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Market snapshot

99214 in GA 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
1,523
Named-group FFS services
2,047,791
FFS of Medicare
45%
Services YoY
+2.9%
FFS enrollment -2.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,535,237 services

2,047,791 observed fee-for-service (45%) · ~2,487,446 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
$599.3M
Named-group allowed amount
$236.7M
Named-group Medicare payments
$165.1M
Avg charge / svc
$293
Avg allowed / svc
$116
Avg payment / svc
$81
Average charge per group
$84 1,523 groups · avg submitted charge / service $2,191
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Specialty market — Gastroenterology: 28,718 services across 31 groups; top group 20%. See Gastroenterology 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 DIGESTIVE HEALTHCARE OF GEORGIA ATLANTA GASTROENTEROLOGY 34 5,856 $1,600,693 $273 premium 20.4% 0.2% 40460335431516
2 AGA PROFESSIONAL SERVICES LLC MARIETTA GASTROENTEROLOGY 178 5,707 $2,210,262 $387 premium 19.9% 0.2% (770) 427-3075
3 GASTROINTESTINAL SPECIALIST OF GEORGIA MARIETTA GASTROENTEROLOGY 35 2,704 $784,160 $290 premium 9.4% 0.1% (678) 741-5000
4 GASTROENTEROLOGY CONSULTANTS OF AUGUSTA, PC EVANS GASTROENTEROLOGY 26 1,991 $328,515 $165 premium 6.9% 0.1% (706) 854-8934
5 SOUTHWELL AMBULATORY INC VALDOSTA GASTROENTEROLOGY 11 1,344 $221,760 $165 premium 4.7% 0.0% (229) 262-6810
6 GASTROINTESTINAL DISEASES INC COLUMBUS GASTROENTEROLOGY 8 1,311 $303,800 $232 premium 4.6% 0.0% (706) 641-6900
7 WEST GEORGIA GASTROENTEROLOGY ASSOCIATES,PC CARROLLTON GASTROENTEROLOGY 12 1,204 $224,468 $186 premium 4.2% 0.0% 770214280013
8 SOUTHERN GASTROENTEROLOGY ASSOCIATES, LLC LAWRENCEVILLE GASTROENTEROLOGY 8 1,175 $324,300 $276 premium 4.1% 0.0% (678) 985-2000
9 NEWCO GI LLC CUMMING GASTROENTEROLOGY 7 1,133 $512,116 $452 premium 3.9% 0.0% (404) 440-0600
10 GASTROENTEROLOGY PHYSICIAN SERVICES LLC COLUMBUS GASTROENTEROLOGY 2 680 $229,390 $337 premium 2.4% 0.0% (706) 221-6116
11 SOUTHERN GASTROENTEROLOGY SPECIALISTS, P.C RIVERDALE GASTROENTEROLOGY 6 651 $162,750 $250 premium 2.3% 0.0% (770) 996-5959
12 GASTROENTEROLOGY SPECIALISTS OF GWINNETT, P.C. LAWRENCEVILLE GASTROENTEROLOGY 7 618 $238,860 $387 premium 2.2% 0.0% (770) 995-3113
13 DIGESTIVE CARE CONSULTANTS LLC ATLANTA GASTROENTEROLOGY 4 555 $180,475 $325 premium 1.9% 0.0% (404) 255-4333
14 MARIA C CASTELLANO, MD, LLC VALDOSTA GASTROENTEROLOGY 3 509 $66,170 $130 premium 1.8% 0.0% (229) 588-4688
15 ATHENS GASTROENTEROLOGY ASSOCIATION ATHENS GASTROENTEROLOGY 6 451 $113,722 $252 premium 1.6% 0.0% (706) 613-1625
16 AGA, LLC MARIETTA GASTROENTEROLOGY 125 415 $161,978 $390 premium 1.4% 0.0% (770) 427-3075
17 AGA CLINICAL SERVICES, LLC ATLANTA GASTROENTEROLOGY 33 414 $129,996 $314 premium 1.4% 0.0% (855) 841-1337
18 ATHENS GASTROENTEROLOGY CENTER,PC ATHENS GASTROENTEROLOGY 2 338 $98,290 $291 premium 1.2% 0.0% (706) 548-0058
19 ATLANTA CENTER FOR GASTROENTEROLOGY, P.C. DECATUR GASTROENTEROLOGY 2 250 $87,500 $350 premium 0.9% 0.0% 4042961986104
20 GASTROENTEROLOGY SPECIALISTS OF DEKALB DECATUR GASTROENTEROLOGY 2 212 $74,200 $350 premium 0.7% 0.0% 4042948180115
21 ROME GASTROENTEROLOGY ASSOCIATES ROME GASTROENTEROLOGY 7 203 $41,412 $204 premium 0.7% 0.0% (706) 295-3992
22 TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC DALLAS GASTROENTEROLOGY 613 191 $41,447 $217 premium 0.7% 0.0%
23 GASTROENTEROLOGY CONSULTANTS,PC ROSWELL GASTROENTEROLOGY 3 132 $41,340 $313 premium 0.5% 0.0% (770) 442-5424
24 AUGUSTA GASTROINTESTINAL SPECIALISTS INC AUGUSTA GASTROENTEROLOGY 2 127 $17,145 $135 premium 0.4% 0.0%
25 JOHNS CREEK GASTROENTEROLOGY PC CUMMING GASTROENTEROLOGY 2 122 $33,360 $273 premium 0.4% 0.0% (770) 889-9901
26 SOUTHERN GASTROENTEROLOGYAND HEPATOLOGY CONSULTANTS INC DOUGLAS GASTROENTEROLOGY 2 116 $29,000 $250 premium 0.4% 0.0% (912) 384-7275
27 STOCKWELL REISMAN PAULK AND TAYLOR PA TALLAHASSEE GASTROENTEROLOGY 15 93 $19,902 $214 premium 0.3% 0.0% (850) 877-2105
28 DIGESTIVE DISEASE CARE, PC RICHMOND HILL GASTROENTEROLOGY 37 93 $35,346 $380 premium 0.3% 0.0% (516) 750-8000
29 CENTRAL GEORGIA GASTROENTEROLOGY, LLC MACON GASTROENTEROLOGY 3 71 $12,780 $180 premium 0.2% 0.0% (478) 755-0800
30 DIGESTIVE CONSULTANTS LLC CHESTERFIELD GASTROENTEROLOGY 8 40 $10,760 $269 premium 0.1% 0.0% (636) 685-7795
31 GI MEDICAL SPECIALISTS, PLLC TALLAHASSEE GASTROENTEROLOGY 2 12 $3,000 $250 premium 0.0% 0.0% (850) 297-0351

*"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 →