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Market snapshot

99214 in ZZ 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
10
Named-group FFS services
1,386
FFS of Medicare
Services YoY
+5.6%
FFS enrollment change unavailable
Named-group submitted charges
$428K
Named-group allowed amount
$153K
Named-group Medicare payments
$102K
Avg charge / svc
$309
Avg allowed / svc
$110
Avg payment / svc
$73
Average charge per group
$102 10 groups · avg submitted charge / service $624
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Specialty market — Physician Assistant: 1,253 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 UPPER VALLEY URGENT CARE CENTER EL PASO PHYSICIAN ASSISTANT 5 465 $74,400 $160 premium 27.6% (915) 584-8882
2 SHARP REES-STEALY MEDICAL GROUP INC SAN DIEGO PHYSICIAN ASSISTANT 872 280 $98,460 $352 premium 16.6% (858) 499-2600
3 CLEVELAND CLINIC CLEVELAND PHYSICIAN ASSISTANT 6828 275 $171,600 $624 premium 16.3%
4 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM PHYSICIAN ASSISTANT 3051 135 $34,425 $255 premium 8.0% (919) 684-8111
5 PRESBYTERIAN HEALTHCARE SERVICES ALBUQUERQUE PHYSICIAN ASSISTANT 1369 27 $2,741 $102 premium 1.6% (505) 841-1234
6 WNY MEDICAL PC AMHERST PHYSICIAN ASSISTANT 44 24 $3,240 $135 premium 1.4% (716) 923-4380
7 PARK NICOLLET CLINIC ST LOUIS PARK PHYSICIAN ASSISTANT 1754 24 $11,472 $478 premium 1.4% (952) 993-3123
8 VVIPA MEDICAL GROUP INC VICTORVILLE PHYSICIAN ASSISTANT 30 23 $5,934 $258 premium 1.4% (760) 245-4747

*"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 →