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Market snapshot

99214 in VA 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
1,339
Named-group FFS services
2,326,275
FFS of Medicare
61%
Services YoY
+3.2%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,758,864 services

2,326,275 observed fee-for-service (62%) · ~1,432,589 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
$580.6M
Named-group allowed amount
$270.8M
Named-group Medicare payments
$187.9M
Avg charge / svc
$250
Avg allowed / svc
$116
Avg payment / svc
$81
Average charge per group
$83 1,339 groups · avg submitted charge / service $1,252
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Specialty market — Internal Medicine: 56,349 services across 68 groups; top group 10%. See Internal Medicine across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99214 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 LEGACY HEALTHCARE SERVICES INC DURHAM INTERNAL MEDICINE 3859 5,510 $1,001,774 $182 9.8% 0.2% (919) 419-9600
2 WINCHESTER INTERNAL MEDICINE, INC WINCHESTER INTERNAL MEDICINE 8 5,107 $640,678 $125 9.1% 0.2% (540) 662-6135
3 APPOMATTOX RIVER PRIMARY CARE LLC HOPEWELL INTERNAL MEDICINE 6 4,732 $1,170,611 $247 8.4% 0.1% (804) 458-8557
4 ERICKSON HEALTH MEDICAL GROUP OF VIRGINIA, PC SPRINGFIELD INTERNAL MEDICINE 22 4,196 $566,117 $135 7.4% 0.1% (703) 923-4644
5 DANVILLE UROLOGIC CLINIC INC DANVILLE INTERNAL MEDICINE 17 2,973 $954,571 $321 5.3% 0.1% 43479214332380
6 CARDINAL INTERNAL MEDICINE ASSOCIATES WOODBRIDGE INTERNAL MEDICINE 7 2,817 $644,015 $229 5.0% 0.1% (703) 897-4700
7 COMMUNITY MEDICINE UNIVERSITY OF VIRGINIA LLC CHARLOTTESVILLE INTERNAL MEDICINE 7 2,314 $735,852 $318 4.1% 0.1% (434) 243-4500
8 TIDEWATER LUNG AND SLEEP CENTER, PLLC SUFFOLK INTERNAL MEDICINE 3 2,055 $638,474 $311 3.6% 0.1% (757) 771-7099
9 OPTUM MEDICAL CARE PC MOUNT KISCO INTERNAL MEDICINE 1040 1,667 $908,235 $545 3.0% 0.0% (914) 241-1050
10 RIDGEVIEW INTERNAL MEDICINE LLC WOODBRIDGE INTERNAL MEDICINE 2 1,562 $273,350 $175 2.8% 0.0% (703) 494-4116
11 WOODBRIDGE INTERNAL MEDICINE PC WOODBRIDGE INTERNAL MEDICINE 2 1,373 $260,870 $190 2.4% 0.0% (703) 910-7390
12 NORTHERN VIRGINIA FAMILY PRACTICE ASSOCIATES WASHINGTON INTERNAL MEDICINE 11 1,334 $276,364 $207 2.4% 0.0% (202) 861-0111
13 ASSOCIATES IN PRIMARY CARE PC NORFOLK INTERNAL MEDICINE 3 1,333 $333,250 $250 2.4% 0.0% (757) 623-6072
14 PHYSICIAN ASSOCIATES OF VIRGINIA PC ROANOKE INTERNAL MEDICINE 7 1,306 $250,752 $192 2.3% 0.0% (540) 345-4946
15 MARY WASHINGTON HOSPITAL INC FREDERICKSBURG INTERNAL MEDICINE 55 1,280 $296,740 $232 2.3% 0.0% (540) 741-9200
16 VALLEY INTERNAL MEDICINE ASSOCIATES PC SALEM INTERNAL MEDICINE 3 1,140 $212,040 $186 2.0% 0.0% (540) 380-3722
17 SUTTER BAY MEDICAL FOUNDATION PALO ALTO INTERNAL MEDICINE 3716 1,095 $405,824 $371 1.9% 0.0% (415) 600-1020
