NEVVI Medicare utilization intelligence
or
+ Build a code basket
Market snapshot

99214 in PR 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
68
Named-group FFS services
12,938
FFS of Medicare
14%
Services YoY
-0.9%
FFS enrollment -5.3%
Estimated all-Medicare volume FFS + estimated MA estimate
~88,355 services

12,938 observed fee-for-service (15%) · ~75,417 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
$2.3M
Named-group allowed amount
$1.6M
Named-group Medicare payments
$1.1M
Avg charge / svc
$177
Avg allowed / svc
$121
Avg payment / svc
$85
Average charge per group
$67 68 groups · avg submitted charge / service $688
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 →
Refine: practice size any 5+ 25+ 100+ independent only
Filter results:

Email me this CSV

Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99214 svcs Submitted charges Avg charge Medicare $ Share* Phone
1 PHYSIOTHERAPY REHABILITATION SERVICES INC BAYAMON INTERNAL MEDICINE 49 1,281 $167,442 $131 3.4% (787) 787-8669
2 ORLANDO UROLOGY ASSOCIATES PA ORLANDO UROLOGY 4 1,170 $187,305 $160 3.1% 4078436645114
3 RECINTO DE CIENCIAS MEDICAS RIO PIEDRAS ORTHOPEDIC SURGERY 245 1,137 $145,745 $128 3.0% (787) 777-3535
4 HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC. SAN JUAN HEMATOLOGY/ONCOLOGY 55 1,090 $129,748 $119 2.9% (787) 758-2000
5 CENTRO OFTALMOLOGICO METROPOLITANO CSP SAN JUAN OPHTHALMOLOGY 20 722 $143,304 $198 1.9% (787) 781-3020
6 NCHMD INC NAPLES NEUROLOGY 515 668 $130,260 $195 1.8% (239) 436-5100
7 CLINICA LAS AMERICAS GUAYNABO, INC BAYAMON GENERAL PRACTICE 50 543 $71,720 $132 1.5% (787) 789-1996
8 RIVERSIDE PHYSICIAN SERVICES INC NEWPORT NEWS PHYSICIAN ASSISTANT 793 491 $108,341 $221 1.3% —
9 CENTRO DE CANCER DE LA UNIVERSIDAD SAN JUAN HEMATOLOGY/ONCOLOGY 24 417 $49,733 $119 1.1% 78777283005302
10 NEW YORK UNIVERSITY NEW YORK DIAGNOSTIC RADIOLOGY 5704 410 $282,080 $688 1.1% (212) 263-9700
11 RESPIRATORY CARE SPECIALISTS LLP HATO REY PULMONARY DISEASE 5 332 $54,780 $165 0.9% (787) 765-3079
12 ISLAND DOCTORS INTRASTATE LLC ST AUGUSTINE PHYSICIAN ASSISTANT 77 309 $63,036 $204 0.8% —
13 CARDIO HEALTH CSP CAROLINA CARDIOVASCULAR DISEASE (CARDIOLOGY) 5 274 $34,742 $127 0.7% (787) 726-7438
14 PUERTO RICO VASCULAR ACCESS CENTER PSC SAN JUAN NEPHROLOGY 5 272 $40,690 $150 0.7% (787) 758-3320
15 CORREDOR AZUL INTEGRAL LLC BAYAMON ENDOCRINOLOGY 5 237 $33,235 $140 0.6% (787) 378-9001
16 NEOMED CENTER, INC GURABO FAMILY PRACTICE 50 231 $71,991 $312 0.6% —
17 PR HEMATOLOGY ONCOLOGY GROUP INC BAYAMON INTERNAL MEDICINE 3 218 $35,970 $165 0.6% —
