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Market snapshot

99214 in WI 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
622
Named-group FFS services
917,482
FFS of Medicare
42%
Services YoY
+1.8%
FFS enrollment -2.9%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,129,294 services

917,482 observed fee-for-service (43%) · ~1,211,812 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
$317.8M
Named-group allowed amount
$98.2M
Named-group Medicare payments
$66.4M
Avg charge / svc
$346
Avg allowed / svc
$107
Avg payment / svc
$72
Average charge per group
$88 622 groups · avg submitted charge / service $1,222
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Specialty market — Nurse Practitioner: 220,178 services across 142 groups; top group 17%. See Nurse Practitioner 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 FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC GERMANTOWN NURSE PRACTITIONER 1260 37,719 $15,217,380 $403 premium 17.1% 3.0% (262) 253-5060
2 MCHS HOSPITALS INC MARSHFIELD NURSE PRACTITIONER 1179 31,971 $9,691,780 $303 premium 14.5% 2.6%
3 MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC EAU CLAIRE NURSE PRACTITIONER 799 24,503 $6,244,298 $255 premium 11.1% 2.0% (715) 838-5222
4 AGNESIAN HEALTHCARE INC FOND DU LAC NURSE PRACTITIONER 383 14,259 $4,396,875 $308 premium 6.5% 1.1% (920) 929-2300
5 BELLIN MEMORIAL HOSPITAL INC GREEN BAY NURSE PRACTITIONER 678 13,461 $4,336,858 $322 premium 6.1% 1.1% (920) 435-8326
6 ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC APPLETON NURSE PRACTITIONER 261 13,209 $4,260,137 $323 premium 6.0% 1.1% (920) 738-2000
7 THE MONROE CLINIC, INC. MONROE NURSE PRACTITIONER 197 12,872 $3,782,772 $294 premium 5.8% 1.0% (608) 324-2000
8 BELOIT HEALTH SYSTEM INC BELOIT NURSE PRACTITIONER 143 8,695 $1,583,130 $182 premium 3.9% 0.7% (608) 364-2200
9 OAKLEAF CLINICS INC EAU CLAIRE NURSE PRACTITIONER 102 8,336 $2,482,232 $298 premium 3.8% 0.7% (715) 839-9280
10 ASPIRUS MEDICAL GROUP, INC. WAUSAU NURSE PRACTITIONER 265 7,563 $2,373,911 $314 premium 3.4% 0.6% (715) 847-2611
11 FROEDTERT MANITOWOC MEDICAL GROUP, LLC SHEBOYGAN NURSE PRACTITIONER 165 5,720 $2,567,564 $449 premium 2.6% 0.5% (920) 320-2436
12 BAYCARE AURORA LLC GREEN BAY NURSE PRACTITIONER 198 3,958 $2,034,650 $514 premium 1.8% 0.3% (920) 288-8000
13 SHEBOYGAN PHYSICIANS GROUP S.C. SHEBOYGAN NURSE PRACTITIONER 15 3,169 $1,010,699 $319 premium 1.4% 0.3% (920) 452-6000
14 ASPIRUS WAUSAU HOSPITAL INC WAUSAU NURSE PRACTITIONER 228 2,406 $312,146 $130 premium 1.1% 0.2% (715) 847-0477
15 WATERTOWN PHYSICIAN PRACTICES LLC WATERTOWN NURSE PRACTITIONER 64 1,986 $533,939 $269 premium 0.9% 0.2% (920) 262-4825
16 LAKEVIEW MEDICAL CENTER INC OF RICE LAKE RICE LAKE NURSE PRACTITIONER 165 1,510 $406,742 $269 premium 0.7% 0.1% (715) 236-6133
17 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAH NURSE PRACTITIONER 59 1,439 $469,033 $326 premium 0.7% 0.1% (920) 725-9373
18 SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC WEST BURLINGTON NURSE PRACTITIONER 293 1,346 $133,254 $99 premium 0.6% 0.1% (319) 768-1000
19 PROCARE MEDICAL GROUP SC MILWAUKEE NURSE PRACTITIONER 16 1,084 $216,800 $200 premium 0.5% 0.1% (414) 291-2626
