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Market snapshot

99214 in SC 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
809
Named-group FFS services
1,941,803
FFS of Medicare
54%
Services YoY
+9.5%
FFS enrollment -1.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,553,228 services

1,941,803 observed fee-for-service (55%) · ~1,611,425 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
$448.4M
Named-group allowed amount
$220.5M
Named-group Medicare payments
$154.3M
Avg charge / svc
$231
Avg allowed / svc
$114
Avg payment / svc
$79
Average charge per group
$97 809 groups · avg submitted charge / service $1,000
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Specialty market — Family Practice: 167,446 services across 66 groups; top group 20%. See Family Practice 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 ANMED HEALTH ANDERSON FAMILY PRACTICE 343 32,657 $7,678,070 $235 19.5% 1.3% —
2 GEORGETOWN PHYSICIAN ASSOCIATES, LLC MURRELLS INLET FAMILY PRACTICE 230 29,675 $6,424,994 $217 17.7% 1.2% (843) 652-8450
3 ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE FAMILY PRACTICE 110 25,802 $4,863,039 $188 15.4% 1.0% (864) 271-9773
4 CAROLINA FAMILY CARE INC CHARLESTON FAMILY PRACTICE 87 15,959 $4,274,533 $268 9.5% 0.6% (843) 876-3157
5 CENTER FOR PRIMARY CARE PC AUGUSTA FAMILY PRACTICE 54 7,978 $1,486,072 $186 4.8% 0.3% (706) 922-6699
6 PRIMARY CARE ASSOCIATES, PC ANDERSON FAMILY PRACTICE 11 6,518 $979,560 $150 3.9% 0.3% (864) 716-6008
7 FAMILY PHYSICIANS OF SPARTANBURG, PC SPARTANBURG FAMILY PRACTICE 10 5,779 $913,101 $158 3.5% 0.2% (864) 576-9201
8 FAMILY MEDICINE OF SAYEBROOK LLC MYRTLE BEACH FAMILY PRACTICE 5 4,893 $685,020 $140 2.9% 0.2% (843) 293-8850
9 BERKELEY FAMILY PRACTICE LLC MONCKS CORNER FAMILY PRACTICE 5 4,635 $797,026 $172 2.8% 0.2% 84376188002262
10 WESTGATE FAMILY PHYSICIANS PA SPARTANBURG FAMILY PRACTICE 6 2,263 $362,080 $160 1.4% 0.1% (864) 574-0070
11 GOLDEN CORNER FAMILY PRAC WEST UNION FAMILY PRACTICE 4 2,213 $331,824 $150 1.3% 0.1% (864) 638-5402
12 PROVIDENCE FAMILY PRACTICE LLC COLUMBIA FAMILY PRACTICE 4 1,920 $240,000 $125 1.1% 0.1% (803) 254-5171
13 FAMILY FIRST HEALTH CLINIC PA MYRTLE BEACH FAMILY PRACTICE 2 1,838 $349,220 $190 1.1% 0.1% (843) 945-8124
14 SJC MEDICAL GROUP INC SAVANNAH FAMILY PRACTICE 56 1,728 $452,736 $262 1.0% 0.1% (912) 819-4949
15 THE PRACTICE COLUMBIA FAMILY PRACTICE 4 1,672 $476,687 $285 1.0% 0.1% (803) 779-5959
16 MYRTLE BEACH FAMILY MEDICINE PA MYRTLE BEACH FAMILY PRACTICE 3 1,671 $198,291 $119 1.0% 0.1% (843) 449-5243
17 WE CARE FAMILY HEALTH, LLC COLUMBIA FAMILY PRACTICE 2 1,406 $281,200 $200 0.8% 0.1% (803) 851-0605
