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Market snapshot

99214 in SC 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
809
Named-group FFS services
1,941,803
FFS of Medicare
54%
Services YoY
+9.5%
FFS enrollment -1.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,553,228 services

1,941,803 observed fee-for-service (55%) · ~1,611,425 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
$448.4M
Named-group allowed amount
$220.5M
Named-group Medicare payments
$154.3M
Avg charge / svc
$231
Avg allowed / svc
$114
Avg payment / svc
$79
Average charge per group
$97 809 groups · avg submitted charge / service $1,000
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Specialty market — Anesthesiology: 19,038 services across 11 groups; top group 69%. 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 BON SECOURS ST FRANCIS XAVIER HOSPITAL INC CHARLESTON ANESTHESIOLOGY 210 13,219 $3,180,118 $241 premium 69.4% 0.5% (843) 402-1436
2 PALMETTO PAIN MANAGEMENT LLC COLUMBIA ANESTHESIOLOGY 11 2,886 $831,254 $288 premium 15.2% 0.1% (803) 779-3263
3 CSP ENTERPRISES LLC EASLEY ANESTHESIOLOGY 11 1,102 $169,115 $153 premium 5.8% 0.0% (864) 635-0376
4 AIKEN NEUROSCIENCES AND PAIN MANAGEMENT LLC AIKEN ANESTHESIOLOGY 2 637 $116,034 $182 premium 3.3% 0.0% (803) 642-6500
5 ATLANTIC COAST PAIN SPECIALISTS INC CONWAY ANESTHESIOLOGY 2 399 $119,700 $300 premium 2.1% 0.0% (843) 438-8470
6 COASTAL PAIN AND SPINE CENTER LLC BLUFFTON ANESTHESIOLOGY 4 278 $34,472 $124 premium 1.5% 0.0% (843) 757-6744
7 CEP AMERICA - ANESTHESIA PC DES MOINES ANESTHESIOLOGY 839 172 $43,000 $250 premium 0.9% 0.0% (515) 247-3121
8 KAUAI MEDICAL CLINIC LIHUE ANESTHESIOLOGY 152 113 $33,528 $297 premium 0.6% 0.0% (808) 245-1500
9 ATLANTIC W MEDICAL CARE PLLC BROOKLYN ANESTHESIOLOGY 6 113 $113,000 $1,000 premium 0.6% 0.0% (718) 332-4747
10 ADVANCED PAIN MANAGEMENT, P.C. EVANS ANESTHESIOLOGY 3 103 $26,780 $260 premium 0.5% 0.0% (706) 922-7246
11 SOUTH CAROLINA PAIN AND WELLNESS CENTER, LLC GREENVILLE ANESTHESIOLOGY 3 16 $2,380 $149 premium 0.1% 0.0% (770) 962-3642

*"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 →