NEVVI Medicare utilization intelligence
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Market snapshot

99214 in MI 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
1,810
Named-group FFS services
1,470,568
FFS of Medicare
37%
Services YoY
-1.3%
FFS enrollment -6.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,823,484 services

1,470,568 observed fee-for-service (38%) · ~2,352,916 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
$307.9M
Named-group allowed amount
$161.3M
Named-group Medicare payments
$111.3M
Avg charge / svc
$209
Avg allowed / svc
$110
Avg payment / svc
$76
Average charge per group
$81 1,810 groups · avg submitted charge / service $1,195
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Specialty market — Orthopedic Surgery: 15,194 services across 35 groups; top group 22%. 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 DEARBORN PHYSICAL THERAPY LTD DEARBORN ORTHOPEDIC SURGERY 102 3,320 $677,700 $204 premium 21.9% 0.1%
2 MICHIGAN SURGERY SPECIALISTS PC WARREN ORTHOPEDIC SURGERY 27 3,297 $705,803 $214 premium 21.7% 0.1% (586) 573-6880
3 MICHIGAN ORTHOPEDIC CENTER P C LANSING ORTHOPEDIC SURGERY 29 1,494 $413,037 $276 premium 9.8% 0.1% (517) 267-0200
4 RONALD S LEDERMAN MD PLLC WEST BLOOMFIELD ORTHOPEDIC SURGERY 10 1,348 $607,459 $451 premium 8.9% 0.1% (248) 669-2000
5 NORTHSPORT PHYSICAL THERAPY AND REHABILITATION P C GAYLORD ORTHOPEDIC SURGERY 45 1,146 $246,480 $215 premium 7.5% 0.1%
6 JOHN E SAMANI MD PC AUBURN HILLS ORTHOPEDIC SURGERY 4 553 $107,845 $195 premium 3.6% 0.0% (248) 373-7600
7 SPARTAN SURGICAL ASSOCIATES PLC DEARBORN ORTHOPEDIC SURGERY 2 418 $83,600 $200 premium 2.8% 0.0% (313) 622-6879
8 RAU PHYSICAL THERAPY INC FRANKENMUTH ORTHOPEDIC SURGERY 95 401 $79,453 $198 premium 2.6% 0.0%
9 ADVANCED ORTHOPEDIC SPECIALISTS, PC BRIGHTON ORTHOPEDIC SURGERY 11 379 $67,138 $177 premium 2.5% 0.0% (810) 299-8550
10 THE KNEE PAIN CENTER PLLC CLINTON TOWNSHIP ORTHOPEDIC SURGERY 2 301 $62,307 $207 premium 2.0% 0.0% (586) 600-5633
11 TAOS PROFESSIONAL SERVICES,LLC TAOS ORTHOPEDIC SURGERY 28 298 $99,979 $336 premium 2.0% 0.0% (575) 751-8902
12 ST. CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC SAINT CLAIR SHORES ORTHOPEDIC SURGERY 26 265 $43,725 $165 premium 1.7% 0.0% (586) 773-1300
13 DEARBORN ORTHOPEDICS AND SPORTS MEDICINE, PC DEARBORN ORTHOPEDIC SURGERY 5 247 $43,225 $175 premium 1.6% 0.0% (313) 730-0500
14 MICHIGAN ORTHOPEDIC SPECIALISTS, PC FARMINGTON HILLS ORTHOPEDIC SURGERY 6 222 $67,076 $302 premium 1.5% 0.0% (313) 277-6700
15 ORTHOPEDIC ASSOCIATES PA FARMINGTON ORTHOPEDIC SURGERY 19 222 $76,812 $346 premium 1.5% 0.0% (505) 327-1400
16 YOUSIF ORTHOPEDIC SURGERY PLLC TROY ORTHOPEDIC SURGERY 3 190 $72,956 $384 premium 1.3% 0.0% (248) 329-0711
17 PRECISION ORTHOPEDICS PC BROWNSTOWN ORTHOPEDIC SURGERY 4 157 $24,021 $153 premium 1.0% 0.0% (734) 782-7003
18 ORTHOPEDIC INSTITUTE OF MICHIGAN PLLC LIVONIA ORTHOPEDIC SURGERY 3 88 $14,784 $168 premium 0.6% 0.0% (734) 464-0400
19 ORTHOPEDIC ASSOCIATES OF PORT HURON PC PORT HURON ORTHOPEDIC SURGERY 22 84 $23,655 $282 premium 0.6% 0.0% (810) 985-4900
20 FARHAN SIDDIQI MD PA BROOKSVILLE ORTHOPEDIC SURGERY 16 76 $57,000 $750 premium 0.5% 0.0% (352) 597-0907
21 CHARLES CHRISTOPHER STROUD MD PC TROY ORTHOPEDIC SURGERY 2 71 $17,750 $250 premium 0.5% 0.0% (248) 792-9881
22 THE SHOULDER CLINIC OF IDAHO PLLC BOISE ORTHOPEDIC SURGERY 6 70 $23,100 $330 premium 0.5% 0.0% (208) 323-4747
23 GREAT LAKES ORTHOPAEDICS GARDEN CITY ORTHOPEDIC SURGERY 5 70 $15,310 $219 premium 0.5% 0.0% (734) 422-8400
24 SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P SAINT JOSEPH ORTHOPEDIC SURGERY 12 66 $14,039 $213 premium 0.4% 0.0% (269) 428-3500
25 ORTHOUTAH LLC BRIGHAM CITY ORTHOPEDIC SURGERY 2 65 $13,000 $200 premium 0.4% 0.0% (435) 734-2151
26 METROPOLITAN ORTHOPAEDIC ASSOCIATES, P.C. GROSSE POINTE ORTHOPEDIC SURGERY 2 63 $9,450 $150 premium 0.4% 0.0% 3138814900120
27 KEVIN T. CRAWFORD DO PC GARDEN CITY ORTHOPEDIC SURGERY 2 56 $26,320 $470 premium 0.4% 0.0% (734) 721-8785
28 DETROIT ORTHOPAEDIC INSTITUTE PLLC TROY ORTHOPEDIC SURGERY 2 47 $9,431 $201 premium 0.3% 0.0% (248) 789-0000
29 CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC ALBANY ORTHOPEDIC SURGERY 67 37 $7,030 $190 premium 0.2% 0.0% (518) 489-2666
30 ORTHOPEDIC TRAUMA SURGEONS OF NORTHERN CALIFORNIA CARMICHAEL ORTHOPEDIC SURGERY 17 32 $15,712 $491 premium 0.2% 0.0% 91653694556
31 MICHAEL R DIBENEDETTO MD PLLC PONDERAY ORTHOPEDIC SURGERY 9 31 $9,610 $310 premium 0.2% 0.0% (208) 265-9817
32 PRECISION ORTHOPEDICS AND SPORTS MEDICINE LAUREL ORTHOPEDIC SURGERY 41 28 $3,920 $140 premium 0.2% 0.0% (301) 498-0383
33 THE MOORINGS INCORPORATED NAPLES ORTHOPEDIC SURGERY 120 25 $18,125 $725 premium 0.2% 0.0%
34 GREAT LAKES ORTHOPAEDIC CENTER PC TRAVERSE CITY ORTHOPEDIC SURGERY 38 14 $2,254 $161 premium 0.1% 0.0% (231) 935-0900
35 CORA HEALTH SERVICES INC THE VILLAGES ORTHOPEDIC SURGERY 1187 13 $1,950 $150 premium 0.1% 0.0% (352) 693-3378

*"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 →