NEVVI Medicare utilization intelligence
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Market snapshot

99214 in WA 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
935
Named-group FFS services
1,269,232
FFS of Medicare
51%
Services YoY
-3.0%
FFS enrollment -5.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,472,642 services

1,269,232 observed fee-for-service (51%) · ~1,203,410 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
$378.2M
Named-group allowed amount
$149.4M
Named-group Medicare payments
$103.2M
Avg charge / svc
$298
Avg allowed / svc
$118
Avg payment / svc
$81
Average charge per group
$70 935 groups · avg submitted charge / service $996
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Specialty market — Orthopedic Surgery: 4,544 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. 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 TRI-CITY ORTHOPAEDIC CLINIC P S C KENNEWICK ORTHOPEDIC SURGERY 19 1,816 $760,684 $419 premium 0.1% (509) 460-5588
2 BENTON FRANKLIN ORTHOPEDIC ASSOCIATES, PLLC KENNEWICK ORTHOPEDIC SURGERY 13 1,303 $415,557 $319 premium 0.1% (509) 586-2828
3 LONGVIEW ORTHOPEDIC ASSOCIATES PLLC LONGVIEW ORTHOPEDIC SURGERY 12 664 $166,572 $251 premium 0.0% (360) 501-3400
4 LIBERTY ORTHOPEDICS PS POULSBO ORTHOPEDIC SURGERY 2 243 $93,422 $384 premium 0.0% (360) 930-0222
5 AVORS MEDICAL GROUP LANCASTER ORTHOPEDIC SURGERY 19 234 $110,916 $474 premium 0.0% (661) 726-5005
6 ISLAND ORTHOPAEDICS, LLC HONOLULU ORTHOPEDIC SURGERY 11 87 $22,872 $263 premium 0.0% (808) 548-7033
7 ORTHOPAEDIC SPECIALTY CLINIC OF SPOKANE PLLC SPOKANE ORTHOPEDIC SURGERY 4 82 $23,288 $284 premium 0.0% (509) 466-6393
8 IDAHO REGIONAL HAND AND UPPER EXTREMITY CENTER PLLC POCATELLO ORTHOPEDIC SURGERY 4 49 $12,378 $253 premium 0.0% (208) 235-4263
9 INDEPENDENCE HEALTHCARE PC SOLDOTNA ORTHOPEDIC SURGERY 2 44 $17,864 $406 premium 0.0%
10 PRO SPORT ORTHOPEDICS LLC GIG HARBOR ORTHOPEDIC SURGERY 3 22 $5,874 $267 premium 0.0% (253) 853-4000

*"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 →