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Market snapshot

99232 in PA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99232 — Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes

Billing groups
823
Named-group FFS services
1,146,771
FFS of Medicare
46%
Services YoY
-3.9%
FFS enrollment -2.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~2,435,078 services

1,146,771 observed fee-for-service (47%) · ~1,288,307 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
$202.3M
Named-group allowed amount
$86.1M
Named-group Medicare payments
$68.0M
Avg charge / svc
$176
Avg allowed / svc
$75
Avg payment / svc
$59
Average charge per group
$73 823 groups · avg submitted charge / service $1,857
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Specialty market — Infectious Disease: 21,560 services across 12 groups; top group 32%. See Infectious Disease across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 99232 services, CY2024
#Physician group City Specialty Providers 99232 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 INFECTIOUS DISEASES ASSOCIATES PC SOUTHAMPTON INFECTIOUS DISEASE 9 6,839 $968,100 $142 premium 31.7% 0.4% 21535596348
2 DELAWARE VALLEY I.D. ASSOCIATES, P.C. WYNNEWOOD INFECTIOUS DISEASE 11 3,123 $402,867 $129 premium 14.5% 0.2% (610) 896-0210
3 ROMANO, PONTZER AND ASSOCIATES, LIMITED PITTSBURGH INFECTIOUS DISEASE 13 2,643 $372,716 $141 premium 12.3% 0.2% (412) 348-0330
4 INFECTIOUS DISEASES MEDICAL ASSOCIATES LLC DARBY INFECTIOUS DISEASE 6 2,519 $379,055 $150 premium 11.7% 0.2% (610) 237-5816
5 PITTSBURGH INFECTIOUS DISEASES, LTD. PITTSBURGH INFECTIOUS DISEASE 6 1,657 $149,128 $90 premium 7.7% 0.1% (412) 347-0057
6 WYOMING VALLEY INFECTIOUS DISEASE ASSOC, PC WILKES BARRE INFECTIOUS DISEASE 3 1,480 $222,050 $150 premium 6.9% 0.1% (570) 822-6036
7 EASTERN PENNSYLVANIA INFECTIOUS DISEASE ASSOCIATES, LLC KING OF PRUSSIA INFECTIOUS DISEASE 3 1,090 $130,800 $120 premium 5.1% 0.1% (610) 481-9600
8 NORTHEASTERN OHIO INFECTIOUS DISEASE ASSOCIATION INC BOARDMAN INFECTIOUS DISEASE 14 1,090 $141,700 $130 premium 5.1% 0.1% (330) 744-4369
9 INFECTIOUS DISEASES CONSULTANTS OF GREENWICH PC GREENWICH INFECTIOUS DISEASE 2 595 $74,375 $125 premium 2.8% 0.0% (203) 869-8838
10 ID CARE LLC HILLSBOROUGH INFECTIOUS DISEASE 121 269 $44,302 $165 premium 1.2% 0.0% (908) 281-0221
11 TRUCARE INTERNAL MEDICINE AND INFECTIOUS DISEASES PLLC DU BOIS INFECTIOUS DISEASE 4 211 $17,262 $82 premium 1.0% 0.0% 81437123485
12 WEBER INFECTIOUS DISEASE PC PITTSBURGH INFECTIOUS DISEASE 3 44 $4,840 $110 premium 0.2% 0.0% (412) 578-9747

*"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 →