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Market snapshot

99214 in VT 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
137
Named-group FFS services
119,002
FFS of Medicare
69%
Services YoY
+7.7%
FFS enrollment -1.2%
Estimated all-Medicare volume FFS + estimated MA estimate
~176,187 services

119,002 observed fee-for-service (68%) · ~57,185 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
$21.7M
Named-group allowed amount
$12.0M
Named-group Medicare payments
$8.2M
Avg charge / svc
$183
Avg allowed / svc
$101
Avg payment / svc
$69
Average charge per group
$37 137 groups · avg submitted charge / service $562
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Specialty market — Nurse Practitioner: 42,566 services across 38 groups; top group 28%. 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 CENTRAL VERMONT MEDICAL CENTER INC BERLIN NURSE PRACTITIONER 243 11,743 $2,770,316 $236 27.6% 7.5% (802) 225-1266
2 RUTLAND HOSPITAL, INC. RUTLAND NURSE PRACTITIONER 189 7,340 $917,368 $125 17.2% 4.7% (802) 775-7111
3 SOUTHWESTERN VERMONT MEDICAL CENTER, INC BENNINGTON NURSE PRACTITIONER 178 6,825 $845,753 $124 16.0% 4.4% (802) 440-4077
4 THOMAS CHITTENDEN HEALTH CENTER, PLC WILLISTON NURSE PRACTITIONER 14 3,329 $622,523 $187 7.8% 2.1% (802) 878-8131
5 PRIMARY CARE HEALTH PARTNERS - VERMONT LLP SAINT ALBANS NURSE PRACTITIONER 20 2,203 $709,500 $322 5.2% 1.4% (802) 527-0753
6 NORTHWESTERN MEDICAL CENTER INC SAINT ALBANS NURSE PRACTITIONER 102 2,196 $290,505 $132 5.2% 1.4% —
7 RICHMOND FAMILY MEDICINE PLLC RICHMOND NURSE PRACTITIONER 11 1,676 $422,654 $252 3.9% 1.1% (802) 434-4123
8 SAVIDA HEALTH PC WEST SPRINGFIELD NURSE PRACTITIONER 85 803 $129,301 $161 1.9% 0.5% (413) 732-0040
9 UNIVERSITY OF VERMONT NURSING AND HEALTH SCIENCES PRACTICE GROUP BURLINGTON NURSE PRACTITIONER 11 653 $100,185 $153 1.5% 0.4% —
10 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANON NURSE PRACTITIONER 1270 620 $105,880 $171 1.5% 0.4% (603) 650-5000
11 UTMB FACULTY GROUP PRACTICE GALVESTON NURSE PRACTITIONER 1068 561 $158,139 $282 1.3% 0.4% (409) 772-2222
12 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMOND NURSE PRACTITIONER 352 494 $158,400 $321 1.2% 0.3% (804) 764-6000
13 TACONIC ORTHOPAEDICS PC MANCHESTER CENTER NURSE PRACTITIONER 3 474 $82,950 $175 1.1% 0.3% (802) 251-6294
14 SOJOURNS COMMUNITY CLINIC INC WESTMINSTER NURSE PRACTITIONER 8 465 $76,725 $165 1.1% 0.3% (802) 722-4023
15 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC RUTLAND NURSE PRACTITIONER 100 427 $81,296 $190 1.0% 0.3% (802) 773-3386
16 COMMUNITY HEALTH CENTERS OF BURLINGTON INC BURLINGTON NURSE PRACTITIONER 89 421 $80,028 $190 1.0% 0.3% (802) 864-6309
17 NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURY NURSE PRACTITIONER 109 331 $57,390 $173 0.8% 0.2% (802) 748-8141
18 ASSOCIATES IN PRIMARY CARE LLC RUTLAND NURSE PRACTITIONER 2 296 $51,800 $175 0.7% 0.2% (802) 770-1850
19 FIDDLEHEAD LEDGE LLC SWANTON NURSE PRACTITIONER 2 264 $42,630 $161 0.6% 0.2% (802) 868-3175
20 THE AROOSTOOK MEDICAL CENTER PRESQUE ISLE NURSE PRACTITIONER 112 230 $52,116 $227 0.5% 0.1% —
21 MULTICARE HEALTH SYSTEM GIG HARBOR NURSE PRACTITIONER 2289 225 $77,175 $343 0.5% 0.1% —
22 MINDPATH HEALTH FLORIDA, PLLC OCOEE NURSE PRACTITIONER 52 150 $49,350 $329 0.4% 0.1% (407) 602-7168
23 NORTHERN COUNTIES HEALTH CARE INC SAINT JOHNSBURY NURSE PRACTITIONER 47 139 $78,118 $562 0.3% 0.1% —
24 FRONTIER PSYCHIATRY PLLC BILLINGS NURSE PRACTITIONER 33 105 $40,110 $382 0.2% 0.1% (406) 200-8471
25 CENTRAL MAINE MEDICAL CENTER LEWISTON NURSE PRACTITIONER 358 89 $26,296 $295 0.2% 0.1% (207) 753-3900
26 BRATTLEBORO RETREAT DUMMERSTON NURSE PRACTITIONER 61 86 $6,457 $75 0.2% 0.1% (802) 258-4391
27 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON NURSE PRACTITIONER 970 74 $23,236 $314 0.2% 0.0% (304) 388-5432
28 SAGE MENTAL HEALTH PLC ST JOHNSBURY NURSE PRACTITIONER 2 70 $12,802 $183 0.2% 0.0% (802) 255-8788
29 MAINEHEALTH PORTLAND NURSE PRACTITIONER 2574 51 $11,012 $216 0.1% 0.0% (207) 885-9905
30 BETTERNOW PLLC AMHERST NURSE PRACTITIONER 8 47 $15,745 $335 0.1% 0.0% (800) 603-8026
31 LITTLETON HOSPITAL ASSOCIATION LITTLETON NURSE PRACTITIONER 103 32 $9,916 $310 0.1% 0.0% (603) 444-7070
32 HEYWOOD MEDICAL GROUP INC. GARDNER NURSE PRACTITIONER 103 26 $3,502 $135 0.1% 0.0% (978) 630-6460
33 THE EMORY CLINIC INC ATLANTA NURSE PRACTITIONER 3484 23 $10,968 $477 0.1% 0.0% (404) 778-7525
34 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAH NURSE PRACTITIONER 59 23 $8,721 $379 0.1% 0.0% (920) 725-9373
35 BELONGING MEDICAL GROUP PLLC MANCHESTER NURSE PRACTITIONER 43 21 $5,670 $270 0.0% 0.0% (866) 679-0831
36 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA NURSE PRACTITIONER 373 20 $7,829 $391 0.0% 0.0% (907) 966-8611
37 GIFFORD HEALTH CARE INC BETHEL NURSE PRACTITIONER 37 17 $5,456 $321 0.0% 0.0% (802) 234-9913
38 EON CARE CLINICIANS PC PLANTATION NURSE PRACTITIONER 16 17 $4,590 $270 0.0% 0.0% (818) 613-6769

*"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 →