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Market snapshot

99214 in GA 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
1,523
Named-group FFS services
2,047,791
FFS of Medicare
45%
Services YoY
+2.9%
FFS enrollment -2.6%
Estimated all-Medicare volume FFS + estimated MA estimate
~4,535,237 services

2,047,791 observed fee-for-service (45%) · ~2,487,446 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
$599.3M
Named-group allowed amount
$236.7M
Named-group Medicare payments
$165.1M
Avg charge / svc
$293
Avg allowed / svc
$116
Avg payment / svc
$81
Average charge per group
$84 1,523 groups · avg submitted charge / service $2,191
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Specialty market — Pulmonary Disease: 17,117 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Pulmonary Disease 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 GWINNETT PULMONARY GROUP LAWRENCEVILLE PULMONARY DISEASE 17 4,295 $1,200,135 $279 premium 0.1% 7709950630135
2 PULMONARY AND SLEEP MEDICINE ASSOCIATES, LLP STOCKBRIDGE PULMONARY DISEASE 5 4,084 $1,323,672 $324 premium 0.1% 7709966699151
3 SOUTHEAST LUNG AND CRITICAL CARE SPECIALISTS PC SAVANNAH PULMONARY DISEASE 23 3,703 $511,276 $138 premium 0.1% (912) 629-2290
4 ATHENS PULMONARY AND ALLERGY, P.C. ATHENS PULMONARY DISEASE 22 3,455 $812,050 $235 premium 0.1% 7065495560223
5 RESPIRATORY CONSULTANTS OF GEORGIA LLC CARTERSVILLE PULMONARY DISEASE 5 1,288 $388,234 $301 premium 0.0% (678) 721-0705
6 PULMONARY AND SLEEP PHYSICIANS OF HOUSTON, P.A. WEBSTER PULMONARY DISEASE 8 261 $45,675 $175 premium 0.0% (281) 557-8555
7 PULMONARY AND SLEEP SPECIALISTS OF PIEDMONT NORTHEAST SNELLVILLE PULMONARY DISEASE 10 18 $4,230 $235 premium 0.0% 7705860300352
8 HH PHYSICIANS NETWORK HUNTSVILLE PULMONARY DISEASE 105 13 $2,265 $174 premium 0.0% (256) 265-8553

*"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 →