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Market snapshot

99213 in PR 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
154
Named-group FFS services
24,289
FFS of Medicare
14%
Services YoY
-8.7%
FFS enrollment -5.3%
Estimated all-Medicare volume FFS + estimated MA estimate
~165,872 services

24,289 observed fee-for-service (15%) · ~141,583 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
$2.5M
Named-group allowed amount
$2.1M
Named-group Medicare payments
$1.4M
Avg charge / svc
$102
Avg allowed / svc
$85
Avg payment / svc
$59
Average charge per group
$52 154 groups · avg submitted charge / service $297
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Specialty market — General Surgery: 314 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See General Surgery 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 MAYAGUEZ MEDICAL CENTER DR RAMON EMETERIO BETANCES INC MAYAGUEZ GENERAL SURGERY 8 249 $22,168 $89 premium 0.2%
2 LABORATORIO VASCULAR CLINICO PONCE INC PONCE GENERAL SURGERY 2 33 $4,950 $150 premium 0.0% (787) 840-0670
3 STEREOTACTIC BREAST CENTER PSC BAYAMON GENERAL SURGERY 3 32 $2,885 $90 premium 0.0% (787) 740-2120

*"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 →