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Market snapshot

99214 in HI 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
245
Named-group FFS services
175,580
FFS of Medicare
47%
Services YoY
+5.2%
FFS enrollment -0.8%
Estimated all-Medicare volume FFS + estimated MA estimate
~377,623 services

175,580 observed fee-for-service (46%) · ~202,043 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
$43.0M
Named-group allowed amount
$19.8M
Named-group Medicare payments
$13.4M
Avg charge / svc
$245
Avg allowed / svc
$113
Avg payment / svc
$76
Average charge per group
$99 245 groups · avg submitted charge / service $1,274
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Specialty market — Internal Medicine: 19,501 services across 18 groups; top group 35%. See Internal Medicine 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 CASTLE MEDICAL CENTER KAILUA INTERNAL MEDICINE 79 6,895 $1,825,311 $265 premium 35.4% 2.4% (808) 263-5142
2 PEARL CITY MEDICAL ASSOCIATES INC AIEA INTERNAL MEDICINE 7 4,347 $877,746 $202 premium 22.3% 1.5% (808) 488-0990
3 CHARLIE Y SONIDO M D LLC WAIPAHU INTERNAL MEDICINE 18 2,670 $626,810 $235 premium 13.7% 0.9% (808) 671-3911
4 GARY S INAMINE MD INC HONOLULU INTERNAL MEDICINE 2 1,518 $242,880 $160 premium 7.8% 0.5% (808) 942-5565
5 WAILEA MEDICAL GROUP LLC WAILEA INTERNAL MEDICINE 2 927 $185,400 $200 premium 4.8% 0.3% (808) 875-9095
6 MEDICAL OFFICE FORCE ATHENS INTERNAL MEDICINE 55 545 $108,569 $199 premium 2.8% 0.2% (706) 208-9700
7 HOOLA HEALTHCARE LLC AIEA INTERNAL MEDICINE 2 533 $128,086 $240 premium 2.7% 0.2% (808) 486-9119
8 HONOLULU PRIMARY CARE ASSOCIATES LLC HONOLULU INTERNAL MEDICINE 2 444 $80,311 $181 premium 2.3% 0.2% (808) 599-8922
9 ALOHA MEDICAL GROUP LLC HONOLULU INTERNAL MEDICINE 2 423 $71,381 $169 premium 2.2% 0.1% (808) 450-2290
10 RUSSELL S KELLY MD LLC EWA BEACH INTERNAL MEDICINE 2 307 $64,292 $209 premium 1.6% 0.1% (808) 678-0700
11 BIG ISLAND PAIN CENTER INC HILO INTERNAL MEDICINE 2 278 $57,090 $205 premium 1.4% 0.1% (808) 934-9675
12 MIKI MEDICAL ASSOCIATES INC HONOLULU INTERNAL MEDICINE 2 248 $52,624 $212 premium 1.3% 0.1% (808) 521-5220
13 HUI NO KE OLA PONO INC WAILUKU INTERNAL MEDICINE 4 221 $44,833 $203 premium 1.1% 0.1% (808) 244-4647
14 SUTTER BAY MEDICAL FOUNDATION PALO ALTO INTERNAL MEDICINE 3716 40 $15,117 $378 premium 0.2% 0.0% (415) 600-1020
15 CLINIC OF INTERNAL MEDICINE LLC CHESTERFIELD INTERNAL MEDICINE 6 38 $12,054 $317 premium 0.2% 0.0% (314) 576-8102
16 OROHEALTH CORPORATION A NON PROFIT HEALTHCARE SYSTEM OROVILLE INTERNAL MEDICINE 124 33 $7,458 $226 premium 0.2% 0.0% (530) 532-8654
17 COMMUNITY HEALTH PARTNERS FRESNO INTERNAL MEDICINE 509 17 $6,094 $358 premium 0.1% 0.0% (559) 459-6000
18 PACMED CLINICS SEATTLE INTERNAL MEDICINE 212 17 $4,222 $248 premium 0.1% 0.0% (206) 517-6700

*"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 →