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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 — Diagnostic Radiology: 36,924 services across 22 groups; top group 59%. 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 THE POLYCLINIC PLLC SEATTLE DIAGNOSTIC RADIOLOGY 371 21,736 $7,485,017 $344 premium 58.9% 1.2% (206) 309-1760
2 YAKIMA VALLEY MEMORIAL PHYSICIANS YAKIMA DIAGNOSTIC RADIOLOGY 405 11,572 $1,843,777 $159 premium 31.3% 0.7% (509) 575-8000
3 WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT COUPEVILLE DIAGNOSTIC RADIOLOGY 102 1,190 $275,323 $231 premium 3.2% 0.1%
4 TRI-STATE MEMORIAL HOSPITAL CLARKSTON DIAGNOSTIC RADIOLOGY 32 595 $171,686 $289 premium 1.6% 0.0% (509) 758-5511
5 GRAYS HARBOR COMMUNITY HOSPITAL ABERDEEN DIAGNOSTIC RADIOLOGY 98 338 $116,716 $345 premium 0.9% 0.0% (360) 532-8330
6 REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO DIAGNOSTIC RADIOLOGY 2057 225 $89,993 $400 premium 0.6% 0.0% (800) 926-8273
7 MOSES LAKE COMMUNITY HEALTH CENTER MOSES LAKE DIAGNOSTIC RADIOLOGY 77 180 $73,868 $410 premium 0.5% 0.0% (509) 765-0674
8 MARY WASHINGTON HEALTHCARE PROVIDERS LLC FREDERICKSBURG DIAGNOSTIC RADIOLOGY 267 171 $29,190 $171 premium 0.5% 0.0% (540) 741-5610
9 DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER GALLUP DIAGNOSTIC RADIOLOGY 190 138 $34,390 $249 premium 0.4% 0.0% (505) 722-1000
10 LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY ALAMOSA DIAGNOSTIC RADIOLOGY 155 128 $19,692 $154 premium 0.3% 0.0% (719) 589-2511
11 INLAND IMAGING LLC SPOKANE DIAGNOSTIC RADIOLOGY 128 118 $46,610 $395 premium 0.3% 0.0% (509) 747-4455
12 HOLYOKE MEDICAL CENTER INC HOLYOKE DIAGNOSTIC RADIOLOGY 201 83 $21,331 $257 premium 0.2% 0.0% (413) 534-2546
13 COLUMBIA COUNTY HOSPITAL DISTRICT DAYTON DIAGNOSTIC RADIOLOGY 55 78 $26,308 $337 premium 0.2% 0.0% (509) 382-2531
14 TUBA CITY REGIONAL HEALTH CARE CORPORATION TUBA CITY DIAGNOSTIC RADIOLOGY 170 76 $13,040 $172 premium 0.2% 0.0% (928) 283-2094
15 TRA-MINW P S TACOMA DIAGNOSTIC RADIOLOGY 153 68 $24,208 $356 premium 0.2% 0.0% (253) 841-4353
16 FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA DIAGNOSTIC RADIOLOGY 1317 54 $22,518 $417 premium 0.1% 0.0%
17 PUBLIC HOSPITAL DISTRICT NO 4 KING COUNTY WASHINGTON SNOQUALMIE DIAGNOSTIC RADIOLOGY 88 48 $14,832 $309 premium 0.1% 0.0% (425) 831-2313
18 REGENTS OF THE UNIV OF CA SACRAMENTO DIAGNOSTIC RADIOLOGY 1608 34 $17,068 $502 premium 0.1% 0.0% (877) 827-7463
19 OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 OMAK DIAGNOSTIC RADIOLOGY 88 31 $7,555 $244 premium 0.1% 0.0% (509) 826-1760
20 USC CARE MEDICAL GROUP INC LOS ANGELES DIAGNOSTIC RADIOLOGY 1374 24 $9,600 $400 premium 0.1% 0.0% (800) 872-2273
21 ALBUQUERQUE INDIAN HEALTH CENTER ALBUQUERQUE DIAGNOSTIC RADIOLOGY 48 23 $5,911 $257 premium 0.1% 0.0% (505) 248-4000
22 EINSTEIN PRACTICE PLAN INC PHILADELPHIA DIAGNOSTIC RADIOLOGY 740 14 $4,970 $355 premium 0.0% 0.0% (215) 456-8242

*"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 →