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Market snapshot

99214 in IA 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
506
Named-group FFS services
681,770
FFS of Medicare
62%
Services YoY
+3.1%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~1,084,157 services

681,770 observed fee-for-service (63%) · ~402,387 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
$159.8M
Named-group allowed amount
$71.4M
Named-group Medicare payments
$49.2M
Avg charge / svc
$234
Avg allowed / svc
$105
Avg payment / svc
$72
Average charge per group
$99 506 groups · avg submitted charge / service $842
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Specialty market — Physician Assistant: 209,258 services across 84 groups; top group 30%. See Physician Assistant 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 STATE UNIVERSITY OF IOWA IOWA CITY PHYSICIAN ASSISTANT 1902 63,120 $23,035,523 $365 30.2% 6.6% (319) 678-8201
2 MCFARLAND CLINIC PC AMES PHYSICIAN ASSISTANT 352 54,120 $10,972,888 $203 25.9% 5.7% (515) 239-4400
3 THE IOWA CLINIC PC WEST DES MOINES PHYSICIAN ASSISTANT 302 37,264 $9,161,865 $246 17.8% 3.9% (515) 343-1000
4 MEDICAL ASSOCIATES CLINIC P C DUBUQUE PHYSICIAN ASSISTANT 223 10,292 $2,450,532 $238 4.9% 1.1% (563) 584-4100
5 PHYSICIANS CLINIC INC OMAHA PHYSICIAN ASSISTANT 561 9,412 $2,729,448 $290 4.5% 1.0% (402) 354-8163
6 ALEGENT CREIGHTON CLINIC OMAHA PHYSICIAN ASSISTANT 942 8,025 $2,716,290 $338 3.8% 0.8% —
7 DES MOINES ORTHOPAEDIC SURGEONS PC WEST DES MOINES PHYSICIAN ASSISTANT 104 2,855 $1,115,552 $391 1.4% 0.3% (515) 343-1000
8 ORA ORTHOPEDICS PC MOLINE PHYSICIAN ASSISTANT 117 2,074 $786,046 $379 1.0% 0.2% (309) 762-3621
9 IOWA ORTHOPAEDIC CENTER PC DES MOINES PHYSICIAN ASSISTANT 69 1,645 $405,620 $247 0.8% 0.2% (515) 247-8400
10 DSM SLEEP SPECIALISTS CLIVE PHYSICIAN ASSISTANT 5 1,552 $356,960 $230 0.7% 0.2% (734) 502-6716
11 FOREFRONT DERMATOLOGY SC PENSACOLA PHYSICIAN ASSISTANT 639 1,544 $575,965 $373 0.7% 0.2% (800) 243-7546
12 SODERSTROM DERMATOLOGY CENTER S C PEORIA PHYSICIAN ASSISTANT 34 1,159 $230,175 $199 0.6% 0.1% —
13 CNOS PC SIOUX CITY PHYSICIAN ASSISTANT 99 878 $203,398 $232 0.4% 0.1% (712) 279-3500
14 MENDING MINDS LLC JOHNSTON PHYSICIAN ASSISTANT 11 835 $168,107 $201 0.4% 0.1% (515) 368-7504
15 DERMATOLOGY PC WEST DES MOINES PHYSICIAN ASSISTANT 14 834 $156,355 $187 0.4% 0.1% (515) 241-2000
16 CENTRAL STATES MEDICINE PLLC WEST DES MOINES PHYSICIAN ASSISTANT 9 709 $349,176 $492 0.3% 0.1% (515) 991-6790
