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Market snapshot

99214 in ND 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
176
Named-group FFS services
198,059
FFS of Medicare
64%
Services YoY
+5.0%
FFS enrollment -3.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~301,233 services

198,059 observed fee-for-service (66%) · ~103,174 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
$45.1M
Named-group allowed amount
$18.7M
Named-group Medicare payments
$12.8M
Avg charge / svc
$228
Avg allowed / svc
$94
Avg payment / svc
$65
Average charge per group
$115 176 groups · avg submitted charge / service $1,122
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Specialty market — Nurse Practitioner: 168,873 services across 70 groups; top group 26%. See Nurse Practitioner 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 SANFORD MEDICAL CENTER FARGO FARGO NURSE PRACTITIONER 1198 44,602 $8,291,318 $186 26.4% 18.0% (701) 234-2000
2 SANFORD BISMARCK BISMARCK NURSE PRACTITIONER 563 32,021 $4,643,445 $145 19.0% 12.9% (701) 323-8300
3 INNOVIS HEALTH LLC FARGO NURSE PRACTITIONER 565 31,717 $8,082,478 $255 18.8% 12.8% (701) 364-6600
4 ALTRU HEALTH SYSTEM GRAND FORKS NURSE PRACTITIONER 653 23,881 $3,656,577 $153 14.1% 9.6% (701) 780-5000
5 TRINITY HEALTH MINOT NURSE PRACTITIONER 296 17,708 $5,557,675 $314 10.5% 7.1% (701) 418-8000
6 ST ALEXIUS MEDICAL CENTER BISMARCK NURSE PRACTITIONER 244 4,723 $1,774,038 $376 2.8% 1.9% (701) 530-7000
7 OMAHA THERAPY INC DICKINSON NURSE PRACTITIONER 63 1,515 $457,558 $302 0.9% 0.6% (701) 483-9400
8 MERCY SPECIALTY CLINIC CLINTON NURSE PRACTITIONER 66 1,230 $268,140 $218 0.7% 0.5% (563) 243-2511
9 KIDNEY AND HYPERTENSION PLC GRAND FORKS NURSE PRACTITIONER 7 1,168 $371,466 $318 0.7% 0.5% —
10 SANFORD HEALTH NETWORK NORTH THIEF RIVER FALLS NURSE PRACTITIONER 113 960 $121,176 $126 0.6% 0.4% (218) 683-2725
11 QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY BELCOURT NURSE PRACTITIONER 36 630 $185,604 $295 0.4% 0.3% —
12 MCHS HOSPITALS INC MARSHFIELD NURSE PRACTITIONER 1179 544 $186,484 $343 0.3% 0.2% —
13 LEGACY MEDICAL LLC BISMARCK NURSE PRACTITIONER 20 477 $149,778 $314 0.3% 0.2% (701) 516-4637
14 ST MARYS REGIONAL HEALTH CENTER DETROIT LAKES NURSE PRACTITIONER 188 467 $95,731 $205 0.3% 0.2% —
15 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF NURSE PRACTITIONER 1202 439 $104,565 $238 0.3% 0.2% —
16 CRISP REGIONAL HOSPITAL INC CORDELE NURSE PRACTITIONER 63 351 $87,750 $250 0.2% 0.1% (229) 276-3100
17 SPIRIT LAKE TRIBE FORT TOTTEN NURSE PRACTITIONER 20 335 $113,364 $338 0.2% 0.1% (701) 766-1600
18 CHRISTIAN UNITY HOSPITAL CORPORATION GRAFTON NURSE PRACTITIONER 24 333 $88,911 $267 0.2% 0.1% (701) 352-1620
