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Market snapshot

99285 in AZ CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
172
Named-group FFS services
83,605
FFS of Medicare
49%
Services YoY
+11.3%
FFS enrollment -0.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~168,283 services

83,605 observed fee-for-service (50%) · ~84,678 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
$115.9M
Named-group allowed amount
$14.0M
Named-group Medicare payments
$10.8M
Avg charge / svc
$1,386
Avg allowed / svc
$167
Avg payment / svc
$129
Average charge per group
$214 172 groups · avg submitted charge / service $3,522
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Specialty market — Emergency Medicine: 60,022 services across 86 groups; top group 14%. See Emergency Medicine across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
#Physician group City Specialty Providers 99285 svcs Submitted charges Avg charge Medicare $ Share of specialty*Share of state* Phone
1 CEP AMERICA- ARIZONA, PC SUN CITY EMERGENCY MEDICINE 80 8,670 $10,564,921 $1,219 14.4% 5.0% (623) 832-4000
2 SCOTTSDALE EMERGENCY ASSOCIATES LTD SCOTTSDALE EMERGENCY MEDICINE 39 3,551 $6,293,850 $1,772 5.9% 2.1% (954) 939-5000
3 FLAGSTAFF EMERGENCY PHYSICIANS FLAGSTAFF EMERGENCY MEDICINE 39 3,306 $3,382,432 $1,023 5.5% 1.9% (928) 774-1693
4 TEC EMERGENCY PHYSICIANS OF ARIZONA, LLC MESA EMERGENCY MEDICINE 152 3,025 $4,202,759 $1,389 5.0% 1.8% (888) 732-3317
5 MEDICAL SERVICES OF PRESCOTT, INC PRESCOTT EMERGENCY MEDICINE 9 2,651 $2,820,664 $1,064 4.4% 1.5% (928) 445-2700
6 CHANDLER EMERGENCY MEDICAL GROUP LLC CHANDLER EMERGENCY MEDICINE 45 2,624 $3,843,186 $1,465 4.4% 1.5% (954) 939-5000
7 EMERGENCY PROFESSIONAL SERVICES PC PHOENIX EMERGENCY MEDICINE 104 2,603 $4,664,095 $1,792 4.3% 1.5% (954) 939-5000
8 EMERGENCY PHYSICIANS SOUTHWEST PC PAYSON EMERGENCY MEDICINE 97 2,535 $4,635,164 $1,828 4.2% 1.5% (520) 474-3222
9 IES ARIZONA PLLC TUCSON EMERGENCY MEDICINE 40 2,501 $3,267,613 $1,307 4.2% 1.5% (520) 327-5461
10 EMERGENCY GROUP OF ARIZONA PROFESSIONAL CORPORATION PHOENIX EMERGENCY MEDICINE 94 2,214 $2,830,539 $1,278 3.7% 1.3% (602) 923-5000
11 EMPOWER ST JOSEPHS PLLC PHOENIX EMERGENCY MEDICINE 47 2,017 $2,573,170 $1,276 3.4% 1.2% (602) 406-3000
12 INNOVA EMERGENCY MEDICAL ASSOCIATES PC SHOW LOW EMERGENCY MEDICINE 71 1,983 $1,942,347 $979 3.3% 1.2% (928) 537-4375
13 SIERRA ESTRELLAS EMERGENCY PHYSICIANS LLC YUMA EMERGENCY MEDICINE 36 1,683 $3,239,622 $1,925 2.8% 1.0% (928) 344-2000
14 CEP AMERICA - CALIFORNIA MORENO VALLEY EMERGENCY MEDICINE 1230 1,273 $1,547,836 $1,216 2.1% 0.7% (651) 243-0811
15 CEP AMERICA-ARIZONA LLP TUCSON EMERGENCY MEDICINE 30 1,024 $2,065,948 $2,018 1.7% 0.6% (520) 873-3840