17 ST. LUKE'S HOSPITAL OF DULUTH DULUTH PHYSICIAN ASSISTANT 418 708 $144,010 $203 0.3% 0.1% (218) 249-7000
18 POUDRE VALLEY MEDICAL GROUP LLC COLORADO SPRINGS PHYSICIAN ASSISTANT 2390 702 $157,248 $224 0.3% 0.1% —
19 PREMIER DERMATOLOGY LTD WATERLOO PHYSICIAN ASSISTANT 3 597 $152,235 $255 0.3% 0.1% (319) 234-6000
20 GUNDERSEN CLINIC LTD LA CROSSE PHYSICIAN ASSISTANT 443 595 $234,868 $395 0.3% 0.1% —
21 UNMC PHYSICIANS OMAHA PHYSICIAN ASSISTANT 1514 562 $143,068 $255 0.3% 0.1% (402) 559-4000
22 AMANA FAMILY PRACTICE CLINIC, PC AMANA PHYSICIAN ASSISTANT 4 541 $65,558 $121 0.3% 0.1% —
23 PROHEALTH MEDICAL GROUP INC WAUKESHA PHYSICIAN ASSISTANT 465 492 $109,786 $223 0.2% 0.1% (262) 696-0808
24 CAPSTONE BEHAVIORAL HEALTHCARE INC GRINNELL PHYSICIAN ASSISTANT 13 492 $66,420 $135 0.2% 0.1% (641) 528-6065
25 DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAM PHYSICIAN ASSISTANT 445 446 $141,828 $318 0.2% 0.0% (919) 572-1868
26 BANNER HEALTH PHYSICIANS COLORADO LLC GREELEY PHYSICIAN ASSISTANT 278 432 $107,952 $250 0.2% 0.0% (970) 810-4121
27 WELLSPAN MEDICAL GROUP YORK PHYSICIAN ASSISTANT 2312 392 $92,342 $236 0.2% 0.0% —
28 CENTERWELL SENIOR PRIMARY CARE NV P C LAS VEGAS PHYSICIAN ASSISTANT 84 377 $91,676 $243 0.2% 0.0% (725) 224-6967
29 UROLOGY AUSTIN PLLC AUSTIN PHYSICIAN ASSISTANT 57 375 $92,150 $246 0.2% 0.0% (512) 788-9688
30 ENT PROFESSIONAL SERVICES PC DAVENPORT PHYSICIAN ASSISTANT 9 373 $81,386 $218 0.2% 0.0% (563) 359-1646
31 ALLINA HEALTH SYSTEM MINNEAPOLIS PHYSICIAN ASSISTANT 3855 348 $142,158 $408 0.2% 0.0% (612) 863-4000
32 SCRIPPS HEALTH LA JOLLA PHYSICIAN ASSISTANT 1431 318 $111,395 $350 0.2% 0.0% (858) 455-9100
33 LC PSYCHIATRY INC JOHNSTON PHYSICIAN ASSISTANT 4 313 $76,372 $244 0.1% 0.0% (515) 229-2318
34 FRANCISCAN MEDICAL GROUP TACOMA PHYSICIAN ASSISTANT 1407 296 $84,121 $284 0.1% 0.0% (253) 428-2200
35 FAMILY MEDICINE ASSOCIATES MILLARD-GRETNA P C OMAHA PHYSICIAN ASSISTANT 5 293 $99,620 $340 0.1% 0.0% (402) 896-1242
36 ST VINCENT HOSPITAL SANTA FE PHYSICIAN ASSISTANT 313 256 $70,105 $274 0.1% 0.0% —
37 THEDACARE, INCORPORATED APPLETON PHYSICIAN ASSISTANT 653 241 $94,283 $391 0.1% 0.0% (920) 720-2300
38 UNIVERSITY HEAD AND NECK ASSOCIATES SC DOWNERS GROVE PHYSICIAN ASSISTANT 6 232 $52,896 $228 0.1% 0.0% (630) 701-3840
39 PARK NICOLLET CLINIC ST LOUIS PARK PHYSICIAN ASSISTANT 1754 205 $97,990 $478 0.1% 0.0% (952) 993-3123
