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Market snapshot

99214 in CA 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
3,874
Named-group FFS services
6,555,898
FFS of Medicare
49%
Services YoY
+6.5%
FFS enrollment +0.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,301,043 services

6,555,898 observed fee-for-service (49%) · ~6,745,145 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
$2.3B
Named-group allowed amount
$850.0M
Named-group Medicare payments
$606.3M
Avg charge / svc
$349
Avg allowed / svc
$130
Avg payment / svc
$92
Average charge per group
$55 3,874 groups · avg submitted charge / service $6,240
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Specialty market — Endocrinology: 28,885 services across 18 groups; top group 28%. See Endocrinology 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 SCKE INC LAGUNA HILLS ENDOCRINOLOGY 20 7,948 $2,177,300 $274 premium 27.5% 0.1% (949) 916-9100
2 DR NAZEMI M D INC BEVERLY HILLS ENDOCRINOLOGY 2 2,753 $1,197,620 $435 premium 9.5% 0.0% (310) 652-0228
3 BASHAR G SAAD MD INC UPLAND ENDOCRINOLOGY 4 2,748 $679,407 $247 premium 9.5% 0.0% (909) 946-6676
4 DARIUS A SCHNEIDER MD APC LA JOLLA ENDOCRINOLOGY 2 2,172 $608,160 $280 premium 7.5% 0.0% (858) 622-7200
5 ENDOCRINOLOGY MEDICAL GROUP OF ORANGE COUNTY INC ORANGE ENDOCRINOLOGY 2 1,874 $515,350 $275 premium 6.5% 0.0% (714) 771-5700
6 BERKELEY ENDOCRINE CLINIC INC BERKELEY ENDOCRINOLOGY 2 1,859 $456,570 $246 premium 6.4% 0.0% (510) 883-9005
7 STEVEN L ENG MD INC LAKEWOOD ENDOCRINOLOGY 2 1,701 $255,150 $150 premium 5.9% 0.0% 56263498484
8 CYNTHIA WILLIAMS MD INC TORRANCE ENDOCRINOLOGY 2 1,261 $229,178 $182 premium 4.4% 0.0% (310) 325-9200
9 MICHAEL K LAI M D INC SANTA MARIA ENDOCRINOLOGY 2 1,239 $433,750 $350 premium 4.3% 0.0% (805) 349-8972
10 NAQVI AND NAQVI MD INC NEWPORT BEACH ENDOCRINOLOGY 3 1,122 $274,890 $245 premium 3.9% 0.0% (949) 548-3177
11 NORTH COUNTY ENDOCRINE MEDICAL GROUP ESCONDIDO ENDOCRINOLOGY 7 1,083 $181,362 $167 premium 3.7% 0.0% 76074314311554
12 DAVID AHN MD INC NEWPORT BEACH ENDOCRINOLOGY 3 966 $241,500 $250 premium 3.3% 0.0% (949) 764-7366
13 ALEEM SYED MD A PROFESSIONAL CORPORATION ANAHEIM ENDOCRINOLOGY 4 606 $105,900 $175 premium 2.1% 0.0% (714) 991-1350
14 OCONNOR PHYSICIAN GROUP INC PINOLE ENDOCRINOLOGY 2 539 $99,715 $185 premium 1.9% 0.0% (510) 724-7644
15 CARDIOLOGY INTERNAL MEDICAL GROUP INC LOS ANGELES ENDOCRINOLOGY 3 412 $66,740 $162 premium 1.4% 0.0% (213) 977-1144
16 ENDOCRINE CONSULTANT OF MONTEREY INC MONTEREY ENDOCRINOLOGY 2 254 $63,500 $250 premium 0.9% 0.0% (831) 655-3307
17 ENDOCRINE CARE SPECIALISTS INC LOMITA ENDOCRINOLOGY 2 228 $47,380 $208 premium 0.8% 0.0% (310) 375-7666
18 CENTRAL VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION HANFORD ENDOCRINOLOGY 2 120 $22,636 $189 premium 0.4% 0.0% (559) 587-1100

*"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 →