18 CENTRO DE INVESTIGACION EDUCACION Y SERVICIOS MEDICOS PARA LA DIABETES RIO PIEDRAS ENDOCRINOLOGY 7 173 $24,626 $142 0.5% (787) 773-8283
19 MEDICOS ESPECIALIZADOS DE SAN JUAN SAN JUAN PAIN MANAGEMENT 3 159 $20,700 $130 0.4% (787) 766-7070
20 MINDFUL RHEUMATIX LLC SAN JUAN RHEUMATOLOGY 2 142 $18,012 $127 0.4% (787) 765-9034
21 SAN JUAN NEPHROLOGY PSC SAN JUAN NEPHROLOGY 4 131 $16,643 $127 0.4% (787) 765-3300
22 CGH MEDICAL CENTER STERLING NURSE PRACTITIONER 199 123 $45,510 $370 0.3% (815) 625-4790
23 SAN CARLOS APACHE HEALTHCARE CORPORATION PERIDOT DIAGNOSTIC RADIOLOGY 145 120 $38,640 $322 0.3% (928) 475-1400
24 INNOVATIVE CARDIOLOGY PONCE CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 118 $17,700 $150 0.3% (787) 492-2000
25 PRO HEALTH CLINICAL SERVICES LLC BAYAMON ENDOCRINOLOGY 22 103 $20,600 $200 0.3% (787) 269-6590
26 ADVANCED GASTROENTEROLOGY, PSC BAYAMON GASTROENTEROLOGY 2 102 $16,830 $165 0.3% —
27 DOCTOR'S CENTER HEMATOLOGY AND ONCOLOGY GROUP, PSC MANATI HEMATOLOGY/ONCOLOGY 5 102 $16,830 $165 0.3% —
28 EPIC CARDIOVASCULAR GROUP MAYAGUEZ CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 97 $12,628 $130 0.3% (787) 833-5567
29 SOUTHEAST RENAL GROUP PSC PONCE NEPHROLOGY 4 97 $12,458 $128 0.3% —
30 SAN PATRICIO MRI AND CT CENTER, P.S.C. GUAYNABO DIAGNOSTIC RADIOLOGY 6 93 $6,496 $70 0.2% (787) 620-5772
31 NEFROLOGOS ASOCIADOS DEL OESTE SAN GERMAN NEPHROLOGY 7 93 $11,905 $128 0.2% (787) 264-6200
32 TOME AND UBINAS RADIO ONCOLOGY CENTER SAN JUAN RADIATION ONCOLOGY 3 87 $11,124 $128 0.2% 7877645666236
33 MANATI CARDIOVASCULAR CARE LLC MANATI CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 80 $10,149 $127 0.2% (787) 854-0337
34 MAYAGUEZ ORTHOPEDICS PSC MAYAGUEZ ORTHOPEDIC SURGERY 3 72 $7,163 $99 0.2% (787) 652-3800
35 CASTANER AND POU LLC SAN JUAN OBSTETRICS/GYNECOLOGY 3 72 $4,800 $67 0.2% (787) 722-1104
36 ORTHOSPINE GROUP PSC SAN JUAN ORTHOPEDIC SURGERY 3 72 $9,374 $130 0.2% (787) 766-7070
37 LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER PORTLAND CARDIOVASCULAR DISEASE (CARDIOLOGY) 194 71 $19,797 $279 0.2% (503) 413-7022
38 MESCALERO INDIAN HOSPITAL MESCALERO GENERAL PRACTICE 11 70 $18,574 $265 0.2% —
39 BAYAMON INTERNAL MEDICINE GROUP BAYAMON INTERNAL MEDICINE 2 65 $8,247 $127 0.2% (787) 785-3687
40 DOCTORS CENTER HOSPITAL INC MANATI DIAGNOSTIC RADIOLOGY 18 61 $7,802 $128 0.2% —
41 SAJID MALIK, MD PC JACKSON HEIGHTS OPHTHALMOLOGY 10 54 $11,340 $210 0.1% (718) 651-2200
42 CENTERWELL SENIOR PRIMARY CARE FL INC. ORLANDO FAMILY PRACTICE 103 50 $11,000 $220 0.1% (407) 438-5858
43 RETINA CONSULTANTS OF P.R. HATO REY OPHTHALMOLOGY 3 50 $6,330 $127 0.1% (787) 296-0870
44 ST JOSEPHS MEDICAL GROUP PC PATERSON NURSE PRACTITIONER 228 49 $17,752 $362 0.1% (973) 754-6331
