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Market snapshot

99214 in PA 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
1,889
Named-group FFS services
2,760,550
FFS of Medicare
46%
Services YoY
+2.1%
FFS enrollment -2.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,861,811 services

2,760,549 observed fee-for-service (47%) · ~3,101,262 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
$660.2M
Named-group allowed amount
$319.5M
Named-group Medicare payments
$221.1M
Avg charge / svc
$239
Avg allowed / svc
$116
Avg payment / svc
$80
Average charge per group
$79 1,889 groups · avg submitted charge / service $1,626
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Specialty market — Diagnostic Radiology: 156,731 services across 38 groups; top group 29%. 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 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGH DIAGNOSTIC RADIOLOGY 4291 45,915 $10,276,854 $224 premium 29.3% 1.1%
2 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIA DIAGNOSTIC RADIOLOGY 1570 42,074 $11,521,744 $274 premium 26.8% 1.0%
3 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIA DIAGNOSTIC RADIOLOGY 398 18,366 $4,998,449 $272 premium 11.7% 0.4% (215) 955-6161
4 EINSTEIN PRACTICE PLAN INC PHILADELPHIA DIAGNOSTIC RADIOLOGY 740 17,107 $4,710,179 $275 premium 10.9% 0.4% (215) 456-8242
5 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILL DIAGNOSTIC RADIOLOGY 825 12,950 $3,831,821 $296 premium 8.3% 0.3% (856) 433-2535
6 SCRANTON QUINCY CLINIC COMPANY LLC SCRANTON DIAGNOSTIC RADIOLOGY 69 7,734 $1,556,920 $201 premium 4.9% 0.2% (570) 340-5079
7 CHRISTIANA CARE PENNSYLVANIA INC CHADDS FORD DIAGNOSTIC RADIOLOGY 163 2,466 $581,106 $236 premium 1.6% 0.1% (302) 320-9440
8 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 1,846 $1,235,568 $669 premium 1.2% 0.0% (212) 263-9700
9 INSPIRA HEALTH NETWORK MEDICAL GROUP PC PITTSGROVE DIAGNOSTIC RADIOLOGY 238 1,207 $339,167 $281 premium 0.8% 0.0% (856) 358-6161
10 HIGHLANDS HOSPITAL AND HEALTH CENTER CONNELLSVILLE DIAGNOSTIC RADIOLOGY 50 983 $193,054 $196 premium 0.6% 0.0% (724) 628-1500
11 GEISINGER-HM JOINT VENTURE LLC MUNCY DIAGNOSTIC RADIOLOGY 425 895 $274,859 $307 premium 0.6% 0.0% (570) 308-2600
12 HIGH FIELD IMAGING PC PITTSBURGH DIAGNOSTIC RADIOLOGY 2 818 $156,238 $191 premium 0.5% 0.0% (877) 677-3828
13 ENLOE MEDICAL CENTER CHICO DIAGNOSTIC RADIOLOGY 362 462 $100,272 $217 premium 0.3% 0.0% (530) 332-4470
14 BMC SPECIALTY PHYSICIANS LLC BRISTOL DIAGNOSTIC RADIOLOGY 11 451 $182,393 $404 premium 0.3% 0.0% (215) 785-9200
15 ROCKFORD HEALTH PHYSICIANS ROCKFORD DIAGNOSTIC RADIOLOGY 516 434 $76,972 $177 premium 0.3% 0.0% (815) 971-2000
16 SUTTER VALLEY MEDICAL FOUNDATION SACRAMENTO DIAGNOSTIC RADIOLOGY 2420 342 $129,618 $379 premium 0.2% 0.0% (916) 681-8852