18 TIDEWATER DOCTORS LLC CHARLESTON FAMILY PRACTICE 3 1,332 $303,696 $228 0.8% 0.1% (843) 766-1936
19 THRIVE FAMILY MEDICINE GREENVILLE FAMILY PRACTICE 2 1,203 $298,344 $248 0.7% 0.0% (864) 412-2777
20 PIEDMONT MEDICAL CARE CORPORATION ATLANTA FAMILY PRACTICE 363 1,195 $458,660 $384 0.7% 0.0% (404) 367-3210
21 PALMETTO FAMILY MEDICINE AND SENIOR CARE LLC HARTSVILLE FAMILY PRACTICE 3 1,067 $147,246 $138 0.6% 0.0% (843) 669-5162
22 LOVELACE FAMILY MEDICINE PA PROSPERITY FAMILY PRACTICE 8 973 $127,140 $131 0.6% 0.0% (803) 364-4852
23 VIRGINIA PHYSICIANS INC MIDLOTHIAN FAMILY PRACTICE 93 943 $172,569 $183 0.6% 0.0% (804) 744-0200
24 CAROLINA FAMILY PRACTICE P A HARTSVILLE FAMILY PRACTICE 2 843 $122,235 $145 0.5% 0.0% (843) 383-0770
25 PINNER CLINIC PA PEAK FAMILY PRACTICE 4 812 $149,408 $184 0.5% 0.0% (803) 945-7475
26 SELF REGIONAL HEALTHCARE GREENWOOD FAMILY PRACTICE 118 749 $106,358 $142 0.4% 0.0% (864) 725-4865
27 USHA CONSULTING LLC LITTLE RIVER FAMILY PRACTICE 2 694 $164,647 $237 0.4% 0.0% (843) 492-5009
28 CAROLINA GERIATRIC SPECIALISTS, LLC SUMTER FAMILY PRACTICE 5 656 $88,560 $135 0.4% 0.0% (803) 775-1001
29 URGENT CARE AND FAMILY MEDICINE CONWAY LLC CONWAY FAMILY PRACTICE 3 645 $100,620 $156 0.4% 0.0% (843) 347-2121
30 FOOTHILLS FAMILY MEDICINE OF WESTMINSTER PA WESTMINSTER FAMILY PRACTICE 4 621 $77,625 $125 0.4% 0.0% (864) 647-1820
31 GRACE INTERNAL MEDICINE LLC SIMPSONVILLE FAMILY PRACTICE 2 568 $155,471 $274 0.3% 0.0% (864) 535-6855
32 DOCTOR FOR LIFE, LLC GREENVILLE FAMILY PRACTICE 2 545 $100,280 $184 0.3% 0.0% 86464000095
33 PARTNERMD SOUTH CAROLINA PC GREENVILLE FAMILY PRACTICE 3 446 $74,888 $168 0.3% 0.0% (864) 315-1300
34 MAGNOLIA COLLECTIVE HEALTH, LLC BLUFFTON FAMILY PRACTICE 2 439 $112,455 $256 0.3% 0.0% (843) 757-5400
35 BROKEN BETTER URGENT CARE LLC ROCK HILL FAMILY PRACTICE 2 396 $69,300 $175 0.2% 0.0% (803) 818-3932
36 H LUCIUS LAFFITTE JR MD LLC BEAUFORT FAMILY PRACTICE 2 381 $56,388 $148 0.2% 0.0% (843) 322-8477
37 W M WOODWARD MD PA CHARLESTON FAMILY PRACTICE 2 369 $68,265 $185 0.2% 0.0% (843) 556-3462
38 MCLEOD HEALTH CLARENDON MANNING FAMILY PRACTICE 61 368 $105,427 $286 0.2% 0.0% —
39 PROVIDENCE HEALTH AND SERVICES WASHINGTON OLYMPIA FAMILY PRACTICE 477 351 $137,241 $391 0.2% 0.0% (360) 493-4083
40 COASTAL WELLNESS CENTER LLC MYRTLE BEACH FAMILY PRACTICE 2 316 $33,180 $105 0.2% 0.0% (888) 403-2444
41 SANDHILLS MEDICAL FOUNDATION, INC. MC BEE FAMILY PRACTICE 26 291 $42,083 $145 0.2% 0.0% (843) 335-8291
42 CAROLINA FAMILY MEDICINE OF LAURENS COUNTY PA CLINTON FAMILY PRACTICE 3 284 $44,643 $157 0.2% 0.0% (864) 938-9690