45 NEFROLOGOS ASOCIADOS DEL NORTE ARECIBO NEPHROLOGY 3 48 $5,264 $110 0.1% (787) 879-3328
46 BAYCARE BEHAVIORAL HEALTH INC NEW PORT RICHEY MENTAL HEALTH COUNSELOR 61 45 $11,160 $248 0.1% (727) 841-4200
47 MORGAR CSP CAROLINA CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 38 $4,822 $127 0.1% (787) 776-7700
48 KAYENTA ALTERNATIVE RURAL HOSPITAL KAYENTA EMERGENCY MEDICINE 39 36 $7,956 $221 0.1% (928) 697-4000
49 GRUPO RENAL DEL ESTE, PSC CAGUAS NEPHROLOGY 2 36 $4,611 $128 0.1% —
50 ORIONMED COTO LAUREL ORTHOPEDIC SURGERY 3 34 $11,766 $346 0.1% (787) 843-3971
51 PUERTO RICO UROLOGY GROUP LLC MAYAGUEZ UROLOGY 14 33 $4,177 $127 0.1% (787) 652-4205
52 PRECISION ONCOLOGY INSTITUTE LLC DORADO HEMATOLOGY/ONCOLOGY 2 33 $4,192 $127 0.1% (787) 407-3333
53 CCS PSC MANATI CARDIOVASCULAR DISEASE (CARDIOLOGY) 12 33 $3,808 $115 0.1% (787) 633-2671
54 CARDIO NERVE DIAGNOSTIC EXPRESS INC TOA BAJA CARDIOVASCULAR DISEASE (CARDIOLOGY) 4 29 $3,189 $110 0.1% (787) 261-5093
55 GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD RAPID CITY NURSE PRACTITIONER 63 29 $10,875 $375 0.1% 60535525002356
56 GUAYNABO RADIOLOGY, LLC GUAYNABO DIAGNOSTIC RADIOLOGY 5 27 $4,050 $150 0.1% (787) 740-8787
57 ARRHYTHMIA GROUP LLC PONCE CARDIAC ELECTROPHYSIOLOGY 6 25 $3,181 $127 0.1% —
58 POLICLINICA DEL ATLANTICO CORP ISABELA GENERAL PRACTICE 3 24 $3,033 $126 0.1% —
59 ADVANCE CARDIOVASCULAR STUDIES, PSC SAN JUAN CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 21 $2,772 $132 0.1% (787) 221-8161
60 GASTROENTEROLOGY AND THERAPEUTIC ENDOSCOPY CENTER PSC SAN JUAN GASTROENTEROLOGY 2 21 $3,150 $150 0.1% (787) 977-5011
61 ELBOWOODS MEMORIAL HEALTH CENTER NEW TOWN NURSE PRACTITIONER 24 19 $7,125 $375 0.1% (701) 627-4750
62 WAGNER INDIAN HEALTH SERVICE HEALTH CENTER WAGNER NURSE PRACTITIONER 14 17 $6,375 $375 0.0% (605) 384-4820
63 CAMUY HEALTH SERVICES, INC. CAMUY GENERAL PRACTICE 21 17 $1,836 $108 0.0% 7878982660246
64 PR PAIN GROUP LLC CAGUAS PAIN MANAGEMENT 3 14 $1,917 $137 0.0% (787) 957-8282
65 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP LOS ANGELES INTERNAL MEDICINE 11157 14 $3,920 $280 0.0% (800) 954-8000
66 PONCE CARDIOVASCULAR SERVICES, PSC PONCE CARDIOVASCULAR DISEASE (CARDIOLOGY) 2 13 $1,645 $127 0.0% (787) 259-3373
67 DE JESUS-TORRES, GASTROENTEROLOGOS DEL OESTE, CSP MAYAGUEZ GASTROENTEROLOGY 2 13 $1,670 $128 0.0% (787) 831-6060
68 CORPORACION SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO HATILLO GENERAL PRACTICE 11 11 $1,104 $100 0.0% 7878984190406

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. 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 →