18 IRMINDRA S RANA MD PLC ARLINGTON INTERNAL MEDICINE 6 1,072 $362,232 $338 1.9% 0.0% (703) 671-7000
19 CHURCHLAND INTERNAL MEDICINE ASSOCIATES LTD CHESAPEAKE INTERNAL MEDICINE 2 1,027 $171,830 $167 1.8% 0.0% (757) 484-0500
20 SANJEEV KOHLI, MD PC ALEXANDRIA INTERNAL MEDICINE 3 883 $264,825 $300 1.6% 0.0% (703) 820-7000
21 ARLINGTON MEDICAL ASSOCIATES PLLC ARLINGTON INTERNAL MEDICINE 2 830 $166,000 $200 1.5% 0.0% (703) 533-2222
22 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC LARGO INTERNAL MEDICINE 1965 705 $217,574 $309 1.3% 0.0% (301) 618-5700
23 JOHNS HOPKINS COMMUNITY PHYSICIANS, INC BALTIMORE INTERNAL MEDICINE 760 690 $181,470 $263 1.2% 0.0% (410) 522-9800
24 LIFETIME INTERNAL MEDICINE, PLLC HERNDON INTERNAL MEDICINE 3 674 $95,566 $142 1.2% 0.0% (703) 828-0799
25 FRANCONIA INTERNISTS, PC ALEXANDRIA INTERNAL MEDICINE 3 612 $181,825 $297 1.1% 0.0% (703) 922-4222
26 PRIMEDOCS PC BETHESDA INTERNAL MEDICINE 16 515 $169,950 $330 0.9% 0.0% (301) 701-6060
27 NORFOLK INTERNAL MEDICINE, PC NORFOLK INTERNAL MEDICINE 2 495 $97,020 $196 0.9% 0.0% (757) 889-6733
28 NV HEALTHCARE PARTNERS INC ALEXANDRIA INTERNAL MEDICINE 4 483 $83,508 $173 0.9% 0.0% (703) 370-9002
29 PRIMARY CARE DOCTORS GROUP,PC ALEXANDRIA INTERNAL MEDICINE 2 476 $59,440 $125 0.8% 0.0% (703) 799-1118
30 VALLEY HEALTH CLINIC INC MANASSAS INTERNAL MEDICINE 3 470 $89,300 $190 0.8% 0.0% (703) 393-8883
31 ROBERT MANN MD WERNER MARTENS MC R MICHAEL CAMP MD AND WILLIAM T NAYLO NORFOLK INTERNAL MEDICINE 2 420 $63,000 $150 0.7% 0.0% (757) 622-1661
32 MOUNTAIN VIEW INTERNAL MEDICINE AND PEDIATRICS INC. GAINESVILLE INTERNAL MEDICINE 2 406 $70,644 $174 0.7% 0.0% (571) 248-0167
33 AMS MEDICAL CARE, LLC GREAT FALLS INTERNAL MEDICINE 2 396 $102,168 $258 0.7% 0.0% (703) 862-4467
34 PRIMARY MEDICINE LLC LAUREL INTERNAL MEDICINE 7 359 $70,005 $195 0.6% 0.0% (301) 498-9494
35 FAMILY MEDICAL CARE OF SMITHFIELD PLC SMITHFIELD INTERNAL MEDICINE 5 353 $60,363 $171 0.6% 0.0% (757) 357-3331
36 SEVEN CORNERS MEDICAL CENTER, PLLC FALLS CHURCH INTERNAL MEDICINE 2 298 $74,202 $249 0.5% 0.0% (703) 237-7900
37 MINOR EMERGENCY AND FAMILY CARE CENTER VIRGINIA BEACH INTERNAL MEDICINE 2 285 $48,450 $170 0.5% 0.0% (757) 412-0006
38 INTERNAL MEDICINE PHYSICIANS OF ALEXANDRIA ALEXANDRIA INTERNAL MEDICINE 3 277 $45,705 $165 0.5% 0.0% (703) 922-6161
39 RESTON HOSPITAL CENTER LLC RESTON INTERNAL MEDICINE 12 244 $36,600 $150 0.4% 0.0% (703) 689-9000
40 WELLCOMEMD RICHMOND CLINIC INC RICHMOND INTERNAL MEDICINE 4 227 $51,052 $225 0.4% 0.0% (804) 774-7099
41 NOVAMED ASSOCIATES PC FAIRFAX INTERNAL MEDICINE 3 220 $66,880 $304 0.4% 0.0% (703) 641-0333
42 DICKENSON MEDICAL CLINIC PC CLINTWOOD INTERNAL MEDICINE 2 195 $29,250 $150 0.3% 0.0% (276) 926-4601
43 GOALS OF CARE PLLC HERNDON INTERNAL MEDICINE 2 179 $33,239 $186 0.3% 0.0% (571) 524-5663
