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Market snapshot

99214 in CA 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
3,874
Named-group FFS services
6,555,898
FFS of Medicare
49%
Services YoY
+6.5%
FFS enrollment +0.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~13,301,043 services

6,555,898 observed fee-for-service (49%) · ~6,745,145 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
$2.3B
Named-group allowed amount
$850.0M
Named-group Medicare payments
$606.3M
Avg charge / svc
$349
Avg allowed / svc
$130
Avg payment / svc
$92
Average charge per group
$55 3,874 groups · avg submitted charge / service $6,240
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Specialty market — Otolaryngology: 108,579 services across 48 groups; top group 53%. See Otolaryngology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99214 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 BASS MEDICAL GROUP WALNUT CREEK OTOLARYNGOLOGY 318 57,751 $25,446,430 $441 53.2% 0.6% —
2 HEAD AND NECK ASSOCIATES OF ORANGE COUNTY AN INCORPRATE MISSION VIEJO OTOLARYNGOLOGY 16 6,643 $1,914,332 $288 6.1% 0.1% (949) 364-4361
3 CENTRAL COAST HEAD AND NECK SURGEONS A M C INC SALINAS OTOLARYNGOLOGY 14 5,960 $1,639,373 $275 5.5% 0.1% (408) 422-8798
4 DESERT EAR NOSE AND THROAT MEDICAL GROUP INC RANCHO MIRAGE OTOLARYNGOLOGY 8 3,366 $718,993 $214 3.1% 0.0% (760) 340-4566
5 SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC SACRAMENTO OTOLARYNGOLOGY 34 3,123 $1,067,634 $342 2.9% 0.0% (916) 736-3399
6 THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES OTOLARYNGOLOGY 34 3,100 $2,648,988 $855 2.9% 0.0% (310) 794-1110
7 UNIVERSITY HEAD AND NECK SURGEONS ORANGE OTOLARYNGOLOGY 27 2,714 $1,217,453 $449 2.5% 0.0% (714) 456-5731
8 GEOFFREY TRENKLE DO A PROFESSIONAL MEDICAL CORPORATION LOS ANGELES OTOLARYNGOLOGY 18 2,524 $807,540 $320 2.3% 0.0% (323) 268-6731
9 MICHAEL BUBLIK MD PC GLENDALE OTOLARYNGOLOGY 2 2,257 $616,161 $273 2.1% 0.0% (818) 649-1433
10 CV ENT SURGICAL GROUP WEST HILLS OTOLARYNGOLOGY 3 2,232 $601,744 $270 2.1% 0.0% (818) 888-7878
11 EAR NOSE AND THROAT ASSOCIATES OF SAN DIEGO A MEDICAL CORP LA MESA OTOLARYNGOLOGY 10 2,098 $409,470 $195 1.9% 0.0% (619) 464-3353
12 CENTRAL COAST OTOLARYNGOLOGY SANTA MARIA OTOLARYNGOLOGY 2 1,577 $315,400 $200 1.5% 0.0% (805) 614-9250
13 WESTSIDE HEAD AND NECK CULVER CITY OTOLARYNGOLOGY 6 1,335 $260,355 $195 1.2% 0.0% (310) 204-4111
14 MARTIN L. HOPP, MD PHD, A MEDICAL CORP LOS ANGELES OTOLARYNGOLOGY 4 1,254 $263,580 $210 1.2% 0.0% (310) 657-7704
15 ENTRUST MEDICAL CORPORATION ORANGE OTOLARYNGOLOGY 6 1,230 $341,108 $277 1.1% 0.0% (714) 543-2000
16 INLAND EAR NOSE AND THROAT A MEDICAL GROUP INC UPLAND OTOLARYNGOLOGY 2 1,139 $387,610 $340 1.0% 0.0% (909) 981-5859
17 SANTA CLARITA EAR NOSE AND THROAT MEDICAL ASSOCIATES VALENCIA OTOLARYNGOLOGY 8 1,002 $366,724 $366 0.9% 0.0% (661) 259-2500
18 ORANGE COUNTY EAR NOSE AND THROAT LAGUNA HILLS OTOLARYNGOLOGY 3 864 $172,800 $200 0.8% 0.0% (949) 305-8000
19 GREATER ORANGE COUNTY EAR NOSE THROAT HEAD AND NECK SURGEONS INC FULLERTON OTOLARYNGOLOGY 5 743 $168,876 $227 0.7% 0.0% 7144474100224
