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Market snapshot

99214 in VT 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
137
Named-group FFS services
119,002
FFS of Medicare
69%
Services YoY
+7.7%
FFS enrollment -1.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~176,187 services

119,002 observed fee-for-service (68%) · ~57,185 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
$21.7M
Named-group allowed amount
$12.0M
Named-group Medicare payments
$8.2M
Avg charge / svc
$183
Avg allowed / svc
$101
Avg payment / svc
$69
Average charge per group
$37 137 groups · avg submitted charge / service $562
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Specialty market — Family Practice: 13,110 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Family Practice 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 EVERGREEN FAMILY HEALTH PARTNERS ESSEX JUNCTION FAMILY PRACTICE 21 4,547 $817,200 $180 premium 2.9% (802) 872-7100
2 MIDDLEBURY FAMILY HEALTH MIDDLEBURY FAMILY PRACTICE 9 4,000 $700,020 $175 premium 2.6% (802) 388-1500
3 WHITE RIVER FAMILY PRACTICE PC WHITE RIVER JUNCTION FAMILY PRACTICE 10 2,155 $440,720 $205 premium 1.4% (802) 295-6132
4 DRS PETER AND LISA HOGENKAMP PC RUTLAND FAMILY PRACTICE 5 759 $136,620 $180 premium 0.5% (802) 747-3359
5 DR. SHELLIE BURDICK LLC NORTH BENNINGTON FAMILY PRACTICE 2 417 $114,962 $276 premium 0.3% (802) 732-3010
6 TAMARACK FAMILY MEDICINE MORRISVILLE FAMILY PRACTICE 5 399 $87,469 $219 premium 0.3% (802) 851-0999
7 MARBLE VALLEY HEALTHWORKS LLC RUTLAND FAMILY PRACTICE 2 349 $49,558 $142 premium 0.2% (802) 770-1805
8 VILLAGE HEALTH, INC. MIDDLEBURY FAMILY PRACTICE 2 247 $74,100 $300 premium 0.2% (802) 382-9491
9 GREEN MOUNTAIN PRIMARY CARE PLC MIDDLEBURY FAMILY PRACTICE 2 237 $51,903 $219 premium 0.2% (802) 382-0849

*"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 →