44 HOPE MENTAL HEALTH AND WELLNESS LLC FREDERICKSBURG INTERNAL MEDICINE 2 167 $63,627 $381 0.3% 0.0% (571) 447-1182
45 CHARLOTTESVILLE INTERNAL MEDICINE, PLC CHARLOTTESVILLE INTERNAL MEDICINE 2 151 $28,086 $186 0.3% 0.0% (434) 284-7650
46 RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC. IRVINGTON INTERNAL MEDICINE 12 131 $21,483 $164 0.2% 0.0% —
47 PARAMOUNT CARE PHYSICIANS LLP FAIRFAX INTERNAL MEDICINE 2 120 $24,600 $205 0.2% 0.0% (703) 222-0002
48 SLEEP DISORDERS CTRS OF THE MID ATLANTIC LLC VIENNA INTERNAL MEDICINE 2 109 $30,350 $278 0.2% 0.0% —
49 EMERGENCY MEDICINE ASSOCIATES P.A., P.C. ARLINGTON INTERNAL MEDICINE 696 108 $42,404 $393 0.2% 0.0% (703) 558-5000
50 UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NEWARK INTERNAL MEDICINE 381 107 $28,034 $262 0.2% 0.0% (973) 972-5004
51 EMERSON PRACTICE ASSOCIATES, INC CONCORD INTERNAL MEDICINE 250 85 $27,200 $320 0.2% 0.0% (978) 287-3020
52 HOUSTON COUNTY HEALTHCARE AUTHORITY DOTHAN INTERNAL MEDICINE 258 79 $24,490 $310 0.1% 0.0% (334) 793-8087
53 LISA C.KAUFMAN,MD.,ALLENTGREENLEE,M.D.,AND ELIZABETHP.WHEATON,M.D.PC WASHINGTON INTERNAL MEDICINE 3 79 $19,829 $251 0.1% 0.0% (202) 833-7051
54 UPSTATE NY DOCTOR OF MEDICINE PLLC AMSTERDAM INTERNAL MEDICINE 29 73 $14,600 $200 0.1% 0.0% (518) 842-1900
55 MARYLAND FAMILY CARE INC BALTIMORE INTERNAL MEDICINE 153 66 $21,521 $326 0.1% 0.0% (410) 332-9359
56 S AND D OF VIRGINIA INC RESTON INTERNAL MEDICINE 3 65 $11,375 $175 0.1% 0.0% (703) 876-9300
57 CASTLE MEDICAL CENTER KAILUA INTERNAL MEDICINE 79 64 $17,462 $273 0.1% 0.0% (808) 263-5142
58 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARON INTERNAL MEDICINE 294 51 $20,668 $405 0.1% 0.0% (781) 784-9212
59 PROSPECT CHARTERCARE PHYSICIANS LLC CRANSTON INTERNAL MEDICINE 71 42 $9,408 $224 0.1% 0.0% (401) 944-6889
60 SOUTHEASTERN INTENSIVIST SERVICES PC RICHMOND INTERNAL MEDICINE 231 40 $10,600 $265 0.1% 0.0% (804) 320-3911
61 HEALE MEDICAL LLC VIENNA INTERNAL MEDICINE 2 38 $11,932 $314 0.1% 0.0% (703) 662-0202
62 PCRM CLINIC WASHINGTON INTERNAL MEDICINE 4 38 $7,396 $195 0.1% 0.0% (202) 527-7500
63 CHINESE CULTURE AND COMMUNITY SERVICE CENTER INC GAITHERSBURG INTERNAL MEDICINE 12 34 $8,500 $250 0.1% 0.0% (240) 393-5950
64 RIVERSBEND HOSPITALISTS P.C. COLONIAL HEIGHTS INTERNAL MEDICINE 2 32 $5,760 $180 0.1% 0.0% (804) 526-2816
65 SHENANDOAH MEMORIAL HOSPITAL, INC. WOODSTOCK INTERNAL MEDICINE 65 27 $6,426 $238 0.0% 0.0% —
66 SUBURBAN/NRH MEDICAL REHABILITATION INC BETHESDA INTERNAL MEDICINE 875 23 $7,268 $316 0.0% 0.0% —
67 QUALITY INTERNAL MEDICINE, PLLC RESTON INTERNAL MEDICINE 2 21 $3,780 $180 0.0% 0.0% (703) 707-0607
68 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES INTERNAL MEDICINE 11157 14 $3,920 $280 0.0% 0.0% (800) 954-8000

*"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 →