19 HEALTHWAYS PLLC BISMARCK NURSE PRACTITIONER 2 315 $45,027 $143 0.2% 0.1% (701) 223-6613
20 PEACEHEALTH MEDICAL GROUP EUGENE NURSE PRACTITIONER 259 314 $95,412 $304 0.2% 0.1% (541) 222-8700
21 BRADLEY GYNECOLOGY PC BISMARCK NURSE PRACTITIONER 8 296 $92,523 $313 0.2% 0.1% (701) 751-2272
22 ST. SOPHIE'S LLC FARGO NURSE PRACTITIONER 8 281 $78,961 $281 0.2% 0.1% —
23 UNDERWOOD CLINIC PC WASHBURN NURSE PRACTITIONER 3 239 $68,939 $288 0.1% 0.1% (701) 462-3389
24 SULLIVAN COUNTY COMMUNITY HOSPITAL SULLIVAN NURSE PRACTITIONER 43 237 $80,193 $338 0.1% 0.1% (812) 268-6292
25 URGENT MEDICINE ASSOCIATES LLC FARGO NURSE PRACTITIONER 4 227 $65,830 $290 0.1% 0.1% (701) 232-9000
26 FAMILY HEALTH CARE CENTER FARGO NURSE PRACTITIONER 26 226 $45,362 $201 0.1% 0.1% (701) 271-3344
27 MCKENZIE COUNTY HEALTHCARE SYSTEMS INC WATFORD CITY NURSE PRACTITIONER 63 211 $60,491 $287 0.1% 0.1% (701) 842-3000
28 AVERA ST LUKES ABERDEEN NURSE PRACTITIONER 169 199 $24,923 $125 0.1% 0.1% (605) 622-5100
29 PYRAMID HEALTH LLC BOTTINEAU NURSE PRACTITIONER 2 195 $43,916 $225 0.1% 0.1% (701) 534-0109
30 MEDALLUS AND VACHAROTHONE LTD JAMESTOWN NURSE PRACTITIONER 14 188 $56,700 $302 0.1% 0.1% (877) 633-9110
31 STELLAR HEALTHCARE, LTD FARGO NURSE PRACTITIONER 3 183 $58,194 $318 0.1% 0.1% (701) 364-3660
32 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE NURSE PRACTITIONER 2448 146 $35,478 $243 0.1% 0.1% (502) 928-1050
33 MINOT HEALTH CLINIC, PLLC MINOT NURSE PRACTITIONER 2 143 $34,749 $243 0.1% 0.1% (701) 837-1851
34 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NURSE PRACTITIONER 2120 141 $39,303 $279 0.1% 0.1% (984) 215-5556
35 LEGACY HEALTH CLINIC MINOT NURSE PRACTITIONER 5 138 $22,809 $165 0.1% 0.1% (701) 838-6000
36 CATALYST MEDICAL CENTER PC FARGO NURSE PRACTITIONER 8 134 $43,684 $326 0.1% 0.1% (701) 365-8700
37 ELBOWOODS MEMORIAL HEALTH CENTER NEW TOWN NURSE PRACTITIONER 24 120 $45,000 $375 0.1% 0.0% (701) 627-4750
38 EMBRACE WELLNESS PLLC BISMARCK NURSE PRACTITIONER 2 112 $26,477 $236 0.1% 0.0% (701) 751-7244
39 RED RIVER VALLEY HEALTH CARE PC DETROIT LAKES NURSE PRACTITIONER 12 102 $24,450 $240 0.1% 0.0% (800) 237-4629
40 SANFORD HEALTH OF NORTHERN MINNESOTA BEMIDJI NURSE PRACTITIONER 347 102 $12,342 $121 0.1% 0.0% (218) 333-5000
41 TOTAL SKIN DERMATOLOGY AND AESTHETICS GRAND FORKS NURSE PRACTITIONER 3 101 $22,839 $226 0.1% 0.0% (701) 757-3376
42 MULTICARE HEALTH SYSTEM GIG HARBOR NURSE PRACTITIONER 2289 99 $33,957 $343 0.1% 0.0% —
43 URBAN UNWIND LLC DICKINSON NURSE PRACTITIONER 3 94 $25,778 $274 0.1% 0.0% (701) 483-6666
44 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES EVANSVILLE NURSE PRACTITIONER 67 91 $12,922 $142 0.1% 0.0% (218) 948-2040
