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Market snapshot

99213 in IN 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
889
Named-group FFS services
928,658
FFS of Medicare
50%
Services YoY
-4.9%
FFS enrollment -3.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,830,252 services

928,658 observed fee-for-service (51%) · ~901,594 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
$142.7M
Named-group allowed amount
$72.9M
Named-group Medicare payments
$49.4M
Avg charge / svc
$154
Avg allowed / svc
$78
Avg payment / svc
$53
Average charge per group
$67 889 groups · avg submitted charge / service $639
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Specialty market — Orthopedic Surgery: 35,691 services across 16 groups; top group 35%. See Orthopedic 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 ORTHOPAEDICS-INDIANAPOLIS, INC INDIANAPOLIS ORTHOPEDIC SURGERY 348 12,412 $1,658,292 $134 premium 34.8% 0.9% (317) 802-2000
2 CENTRAL INDIANA ORTHOPEDICS LLC MUNCIE ORTHOPEDIC SURGERY 144 6,443 $928,320 $144 premium 18.1% 0.4% (765) 284-7738
3 ORTHOPAEDIC ASSOCIATES INC NEWBURGH ORTHOPEDIC SURGERY 25 3,774 $659,667 $175 premium 10.6% 0.3% (812) 424-9291
4 INDIANA SPINE GROUP, PC CARMEL ORTHOPEDIC SURGERY 49 3,642 $610,032 $167 premium 10.2% 0.3% (317) 228-7000
5 SOUTHERN INDIANA ORTHOPEDICS INC COLUMBUS ORTHOPEDIC SURGERY 17 2,179 $372,884 $171 premium 6.1% 0.1% (812) 376-9353
6 NEW HORIZONS PHYSICAL THERAPY LIMITED PARTNERSHIP NEW ALBANY ORTHOPEDIC SURGERY 86 1,986 $211,605 $107 premium 5.6% 0.1%
7 CHESTERTON PHYSICAL THERAPY INC CHESTERTON ORTHOPEDIC SURGERY 191 1,579 $210,318 $133 premium 4.4% 0.1%
8 GREENWOOD ORTHOPEDICS PC INDIANAPOLIS ORTHOPEDIC SURGERY 8 1,075 $267,003 $248 premium 3.0% 0.1% (317) 497-6497
9 NORTH POINT ORTHOPEDICS LLC MUNSTER ORTHOPEDIC SURGERY 17 1,012 $216,584 $214 premium 2.8% 0.1% (219) 836-1060
10 MUNSTER ORTHOPAEDIC INSTITUTE LLC MUNSTER ORTHOPEDIC SURGERY 2 568 $191,877 $338 premium 1.6% 0.0% (219) 836-2225
11 CUTTING EDGE PHYSICAL THERAPY LIMITED PARTNERSHIP RICHMOND ORTHOPEDIC SURGERY 111 428 $42,430 $99 premium 1.2% 0.0%
12 TRI-STATE ORTHOPAEDIC SURGEONS INC EVANSVILLE ORTHOPEDIC SURGERY 67 329 $71,057 $216 premium 0.9% 0.0% (812) 477-1558
13 MISHAWAKA ORTHOPEDICS AND SPORTS MEDICINE PC MISHAWAKA ORTHOPEDIC SURGERY 2 209 $28,178 $135 premium 0.6% 0.0% (574) 271-5151
14 INDIANA JOINT REPLACEMENT INSTITUTE NOBLESVILLE ORTHOPEDIC SURGERY 21 27 $4,860 $180 premium 0.1% 0.0% (317) 620-0232
15 CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVADA HENDERSON ORTHOPEDIC SURGERY 14 16 $2,880 $180 premium 0.0% 0.0% (702) 990-2290
16 ACUTE CARE SURGERY OF SOUTH DAKOTA PC RAPID CITY ORTHOPEDIC SURGERY 69 12 $3,540 $295 premium 0.0% 0.0% (605) 755-6100

*"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 →