20 ENT GROUP OF LOS ANGELES TARZANA OTOLARYNGOLOGY 7 617 $137,535 $223 0.6% 0.0% (818) 609-0600
21 ENT ASSOCIATES MEDICAL GROUP OCEANSIDE OTOLARYNGOLOGY 3 601 $118,456 $197 0.6% 0.0% (760) 724-8749
22 YOSHPE AND WILLNER MDS A CA GENERAL PARTNERSHIP LONG BEACH OTOLARYNGOLOGY 3 559 $111,800 $200 0.5% 0.0% (562) 427-0550
23 DESERT CITIES ALLERGY OTOLARYNGOLOGY INC RANCHO MIRAGE OTOLARYNGOLOGY 4 512 $112,911 $221 0.5% 0.0% (760) 346-1788
24 GOLDEN STATE OTOLARYNGOLOGY MEDICAL PALMDALE OTOLARYNGOLOGY 2 502 $108,047 $215 0.5% 0.0% (661) 726-6277
25 NORTH COUNTY EAR NOSE AND THROAT HEAD AND NECK SURGEY INC OCEANSIDE OTOLARYNGOLOGY 3 482 $132,079 $274 0.4% 0.0% (760) 726-2440
26 RIVIERA ENT PC SANTA BARBARA OTOLARYNGOLOGY 2 469 $330,490 $705 0.4% 0.0% (805) 327-6673
27 STEVEN E DAVIS MD INC TORRANCE OTOLARYNGOLOGY 4 457 $118,631 $260 0.4% 0.0% (310) 372-0700
28 SAN JOSE EAR AND SINUS MEDICAL CENTER INC LOS GATOS OTOLARYNGOLOGY 2 438 $201,507 $460 0.4% 0.0% (408) 358-8507
29 ASHISH K. WADHA MD A MEDICAL CORPORATION POWAY OTOLARYNGOLOGY 3 382 $95,390 $250 0.4% 0.0% (858) 674-1165
30 STEPHEN DENT MD INC ENCINITAS OTOLARYNGOLOGY 4 282 $67,801 $240 0.3% 0.0% (760) 479-2100
31 SANTA BARBARA ENT SANTA BARBARA OTOLARYNGOLOGY 3 280 $62,925 $225 0.3% 0.0% (805) 563-1999
32 TRIVALLEY EAR NOSE THROAT MURRIETA OTOLARYNGOLOGY 3 274 $51,786 $189 0.3% 0.0% (951) 698-8222
33 BEACH CITIES ENTS TORRANCE OTOLARYNGOLOGY 5 237 $66,792 $282 0.2% 0.0% (310) 540-2111
34 BAY AREA EAR, NOSE, AND THROAT MEDICAL GROUP SAN LEANDRO OTOLARYNGOLOGY 2 231 $71,876 $311 0.2% 0.0% (510) 352-5470
35 ENT AND SINUS CENTER P C RANCHO CUCAMONGA OTOLARYNGOLOGY 2 189 $44,719 $237 0.2% 0.0% —
36 EAR NOSE THROAT OF OJAI PC OJAI OTOLARYNGOLOGY 2 157 $43,528 $277 0.1% 0.0% (805) 272-8676
37 VALLEY ENT PC SCOTTSDALE OTOLARYNGOLOGY 71 154 $39,424 $256 0.1% 0.0% (480) 847-1193
38 GARY E FORD MD A PROFESSIONAL CORPORATION GARDENA OTOLARYNGOLOGY 2 143 $21,450 $150 0.1% 0.0% (310) 329-8633
39 BELLINGHAM EAR NOSE THROAT AND FACIAL PLASTIC SURGERY INC PS BELLINGHAM OTOLARYNGOLOGY 11 136 $28,288 $208 0.1% 0.0% (360) 733-0640
40 JAHANGIR SHARIFI MD INC LOS ANGELES OTOLARYNGOLOGY 2 102 $22,070 $216 0.1% 0.0% (323) 266-0022
41 ENT SURGICAL ASSOCIATES GLENDALE OTOLARYNGOLOGY 4 101 $18,180 $180 0.1% 0.0% (818) 241-2101
42 HILLCREST EAR NOSE AND THROAT INC SAN DIEGO OTOLARYNGOLOGY 2 99 $22,968 $232 0.1% 0.0% (619) 294-2350
43 PACIFIC ENT MEDICAL GROUP, INC. CARLSBAD OTOLARYNGOLOGY 4 83 $22,493 $271 0.1% 0.0% (858) 755-9343
44 ANDREW S FLOREA MD INC REDLANDS OTOLARYNGOLOGY 2 67 $12,908 $193 0.1% 0.0% (909) 335-3000
45 DOUGLAS A TRAN MD INC FOUNTAIN VALLEY OTOLARYNGOLOGY 2 49 $9,810 $200 0.0% 0.0% (714) 593-5356
46 LOUGH HAUSER AND TOMLINSON LTD RENO OTOLARYNGOLOGY 5 37 $12,926 $349 0.0% 0.0% (775) 323-2157
47 MORELAND EAR NOSE AND THROAT GROUP LTD WAUKESHA OTOLARYNGOLOGY 13 15 $7,350 $490 0.0% 0.0% (262) 547-1614
48 EASTMORELAND EAR, NOSE AND THROAT, CLINIC, LLP CLACKAMAS OTOLARYNGOLOGY 8 12 $3,300 $275 0.0% 0.0% (503) 233-5548

*"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 →