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Market snapshot

99214 in RI 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
289
Named-group FFS services
181,985
FFS of Medicare
40%
Services YoY
+0.2%
FFS enrollment -3.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~444,853 services

181,985 observed fee-for-service (41%) · ~262,868 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
$50.7M
Named-group allowed amount
$20.7M
Named-group Medicare payments
$14.3M
Avg charge / svc
$278
Avg allowed / svc
$114
Avg payment / svc
$79
Average charge per group
$93 289 groups · avg submitted charge / service $921
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Specialty market — Nurse Practitioner: 42,246 services across 72 groups; top group 30%. 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 RHODE ISLAND HOSPITAL PROVIDENCE NURSE PRACTITIONER 416 12,680 $4,199,922 $331 30.0% 4.4% (401) 444-3777
2 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVER NURSE PRACTITIONER 868 9,530 $3,710,716 $389 22.6% 3.3% (508) 973-5919
3 SILVER SPRING HEALTH CARE MANAGEMENT INC WAKEFIELD NURSE PRACTITIONER 132 5,277 $1,446,194 $274 12.5% 1.8% (401) 788-8780
4 PRIMA CARE, PC FALL RIVER NURSE PRACTITIONER 220 1,111 $406,354 $366 2.6% 0.4% —
5 MDRI LLC EAST GREENWICH NURSE PRACTITIONER 13 1,107 $297,036 $268 2.6% 0.4% 4013980288105
6 NEUROHEALTH, INC. WARWICK NURSE PRACTITIONER 9 899 $164,345 $183 2.1% 0.3% (401) 732-3332
7 ATMED TREATMENT CENTER, INC. JOHNSTON NURSE PRACTITIONER 11 842 $139,960 $166 2.0% 0.3% (401) 273-9400
8 ATRIUS HEALTH INC BOSTON NURSE PRACTITIONER 1196 643 $224,528 $349 1.5% 0.2% (617) 421-1000
9 SPECTRUM NEURO BEHAVIORAL CARE LLC FRAMINGHAM NURSE PRACTITIONER 52 613 $122,450 $200 1.5% 0.2% (781) 666-2711
10 STRAUB CLINIC AND HOSPITAL HONOLULU NURSE PRACTITIONER 431 611 $104,936 $172 1.4% 0.2% (808) 522-4000
11 WARWICK PAIN ASSOCIATES LLC WARWICK NURSE PRACTITIONER 11 582 $190,668 $328 1.4% 0.2% (401) 352-0007
12 RHODE ISLAND MEDICINE INC WOONSOCKET NURSE PRACTITIONER 3 462 $83,160 $180 1.1% 0.2% (401) 765-4100
13 ANGELS NEUROLOGICAL CENTERS PC ABINGTON NURSE PRACTITIONER 8 453 $167,157 $369 1.1% 0.2% (781) 870-3773
14 MAIN LINE HEALTHCARE BRYN MAWR NURSE PRACTITIONER 1157 438 $102,930 $235 1.0% 0.2% —
15 INTERVENTIONAL PAIN CENTER PLLC FAYETTEVILLE NURSE PRACTITIONER 7 435 $195,750 $450 1.0% 0.2% (910) 321-7246
16 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEM NURSE PRACTITIONER 803 383 $205,732 $537 0.9% 0.1% (978) 741-4133
17 LAHEY CLINIC INC BURLINGTON NURSE PRACTITIONER 1400 371 $147,742 $398 0.9% 0.1% —
18 QUALITY BEHAVIORAL HEALTH WARWICK NURSE PRACTITIONER 23 370 $59,070 $160 0.9% 0.1% 4016814274113
19 ADVANCED PSYCH SERVICES LLC WORCESTER NURSE PRACTITIONER 20 334 $60,120 $180 0.8% 0.1% (508) 753-3220
