4% 0.0% (972) 316-4555
39 BRETT COLDIRON MD CINCINNATI DERMATOLOGY 5 330 $49,500 $150 premium 0.4% 0.0% (513) 221-2828
40 G R SICARD MD INC CANTON DERMATOLOGY 2 190 $18,940 $100 premium 0.2% 0.0% (330) 497-7525
41 SKIN AND BEAUTY CENTER INC NORTHRIDGE DERMATOLOGY 33 141 $28,185 $200 premium 0.2% 0.0% (818) 886-3884
42 VANTAGE HEALTH, LLC OCALA DERMATOLOGY 4 141 $15,023 $107 premium 0.2% 0.0% (352) 861-2115
43 CINCO RANCH DERMATOLOGY PA KATY DERMATOLOGY 5 88 $20,844 $237 premium 0.1% 0.0% (281) 394-9500
44 ASSOCIATES IN DERMATOLOGY M D P L FORT MYERS DERMATOLOGY 12 73 $13,429 $184 premium 0.1% 0.0% (239) 936-5425
45 DERMATOLOGIC SURGERY CENTER OF NORTHEAST OHIO INC MEDINA DERMATOLOGY 3 56 $9,709 $173 premium 0.1% 0.0% (330) 239-4350
46 GRAY DERM PLLC LANCASTER DERMATOLOGY 2 52 $9,015 $173 premium 0.1% 0.0% (740) 206-7131
47 SOUTHEASTERN SKIN CANCER AND DERMATOLOGY MADISON DERMATOLOGY 9 20 $1,600 $80 premium 0.0% 0.0% (256) 705-3000
48 SAN LUIS DERMATOLOGY, INC. SAN LUIS OBISPO DERMATOLOGY 6 18 $1,725 $96 premium 0.0% 0.0% (805) 541-2650

*"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 →