NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99214 in NY 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
2,633
Named-group FFS services
4,485,743
FFS of Medicare
47%
Services YoY
+3.6%
FFS enrollment -2.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~9,373,203 services

4,485,742 observed fee-for-service (48%) · ~4,887,461 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
$1.8B
Named-group allowed amount
$590.5M
Named-group Medicare payments
$427.3M
Avg charge / svc
$400
Avg allowed / svc
$132
Avg payment / svc
$95
Average charge per group
$79 2,633 groups · avg submitted charge / service $2,000
Market analyticsPlatform
a taste of the twelve-year trend layer

Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.

Notify me at launch →

Specialty market — Urology: 74,049 services across 15 groups; top group 62%. See Urology across all states →

Refine: practice size any 5+ 25+ 100+ independent only
Filter results: clear filters

Email me this CSV

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 INTEGRATED MEDICAL PROFESSIONALS PLLC SEAFORD UROLOGY 98 46,136 $20,338,956 $441 premium 62.3% 0.7% (516) 520-8080
2 ASSOCIATED MEDICAL PROFESSIONALS OF NY PLLC SYRACUSE UROLOGY 60 11,973 $3,148,958 $263 premium 16.2% 0.2% (315) 478-4185
3 STONY BROOK UROLOGY UNIVERSITY FACULTY PRACTICE CORPORATION EAST SETAUKET UROLOGY 37 6,045 $2,176,200 $360 premium 8.2% 0.1% (631) 444-6270
4 NORTH SHORE LIJ MEDICAL GROUP AT NORTH NASSAU, PC GLEN COVE UROLOGY 32 2,816 $1,783,096 $633 premium 3.8% 0.0% (516) 674-7460
5 CONSULTANTS IN UROLOGY STATEN ISLAND UROLOGY 2 2,292 $515,700 $225 premium 3.1% 0.0% (718) 233-1300
6 UPSTATE UROLOGY, INC. SYRACUSE UROLOGY 25 1,376 $357,760 $260 premium 1.9% 0.0% (315) 464-6106
7 MAIMONIDES UROLOGY FPP BROOKLYN UROLOGY 17 1,081 $404,521 $374 premium 1.5% 0.0% (718) 765-2560
8 UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C. SPRINGFIELD UROLOGY 11 666 $299,500 $450 premium 0.9% 0.0% (413) 785-5321
9 PINNACLE UROLOGY,P.C. FLUSHING UROLOGY 2 617 $123,400 $200 premium 0.8% 0.0% (718) 886-5758
10 SOVEREIGN MEDICAL GROUP LLC FAIRLAWN UROLOGY 20 505 $216,472 $429 premium 0.7% 0.0% (201) 791-4544
11 DAVID S SCHNAPP MD PC QUEENS VILLAGE UROLOGY 2 248 $43,400 $175 premium 0.3% 0.0% (718) 479-5017
12 ITHACA UROLOGY PLLC ITHACA UROLOGY 2 156 $78,000 $500 premium 0.2% 0.0% (607) 273-8502
13 PACIFIC NORTHWEST UROLOGY SPECIALISTS PLLC BELLINGHAM UROLOGY 8 79 $18,802 $238 premium 0.1% 0.0% (360) 733-7687
14 BRIGHTWATERS GYNECOLOGY PC SLEEPY HOLLOW UROLOGY 7 32 $15,200 $475 premium 0.0% 0.0% (914) 302-0100
15 ISAAC MADEB MD PC BROOKLYN UROLOGY 2 27 $5,375 $199 premium 0.0% 0.0% (718) 375-3746

*"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 →