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Market snapshot

99214 in NM 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
410
Named-group FFS services
363,497
FFS of Medicare
50%
Services YoY
+3.0%
FFS enrollment -1.3%
Estimated all-Medicare volume FFS + estimated MA estimate
~722,705 services

363,497 observed fee-for-service (50%) · ~359,208 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
$83.2M
Named-group allowed amount
$38.5M
Named-group Medicare payments
$26.5M
Avg charge / svc
$229
Avg allowed / svc
$106
Avg payment / svc
$73
Average charge per group
$85 410 groups · avg submitted charge / service $1,225
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Specialty market — Anesthesiology: 5,174 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 MODERN PAIN AND SPINE PC ALBUQUERQUE ANESTHESIOLOGY 5 2,621 $655,850 $250 premium 0.5% (505) 800-7246
2 EPMED, PA EL PASO ANESTHESIOLOGY 21 1,549 $588,620 $380 premium 0.3%
3 AGAPE PAIN MANAGEMENT AND ANESTHESIA, LLC LAS CRUCES ANESTHESIOLOGY 2 645 $150,967 $234 premium 0.1% (570) 449-7002
4 KAUAI MEDICAL CLINIC LIHUE ANESTHESIOLOGY 152 239 $79,080 $331 premium 0.1% (808) 245-1500
5 LAS CRUCES SURGEONS GROUP, LLC LAS CRUCES ANESTHESIOLOGY 2 61 $14,693 $241 premium 0.0% (575) 523-6330
6 CARLSBAD ANESTHESIA SERVICES LLC CARLSBAD ANESTHESIOLOGY 10 59 $9,685 $164 premium 0.0% (575) 887-4100

*"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 →