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Market snapshot

99214 in MO 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
927
Named-group FFS services
1,169,585
FFS of Medicare
46%
Services YoY
+0.3%
FFS enrollment -3.1%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,489,572 services

1,169,585 observed fee-for-service (47%) · ~1,319,987 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
$265.7M
Named-group allowed amount
$124.6M
Named-group Medicare payments
$85.6M
Avg charge / svc
$227
Avg allowed / svc
$107
Avg payment / svc
$73
Average charge per group
$76 927 groups · avg submitted charge / service $915
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Specialty market — Mental Health Counselor: 6,190 services across 13 groups; top group 27%. See Mental Health Counselor 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 BJC BEHAVIORAL HEALTH FARMINGTON MENTAL HEALTH COUNSELOR 60 1,657 $157,892 $95 premium 26.8% 0.1% (573) 756-5353
2 COMPASS HEALTH INC CLINTON MENTAL HEALTH COUNSELOR 314 1,287 $359,346 $279 premium 20.8% 0.1% (888) 403-1071
3 COMMUNITY COUNSELING CENTER CAPE GIRARDEAU MENTAL HEALTH COUNSELOR 20 1,141 $159,740 $140 premium 18.4% 0.1% 57333411002780
4 BURRELL INC SPRINGFIELD MENTAL HEALTH COUNSELOR 218 1,127 $202,860 $180 premium 18.2% 0.1% (417) 761-5820
5 PREFERRED FAMILY HEALTHCARE INC HANNIBAL MENTAL HEALTH COUNSELOR 59 443 $112,761 $255 premium 7.2% 0.0% (573) 603-1460
6 DANVILLE PITTSYLVANIA COMMUNITY SERVICES DANVILLE MENTAL HEALTH COUNSELOR 9 111 $13,209 $119 premium 1.8% 0.0% (434) 799-0456
7 CLARK COMMUNITY MENTAL HEALTH CENTER MONETT MENTAL HEALTH COUNSELOR 26 95 $12,398 $131 premium 1.5% 0.0% (417) 235-6610
8 ELIZABETH LAYTON CENTER INC PAOLA MENTAL HEALTH COUNSELOR 26 78 $11,700 $150 premium 1.3% 0.0% (913) 557-9096
9 COMMUNITY MENTAL HEALTH CONSULTANTS, INC NEVADA MENTAL HEALTH COUNSELOR 6 77 $15,154 $197 premium 1.2% 0.0% (417) 667-8352
10 PROVIDENT INC SAINT LOUIS MENTAL HEALTH COUNSELOR 20 69 $5,646 $82 premium 1.1% 0.0% (314) 802-2647
11 JEFFREY K MCILROY MD INC BROKEN ARROW MENTAL HEALTH COUNSELOR 14 49 $8,085 $165 premium 0.8% 0.0% (918) 872-9777
12 RESPONSIVE MANAGEMENT CLINIC INC OVERLAND PARK MENTAL HEALTH COUNSELOR 20 36 $7,125 $198 premium 0.6% 0.0% (913) 451-8550
13 OAK HILLS BEHAVIORAL HEALTH SOLUTIONS MOBERLY MENTAL HEALTH COUNSELOR 5 20 $5,000 $250 premium 0.3% 0.0% (660) 372-1313

*"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 →