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Market snapshot

99213 in SC 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
753
Named-group FFS services
1,124,170
FFS of Medicare
54%
Services YoY
-2.5%
FFS enrollment -1.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,057,074 services

1,124,170 observed fee-for-service (55%) · ~932,904 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
$185.2M
Named-group allowed amount
$89.9M
Named-group Medicare payments
$62.3M
Avg charge / svc
$165
Avg allowed / svc
$80
Avg payment / svc
$55
Average charge per group
$70 753 groups · avg submitted charge / service $750
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Specialty market — Podiatry: 40,358 services across 22 groups; top group 19%. See Podiatry 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 PHYSICIANS FOOTCARE, LLC SUMTER PODIATRY 31 7,855 $943,725 $120 premium 19.5% 0.5% (803) 773-7000
2 INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC CONCORD PODIATRY 46 6,587 $1,166,619 $177 premium 16.3% 0.5% (704) 786-4482
3 COASTAL PODIATRY ASSOCIATES PA MYRTLE BEACH PODIATRY 6 4,311 $465,588 $108 premium 10.7% 0.3% (843) 449-8079
4 DUNES PODIATRY LLC MYRTLE BEACH PODIATRY 3 3,471 $347,150 $100 premium 8.6% 0.2% (843) 663-3777
5 COASTAL CAROLINA PODIATRY INC LADSON PODIATRY 4 3,227 $422,765 $131 premium 8.0% 0.2% (843) 851-9069
6 PALMETTO PODIATRY GROUP OF ANDERSON, PA ANDERSON PODIATRY 7 2,197 $416,158 $189 premium 5.4% 0.2% (864) 231-6395
7 GREENVILLE PODIATRY ASSOCIATES PA GREENVILLE PODIATRY 2 2,002 $190,190 $95 premium 5.0% 0.1% (864) 234-7370
8 CAROLINA FOOT AND ANKLE SPECIALISTS, LLC CHARLESTON PODIATRY 2 1,971 $194,566 $99 premium 4.9% 0.1%
9 UPSTATE PODIATRY GROUP PA SIMPSONVILLE PODIATRY 8 1,384 $156,279 $113 premium 3.4% 0.1% (864) 399-9070
10 PODIATRY ASSOCIATES PA LOW COUNTRY FOOT AND ANKLE INSTITUTE INC BLUFFTON PODIATRY 2 1,247 $139,664 $112 premium 3.1% 0.1% (843) 757-1633
11 HANS BLAAKMAN DPM LLC SPARTANBURG PODIATRY 2 1,147 $203,455 $177 premium 2.8% 0.1% (864) 586-3131
12 COLUMBIA FOOT CLINIC COLUMBIA PODIATRY 3 930 $137,330 $148 premium 2.3% 0.1% (803) 254-6114
13 FOOT CLINIC OF SOUTH CAROLINA LLC MAULDIN PODIATRY 3 729 $100,552 $138 premium 1.8% 0.1% (864) 281-9171
14 KG HEALTH PARTNERS INC CLEARWATER PODIATRY 22 683 $89,655 $131 premium 1.7% 0.0% (727) 796-6900
15 ASSOCIATED FOOT AND ANKLE SPECIALISTS LLC CHARLESTON PODIATRY 2 674 $59,312 $88 premium 1.7% 0.0% (843) 356-9673
16 ISLAND FOOT AND ANKLE SURGERY HILTON HEAD ISLAND PODIATRY 2 510 $76,500 $150 premium 1.3% 0.0% (843) 895-2140
17 CAROLINA FOOT CARE LLC SPARTANBURG PODIATRY 2 447 $46,935 $105 premium 1.1% 0.0% (864) 595-9300
18 GOODEN MOBILE POD NC PLLC FAYETTEVILLE PODIATRY 15 306 $65,233 $213 premium 0.8% 0.0% 50224424205441
19 CAROLINA PODIATRY CLINIC LLC CAMDEN PODIATRY 2 303 $45,450 $150 premium 0.8% 0.0% (803) 425-5510
20 ELGIN PODIATRY INSTITUTE, LLC COLUMBIA PODIATRY 2 195 $33,015 $169 premium 0.5% 0.0% (803) 807-9388
21 DR BRANDON J WILT DPM LLC EVERETT PODIATRY 3 163 $22,168 $136 premium 0.4% 0.0% (814) 623-6191
22 HEALTHY FEET OF SC LLC GREER PODIATRY 10 19 $1,520 $80 premium 0.0% 0.0% (248) 528-2116

*"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 →