20 ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS SHEBOYGAN NURSE PRACTITIONER 179 1,058 $281,692 $266 premium 0.5% 0.1% (920) 459-8300
21 ENDEAVOR HEALTH MEDICAL GROUP EVANSTON NURSE PRACTITIONER 3380 1,057 $206,113 $195 premium 0.5% 0.1%
22 FOX VALLEY SURGICAL ASSOCIATES LTD APPLETON NURSE PRACTITIONER 35 1,025 $391,347 $382 premium 0.5% 0.1% (920) 731-8131
23 ASPIRUS RHINELANDER AND TOMAHAWK HOSPITALS AND CLINICS, INC. RHINELANDER NURSE PRACTITIONER 528 824 $225,300 $273 premium 0.4% 0.1% (715) 361-4700
24 PAIN PHYSICIANS OF WISCONSIN SC MILWAUKEE NURSE PRACTITIONER 28 639 $305,264 $478 premium 0.3% 0.1% (262) 297-7246
25 SARAH BUSH LINCOLN HEALTH CENTER MATTOON NURSE PRACTITIONER 405 587 $409,659 $698 premium 0.3% 0.0%
26 THREE OAKS HEALTH SC JOHNSON CREEK NURSE PRACTITIONER 4 576 $224,640 $390 premium 0.3% 0.0% (920) 542-3010
27 ONEIDA NATION ONEIDA NURSE PRACTITIONER 35 567 $225,128 $397 premium 0.3% 0.0% (920) 869-2711
28 CLEANSLATE MEDICAL GROUP OF WISCONSIN SC GLENDALE NURSE PRACTITIONER 29 560 $238,435 $426 premium 0.3% 0.0% (414) 323-6880
29 PARKVIEW HEALTH SYSTEM INC FORT WAYNE NURSE PRACTITIONER 1310 510 $92,910 $182 premium 0.2% 0.0% (260) 425-5900
30 BOTHWELL REGIONAL HEALTH CENTER SEDALIA NURSE PRACTITIONER 115 490 $119,216 $243 premium 0.2% 0.0% (660) 826-8833
31 VALDEZ AND SOTO LLC PEWAUKEE NURSE PRACTITIONER 3 465 $127,875 $275 premium 0.2% 0.0% (262) 260-9000
32 NORTHWESTERN MEDICAL FACULTY FOUNDATION CHICAGO NURSE PRACTITIONER 4339 452 $145,996 $323 premium 0.2% 0.0%
33 IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION BETTENDORF NURSE PRACTITIONER 1202 448 $106,806 $238 premium 0.2% 0.0%
34 FAMILY PSYCHIATRIC CARE LLC KENOSHA NURSE PRACTITIONER 6 445 $70,632 $159 premium 0.2% 0.0% (262) 725-4426
35 MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION ALBERT LEA NURSE PRACTITIONER 560 407 $77,369 $190 premium 0.2% 0.0% (507) 373-2384
36 SPRINGTIME HEALTH AND WELLNESS, SC MADISON NURSE PRACTITIONER 3 406 $65,835 $162 premium 0.2% 0.0% (608) 274-6200
37 SANFORD MEDICAL CENTER FARGO FARGO NURSE PRACTITIONER 1198 402 $48,642 $121 premium 0.2% 0.0% (701) 234-2000
38 COLLIER HMA PHYSICIAN MANAGEMENT LLC NAPLES NURSE PRACTITIONER 95 399 $118,503 $297 premium 0.2% 0.0%
39 HORIZON HEALTHCARE, INC MILWAUKEE NURSE PRACTITIONER 16 399 $72,694 $182 premium 0.2% 0.0% (414) 376-5577
40 INTEGRATIVE PAIN MANAGEMENT, SC DE PERE NURSE PRACTITIONER 5 393 $279,030 $710 premium 0.2% 0.0% (920) 532-9117
41 VANDERBILT UNIVERSITY MEDICAL CENTER NASHVILLE NURSE PRACTITIONER 3394 387 $123,066 $318 premium 0.2% 0.0% (615) 322-5000
42 CHRISTUS TRINITY CLINIC TYLER NURSE PRACTITIONER 1495 387 $111,843 $289 premium 0.2% 0.0% (903) 606-5560
43 ALLERGY ASSOCIATES HOLDINGS, LTD ONALASKA NURSE PRACTITIONER 5 385 $112,387 $292 premium 0.2% 0.0% 6087822027214
44 TRINITY HEALTH MINOT NURSE PRACTITIONER 296 353 $159,745 $453 premium 0.2% 0.0% (701) 418-8000
45 OSF MULTI-SPECIALTY GROUP PEORIA NURSE PRACTITIONER 2091 324 $95,196 $294 premium 0.1% 0.0% (309) 683-5050
46 LAC COURTE OREILLES GOVERNING BOARD HAYWARD NURSE PRACTITIONER 18 320 $97,280 $304 premium 0.1% 0.0% (715) 638-5100
