NEVVI Medicare utilization intelligence
+ Build a code basket
Market snapshot

99285 in AE CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
5
Named-group FFS services
486
FFS of Medicare
Services YoY
-20.2%
FFS enrollment change unavailable
Named-group submitted charges
$979K
Named-group allowed amount
$77K
Named-group Medicare payments
$60K
Avg charge / svc
$2,014
Avg allowed / svc
$159
Avg payment / svc
$123
Average charge per group
$438 5 groups · avg submitted charge / service $2,497
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 — Emergency Medicine: 328 services — specialty benchmark suppressed (fewer than 11 groups) — showing state benchmark. See Emergency Medicine 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 TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC KINGSPORT EMERGENCY MEDICINE 116 243 $533,142 $2,194 premium 26.1% (423) 857-7000
2 PARAGON EMERGENCY SERVICES LLC THE VILLAGES EMERGENCY MEDICINE 394 72 $179,784 $2,497 premium 7.7% (352) 751-8000
3 SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN EMERGENCY MEDICINE 43 13 $31,848 $2,450 premium 1.4% (803) 641-5100

*"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 →