16 TEMPE EMERGENCY PHYSICIANS LTD BULLHEAD CITY EMERGENCY MEDICINE 15 1,013 $2,221,566 $2,193 1.7% 0.6% (928) 763-2273
17 BETHESDA EMERGENCY ASSOCIATES, LLC BETHESDA EMERGENCY MEDICINE 10 932 $776,356 $833 1.6% 0.5% (301) 896-3100
18 NORTH VALLEY EMERGENCY SPECIALISTS GLENDALE EMERGENCY MEDICINE 25 758 $880,710 $1,162 1.3% 0.4% (602) 588-5555
19 CEP AMERICA LLC DECATUR EMERGENCY MEDICINE 960 741 $909,108 $1,227 1.2% 0.4% (510) 851-7493
20 SOUND PHYSICIANS EMERGENCY MEDICINE OF ARIZONA INC SIERRA VISTA EMERGENCY MEDICINE 39 709 $1,922,565 $2,712 1.2% 0.4% (520) 417-4594
21 GLOBAL PHYSICIAN NETWORK LLC SERIES I SARASOTA EMERGENCY MEDICINE 40 692 $705,840 $1,020 1.2% 0.4% (941) 917-9000
22 HAWAII EMERGENCY PHYSICIANS ASSOCIATED INC KAILUA EMERGENCY MEDICINE 118 607 $953,116 $1,570 1.0% 0.4% (808) 263-5164
23 USACS EMERGENCY MEDICINE OF ARIZONA LLC FLORENCE EMERGENCY MEDICINE 43 572 $895,496 $1,566 1.0% 0.3% (520) 868-3333
24 HONORHEALTH SCOTTSDALE EMERGENCY MEDICINE 67 557 $973,357 $1,747 0.9% 0.3% (480) 534-4530
25 BROWN CALVANESE CAMERON LTD RENO EMERGENCY MEDICINE 41 512 $560,001 $1,094 0.9% 0.3% (775) 324-4040
26 LOOP 101 EMERGENCY PHYSICIANS LLC PHOENIX EMERGENCY MEDICINE 56 496 $930,267 $1,876 0.8% 0.3% (954) 939-5000
27 INPHYNET CONTRACTING SERVICES LLC TAMPA EMERGENCY MEDICINE 165 493 $960,707 $1,949 0.8% 0.3% (813) 844-7000
28 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, P.C. SMITHVILLE EMERGENCY MEDICINE 88 471 $783,744 $1,664 0.8% 0.3% (615) 215-5000
29 SAN FRANCISCO EMERGENCY MEDICAL ASSOCIATES SAN FRANCISCO EMERGENCY MEDICINE 75 469 $569,835 $1,215 0.8% 0.3% (415) 641-6625
30 NORTHWEST EMERGENCY PHYSICIANS LLC FEDERAL WAY EMERGENCY MEDICINE 261 442 $549,116 $1,242 0.7% 0.3% (253) 838-9700
31 BARRIER REEF EMERGENCY PHYSICIANS PLLC GALVESTON EMERGENCY MEDICINE 29 412 $874,124 $2,122 0.7% 0.2% (954) 939-5000
32 EMERGENCY PHYSICIANS OF ORANGE COUNTY NEWPORT BEACH EMERGENCY MEDICINE 60 391 $524,145 $1,341 0.7% 0.2% (949) 764-4624
33 COBRE VALLEY EMERGENCY SERVICES, LLC GLOBE EMERGENCY MEDICINE 15 354 $624,627 $1,764 0.6% 0.2% (386) 274-7901
34 CLARK FORK EMERGENCY PHYSICIANS PLLC MISSOULA EMERGENCY MEDICINE 7 352 $465,696 $1,323 0.6% 0.2% (406) 728-4100
35 MVP EMERGENCY SERVICES LLC MESQUITE EMERGENCY MEDICINE 7 324 $403,704 $1,246 0.5% 0.2% (615) 221-3722
36 PROVIDENCE HEALTH AND SERVICES - OREGON MEDFORD EMERGENCY MEDICINE 45 315 $386,865 $1,228 0.5% 0.2% (541) 732-5250
37 EAST VALLEY EP PLLC GILBERT EMERGENCY MEDICINE 15 314 $448,510 $1,428 0.5% 0.2% (602) 830-4911
38 EMERGENCY PHYSICIAN SERVICES P S HOLY EMERGENCY CENTER SPOKANE EMERGENCY MEDICINE 22 312 $458,952 $1,471 0.5% 0.2% (509) 484-2460
39 WEST SOUND EMERGENCY PHYSICIANS PLLC SILVERDALE EMERGENCY MEDICINE 29 304 $447,488 $1,472 0.5% 0.2% (360) 337-8800
