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Market snapshot

99214 in WV 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
337
Named-group FFS services
300,909
FFS of Medicare
45%
Services YoY
-3.7%
FFS enrollment -5.8%
Estimated all-Medicare volume FFS + estimated MA estimate
~649,269 services

300,909 observed fee-for-service (46%) · ~348,360 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
$69.3M
Named-group allowed amount
$30.4M
Named-group Medicare payments
$20.8M
Avg charge / svc
$230
Avg allowed / svc
$101
Avg payment / svc
$69
Average charge per group
$76 337 groups · avg submitted charge / service $842
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Specialty market — Family Practice: 27,243 services across 25 groups; top group 43%. 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 UNITED PHYSICIANS CARE INC BRIDGEPORT FAMILY PRACTICE 117 11,819 $3,114,069 $263 premium 43.4% 2.7% (681) 342-3700
2 CABELL HUNTINGTON HOSPITAL INC HUNTINGTON FAMILY PRACTICE 83 3,251 $432,077 $133 premium 11.9% 0.7% (304) 691-8500
3 DUNBAR MEDICAL ASSOCIATES PLLC DUNBAR FAMILY PRACTICE 12 2,780 $444,800 $160 premium 10.2% 0.6% (304) 768-8811
4 ADVANCED FAMILY PRACTICE, PLLC WHEELING FAMILY PRACTICE 4 1,419 $351,042 $247 premium 5.2% 0.3% (304) 243-7117
5 MID-OHIO VALLEY NEPHROLOGY ASSOCIATION VIENNA FAMILY PRACTICE 2 1,221 $196,184 $161 premium 4.5% 0.3% (304) 834-3970
6 MHC PHYSICIANS INC WILLIAMSTOWN FAMILY PRACTICE 15 939 $295,447 $315 premium 3.4% 0.2% (740) 376-6191
7 WAYT HEALTH CARE, PLLC GLEN DALE FAMILY PRACTICE 2 794 $170,710 $215 premium 2.9% 0.2% (304) 845-5700
8 GREENBRIER CLINIC INC WHITE SULPHUR SPRINGS FAMILY PRACTICE 10 758 $159,938 $211 premium 2.8% 0.2% (304) 536-4870
9 STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY WESTON FAMILY PRACTICE 65 573 $139,900 $244 premium 2.1% 0.1% (304) 269-4431
10 WV ASTHMA AND ALLERGY CENTERS INC CHARLESTON FAMILY PRACTICE 8 534 $122,820 $230 premium 2.0% 0.1% 304343430099
11 GREENBRIER CARE LLC WHITE SULPHUR SPRINGS FAMILY PRACTICE 2 515 $108,665 $211 premium 1.9% 0.1% (304) 536-4870
12 CARDINAL HEALTHCARE PLLC FALLING WATERS FAMILY PRACTICE 2 444 $96,792 $218 premium 1.6% 0.1% (304) 820-1031
13 PRESTIGE PRIMARY CARE ASSOCIATES PLLC HURRICANE FAMILY PRACTICE 2 410 $69,700 $170 premium 1.5% 0.1% (304) 768-0700
14 WILLIAMS FAMILY PRACTICE PLLC WESTON FAMILY PRACTICE 2 395 $59,250 $150 premium 1.4% 0.1% (304) 517-1301
15 SAWEIKIS MEDICAL SERVICES, INC KEYSER FAMILY PRACTICE 3 359 $53,850 $150 premium 1.3% 0.1%
16 NEW CREEK FAMILY MEDICINE PLLC KEYSER FAMILY PRACTICE 2 269 $37,660 $140 premium 1.0% 0.1% (304) 788-9320
17 WEST VIRGINIA HEALTH CARE COOPERATIVE INC SUMMERSVILLE FAMILY PRACTICE 64 198 $34,810 $176 premium 0.7% 0.0% (304) 872-8402
18 TROY HOSPITAL HEALTH CARE AUTHORITY TROY FAMILY PRACTICE 4 131 $23,675 $181 premium 0.5% 0.0% (334) 670-5000
19 MATTHEW A DOWDY MD LLC RIVERVIEW FAMILY PRACTICE 2 130 $32,500 $250 premium 0.5% 0.0% (813) 672-2014
20 BROADDUS HOSPITAL ASSOCIATION INC. PHILIPPI FAMILY PRACTICE 11 87 $11,049 $127 premium 0.3% 0.0% (304) 457-1522
21 WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC INC LEWISBURG FAMILY PRACTICE 32 79 $12,245 $155 premium 0.3% 0.0% (304) 645-3220
22 WILLIAMSON HEALTH AND WELLNESS CENTER INC WILLIAMSON FAMILY PRACTICE 4 45 $10,305 $229 premium 0.2% 0.0% (304) 236-5902
23 COMMUNITY HEALTH SYSTEMS INC BECKLEY FAMILY PRACTICE 37 44 $10,472 $238 premium 0.2% 0.0%
24 PRESTON TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED GRAFTON FAMILY PRACTICE 3 30 $3,774 $126 premium 0.1% 0.0% (304) 265-1851
25 COUNTRY DOCTORS FAMILY MEDICINE PROFESSIONAL CORPORATION MASONTOWN FAMILY PRACTICE 2 19 $3,230 $170 premium 0.1% 0.0% (304) 864-4362

*"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 →