20 YESTERMORROW PC EAST GREENWICH NURSE PRACTITIONER 8 317 $63,868 $201 0.8% 0.1% (401) 886-9669
21 JOSHI MEDICAL SERVICES, PC NORTH BILLERICA NURSE PRACTITIONER 5 277 $117,725 $425 0.7% 0.1% —
22 TEXAS HEALTH CARE PLLC FORT WORTH NURSE PRACTITIONER 364 273 $77,673 $285 0.6% 0.1% (817) 920-0484
23 STURDY HEALTH INC ATTLEBORO NURSE PRACTITIONER 196 247 $90,443 $366 0.6% 0.1% (508) 222-3200
24 INTERVENTIONAL AND FUNCTIONAL PAIN CENTER CRANSTON NURSE PRACTITIONER 4 234 $46,900 $200 0.6% 0.1% (401) 648-6100
25 LINCOLN PSYCHIATRIC SERVICES, INC. LINCOLN NURSE PRACTITIONER 6 220 $27,235 $124 0.5% 0.1% (401) 334-1830
26 NRI PAIN MANAGEMENT LLC PAWTUCKET NURSE PRACTITIONER 2 217 $39,082 $180 0.5% 0.1% (401) 227-9940
27 BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC PAWTUCKET NURSE PRACTITIONER 47 216 $79,184 $367 0.5% 0.1% (401) 312-9813
28 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILL NURSE PRACTITIONER 2120 214 $59,401 $278 0.5% 0.1% (984) 215-5556
29 CENTRAL VERMONT MEDICAL CENTER INC BERLIN NURSE PRACTITIONER 243 205 $46,856 $229 0.5% 0.1% (802) 225-1266
30 SOUTHWESTERN VERMONT MEDICAL CENTER, INC BENNINGTON NURSE PRACTITIONER 178 192 $23,165 $121 0.5% 0.1% (802) 440-4077
31 SNOW FAMILY MEDICINE, LLC CRANSTON NURSE PRACTITIONER 6 178 $42,890 $241 0.4% 0.1% (401) 585-8500
32 HEALING MINDS PSYCHIATRY LLC TIVERTON NURSE PRACTITIONER 2 174 $24,360 $140 0.4% 0.1% (774) 300-3444
33 THE EMORY CLINIC INC ATLANTA NURSE PRACTITIONER 3484 168 $79,902 $476 0.4% 0.1% (404) 778-7525
34 WELLNESS CONNECT GO BEYOND MEDICINE LLC PROVIDENCE NURSE PRACTITIONER 3 134 $24,120 $180 0.3% 0.0% (401) 642-0100
35 ARMISTICE URGENT CARE AND OCCUPATIONAL HEALTH, INC. PAWTUCKET NURSE PRACTITIONER 8 132 $23,100 $175 0.3% 0.0% —
36 MULTICARE HEALTH SYSTEM GIG HARBOR NURSE PRACTITIONER 2289 113 $38,759 $343 0.3% 0.0% —
37 MCV ASSOCIATED PHYSICIANS RICHMOND NURSE PRACTITIONER 1791 93 $28,086 $302 0.2% 0.0% (804) 828-9000
38 SALT AND LIGHT BEHAVIORAL HEALTH AND WELLNESS LLC WOONSOCKET NURSE PRACTITIONER 2 87 $26,100 $300 0.2% 0.0% (401) 250-0123
39 COMPREHENSIVE COMMUNITY ACTION, INC. CRANSTON NURSE PRACTITIONER 27 86 $23,564 $274 0.2% 0.0% (401) 943-1981
40 MDICS REHABILITATIVE SERVICES LLC LA PLATA NURSE PRACTITIONER 27 83 $19,493 $235 0.2% 0.0% (443) 949-0814
41 RELIANT MEDICAL GROUP INC WORCESTER NURSE PRACTITIONER 634 80 $25,040 $313 0.2% 0.0% (508) 363-5000
42 MUSC COMMUNITY PHYSICIANS ORANGEBURG NURSE PRACTITIONER 1307 66 $19,218 $291 0.2% 0.0% (803) 395-3400
43 GRINNELL REGIONAL MEDICAL CENTER GRINNELL NURSE PRACTITIONER 89 65 $15,429 $237 0.2% 0.0% (641) 236-2925
44 POWER OF THREE PSYCHIATRY KNOXVILLE NURSE PRACTITIONER 6 61 $8,540 $140 0.1% 0.0% (865) 588-1718
45 HEYWOOD MEDICAL GROUP INC. GARDNER NURSE PRACTITIONER 103 59 $7,265 $123 0.1% 0.0% (978) 630-6460
46 SIU PHYSICIANS AND SURGEONS INC SPRINGFIELD NURSE PRACTITIONER 321 58 $20,874 $360 0.1% 0.0% (217) 545-8000
