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Market snapshot

99214 in MD 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
1,187
Named-group FFS services
1,771,978
FFS of Medicare
75%
Services YoY
+3.4%
FFS enrollment -1.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,330,852 services

1,771,978 observed fee-for-service (76%) · ~558,874 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
$501.6M
Named-group allowed amount
$212.1M
Named-group Medicare payments
$146.7M
Avg charge / svc
$283
Avg allowed / svc
$120
Avg payment / svc
$83
Average charge per group
$90 1,187 groups · avg submitted charge / service $1,626
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Specialty market — Endocrinology: 11,555 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. 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 CAPITAL DIABETES AND ENDOCRINE ASSOCIATES LLC CAMP SPRINGS ENDOCRINOLOGY 13 5,026 $1,239,957 $247 premium 0.2% (301) 899-7713
2 MARYLAND ENDOCRINE, P.A. COLUMBIA ENDOCRINOLOGY 11 3,657 $694,830 $190 premium 0.1%
3 UPPER CHESAPEAKE ENDOCRINOLOGY ASSOCIATES, LLC BEL AIR ENDOCRINOLOGY 10 2,872 $1,147,790 $400 premium 0.1% (443) 643-1000

*"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 →