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Market snapshot

99214 in LA 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
849
Named-group FFS services
972,421
FFS of Medicare
43%
Services YoY
-0.2%
FFS enrollment -4.3%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,200,051 services

972,421 observed fee-for-service (44%) · ~1,227,630 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
$234.4M
Named-group allowed amount
$105.3M
Named-group Medicare payments
$73.6M
Avg charge / svc
$241
Avg allowed / svc
$108
Avg payment / svc
$76
Average charge per group
$97 849 groups · avg submitted charge / service $1,225
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Specialty market — Orthopedic Surgery: 16,957 services across 18 groups; top group 37%. See Orthopedic Surgery 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 PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC LEESVILLE ORTHOPEDIC SURGERY 95 6,345 $1,038,982 $164 premium 37.4% 0.5% (337) 238-9931
2 SOUTHERN ORTHOPAEDIC SPECIALISTS APMC NEW ORLEANS ORTHOPEDIC SURGERY 14 2,187 $687,520 $314 premium 12.9% 0.2% 5048976351155
3 LMG LLC MARRERO ORTHOPEDIC SURGERY 7 1,675 $535,895 $320 premium 9.9% 0.1% (504) 347-5421
4 HOSPITAL SERVICE DISTRICT NO 1 OF THE PARISH OF ST MARY FRANKLIN ORTHOPEDIC SURGERY 22 1,067 $266,222 $250 premium 6.3% 0.1% (337) 828-5099
5 OANO LLC NEW ORLEANS ORTHOPEDIC SURGERY 10 1,029 $347,390 $338 premium 6.1% 0.1% (504) 899-6391
6 ORTHOPAEDIC AND SPORTS CLINIC GONZALES ORTHOPEDIC SURGERY 2 954 $219,420 $230 premium 5.6% 0.1% (225) 743-2000
7 AVALA PHYSICIAN NETWORK LLC COVINGTON ORTHOPEDIC SURGERY 10 782 $325,516 $416 premium 4.6% 0.1% (985) 801-0259
8 BONE AND JOINT CLINIC LLC TERRYTOWN ORTHOPEDIC SURGERY 15 597 $191,040 $320 premium 3.5% 0.0% (504) 391-7670
9 WK ORTHOPEDIC CLINIC SHREVEPORT ORTHOPEDIC SURGERY 20 592 $120,176 $203 premium 3.5% 0.0% (318) 212-3610
10 SANTA ROSA ORTHOPAEDIC MEDICAL GROUP, INC. SANTA ROSA ORTHOPEDIC SURGERY 8 481 $147,005 $306 premium 2.8% 0.0% 70754619225507
11 LAKE CHARLES MEDICAL SERVICES ORTHOPEDICS ASSOCIATES LLC LAKE CHARLES ORTHOPEDIC SURGERY 14 378 $122,544 $324 premium 2.2% 0.0% (337) 494-4900
12 WK BOSSIER ORTHOPEDIC AND SPORTS BOSSIER CITY ORTHOPEDIC SURGERY 12 283 $57,449 $203 premium 1.7% 0.0% (318) 212-7841
13 KINDL WORKS LLC SLIDELL ORTHOPEDIC SURGERY 5 193 $90,812 $471 premium 1.1% 0.0% (985) 326-8614
14 METAIRIE ORTHOPEDICS AND SPORTS MEDICINE METAIRIE ORTHOPEDIC SURGERY 3 112 $40,384 $361 premium 0.7% 0.0% (504) 541-5800
15 MALCOLM J STUBBS MD LLC LAFAYETTE ORTHOPEDIC SURGERY 2 99 $22,374 $226 premium 0.6% 0.0% (337) 234-5234
16 MAIMONIDES MEDICAL CENTER ORTHOPAEDIC FPP BROOKLYN ORTHOPEDIC SURGERY 25 90 $42,750 $475 premium 0.5% 0.0% (718) 283-7400
17 ORTHOPAEDIC RECONSTRUCTIVE SUB-SPECIALISTS LLC LAFAYETTE ORTHOPEDIC SURGERY 2 80 $14,880 $186 premium 0.5% 0.0%
18 MICHAEL R HOLLAND MD INC JENNINGS ORTHOPEDIC SURGERY 2 13 $2,920 $225 premium 0.1% 0.0% (337) 824-3819

*"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 →