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Market snapshot

99214 in NY 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
2,633
Named-group FFS services
4,485,743
FFS of Medicare
47%
Services YoY
+3.6%
FFS enrollment -2.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,373,203 services

4,485,742 observed fee-for-service (48%) · ~4,887,461 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
$1.8B
Named-group allowed amount
$590.5M
Named-group Medicare payments
$427.3M
Avg charge / svc
$400
Avg allowed / svc
$132
Avg payment / svc
$95
Average charge per group
$79 2,633 groups · avg submitted charge / service $2,000
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Specialty market — Diagnostic Radiology: 626,802 services across 57 groups; top group 76%. See Diagnostic Radiology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99214 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 476,164 $316,812,528 $665 76.0% 7.7% (212) 263-9700
2 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN DIAGNOSTIC RADIOLOGY 315 54,954 $23,182,317 $422 8.8% 0.9% (631) 628-5000
3 COMMUNITY CARE PHYSICIANS PLLC LATHAM DIAGNOSTIC RADIOLOGY 370 25,199 $5,286,566 $210 4.0% 0.4% (518) 782-3700
4 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA DIAGNOSTIC RADIOLOGY 875 20,791 $8,654,628 $416 3.3% 0.3% —
5 COLUMBIA MEMORIAL HOSPITAL HUDSON DIAGNOSTIC RADIOLOGY 173 10,888 $1,775,290 $163 1.7% 0.2% —
6 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI STATEN ISLAND DIAGNOSTIC RADIOLOGY 29 7,985 $3,428,970 $429 1.3% 0.1% (718) 987-9777
7 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGH DIAGNOSTIC RADIOLOGY 345 7,205 $1,467,695 $204 1.1% 0.1% (518) 561-2000
8 OLEAN MEDICAL PRACTICE PLLC OLEAN DIAGNOSTIC RADIOLOGY 58 3,359 $762,289 $227 0.5% 0.1% (716) 372-0141
9 MSK MONMOUTH MIDDLETOWN DIAGNOSTIC RADIOLOGY 306 2,883 $1,612,935 $559 0.5% 0.0% (908) 542-3007
10 MEDICAL SERVICES OF KIPS BAY PC GREAT NECK DIAGNOSTIC RADIOLOGY 14 2,672 $1,567,484 $587 0.4% 0.0% (516) 487-4464
11 FPA HOSPITAL BASED NEW YORK DIAGNOSTIC RADIOLOGY 427 1,947 $779,666 $400 0.3% 0.0% (212) 252-6004
12 UNITED MEMORIAL MEDICAL CENTER BATAVIA DIAGNOSTIC RADIOLOGY 266 1,686 $491,162 $291 0.3% 0.0% (585) 344-5449
13 MSK BERGEN MONTVALE DIAGNOSTIC RADIOLOGY 262 1,625 $887,935 $546 0.3% 0.0% (908) 542-3336
14 CLIFTON SPRINGS SANITARIUM CO CLIFTON SPRINGS DIAGNOSTIC RADIOLOGY 224 1,461 $429,534 $294 0.2% 0.0% (315) 462-5711
15 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH DIAGNOSTIC RADIOLOGY 4291 1,043 $386,594 $371 0.2% 0.0% —
16 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON DIAGNOSTIC RADIOLOGY 3532 905 $395,283 $437 0.1% 0.0% (617) 724-0287
17 JAMAICA HOSPITAL JAMAICA DIAGNOSTIC RADIOLOGY 250 698 $289,320 $414 0.1% 0.0% (718) 206-6000
18 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO DIAGNOSTIC RADIOLOGY 2420 526 $187,782 $357 0.1% 0.0% (916) 681-8852
19 ROCKLAND FAMILY MEDICAL CARE PC MONSEY DIAGNOSTIC RADIOLOGY 2 493 $138,533 $281 0.1% 0.0% (845) 352-9292
20 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA DIAGNOSTIC RADIOLOGY 1570 284 $78,100 $275 0.0% 0.0% —
21 LENOX HILL RADIOLOGY AND MEDICAL IMAGING ASSOCIATES PC NEW YORK DIAGNOSTIC RADIOLOGY 244 281 $67,425 $240 0.0% 0.0% (212) 772-3111
22 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE DIAGNOSTIC RADIOLOGY 238 272 $76,432 $281 0.0% 0.0% (856) 358-6161
23 CHAUTAUQUA MEDICAL PRACTICE PC WESTFIELD DIAGNOSTIC RADIOLOGY 96 264 $96,756 $366 0.0% 0.0% (716) 793-2221
24 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL DIAGNOSTIC RADIOLOGY 825 254 $77,170 $304 0.0% 0.0% (856) 433-2535
25 FIVE TOWNS NEUROLOGY, PC WOODMERE DIAGNOSTIC RADIOLOGY 3 235 $47,000 $200 0.0% 0.0% (516) 239-1800