47 WEIGHT IN GOLD WELLNESS SC WATERTOWN NURSE PRACTITIONER 11 307 $126,639 $413 premium 0.1% 0.0% (920) 471-4044
48 GASTROENTEROLOGY ASSOCIATES OF COLORADO SPRINGS LLP COLORADO SPRINGS NURSE PRACTITIONER 7 304 $58,672 $193 premium 0.1% 0.0% (719) 387-2144
49 WINONA HEALTH SERVICES WINONA NURSE PRACTITIONER 142 290 $58,548 $202 premium 0.1% 0.0% (507) 454-3650
50 BAPTIST HEALTH MEDICAL GROUP INC LOUISVILLE NURSE PRACTITIONER 2448 282 $57,343 $203 premium 0.1% 0.0% (502) 928-1050
51 PROFESSIONAL SERVICES GROUP INC. KENOSHA NURSE PRACTITIONER 20 264 $39,554 $150 premium 0.1% 0.0% (262) 652-2406
52 FOREST COUNTY POTAWATOMI COMMUNITY CRANDON NURSE PRACTITIONER 18 263 $54,345 $207 premium 0.1% 0.0% (715) 478-4300
53 MILWAUKEE INTERNAL MEDICINE ASSOCIATES INC MILWAUKEE NURSE PRACTITIONER 13 261 $47,763 $183 premium 0.1% 0.0% (414) 837-6300
54 ADVOCATE HEALTH AND HOSPITALS CORPORATION BUFFALO GROVE NURSE PRACTITIONER 3045 257 $75,243 $293 premium 0.1% 0.0% (847) 459-1160
55 SOUTHWEST HEALTH CENTER INC PLATTEVILLE NURSE PRACTITIONER 114 257 $68,818 $268 premium 0.1% 0.0% (608) 348-4330
56 MEMORIAL MEDICAL CENTER INC ASHLAND NURSE PRACTITIONER 78 251 $76,387 $304 premium 0.1% 0.0% (715) 682-5500
57 JACKSON CLINIC PA JACKSON NURSE PRACTITIONER 183 246 $53,136 $216 premium 0.1% 0.0% (731) 422-0213
58 KANSAS UNIVERSITY PHYSICIANS INC KANSAS CITY NURSE PRACTITIONER 1815 236 $49,768 $211 premium 0.1% 0.0% (913) 588-1227
59 STOCKBRIDGE MUNSEE COMMUNITY BOWLER NURSE PRACTITIONER 9 233 $81,550 $350 premium 0.1% 0.0% 71579341445031
60 DR TURGUT ZIA SC MILWAUKEE NURSE PRACTITIONER 2 210 $38,430 $183 premium 0.1% 0.0% (414) 368-3311
61 COMMONWEALTH HEALTH CORPORATION, INC. BOWLING GREEN NURSE PRACTITIONER 273 208 $49,617 $239 premium 0.1% 0.0%
62 MAYO CLINIC ROCHESTER NURSE PRACTITIONER 4896 204 $60,996 $299 premium 0.1% 0.0% (507) 284-2511
63 DOOR COUNTY MEMORIAL HOSPITAL STURGEON BAY NURSE PRACTITIONER 82 198 $67,544 $341 premium 0.1% 0.0% (920) 743-5566
64 SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM SITKA NURSE PRACTITIONER 373 193 $30,745 $159 premium 0.1% 0.0% (907) 966-8611
65 PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES EVANSVILLE NURSE PRACTITIONER 67 187 $26,730 $143 premium 0.1% 0.0% (218) 948-2040
66 MULTICARE HEALTH SYSTEM GIG HARBOR NURSE PRACTITIONER 2289 186 $54,208 $291 premium 0.1% 0.0%
67 MOUNT CARMEL HEALTHPROVIDERS TWO LLC COLUMBUS NURSE PRACTITIONER 235 181 $51,042 $282 premium 0.1% 0.0% (614) 234-6000
68 IU HEALTH MEDICAL GROUP, LLC INDIANAPOLIS NURSE PRACTITIONER 4250 167 $71,397 $428 premium 0.1% 0.0% (888) 484-3258
69 ALLEVIATE PAIN AND SPINE, SC DE PERE NURSE PRACTITIONER 8 164 $84,460 $515 premium 0.1% 0.0% (920) 276-8600
70 PHYSICIAN PRACTICE PARTNERS HOUMA NURSE PRACTITIONER 82 163 $32,810 $201 premium 0.1% 0.0% (985) 873-4751
71 CURANA HEALTH OF WISCONSIN INC HARTFORD NURSE PRACTITIONER 39 161 $36,348 $226 premium 0.1% 0.0% (337) 408-0805
72 COMMUNITY CARE NETWORK INC MUNSTER NURSE PRACTITIONER 379 159 $81,885 $515 premium 0.1% 0.0% (219) 836-4563
73 OHIO SLEEP MEDICINE AND NEUROSCIENCE INSTITUTE INC DUBLIN NURSE PRACTITIONER 6 151 $24,915 $165 premium 0.1% 0.0%
