NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99285 in MA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

99285 — Emergency department visit with high level of medical decision making

Billing groups
187
Named-group FFS services
146,788
FFS of Medicare
64%
Services YoY
+4.6%
FFS enrollment -1.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~227,375 services

146,788 observed fee-for-service (65%) · ~80,587 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
$110.5M
Named-group allowed amount
$25.2M
Named-group Medicare payments
$19.5M
Avg charge / svc
$753
Avg allowed / svc
$172
Avg payment / svc
$133
Average charge per group
$300 187 groups · avg submitted charge / service $2,585
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 — Anesthesiology Assistant: 230 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Anesthesiology Assistant 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 99285 services, CY2024
#Physician group City Specialty Providers 99285 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 EMORY SPECIALTY ASSOCIATES, LLC ATLANTA ANESTHESIOLOGY ASSISTANT 654 230 $158,269 $688 premium 0.1% (404) 778-3900

*"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 →