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Market snapshot

99213 in UT 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
417
Named-group FFS services
335,097
FFS of Medicare
46%
Services YoY
-4.2%
FFS enrollment -2.8%
Estimated all-Medicare volume FFS + estimated MA estimate
~695,361 services

335,097 observed fee-for-service (48%) · ~360,264 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
$57.8M
Named-group allowed amount
$26.9M
Named-group Medicare payments
$18.3M
Avg charge / svc
$172
Avg allowed / svc
$80
Avg payment / svc
$55
Average charge per group
$84 417 groups · avg submitted charge / service $688
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Specialty market — Podiatry: 17,474 services across 20 groups; top group 21%. 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 THE FOOT AND ANKLE INSTITUTE LLC ST GEORGE PODIATRY 8 3,656 $635,120 $174 premium 20.9% 0.9% (435) 628-2671
2 RYAN K ANDERSON D P M P C BOUNTIFUL PODIATRY 51 1,818 $297,112 $163 premium 10.4% 0.4% (801) 292-4425
3 DANIEL J HUFF PODIATRY DPM PC PROVIDENCE PODIATRY 5 1,528 $288,656 $189 premium 8.7% 0.4% (435) 787-1023
4 UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC WEST JORDAN PODIATRY 8 1,462 $311,406 $213 premium 8.4% 0.4% (801) 569-2696
5 ROGERS FOOT AND ANKLE INSTITUTE INC AMERICAN FORK PODIATRY 4 1,272 $171,720 $135 premium 7.3% 0.3% (801) 756-4200
6 CENTRAL UTAH FOOT CLINIC, LLC PROVO PODIATRY 2 1,246 $137,060 $110 premium 7.1% 0.3% (801) 375-5353
7 UTAH PODIATRY GROUP LLC SALT LAKE CITY PODIATRY 8 1,053 $120,042 $114 premium 6.0% 0.3% (801) 505-5277
8 D ALDEN YATES DPM PC ST GEORGE PODIATRY 2 910 $156,935 $172 premium 5.2% 0.2% (435) 674-7444
9 ELLSWORTH FOOT AND ANKLE CLINIC PROVO PODIATRY 8 899 $173,674 $193 premium 5.1% 0.2% (801) 253-6886
10 FOOT AND ANKLE SPECIALISTS OF ARIZONA PLLC GLENDALE PODIATRY 14 723 $93,404 $129 premium 4.1% 0.2% (623) 544-9090
11 JASON B DICKERSON DPM LC MURRAY PODIATRY 6 713 $154,532 $217 premium 4.1% 0.2% (801) 261-1391
12 WASATCH FOOT AND ANKLE INSTITUTE LLC FARMINGTON PODIATRY 4 631 $118,495 $188 premium 3.6% 0.2% (801) 451-7500
13 SEASIDE FOOT AND ANKLE, INC. POWAY PODIATRY 4 547 $85,332 $156 premium 3.1% 0.1% (858) 485-1494
14 GARR FOOT AND ANKLE, PLLC PROVO PODIATRY 2 293 $41,606 $142 premium 1.7% 0.1% (801) 374-3010
15 DAVID H WARBY DPM LAYTON PODIATRY 2 172 $17,360 $101 premium 1.0% 0.0% (801) 544-9441
16 COOK FOOT AND ANKLE SPECIALISTS LLC LOGAN PODIATRY 2 144 $17,280 $120 premium 0.8% 0.0% (435) 752-9011
17 DR BOB S SALK DPM PC APC SAN FRANCISCO PODIATRY 5 140 $43,254 $309 premium 0.8% 0.0% (415) 565-0200
18 STODDARD FOOT AND ANKLE SPANISH FORK PODIATRY 2 127 $18,252 $144 premium 0.7% 0.0% (385) 225-0961
19 ARIA PODIATRY CARE PLLC CUMMING PODIATRY 45 77 $13,566 $176 premium 0.4% 0.0% (877) 674-1211
20 SOUTHERN OREGON FOOT AND ANKLE LLC MEDFORD PODIATRY 4 63 $16,884 $268 premium 0.4% 0.0% 5417763338202

*"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 →