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Market snapshot

99214 in MA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99214 — Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more

Billing groups
1,221
Named-group FFS services
2,052,716
FFS of Medicare
64%
Services YoY
+3.5%
FFS enrollment -1.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,179,661 services

2,052,716 observed fee-for-service (65%) · ~1,126,945 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
$748.2M
Named-group allowed amount
$241.7M
Named-group Medicare payments
$170.0M
Avg charge / svc
$364
Avg allowed / svc
$118
Avg payment / svc
$83
Average charge per group
$94 1,221 groups · avg submitted charge / service $2,000
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Specialty market — Anesthesiology: 7,139 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Anesthesiology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99214 services, CY2024
#Physician group City Specialty Providers 99214 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 BOSTON PAIN CLINIC AND PRIMARY CARE PC HYDE PARK ANESTHESIOLOGY 3 2,384 $1,191,100 $500 premium 0.1% (617) 361-2166
2 NORTH SHORE PAIN MANAGEMENT, LLC WOBURN ANESTHESIOLOGY 6 1,954 $745,400 $381 premium 0.1% (781) 927-7246
3 BOSTON ADVANCED MEDICINE, INC WALTHAM ANESTHESIOLOGY 5 1,509 $634,980 $421 premium 0.1% (781) 895-7903
4 PAIN AND WELLNESS CENTER PEABODY ANESTHESIOLOGY 10 617 $266,262 $432 premium 0.0% (978) 826-7230
5 NORWOOD COMPREHENSIVE PAIN MANAGEMENT PC NORWOOD ANESTHESIOLOGY 2 320 $105,565 $330 premium 0.0% 7813522338707
6 KAUAI MEDICAL CLINIC LIHUE ANESTHESIOLOGY 152 319 $105,588 $331 premium 0.0% (808) 245-1500
7 COMMONWEALTH ANESTHESIA ASSOCIATES, INC NEWTON ANESTHESIOLOGY 80 24 $17,352 $723 premium 0.0% (617) 243-6298
8 PAIN MODULATION ASSOCIATES PLLC DANVERS ANESTHESIOLOGY 4 12 $4,660 $388 premium 0.0% (978) 304-8601

*"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 →