40 BRYAN PHYSICIAN NETWORK LINCOLN PHYSICIAN ASSISTANT 229 203 $51,471 $254 0.1% 0.0% (402) 481-1111
41 PINNACLE DERMATOLOGY SC JOLIET PHYSICIAN ASSISTANT 144 199 $52,576 $264 0.1% 0.0% (815) 744-8554
42 CLEVELAND CLINIC CLEVELAND PHYSICIAN ASSISTANT 6828 197 $122,928 $624 0.1% 0.0% —
43 CENTRAL IOWA DERMATOLOGY LLC ALTOONA PHYSICIAN ASSISTANT 5 183 $55,845 $305 0.1% 0.0% (515) 726-3376
44 ORTHOWEST, LLC OMAHA PHYSICIAN ASSISTANT 110 176 $53,524 $304 0.1% 0.0% (402) 609-3000
45 CUYUNA REGIONAL MEDICAL CENTER CROSBY PHYSICIAN ASSISTANT 129 144 $97,128 $674 0.1% 0.0% (218) 546-7000
46 FOCUSED LIFE HEALTH CARE PC WEST DES MOINES PHYSICIAN ASSISTANT 5 135 $31,882 $236 0.1% 0.0% (515) 227-6065
47 PGFHGS HOLDINGS LLC OMAHA PHYSICIAN ASSISTANT 8 130 $37,700 $290 0.1% 0.0% (402) 681-4030
48 CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC CLIVE PHYSICIAN ASSISTANT 19 128 $36,736 $287 0.1% 0.0% (515) 440-2676
49 TANANA CHIEFS CONFERENCE FAIRBANKS PHYSICIAN ASSISTANT 155 114 $38,242 $335 0.1% 0.0% (907) 451-6682
50 CHS PHYSICIAN PARTNERS PC ROSLYN PHYSICIAN ASSISTANT 734 112 $24,130 $215 0.1% 0.0% —
51 CENTRACARE CLINIC SAINT CLOUD PHYSICIAN ASSISTANT 747 107 $42,068 $393 0.1% 0.0% (320) 252-5131
52 AMERICAN CURRENT CARE OF ILLINOIS PC FRANKLIN PARK PHYSICIAN ASSISTANT 42 104 $39,854 $383 0.0% 0.0% (847) 451-7590
53 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO PHYSICIAN ASSISTANT 872 102 $35,740 $350 0.0% 0.0% (858) 499-2600
54 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM PHYSICIAN ASSISTANT 3051 102 $26,145 $256 0.0% 0.0% (919) 684-8111
55 GROUP HEALTH PLAN INC SAINT PAUL PHYSICIAN ASSISTANT 1627 97 $46,117 $475 0.0% 0.0% (651) 221-3456
56 ADAIR COUNTY MEMORIAL HOSPITAL GREENFIELD PHYSICIAN ASSISTANT 16 91 $25,025 $275 0.0% 0.0% (641) 743-2123
57 UNITED HOSPITAL DISTRICT INC BLUE EARTH PHYSICIAN ASSISTANT 48 89 $22,858 $257 0.0% 0.0% —
58 IHC HEALTH SERVICES INC MURRAY PHYSICIAN ASSISTANT 3944 88 $25,432 $289 0.0% 0.0% (801) 261-8346
59 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN PHYSICIAN ASSISTANT 1996 79 $16,906 $214 0.0% 0.0% (304) 598-4865
60 LAKEVIEW CLINIC, LTD. WACONIA PHYSICIAN ASSISTANT 52 77 $28,105 $365 0.0% 0.0% —
61 HOLISTIC PSYCHIATRY PC URBANDALE PHYSICIAN ASSISTANT 2 67 $15,211 $227 0.0% 0.0% (515) 518-0460
62 THE DULUTH CLINIC LTD DULUTH PHYSICIAN ASSISTANT 1082 58 $12,427 $214 0.0% 0.0% (218) 576-0680
63 BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN PHYSICIAN ASSISTANT 305 57 $11,172 $196 0.0% 0.0% (406) 414-4800
