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Market snapshot

99214 in ID 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
424
Named-group FFS services
327,856
FFS of Medicare
50%
Services YoY
+1.8%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~638,131 services

327,856 observed fee-for-service (51%) · ~310,275 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
$72.6M
Named-group allowed amount
$32.1M
Named-group Medicare payments
$22.3M
Avg charge / svc
$221
Avg allowed / svc
$98
Avg payment / svc
$68
Average charge per group
$99 424 groups · avg submitted charge / service $894
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Specialty market — Infectious Disease: 566 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Infectious Disease 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 IDAHO FALLS INFECTIOUS DISEASES, PLLC IDAHO FALLS INFECTIOUS DISEASE 2 566 $174,328 $308 premium 0.1% (208) 535-8400

*"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 →