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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 — Diagnostic Radiology: 76,091 services across 25 groups; top group 68%. See Diagnostic Radiology 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 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON DIAGNOSTIC RADIOLOGY 3532 51,376 $27,453,815 $534 premium 67.5% 1.7% (617) 724-0287
2 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD DIAGNOSTIC RADIOLOGY 424 11,625 $6,375,670 $548 premium 15.3% 0.4% (781) 395-4909
3 HOLYOKE MEDICAL CENTER INC HOLYOKE DIAGNOSTIC RADIOLOGY 201 9,621 $2,385,979 $248 premium 12.6% 0.3% (413) 534-2546
4 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 786 $488,640 $622 premium 1.0% 0.0% (212) 263-9700
5 GUAM HEALTHCARE DEVELOPMENT INCORPORATED DEDEDO DIAGNOSTIC RADIOLOGY 210 400 $162,159 $405 premium 0.5% 0.0% (671) 645-5500
6 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH DIAGNOSTIC RADIOLOGY 4291 381 $81,174 $213 premium 0.5% 0.0%
7 HENRY HEYWOOD MEMORIAL HOSPITAL GARDNER DIAGNOSTIC RADIOLOGY 114 278 $34,076 $123 premium 0.4% 0.0% (978) 632-3420
8 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA DIAGNOSTIC RADIOLOGY 1570 237 $65,175 $275 premium 0.3% 0.0%
9 AURORA MEDICAL GROUP, INC. MILWAUKEE DIAGNOSTIC RADIOLOGY 3696 188 $53,261 $283 premium 0.2% 0.0% (414) 421-8400
10 CARLOS G OTIS HEALTH CARE CENTER INC TOWNSHEND DIAGNOSTIC RADIOLOGY 46 176 $33,792 $192 premium 0.2% 0.0% (802) 365-3601
11 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1842 168 $96,936 $577 premium 0.2% 0.0% (415) 476-4029
12 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO DIAGNOSTIC RADIOLOGY 2057 145 $57,135 $394 premium 0.2% 0.0% (800) 926-8273
13 ROCKFORD HEALTH PHYSICIANS ROCKFORD DIAGNOSTIC RADIOLOGY 516 108 $35,208 $326 premium 0.1% 0.0% (815) 971-2000
14 EINSTEIN PRACTICE PLAN INC PHILADELPHIA DIAGNOSTIC RADIOLOGY 740 90 $24,750 $275 premium 0.1% 0.0% (215) 456-8242
15 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG DIAGNOSTIC RADIOLOGY 267 74 $12,580 $170 premium 0.1% 0.0% (540) 741-5610
16 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGH DIAGNOSTIC RADIOLOGY 345 68 $10,430 $153 premium 0.1% 0.0% (518) 561-2000
17 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA DIAGNOSTIC RADIOLOGY 1317 65 $23,625 $363 premium 0.1% 0.0%
18 PRATT RADIOLOGY ASSOCIATES INC BOSTON DIAGNOSTIC RADIOLOGY 58 60 $21,306 $355 premium 0.1% 0.0% (617) 636-5000
19 SOUTH SHORE RADIOLOGICAL ASSOCIATES INC SOUTH WEYMOUTH DIAGNOSTIC RADIOLOGY 36 59 $15,222 $258 premium 0.1% 0.0% (781) 340-8000
20 DHHS IHS PHOENIX AREA POLACCA DIAGNOSTIC RADIOLOGY 38 56 $10,267 $183 premium 0.1% 0.0%
21 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO DIAGNOSTIC RADIOLOGY 236 42 $6,894 $164 premium 0.1% 0.0% (505) 439-6100
22 COLUMBIA MEMORIAL HOSPITAL HUDSON DIAGNOSTIC RADIOLOGY 173 37 $6,118 $165 premium 0.0% 0.0%
23 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA DIAGNOSTIC RADIOLOGY 875 19 $8,220 $433 premium 0.0% 0.0%
24 FLORIDA HOSPITAL PHYSICIAN GROUP INC TAMPA DIAGNOSTIC RADIOLOGY 891 18 $6,876 $382 premium 0.0% 0.0% (813) 615-7075
25 MODESTO RADIOLOGICAL MEDICAL GROUP INC TURLOCK DIAGNOSTIC RADIOLOGY 101 14 $5,584 $399 premium 0.0% 0.0% (209) 669-0600

*"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 →