43 MD-FIRST HEALTH CARE LLC LANCASTER FAMILY PRACTICE 2 245 $61,250 $250 0.1% 0.0% (704) 491-1102
44 BON SECOURS MEDICAL GROUP HAMPTON ROADS PRIMARY CARE LLC PORTSMOUTH FAMILY PRACTICE 64 205 $66,774 $326 0.1% 0.0% (757) 738-1225
45 GRACE MEDICAL GROUP COLUMBIA FAMILY PRACTICE 2 203 $33,930 $167 0.1% 0.0% (803) 933-0288
46 OCHSNER 65 PLUS HH OKATIE CROSSING RIDGELAND FAMILY PRACTICE 6 199 $57,312 $288 0.1% 0.0% (843) 547-4765
47 ORLANDO PHYSICIANS NETWORK INC ORLANDO FAMILY PRACTICE 232 167 $62,222 $373 0.1% 0.0% (321) 841-6600
48 INOVA PHYSICIAN PARTNERS LLC CHANTILLY FAMILY PRACTICE 334 166 $31,076 $187 0.1% 0.0% (703) 435-1223
49 THE C.W WILLIAMS COMMUNITY HEALTH CENTER, INC CHARLOTTE FAMILY PRACTICE 2 130 $18,877 $145 0.1% 0.0% (704) 971-1494
50 TAHOE FOREST HOSPITAL DISTRICT TRUCKEE FAMILY PRACTICE 143 124 $42,847 $346 0.1% 0.0% (530) 587-7461
51 CAMPBELL UNIVERSITY HEALTH CENTER LLC BUIES CREEK FAMILY PRACTICE 8 116 $19,604 $169 0.1% 0.0% (910) 893-1560
52 CATALYST PHYSICIAN GROUP - NTX, PLLC PLANO FAMILY PRACTICE 89 105 $40,572 $386 0.1% 0.0% (972) 596-9511
53 AMERICAN MEDICAL CENTER, LLC TAMUNING FAMILY PRACTICE 17 97 $18,188 $188 0.1% 0.0% (671) 647-8262
54 DR WILLIAM M SCOTT, MDVIP PA PIEDMONT FAMILY PRACTICE 2 88 $13,200 $150 0.1% 0.0% (864) 269-7950
55 ADVENTHEALTH PRIMARY CARE NETWORK INC ALTAMONTE SPRINGS FAMILY PRACTICE 423 72 $27,504 $382 0.0% 0.0% (407) 831-4040
56 MCPC-16 LLC RAEFORD FAMILY PRACTICE 6 65 $19,370 $298 0.0% 0.0% (910) 878-6700
57 COMMUNITY WELLNESS GROUP LLC COLUMBIA FAMILY PRACTICE 2 62 $12,400 $200 0.0% 0.0% (803) 570-2522
58 BURKE PRIMARY CARE LLC MORGANTON FAMILY PRACTICE 23 54 $11,495 $213 0.0% 0.0% (828) 437-4211
59 FAIRFIELD MEDICAL ASSOCIATES, PA. WINNSBORO FAMILY PRACTICE 3 44 $5,500 $125 0.0% 0.0% 8036356461122
60 RENAISSANCE FAMILY PRACTICE-UPMC, INC PITTSBURGH FAMILY PRACTICE 46 43 $9,906 $230 0.0% 0.0% (412) 782-2101
61 ALFRED RANDALL MOSS, M.D. P.A GAFFNEY FAMILY PRACTICE 2 43 $7,052 $164 0.0% 0.0% (864) 489-1446
62 PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON ANACORTES FAMILY PRACTICE 78 41 $10,660 $260 0.0% 0.0% (360) 299-1350
63 TAOS PICURIS HEALTH CENTER TAOS FAMILY PRACTICE 8 33 $7,062 $214 0.0% 0.0% (575) 758-6966
64 CAPSTONE HEALTH SERVICES FOUNDATION PC TUSCALOOSA FAMILY PRACTICE 164 21 $9,366 $446 0.0% 0.0% (205) 348-1770
65 WOUNDWISE SOLUTIONS LLC AWENDAW FAMILY PRACTICE 2 16 $2,556 $160 0.0% 0.0% (843) 256-4349
66 SIOUX CENTER HEALTH SIOUX CENTER FAMILY PRACTICE 34 13 $2,975 $229 0.0% 0.0% (712) 722-1271

*"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 →