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Market snapshot

99214 in WA 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
935
Named-group FFS services
1,269,232
FFS of Medicare
51%
Services YoY
-3.0%
FFS enrollment -5.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,472,642 services

1,269,232 observed fee-for-service (51%) · ~1,203,410 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
$378.2M
Named-group allowed amount
$149.4M
Named-group Medicare payments
$103.2M
Avg charge / svc
$298
Avg allowed / svc
$118
Avg payment / svc
$81
Average charge per group
$70 935 groups · avg submitted charge / service $996
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Specialty market — Cardiovascular Disease (Cardiology): 21,299 services across 11 groups; top group 40%. 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 SWEDISH HEALTH SERVICES SEATTLE CARDIOVASCULAR DISEASE (CARDIOLOGY) 78 8,491 $2,821,832 $332 premium 39.9% 0.5% (206) 386-6000
2 PROVIDENCE HEALTH AND SERVICES WASHINGTON SPOKANE CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 6,770 $2,606,198 $385 premium 31.8% 0.4% (509) 455-8820
3 OLYMPIA MULTI SPECIALTY CLINIC OLYMPIA CARDIOVASCULAR DISEASE (CARDIOLOGY) 20 2,401 $540,225 $225 premium 11.3% 0.1% (360) 754-1727
4 PEACEHEALTH MEDICAL GROUP - SEDRO WOOLLEY SEDRO WOOLLEY CARDIOVASCULAR DISEASE (CARDIOLOGY) 52 2,327 $723,263 $311 premium 10.9% 0.1%
5 HEART CENTRAL OF WASHINGTON PLLC YAKIMA CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 552 $195,434 $354 premium 2.6% 0.0% (509) 902-3625
6 ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE SOMERSET CARDIOVASCULAR DISEASE (CARDIOLOGY) 62 300 $252,600 $842 premium 1.4% 0.0% (732) 369-5994
7 ST DAVIDS HEART AND VASCULAR PLLC AUSTIN CARDIOVASCULAR DISEASE (CARDIOLOGY) 199 208 $48,552 $233 premium 1.0% 0.0% (512) 899-2028
8 CARDIOLOGY CLINICAL GROUP ROCHESTER CARDIOVASCULAR DISEASE (CARDIOLOGY) 148 87 $24,125 $277 premium 0.4% 0.0% (585) 242-9450
9 LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND CARDIOVASCULAR DISEASE (CARDIOLOGY) 194 70 $23,870 $341 premium 0.3% 0.0% (503) 413-7022
10 MEMORIAL HEALTH CARE SYSTEM INC. CHATTANOOGA CARDIOVASCULAR DISEASE (CARDIOLOGY) 56 54 $17,309 $321 premium 0.3% 0.0% (423) 697-2000
11 CENTENNIAL MEDICAL GROUP INC ROSEBURG CARDIOVASCULAR DISEASE (CARDIOLOGY) 60 39 $10,942 $281 premium 0.2% 0.0%

*"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 →