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Market snapshot

99213 in WI 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
611
Named-group FFS services
617,110
FFS of Medicare
42%
Services YoY
-1.8%
FFS enrollment -2.9%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,432,190 services

617,110 observed fee-for-service (43%) · ~815,080 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
$144.6M
Named-group allowed amount
$46.4M
Named-group Medicare payments
$31.1M
Avg charge / svc
$234
Avg allowed / svc
$75
Avg payment / svc
$50
Average charge per group
$61 611 groups · avg submitted charge / service $756
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Specialty market — General Surgery: 2,192 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 WAUKESHA SURGICAL SPECIALISTS, S.C. WAUKESHA GENERAL SURGERY 18 735 $141,757 $193 premium 0.1% (262) 542-0444
2 SURGICAL ASSOCIATES OF NEENAH, S.C. NEENAH GENERAL SURGERY 29 400 $61,600 $154 premium 0.0% (920) 725-4527
3 JANDALI SURGICAL ASSOCIATES, S.C. PLEASANT PRAIRIE GENERAL SURGERY 2 333 $58,275 $175 premium 0.0% (262) 748-1001
4 SURGICAL ASSOCIATES, S.C. WAUSAU GENERAL SURGERY 26 328 $81,960 $250 premium 0.0% (715) 847-2022
5 GILA REGIONAL MEDICAL CENTER SILVER CITY GENERAL SURGERY 18 145 $30,718 $212 premium 0.0% (575) 534-0400
6 FALL GENERAL SURGERY LLC DULUTH GENERAL SURGERY 2 115 $37,317 $324 premium 0.0% (715) 685-0656
7 LOS ALAMOS PHYSICIAN PRACTICES LLC LOS ALAMOS GENERAL SURGERY 17 76 $13,287 $175 premium 0.0% (505) 661-9533
8 EVERGREEN SURGICAL, S.C. EAU CLAIRE GENERAL SURGERY 5 60 $13,620 $227 premium 0.0%

*"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 →