64 MONUMENT HEALTH RAPID CITY HOSPITAL INC RAPID CITY PHYSICIAN ASSISTANT 559 50 $19,050 $381 0.0% 0.0% (605) 755-7200
65 PROVIDENCE MEDICAL FOUNDATION FULLERTON PHYSICIAN ASSISTANT 1455 40 $17,480 $437 0.0% 0.0% (714) 871-3006
66 SCOTT AND WHITE CLINIC TEMPLE PHYSICIAN ASSISTANT 2435 40 $15,592 $390 0.0% 0.0% (254) 724-2663
67 UNITYPOINT HEALTH - MARSHALLTOWN MARSHALLTOWN PHYSICIAN ASSISTANT 23 34 $8,088 $238 0.0% 0.0% (641) 754-5145
68 ALBANY MEDICAL COLLEGE ALBANY PHYSICIAN ASSISTANT 1070 32 $8,504 $266 0.0% 0.0% (518) 262-3277
69 SWEDISH HEALTH SERVICES SEATTLE PHYSICIAN ASSISTANT 1033 31 $10,230 $330 0.0% 0.0% —
70 NORTH CAROLINA MG LLC RALEIGH PHYSICIAN ASSISTANT 674 30 $8,310 $277 0.0% 0.0% (919) 881-0160
71 DERMATOLOGY ASSOCIATES OF SIOUXLAND PC SIOUX CITY PHYSICIAN ASSISTANT 3 28 $6,244 $223 0.0% 0.0% (712) 277-9370
72 THE CURATORS OF THE UNIVERSITY OF MISSOURI COLUMBIA PHYSICIAN ASSISTANT 1116 25 $6,145 $246 0.0% 0.0% (573) 882-2667
73 SIERRA VISTA REGIONAL HEALTH CENTER MEDICAL GROUP LLC SIERRA VISTA PHYSICIAN ASSISTANT 45 25 $5,408 $216 0.0% 0.0% (520) 263-3500
74 UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SAN ANTONIO PHYSICIAN ASSISTANT 1326 20 $6,220 $311 0.0% 0.0% (210) 450-7044
75 PROVIDENCE HEALTH AND SERVICES- WASHINGTON EVERETT PHYSICIAN ASSISTANT 521 19 $6,289 $331 0.0% 0.0% (425) 297-5234
76 DEAN HEALTH SYSTEMS INC MADISON PHYSICIAN ASSISTANT 1200 19 $4,408 $232 0.0% 0.0% (608) 260-2900
77 NEBRASKA ORTHOPAEDIC CENTER PC LINCOLN PHYSICIAN ASSISTANT 61 19 $5,795 $305 0.0% 0.0% (402) 219-7700
78 UNIVERSITY OF UTAH ADULT SERVICES SALT LAKE CITY PHYSICIAN ASSISTANT 1783 18 $1,990 $111 0.0% 0.0% (801) 581-2121
79 KALDAS CENTER FOR FERTILITY SURGERY AND PREGNANCY SC APPLETON PHYSICIAN ASSISTANT 4 16 $4,434 $277 0.0% 0.0% (920) 738-2000
80 OU HEALTH PARTNERS INC OKLAHOMA CITY PHYSICIAN ASSISTANT 1160 16 $6,256 $391 0.0% 0.0% (405) 271-4311
81 ONSPOT-FL FORT MYERS PHYSICIAN ASSISTANT 49 15 $3,528 $235 0.0% 0.0% (877) 266-7768
82 UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL CHARLESTON PHYSICIAN ASSISTANT 1692 14 $3,806 $272 0.0% 0.0% (843) 792-1414
83 SCHOOLER MEDICAL PROFESSIONALS, PC WEST DES MOINES PHYSICIAN ASSISTANT 2 13 $2,522 $194 0.0% 0.0% (515) 223-0119
84 VIRGINIA GAY HOSPITAL INC VINTON PHYSICIAN ASSISTANT 19 11 $2,249 $204 0.0% 0.0% (319) 472-6200

*"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 →