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Market snapshot

99214 in AE 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
11
Named-group FFS services
1,797
FFS of Medicare
Services YoY
-30.1%
FFS enrollment change unavailable
Named-group submitted charges
$469K
Named-group allowed amount
$230K
Named-group Medicare payments
$163K
Avg charge / svc
$261
Avg allowed / svc
$128
Avg payment / svc
$91
Average charge per group
$130 11 groups · avg submitted charge / service $530
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Specialty market — Physician Assistant: 991 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Physician Assistant 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 MEDSTAR MEDICAL GROUP II LLC WASHINGTON PHYSICIAN ASSISTANT 3707 489 $159,122 $325 premium 20.7% (202) 429-2401
2 HEALTHEAST MEDICAL RESEARCH INSTITUTE SAINT PAUL PHYSICIAN ASSISTANT 691 138 $67,806 $491 premium 5.8%
3 BERKSHIRE FACULTY SERVICES INC PITTSFIELD PHYSICIAN ASSISTANT 276 127 $33,340 $263 premium 5.4% (413) 447-2695
4 PARK NICOLLET CLINIC ST LOUIS PARK PHYSICIAN ASSISTANT 1754 96 $45,888 $478 premium 4.1% (952) 993-3123
5 MEDSTAR URGENT CARE LLC WALDORF PHYSICIAN ASSISTANT 294 94 $30,388 $323 premium 4.0% (301) 932-5960
6 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS PHYSICIAN ASSISTANT 2390 24 $6,016 $251 premium 1.0%
7 ORTHOPEDIC CENTERS OF COLORADO LLC AURORA PHYSICIAN ASSISTANT 323 23 $12,190 $530 premium 1.0% (303) 695-6060

*"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 →