74 FREEPORT REGIONAL HEALTH CARE FOUNDATION FREEPORT NURSE PRACTITIONER 86 140 $28,086 $201 premium 0.1% 0.0% (815) 599-6000
75 MY HEALTH CLINIC CORP MILWAUKEE NURSE PRACTITIONER 7 140 $28,020 $200 premium 0.1% 0.0% (414) 800-9924
76 HILLCREST FAMILY SERVICES DUBUQUE NURSE PRACTITIONER 15 140 $28,000 $200 premium 0.1% 0.0% (563) 582-0145
77 UTMB FACULTY GROUP PRACTICE GALVESTON NURSE PRACTITIONER 1068 137 $38,472 $281 premium 0.1% 0.0% (409) 772-2222
78 BELL PHYSICIAN PRACTICES INC ISHPEMING NURSE PRACTITIONER 23 136 $30,626 $225 premium 0.1% 0.0% (906) 485-2687
79 TRINITY MEDICAL CENTER BETTENDORF NURSE PRACTITIONER 97 136 $13,569 $100 premium 0.1% 0.0% (563) 742-3180
80 ST VINCENT'S AMBULATORY CARE INC JACKSONVILLE NURSE PRACTITIONER 294 132 $42,694 $323 premium 0.1% 0.0% (904) 308-6900
81 DEACONESS SPECIALTY PHYSICIANS, INC NEWBURGH NURSE PRACTITIONER 207 130 $30,212 $232 premium 0.1% 0.0% (812) 842-2737
82 REEDSBURG AREA MEDICAL CENTER INC REEDSBURG NURSE PRACTITIONER 57 125 $43,505 $348 premium 0.1% 0.0% (608) 524-6487
83 SWEDISHAMERICAN HOSPITAL ROCKFORD NURSE PRACTITIONER 390 123 $38,356 $312 premium 0.1% 0.0% (779) 696-7610
84 TRILOGY HEALTH GROUP LLC WAUKESHA NURSE PRACTITIONER 2 119 $33,320 $280 premium 0.1% 0.0% (262) 565-6202
85 COUNTY OF LA CROSSE LA CROSSE NURSE PRACTITIONER 3 111 $17,488 $158 premium 0.1% 0.0% (608) 784-4357
86 FAMILY HEALTH CENTER OF MARSHFIELD INC MINOCQUA NURSE PRACTITIONER 4 109 $37,645 $345 premium 0.0% 0.0% (715) 358-7377
87 UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC BIRMINGHAM NURSE PRACTITIONER 2788 108 $38,822 $359 premium 0.0% 0.0% (205) 934-3460
88 BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS ASHLAND NURSE PRACTITIONER 13 105 $36,960 $352 premium 0.0% 0.0% (715) 682-7133
89 SANFORD BISMARCK BISMARCK NURSE PRACTITIONER 563 103 $12,463 $121 premium 0.0% 0.0% (701) 323-8300
90 MERCY CLINIC JOPLIN LLC JOPLIN NURSE PRACTITIONER 289 103 $19,364 $188 premium 0.0% 0.0% (417) 556-6056
91 MEQUON CLINICAL ASSOCIATES SC MEQUON NURSE PRACTITIONER 10 101 $20,130 $199 premium 0.0% 0.0% (262) 241-8100
92 UNIVERSITY HOSPITALS MEDICAL GROUP INC CLEVELAND NURSE PRACTITIONER 2232 101 $18,689 $185 premium 0.0% 0.0%
93 MILWAUKEE CENTER FOR INDEPENDENCE INC MILWAUKEE NURSE PRACTITIONER 4 98 $11,807 $120 premium 0.0% 0.0% (414) 476-9675
94 UNIVERSITY OF CHICAGO CHICAGO NURSE PRACTITIONER 1662 97 $40,162 $414 premium 0.0% 0.0% (888) 824-0200
95 ESCAMBIA COMMUNITY CLINICS INC PENSACOLA NURSE PRACTITIONER 37 92 $18,400 $200 premium 0.0% 0.0% (850) 436-4630
96 OASIS HEALTH CARE LLC GRAFTON NURSE PRACTITIONER 2 92 $27,400 $298 premium 0.0% 0.0% (262) 421-8961
97 ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC-HOSPITAL SISTERS GREEN BAY NURSE PRACTITIONER 15 84 $22,365 $266 premium 0.0% 0.0% (920) 498-4200
98 WI SHMH SC BROOKFIELD NURSE PRACTITIONER 5 84 $15,288 $182 premium 0.0% 0.0% (773) 332-7539
99 SACRED HEART HEALTH SYSTEM INC PENSACOLA NURSE PRACTITIONER 371 82 $29,658 $362 premium 0.0% 0.0% (850) 416-2400
100 SHALEM HEALING INC MILWAUKEE NURSE PRACTITIONER 3 75 $9,825 $131 premium 0.0% 0.0% 41464054335

Showing the top 100 of 622 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*"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 →