NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99214 in NC 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
1,502
Named-group FFS services
2,280,131
FFS of Medicare
43%
Services YoY
-0.3%
FFS enrollment -4.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~5,104,459 services

2,280,131 observed fee-for-service (45%) · ~2,824,328 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
$579.5M
Named-group allowed amount
$251.5M
Named-group Medicare payments
$172.8M
Avg charge / svc
$254
Avg allowed / svc
$110
Avg payment / svc
$76
Average charge per group
$85 1,502 groups · avg submitted charge / service $1,300
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Otolaryngology: 12,668 services across 15 groups; top group 16%. See Otolaryngology across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

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 COASTAL CAROLINA ENT DO PA WHITEVILLE OTOLARYNGOLOGY 6 2,055 $503,530 $245 premium 16.2% 0.1% (910) 914-0540
2 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORY OTOLARYNGOLOGY 19 2,041 $736,614 $361 premium 16.1% 0.1% 8283222183266
3 PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. WINSTON SALEM OTOLARYNGOLOGY 28 1,665 $462,870 $278 premium 13.1% 0.0% (336) 768-3361
4 WILMINGTON EAR NOSE AND THROAT ASSOC PA WILMINGTON OTOLARYNGOLOGY 10 1,342 $408,138 $304 premium 10.6% 0.0% 9107628754124
5 RALEIGH CAPITOL EAR NOSE AND THROAT RALEIGH OTOLARYNGOLOGY 29 1,328 $407,696 $307 premium 10.5% 0.0% (919) 787-7171
6 ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA ASHEVILLE OTOLARYNGOLOGY 17 1,058 $211,600 $200 premium 8.4% 0.0% (828) 254-3517
7 BLUE RIDGE EAR NOSE AND THROAT INC BOONE OTOLARYNGOLOGY 9 1,021 $248,560 $243 premium 8.1% 0.0% (828) 264-4545
8 ENT CAROLINA PA GASTONIA OTOLARYNGOLOGY 14 738 $173,694 $235 premium 5.8% 0.0% (704) 868-8400
9 EASTERN CAROLINA EAR, NOSE AND THROAT-HEAD AND NECK SURGERY, INC GREENVILLE OTOLARYNGOLOGY 17 715 $235,620 $330 premium 5.6% 0.0% (252) 752-5227
10 TRIANGLE SINUS CENTER PLLC RALEIGH OTOLARYNGOLOGY 6 238 $69,155 $291 premium 1.9% 0.0% (919) 766-8989
11 CORNERSTONE EAR NOSE AND THROAT PA INDIAN LAND OTOLARYNGOLOGY 9 147 $33,096 $225 premium 1.2% 0.0% (704) 752-7575
12 BUTLER AND BURNS EAR NOSE AND THROAT ASSOCIATES AUSTIN OTOLARYNGOLOGY 43 137 $54,000 $394 premium 1.1% 0.0% (512) 454-0392
13 WESTERN CAROLINA EAR NOSE AND THROAT SPECIALISTS PLLC CLYDE OTOLARYNGOLOGY 3 118 $45,578 $386 premium 0.9% 0.0% (828) 627-1234
14 CAROLINA EAR AND HEARING CLINIC PC RALEIGH OTOLARYNGOLOGY 5 49 $11,564 $236 premium 0.4% 0.0% 9198764327204
15 SOUTHWEST EAR NOSE AND THROAT CONSULTANTS PA EL PASO OTOLARYNGOLOGY 6 16 $4,014 $251 premium 0.1% 0.0% (915) 544-1350

*"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 →