17 AURORA MEDICAL GROUP, INC. MILWAUKEE DIAGNOSTIC RADIOLOGY 3696 326 $167,890 $515 premium 0.2% 0.0% (414) 421-8400
18 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTON DIAGNOSTIC RADIOLOGY 3532 309 $171,432 $555 premium 0.2% 0.0% (617) 724-0287
19 CENTRAL AVENUE PROFESSIONAL SERVICES, PC NEWARK DIAGNOSTIC RADIOLOGY 58 225 $94,724 $421 premium 0.1% 0.0% (973) 877-5300
20 UNIVERSITY OF CALIFORNIA SAN FRANCISCO SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1842 224 $129,248 $577 premium 0.1% 0.0% (415) 476-4029
21 CHERRY TREE MEDICAL ASSOCIATES INC UNIONTOWN DIAGNOSTIC RADIOLOGY 2 194 $38,800 $200 premium 0.1% 0.0%
22 OTERO COUNTY HOSPITAL ASSOCIATION ALAMOGORDO DIAGNOSTIC RADIOLOGY 236 188 $30,860 $164 premium 0.1% 0.0% (505) 439-6100
23 KINGMAN HEALTHCARE INC KINGMAN DIAGNOSTIC RADIOLOGY 178 174 $60,400 $347 premium 0.1% 0.0% (928) 263-4722
24 SUBURBAN MEDICAL GROUP LLC EAST NORRITON DIAGNOSTIC RADIOLOGY 30 157 $63,494 $404 premium 0.1% 0.0% (610) 275-1028
25 DANVILLE PHYSICIAN PRACTICES LLC DANVILLE DIAGNOSTIC RADIOLOGY 174 155 $35,340 $228 premium 0.1% 0.0% (434) 799-3866
26 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO DIAGNOSTIC RADIOLOGY 2057 145 $57,712 $398 premium 0.1% 0.0% (800) 926-8273
27 WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC VALHALLA DIAGNOSTIC RADIOLOGY 875 114 $48,215 $423 premium 0.1% 0.0%
28 COLUMBIA MEMORIAL HOSPITAL HUDSON DIAGNOSTIC RADIOLOGY 173 105 $17,066 $163 premium 0.1% 0.0%
29 MEDICAL IMAGING OF LEHIGH VALLEY PC ALLENTOWN DIAGNOSTIC RADIOLOGY 119 75 $13,875 $185 premium 0.0% 0.0% (610) 770-1606
30 NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE GREENLAWN DIAGNOSTIC RADIOLOGY 315 64 $27,520 $430 premium 0.0% 0.0% (631) 628-5000
31 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG DIAGNOSTIC RADIOLOGY 267 47 $7,990 $170 premium 0.0% 0.0% (540) 741-5610
32 PROGRESSIVE PHYSICIAN ASSOC INC PHILLIPSBURG DIAGNOSTIC RADIOLOGY 160 43 $9,728 $226 premium 0.0% 0.0% (908) 859-6700
33 KENTUCKY MEDICAL SERVICES FOUNDATION, INC LEXINGTON DIAGNOSTIC RADIOLOGY 989 41 $9,225 $225 premium 0.0% 0.0% (859) 257-1412
34 PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL PINE RIDGE DIAGNOSTIC RADIOLOGY 105 36 $4,138 $115 premium 0.0% 0.0%
35 LANCASTER RADIOLOGY ASSOCIATES LTD LANCASTER DIAGNOSTIC RADIOLOGY 46 18 $3,600 $200 premium 0.0% 0.0% (717) 544-4900
36 RICHLAND MEMORIAL HOSPITAL INC OLNEY DIAGNOSTIC RADIOLOGY 101 15 $5,345 $356 premium 0.0% 0.0% (618) 395-1000
37 RADIOLOGY ASSOCIATES OF THE MAIN LINE, PC BRYN MAWR DIAGNOSTIC RADIOLOGY 72 13 $3,055 $235 premium 0.0% 0.0% (484) 337-4371
38 UCSF MEDICAL GROUP BUSINESS SERVICES SAN FRANCISCO DIAGNOSTIC RADIOLOGY 1548 13 $7,501 $577 premium 0.0% 0.0% (415) 476-1000

*"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 →