26 BAPTIST PHYSICIAN NETWORK BEAUMONT DIAGNOSTIC RADIOLOGY 111 233 $87,697 $376 0.0% 0.0% (409) 212-5922
27 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA DIAGNOSTIC RADIOLOGY 398 209 $49,115 $235 0.0% 0.0% (215) 955-6161
28 YAKIMA VALLEY MEMORIAL PHYSICIANS YAKIMA DIAGNOSTIC RADIOLOGY 405 207 $43,819 $212 0.0% 0.0% (509) 575-8000
29 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG DIAGNOSTIC RADIOLOGY 267 186 $31,620 $170 0.0% 0.0% (540) 741-5610
30 MEMORIAL SLOAN KETTERING CANCER CENTER AT BASKING RIDGE NEW JERSEY BASKING RIDGE DIAGNOSTIC RADIOLOGY 237 176 $95,920 $545 0.0% 0.0% (908) 542-3000
31 EINSTEIN PRACTICE PLAN INC PHILADELPHIA DIAGNOSTIC RADIOLOGY 740 164 $54,630 $333 0.0% 0.0% (215) 456-8242
32 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1548 139 $80,203 $577 0.0% 0.0% (415) 476-1000
33 MSKCC RADIOLOGY GROUP NEW YORK DIAGNOSTIC RADIOLOGY 199 135 $81,450 $603 0.0% 0.0% (646) 888-5300
34 MEDICAL DOCTOR MILENA KOLESNIKOVA PC STATEN ISLAND DIAGNOSTIC RADIOLOGY 5 118 $43,280 $367 0.0% 0.0% (347) 201-5081
35 FLORIDA VASCULAR SPECIALISTS, LLC PEMBROKE PINES DIAGNOSTIC RADIOLOGY 3 110 $32,780 $298 0.0% 0.0% (954) 852-3831
36 DELAWARE VALLEY HOSPITAL INC. WALTON DIAGNOSTIC RADIOLOGY 45 106 $24,351 $230 0.0% 0.0% (607) 865-2400
37 UPMC CHAUTAUQUA AT WCA JAMESTOWN DIAGNOSTIC RADIOLOGY 25 104 $20,555 $198 0.0% 0.0% (716) 487-0141
38 DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC CLYDE DIAGNOSTIC RADIOLOGY 185 101 $22,811 $226 0.0% 0.0% (828) 452-8651
39 THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION FORT DEFIANCE DIAGNOSTIC RADIOLOGY 153 93 $27,621 $297 0.0% 0.0% —
40 KINGMAN HEALTHCARE INC KINGMAN DIAGNOSTIC RADIOLOGY 178 89 $35,349 $397 0.0% 0.0% (928) 263-4722
41 RIDGEVIEW MEDICAL CENTER WACONIA DIAGNOSTIC RADIOLOGY 412 85 $35,835 $422 0.0% 0.0% (952) 442-2191
42 COUNTY OF SAN JOAQUIN FRENCH CAMP DIAGNOSTIC RADIOLOGY 193 63 $52,785 $838 0.0% 0.0% (209) 468-6000
43 LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY ALAMOSA DIAGNOSTIC RADIOLOGY 155 48 $21,072 $439 0.0% 0.0% (719) 589-2511
44 HILLSIDE POLYMEDIC DIAGNOSTIC AND TREATMENT CENTER INC JAMAICA DIAGNOSTIC RADIOLOGY 8 45 $9,930 $221 0.0% 0.0% (718) 264-1111
45 MONTCLAIR BREAST CENTER PC MONTCLAIR DIAGNOSTIC RADIOLOGY 13 39 $5,544 $142 0.0% 0.0% (973) 509-1818
46 MEDICAL IMAGING OF LEHIGH VALLEY PC ALLENTOWN DIAGNOSTIC RADIOLOGY 119 35 $6,995 $200 0.0% 0.0% (610) 770-1606
47 GARDEN STATE HEALTHCARE ASSOCIATES LLC HOBOKEN DIAGNOSTIC RADIOLOGY 154 32 $13,888 $434 0.0% 0.0% (201) 418-1000
48 BIRMINGHAM RADIOLOGICAL GROUP PC BIRMINGHAM DIAGNOSTIC RADIOLOGY 41 28 $2,716 $97 0.0% 0.0% (205) 592-1000
49 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1842 27 $15,579 $577 0.0% 0.0% (415) 476-4029
50 FAYN MEDICAL PC BROOKLYN DIAGNOSTIC RADIOLOGY 3 26 $4,970 $191 0.0% 0.0% (718) 646-4500
51 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORD DIAGNOSTIC RADIOLOGY 424 24 $13,326 $555 0.0% 0.0% (781) 395-4909
52 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONE DIAGNOSTIC RADIOLOGY 154 23 $6,371 $277 0.0% 0.0% (828) 262-4100
53 LAWTON INDIAN HOSPITAL LAWTON DIAGNOSTIC RADIOLOGY 121 21 $2,583 $123 0.0% 0.0% (580) 354-5000
54 YAMPA VALLEY MEDICAL CENTER STEAMBOAT SPR DIAGNOSTIC RADIOLOGY 128 19 $6,262 $330 0.0% 0.0% (970) 879-1322
55 RADIOLOGISTS OF UNIV OF ROCHESTER ROCHESTER DIAGNOSTIC RADIOLOGY 134 17 $9,265 $545 0.0% 0.0% —
56 HEALTH POINT MEDICAL P.C. BROOKLYN DIAGNOSTIC RADIOLOGY 5 14 $2,100 $150 0.0% 0.0% (718) 576-2012
57 STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK DIAGNOSTIC RADIOLOGY 59 12 $4,020 $335 0.0% 0.0% (631) 638-2121

*"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 →