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Market snapshot

99214 in VA 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
1,339
Named-group FFS services
2,326,275
FFS of Medicare
61%
Services YoY
+3.2%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~3,758,864 services

2,326,275 observed fee-for-service (62%) · ~1,432,589 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
$580.6M
Named-group allowed amount
$270.8M
Named-group Medicare payments
$187.9M
Avg charge / svc
$250
Avg allowed / svc
$116
Avg payment / svc
$81
Average charge per group
$83 1,339 groups · avg submitted charge / service $1,252
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Specialty market — Otolaryngology: 13,475 services across 13 groups; top group 22%. See Otolaryngology 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 CHESAPEAKE EAR NOSE AND THROAT ASSOCIATES PC CHESAPEAKE OTOLARYNGOLOGY 18 2,898 $754,180 $260 premium 21.5% 0.1% (757) 547-9714
2 EAR NOSE AND THROAT AND FACIAL PLASTIC SURGERY CENTER OF FREDERICK FREDERICKSBURG OTOLARYNGOLOGY 11 2,552 $502,744 $197 premium 18.9% 0.1% (540) 371-1226
3 VIRGINIA EAR NOSE AND THROAT ASSOCIATES PC NORTH CHESTERFIELD OTOLARYNGOLOGY 33 2,210 $331,500 $150 premium 16.4% 0.1% (804) 484-3700
4 BLUE RIDGE E N T AND P S INC LYNCHBURG OTOLARYNGOLOGY 14 1,561 $292,789 $188 premium 11.6% 0.0% (434) 947-3993
5 EAR NOSE AND THROAT LTD NORFOLK OTOLARYNGOLOGY 7 1,234 $214,383 $174 premium 9.2% 0.0% (757) 623-0526
6 OTOLARYNGOLOGY ASSOCIATES PC FAIRFAX OTOLARYNGOLOGY 30 1,114 $305,550 $274 premium 8.3% 0.0% (703) 383-8130
7 ADVANCED ENT AND ALLERGY, PC NEWPORT NEWS OTOLARYNGOLOGY 2 774 $164,088 $212 premium 5.7% 0.0% (757) 873-0338
8 RESTON EAR NOSE AND THROAT PC FAIRFAX OTOLARYNGOLOGY 7 331 $64,545 $195 premium 2.5% 0.0% (703) 787-3322
9 COMMONWEALTH EAR NOSE AND THROAT SPECIALISTS PC RICHMOND OTOLARYNGOLOGY 7 320 $49,920 $156 premium 2.4% 0.0% (804) 525-4231
10 FAIRFAX ENT AND FACIAL PLASTIC SURGERY PC FALLS CHURCH OTOLARYNGOLOGY 5 277 $48,390 $175 premium 2.1% 0.0% (703) 573-3687
11 ALEXIOU HEARING AND SINUS CENTER, PLC HARRISONBURG OTOLARYNGOLOGY 2 148 $37,000 $250 premium 1.1% 0.0% (540) 434-2255
12 CAPITOL BREATHE FREE SINUS AND ALLERGY CENTERS FREDERICK OTOLARYNGOLOGY 2 30 $16,664 $555 premium 0.2% 0.0% (805) 728-5728
13 COMPREHENSIVE ENT PC GLEN ALLEN OTOLARYNGOLOGY 2 26 $8,476 $326 premium 0.2% 0.0% (804) 228-4480

*"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 →