45 HETLAND EAR NOSE THROAT PC BISMARCK NURSE PRACTITIONER 5 89 $31,232 $351 0.1% 0.0% (701) 258-6851
46 ALTAIRE CLINIC PLLC FARGO NURSE PRACTITIONER 5 88 $30,261 $344 0.1% 0.0% (701) 356-5503
47 INNOVATIVE HEALTH WATFORD CITY NURSE PRACTITIONER 2 83 $26,730 $322 0.0% 0.0% (701) 444-2888
48 FOUR SEASONS WELLNESS PLLC STEELE NURSE PRACTITIONER 2 72 $20,535 $285 0.0% 0.0% (701) 475-4488
49 SHOSHONE-PAIUTE TRIBES OWYHEE NURSE PRACTITIONER 9 68 $22,032 $324 0.0% 0.0% (775) 757-2415
50 COLLEGE DRIVE URGENT CARE LLC CHEYENNE NURSE PRACTITIONER 12 66 $22,308 $338 0.0% 0.0% (307) 635-3500
51 VAL VERDE HOSPITAL CORPORATION DEL RIO NURSE PRACTITIONER 39 58 $18,180 $313 0.0% 0.0% —
52 FRONTIER PSYCHIATRY PLLC BILLINGS NURSE PRACTITIONER 33 57 $14,860 $261 0.0% 0.0% (406) 200-8471
53 YOURTIME PSYCHIATRY AND MEDICAL CANNABIS LLC PLYMOUTH NURSE PRACTITIONER 4 53 $16,642 $314 0.0% 0.0% (612) 458-3374
54 CHI HEALTH CLINIC SPECIALTY LLC LINCOLN NURSE PRACTITIONER 309 51 $6,403 $126 0.0% 0.0% (402) 219-8000
55 IDEAL OPTION PLLC KENNEWICK NURSE PRACTITIONER 95 47 $15,605 $332 0.0% 0.0% (509) 222-1275
56 GRACE AND GRATITUDE WELLNESS DEVILS LAKE NURSE PRACTITIONER 2 45 $15,228 $338 0.0% 0.0% (701) 662-2039
57 D AND L PC FARGO NURSE PRACTITIONER 4 41 $12,300 $300 0.0% 0.0% (701) 478-0333
58 AVERA ST MARYS PIERRE NURSE PRACTITIONER 96 39 $4,863 $125 0.0% 0.0% (605) 224-5901
59 KENNY CHANTASI DO PLLC PANAMA CITY NURSE PRACTITIONER 4 34 $4,114 $121 0.0% 0.0% (850) 914-8600
60 KATIE SHANNON LICSW LLC TIOGA NURSE PRACTITIONER 2 33 $7,755 $235 0.0% 0.0% (701) 572-3335
61 RHEA MEDICAL CENTER DAYTON NURSE PRACTITIONER 7 32 $13,358 $417 0.0% 0.0% —
62 SANFORD MEDICAL CENTER SIOUX FALLS NURSE PRACTITIONER 831 30 $3,630 $121 0.0% 0.0% (605) 332-2883
63 ADVANCED OTOLARYNGOLOGY PC RICHMOND NURSE PRACTITIONER 6 24 $6,461 $269 0.0% 0.0% (804) 330-5501
64 THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS CHICAGO NURSE PRACTITIONER 1170 23 $12,504 $544 0.0% 0.0% —
65 MISSISSIPPI BAND OF CHOCTAW INDIANS CHOCTAW NURSE PRACTITIONER 23 22 $5,610 $255 0.0% 0.0% —
66 HORIZON HEALTHCARE, INC MILWAUKEE NURSE PRACTITIONER 16 20 $3,640 $182 0.0% 0.0% (414) 376-5577
67 TRANSCEND HEADACHE CLINIC PLLC WEST FARGO NURSE PRACTITIONER 2 18 $3,510 $195 0.0% 0.0% (701) 809-7650
68 APPLETON AREA HEALTH APPLETON NURSE PRACTITIONER 18 17 $6,694 $394 0.0% 0.0% (320) 289-2422
69 INSPIRED HEALTHCARE PLLC JAMESTOWN NURSE PRACTITIONER 4 14 $3,500 $250 0.0% 0.0% (701) 952-9600
70 CARRINGTON HEALTH CENTER CARRINGTON NURSE PRACTITIONER 12 14 $5,291 $378 0.0% 0.0% (701) 652-2515

*"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 →