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Market snapshot

99214 in NE 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
400
Named-group FFS services
497,198
FFS of Medicare
66%
Services YoY
+1.5%
FFS enrollment -1.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~750,349 services

497,198 observed fee-for-service (66%) · ~253,151 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
$137.7M
Named-group allowed amount
$51.9M
Named-group Medicare payments
$35.4M
Avg charge / svc
$277
Avg allowed / svc
$104
Avg payment / svc
$71
Average charge per group
$98 400 groups · avg submitted charge / service $842
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Specialty market — Internal Medicine: 14,261 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. 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 HASTINGS INTERNAL MEDICINE ASSOCIATES PC HASTINGS INTERNAL MEDICINE 6 7,243 $911,934 $126 premium 1.1% (402) 463-2454
2 LINCOLN INTERNAL MEDICINE ASSOCIATES, PC LINCOLN INTERNAL MEDICINE 11 6,153 $1,929,678 $314 premium 0.9% (402) 421-3240
3 WISE CHOICE HEALTH CARE LLC NORTH PLATTE INTERNAL MEDICINE 2 453 $95,021 $210 premium 0.1% (308) 221-6228
4 BANNER-UNIVERSITY MEDICAL GROUP TUCSON INTERNAL MEDICINE 1068 163 $28,016 $172 premium 0.0% (520) 694-0111
5 BESSMER PC OMAHA INTERNAL MEDICINE 4 80 $24,930 $312 premium 0.0% (402) 779-8400
6 PROSPECT CHARTERCARE PHYSICIANS LLC CRANSTON INTERNAL MEDICINE 71 66 $14,784 $224 premium 0.0% (401) 944-6889
7 ROSEBUD INDIAN HEALTH SERVICE ROSEBUD INTERNAL MEDICINE 101 56 $13,200 $236 premium 0.0%
8 MASSTEX IMAGING, LLC DANVERS INTERNAL MEDICINE 11 29 $5,800 $200 premium 0.0% (978) 750-0300
9 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTON INTERNAL MEDICINE 1689 18 $4,977 $276 premium 0.0% (781) 983-9088

*"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 →