47 ADVENTIST HEALTH SYSTEM SUNBELT, INC. ORLANDO NURSE PRACTITIONER 211 53 $15,953 $301 0.1% 0.0% (407) 851-6478
48 BAXTER BEHAVIORAL HEALTH, LLC NORTH KINGSTOWN NURSE PRACTITIONER 5 52 $7,800 $150 0.1% 0.0% (401) 267-4485
49 FOUNDATIONS FOR WELLNESS, INC SEEKONK NURSE PRACTITIONER 5 50 $7,000 $140 0.1% 0.0% (508) 635-1337
50 CORE HEALTH CARE LLC LINCOLN NURSE PRACTITIONER 6 50 $10,000 $200 0.1% 0.0% (401) 723-9250
51 BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC SOUTH HAMILTON NURSE PRACTITIONER 350 49 $19,838 $405 0.1% 0.0% (978) 468-7381
52 CAREWELL URGENT CARE OF RHODE ISLAND PC WARWICK NURSE PRACTITIONER 9 49 $23,549 $481 0.1% 0.0% (401) 773-7220
53 HOPEHEALTH HOSPICE AND PALLIATIVE CARE PROVIDENCE NURSE PRACTITIONER 44 47 $20,915 $445 0.1% 0.0% (401) 415-4275
54 TRI-COUNTY COMMUNITY ACTION AGENCY JOHNSTON NURSE PRACTITIONER 20 45 $13,207 $293 0.1% 0.0% (401) 351-2750
55 WELLCARE INC JOHNSTON NURSE PRACTITIONER 3 43 $12,075 $281 0.1% 0.0% (401) 272-8773
56 THE PROVIDENCE COMMUNITY HEALTH CENTERS INC. PROVIDENCE NURSE PRACTITIONER 91 37 $10,967 $296 0.1% 0.0% (401) 444-0400
57 MEDICAL AFFILIATES OF CAPE COD INC HYANNIS NURSE PRACTITIONER 236 37 $11,770 $318 0.1% 0.0% (508) 771-1800
58 OSH - RI PHYSICIANS GROUP PC WARWICK NURSE PRACTITIONER 28 32 $6,568 $205 0.1% 0.0% (401) 233-5051
59 VALLEY PHYSICIAN SERVICES PC HOBOKEN NURSE PRACTITIONER 606 30 $8,370 $279 0.1% 0.0% (800) 825-5391
60 HEBREW REHABILITATION CENTER ROSLINDALE NURSE PRACTITIONER 50 28 $8,312 $297 0.1% 0.0% (617) 363-8010
61 HEALTHFIRST FAMILY CARE CENTER INC FALL RIVER NURSE PRACTITIONER 26 27 $8,127 $301 0.1% 0.0% (774) 627-1296
62 THE QUEENS MEDICAL CENTER HONOLULU NURSE PRACTITIONER 190 25 $6,050 $242 0.1% 0.0% —
63 MOUNT SINAI MEDICAL CENTER UROLOGY LLC MIAMI BEACH NURSE PRACTITIONER 25 24 $8,088 $337 0.1% 0.0% (305) 674-2499
64 PHYSICIANS OF CAPE COD HOSPITAL HYANNIS NURSE PRACTITIONER 318 23 $4,942 $215 0.1% 0.0% (774) 552-6000
65 PRIVIA MEDICAL GROUP, LLC ARLINGTON NURSE PRACTITIONER 1477 23 $7,194 $313 0.1% 0.0% —
66 OCEANSIDE AESTHETICS, LLC WARWICK NURSE PRACTITIONER 2 23 $6,325 $275 0.1% 0.0% (401) 384-7501
67 TRUCARE INC CRANSTON NURSE PRACTITIONER 9 23 $6,325 $275 0.1% 0.0% (401) 944-6889
68 SAINT LUKES PHYSICIAN GROUP INC KANSAS CITY NURSE PRACTITIONER 1228 22 $6,622 $301 0.1% 0.0% —
69 MINUTECLINIC DIAGNOSTICS OF INDIANA LLC INDIANAPOLIS NURSE PRACTITIONER 108 22 $4,238 $193 0.1% 0.0% (866) 389-2727
70 DENNIS MIHALE MD OF NY PC HAUPPAUGE NURSE PRACTITIONER 5 16 $5,011 $313 0.0% 0.0% (888) 985-5455
71 BELL PHYSICIAN PRACTICES INC ISHPEMING NURSE PRACTITIONER 23 15 $4,515 $301 0.0% 0.0% (906) 485-2687
72 NORTHWEST COMMUNITY HEALTH CARE PASCOAG NURSE PRACTITIONER 38 11 $3,212 $292 0.0% 0.0% (401) 567-0800

*"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 →