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Market snapshot

99213 in NJ 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
1,534
Named-group FFS services
1,874,200
FFS of Medicare
59%
Services YoY
-1.0%
FFS enrollment -0.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,139,287 services

1,874,200 observed fee-for-service (60%) · ~1,265,087 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
$421.8M
Named-group allowed amount
$174.9M
Named-group Medicare payments
$124.7M
Avg charge / svc
$225
Avg allowed / svc
$93
Avg payment / svc
$67
Average charge per group
$70 1,534 groups · avg submitted charge / service $1,968
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Specialty market — Obstetrics/Gynecology: 12,902 services across 28 groups; top group 35%. See Obstetrics/Gynecology 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 REGIONAL WOMENS HEALTH GROUP LLC VOORHEES OBSTETRICS/GYNECOLOGY 352 4,537 $901,140 $199 premium 35.2% 0.2% (856) 424-3323
2 LIFELINE MEDICAL ASSOCIATES LLC DENVILLE OBSTETRICS/GYNECOLOGY 150 3,262 $545,760 $167 premium 25.3% 0.1%
3 NEW JERSEY MEDICAL AND HEALTH ASSOCIATES,LLC JERSEY CITY OBSTETRICS/GYNECOLOGY 26 1,087 $334,796 $308 premium 8.4% 0.0% (201) 309-3000
4 ADVANCED OBSTETRIC AND GYN LLC FLEMINGTON OBSTETRICS/GYNECOLOGY 12 655 $114,625 $175 premium 5.1% 0.0% (908) 806-0080
5 UNIVERSITY UROGYNECOLOGY ASSOCIATION PC VOORHEES OBSTETRICS/GYNECOLOGY 9 475 $119,750 $252 premium 3.7% 0.0% (856) 325-6622
6 WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC HACKENSACK OBSTETRICS/GYNECOLOGY 3 467 $186,850 $400 premium 3.6% 0.0% (201) 301-2772
7 COOPER FACULTY OB-GYN, PC CAMDEN OBSTETRICS/GYNECOLOGY 42 425 $123,400 $290 premium 3.3% 0.0% (856) 968-7396
8 TBHC PHYSICIAN SERVICES PC BROOKLYN OBSTETRICS/GYNECOLOGY 111 301 $193,910 $644 premium 2.3% 0.0% (718) 250-8000
9 A WOMAN'S PLACE LLC LITTLE SILVER OBSTETRICS/GYNECOLOGY 10 255 $102,000 $400 premium 2.0% 0.0% (732) 747-9310
10 JERSEY WOMENS CARE CENTER INC HEWLETT OBSTETRICS/GYNECOLOGY 3 191 $47,325 $248 premium 1.5% 0.0%
11 ENGLEWOOD SURGICAL SERVICES, LLC ENGLEWOOD OBSTETRICS/GYNECOLOGY 2 187 $28,075 $150 premium 1.4% 0.0% (201) 567-0522
12 HOLY NAME MEDICAL ASSOCIATES, PC TEANECK OBSTETRICS/GYNECOLOGY 5 180 $54,000 $300 premium 1.4% 0.0% (201) 907-0900
13 SPECIAL CARE OB/GYN ASSOCIATES INC BLOOMFIELD OBSTETRICS/GYNECOLOGY 2 164 $34,000 $207 premium 1.3% 0.0% (973) 680-8875
14 CHARLES HADDAD MD CLIFTON OBSTETRICS/GYNECOLOGY 2 94 $18,800 $200 premium 0.7% 0.0% (973) 779-7979
15 NEW BEGINNINGS OB/GYN, LLC SPRINGFIELD OBSTETRICS/GYNECOLOGY 3 87 $21,610 $248 premium 0.7% 0.0% (973) 218-1579
16 MAIDEN LANE MEDICAL PLLC NEW YORK OBSTETRICS/GYNECOLOGY 18 78 $14,664 $188 premium 0.6% 0.0% (646) 290-9560
17 UNIVERSITY ASSOCIATES IN OBSTETRICS AND GYNECOLOGY UNIVERSITY FACULTY STONY BROOK OBSTETRICS/GYNECOLOGY 113 71 $18,460 $260 premium 0.6% 0.0% (631) 444-7650
18 SOUTH FLORIDA WOMENS HEALTH ASSOCIATES INC DEERFIELD BEACH OBSTETRICS/GYNECOLOGY 2 59 $8,636 $146 premium 0.5% 0.0% (954) 427-4966
19 AMIR REZA RADJABI MEDICAL PLLC NEW YORK OBSTETRICS/GYNECOLOGY 5 57 $14,250 $250 premium 0.4% 0.0% (212) 535-5350
20 ST JOSEPH'S MEDICAL PRACTICE PC YONKERS OBSTETRICS/GYNECOLOGY 26 49 $16,543 $338 premium 0.4% 0.0% (914) 751-3524
21 PROFESSIONAL GYNECOLOGICAL SERVICES PC BROOKLYN OBSTETRICS/GYNECOLOGY 5 42 $16,900 $402 premium 0.3% 0.0% (718) 875-4848
22 CONCORD OB/GYN ASSOCIATES PC CONCORD OBSTETRICS/GYNECOLOGY 5 33 $10,025 $304 premium 0.3% 0.0% 9783710302217
23 PISCATAWAY SOMERSET OB GYN GROUP PISCATAWAY OBSTETRICS/GYNECOLOGY 2 30 $3,690 $123 premium 0.2% 0.0% (732) 752-7755
24 NORTH JERSEY OB GYN, P.C. PARAMUS OBSTETRICS/GYNECOLOGY 2 30 $4,661 $155 premium 0.2% 0.0% (201) 689-9968
25 BE WELL WOMEN'S HEALTH NORTHFIELD OBSTETRICS/GYNECOLOGY 2 28 $5,180 $185 premium 0.2% 0.0% (609) 383-4042
26 ALLIANCE OB GYN CONSULTANTS LLC HAINESPORT OBSTETRICS/GYNECOLOGY 3 24 $4,800 $200 premium 0.2% 0.0% (609) 784-8410
27 OB HOSPITALIST SERVICES NEW JERSEY PA VINELAND OBSTETRICS/GYNECOLOGY 38 18 $3,694 $205 premium 0.1% 0.0% (800) 967-2289
28 NORTH SHORE LIJ OB GYN AT GARDEN CITY PC GARDEN CITY OBSTETRICS/GYNECOLOGY 13 16 $7,904 $494 premium 0.1% 0.0% (516) 222-0722

*"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 →