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Market snapshot

99214 in MD 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
1,187
Named-group FFS services
1,771,978
FFS of Medicare
75%
Services YoY
+3.4%
FFS enrollment -1.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,330,852 services

1,771,978 observed fee-for-service (76%) · ~558,874 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
$501.6M
Named-group allowed amount
$212.1M
Named-group Medicare payments
$146.7M
Avg charge / svc
$283
Avg allowed / svc
$120
Avg payment / svc
$83
Average charge per group
$90 1,187 groups · avg submitted charge / service $1,626
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Specialty market — Orthopedic Surgery: 29,406 services across 14 groups; top group 52%. 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 AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP FOREST HILL ORTHOPEDIC SURGERY 675 15,267 $3,452,839 $226 premium 51.9% 0.5%
2 PRECISION ORTHOPEDICS AND SPORTS MEDICINE LAUREL ORTHOPEDIC SURGERY 41 3,383 $994,625 $294 premium 11.5% 0.1% (301) 498-0383
3 ELLIOT R GOLDSTEIN MD AND JOEL R SCHULMAN MD PA ROCKVILLE ORTHOPEDIC SURGERY 40 2,939 $884,106 $301 premium 10.0% 0.1% (301) 468-8999
4 SELECT PHYSICAL THERAPY HOLDINGS INC EAGLE RIVER ORTHOPEDIC SURGERY 2158 2,725 $675,064 $248 premium 9.3% 0.1% (907) 694-8085
5 FREDERICK HEALTH HOSPITAL INC FREDERICK ORTHOPEDIC SURGERY 192 2,687 $458,125 $170 premium 9.1% 0.1% (240) 215-6310
6 AMBER HILL PHYSICAL THERAPY INC FREDERICK ORTHOPEDIC SURGERY 327 941 $243,556 $259 premium 3.2% 0.0%
7 LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC BALTIMORE ORTHOPEDIC SURGERY 36 670 $156,418 $233 premium 2.3% 0.0% (443) 335-6910
8 ADVANCED ORTHOPAEDIC SPECIALISTS PC PRINCE FREDERICK ORTHOPEDIC SURGERY 2 474 $176,755 $373 premium 1.6% 0.0% (410) 414-9840
9 ELITE ORTHOPAEDIC AND MUSCULOSKELETAL CENTER, LLC GLEN BURNIE ORTHOPEDIC SURGERY 3 140 $19,600 $140 premium 0.5% 0.0% (410) 691-3571
10 ORTHOSPORTS ASSOCIATES LLC BIRMINGHAM ORTHOPEDIC SURGERY 35 53 $11,554 $218 premium 0.2% 0.0% (205) 838-3090
11 THE ANDERSON CLINIC INC ALEXANDRIA ORTHOPEDIC SURGERY 79 45 $19,443 $432 premium 0.2% 0.0% (703) 892-6500
12 UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES, P.A. BALTIMORE ORTHOPEDIC SURGERY 43 33 $8,382 $254 premium 0.1% 0.0%
13 UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC TOWSON ORTHOPEDIC SURGERY 36 27 $6,480 $240 premium 0.1% 0.0%
14 UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES PA BALTIMORE ORTHOPEDIC SURGERY 65 22 $5,588 $254 premium 0.1% 0.0% (410) 328-6704

*"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 →