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Market snapshot

99214 in AR 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
544
Named-group FFS services
810,019
FFS of Medicare
54%
Services YoY
+1.0%
FFS enrollment -2.9%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,473,798 services

810,019 observed fee-for-service (55%) · ~663,779 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
$163.1M
Named-group allowed amount
$82.6M
Named-group Medicare payments
$56.5M
Avg charge / svc
$201
Avg allowed / svc
$102
Avg payment / svc
$70
Average charge per group
$71 544 groups · avg submitted charge / service $517
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Specialty market — Cardiovascular Disease (Cardiology): 10,132 services across 11 groups; top group 17%. See Cardiovascular Disease (Cardiology) 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 CENTRAL ARKANSAS HEART CENTER CONWAY CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 1,769 $336,110 $190 premium 17.5% 0.2% (501) 205-8389
2 BAXTER REGIONAL ENTERPRISES, LLC MOUNTAIN HOME CARDIOVASCULAR DISEASE (CARDIOLOGY) 15 1,711 $389,776 $228 premium 16.9% 0.1% (870) 425-8288
3 ARKANSAS HEART HOSPITAL RURAL HEALTH SERVICES, LLC LITTLE ROCK CARDIOVASCULAR DISEASE (CARDIOLOGY) 51 1,607 $415,885 $259 premium 15.9% 0.1% (501) 664-5860
4 SWARUP LLC PHOENIX CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 1,462 $490,248 $335 premium 14.4% 0.1% (602) 456-2342
5 ARKANSAS HEART CENTER, PLC FORT SMITH CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 1,193 $179,087 $150 premium 11.8% 0.1% (479) 484-1010
6 HMDOD LLC EL DORADO CARDIOVASCULAR DISEASE (CARDIOLOGY) 6 1,162 $263,243 $227 premium 11.5% 0.1% (870) 875-1481
7 SALINE HEART GROUP PA BENTON CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 1,038 $190,992 $184 premium 10.2% 0.1% (501) 315-4008
8 RIO GRANDE VALLEY CARDIOLOGY, PLLC MCALLEN CARDIOVASCULAR DISEASE (CARDIOLOGY) 9 78 $17,540 $225 premium 0.8% 0.0% (956) 994-9997
9 PECONIC CARDIOLOGY PC RIVERHEAD CARDIOVASCULAR DISEASE (CARDIOLOGY) 19 55 $28,424 $517 premium 0.5% 0.0% (631) 727-7773
10 WK PIERREMONT CARDIOLOGY SHREVEPORT CARDIOVASCULAR DISEASE (CARDIOLOGY) 25 44 $8,932 $203 premium 0.4% 0.0% (318) 212-3858
11 LONNIE HARRISON PA BENTON CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 13 $2,080 $160 premium 0.1% 0.0% (501) 337-5678

*"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 →