40 EMERGENCY PHYSICIANS INTEGRATED CARE LLC SALT LAKE CITY EMERGENCY MEDICINE 204 300 $385,833 $1,286 0.5% 0.2% (801) 268-7111
41 COMAL EMERGENCY PHYSICIANS PLLC NEW BRAUNFELS EMERGENCY MEDICINE 75 295 $663,938 $2,251 0.5% 0.2% (830) 608-5600
42 CEPAMERICA ILLINOIS LLP CHICAGO EMERGENCY MEDICINE 503 283 $358,750 $1,268 0.5% 0.2% (773) 774-8000
43 SANTA YNEZ RIVER PHYSICIANS PC LOMPOC EMERGENCY MEDICINE 21 279 $462,040 $1,656 0.5% 0.2% (805) 737-3300
44 CRUM,STEFANKO AND JONES LTD ELKO EMERGENCY MEDICINE 24 258 $356,833 $1,383 0.4% 0.1% (775) 738-5151
45 BERKELEY EMERGENCY MEDICAL GROUP INC BERKELEY EMERGENCY MEDICINE 42 246 $231,240 $940 0.4% 0.1% (510) 204-4444
46 VITUITY-MASSACHUSETTS PLLC SPRINGFIELD EMERGENCY MEDICINE 39 209 $255,940 $1,225 0.3% 0.1% (413) 748-9000
47 TRAVIS COUNTY EMERGENCY PHYSICIANS PA HOUSTON EMERGENCY MEDICINE 256 202 $242,320 $1,200 0.3% 0.1% (713) 790-3311
48 WAKE FOREST EMERGENCY PROVIDERS CONCORD EMERGENCY MEDICINE 471 193 $212,429 $1,101 0.3% 0.1% (704) 403-3000
49 COMMUNITY MEDICAL ASSOCIATES, INC. METHUEN EMERGENCY MEDICINE 150 193 $161,734 $838 0.3% 0.1% (978) 687-0151
50 MARY'S PEAK EMERGENCY PHYSICIANS CORVALLIS EMERGENCY MEDICINE 7 181 $265,355 $1,466 0.3% 0.1% (541) 768-5021
51 EMERGENCY PHYSICIANS OF THE ROCKIES, PC FORT COLLINS EMERGENCY MEDICINE 77 162 $193,927 $1,197 0.3% 0.1% (970) 495-7000
52 AURORA EMERGENCY PHYSICIANS LLC AURORA EMERGENCY MEDICINE 52 158 $270,080 $1,709 0.3% 0.1% (630) 978-6200
53 EVERGREEN EMERGENCY SERVICES PS KIRKLAND EMERGENCY MEDICINE 47 154 $164,010 $1,065 0.3% 0.1% (425) 899-1000
54 EXCEPTIONAL PHYSICIANS GROUP YUMA HOSPITAL PLLC YUMA EMERGENCY MEDICINE 26 153 $363,364 $2,375 0.3% 0.1% 4693417800100
55 SOUTH COAST EMERGENCY MEDICAL GROUP INC SANTA BARBARA EMERGENCY MEDICINE 33 151 $147,376 $976 0.3% 0.1% —
56 DES MOINES RIVER PHYSICIANS LLC DES MOINES EMERGENCY MEDICINE 44 149 $278,630 $1,870 0.2% 0.1% (515) 247-3121
57 SUNSET EMERGENCY PHYSICIANS LLC PARKER EMERGENCY MEDICINE 13 140 $240,894 $1,721 0.2% 0.1% (954) 939-5000
58 HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS LLC HOBBS EMERGENCY MEDICINE 38 134 $461,382 $3,443 0.2% 0.1% (575) 492-5000
59 GULF COAST EMERGENCY PHYSICIANS, PLLC KINGSVILLE EMERGENCY MEDICINE 112 133 $312,550 $2,350 0.2% 0.1% (361) 595-1661
60 EMERGENCY MEDICINE SERVICES OF TX, PLLC SAN ANTONIO EMERGENCY MEDICINE 356 129 $239,767 $1,859 0.2% 0.1% (210) 575-4000
61 PREMIER HEALTH PARTNERS MARIPOSA EMERGENCY MEDICINE 18 118 $127,794 $1,083 0.2% 0.1% (209) 966-3631
62 ROCKY MOUNTAIN EMERGENCY SPECIALISTS LLC LOGAN EMERGENCY MEDICINE 10 108 $117,174 $1,085 0.2% 0.1% (435) 716-1000
63 EMERGENCY ASSOCIATES OF CENTRAL TEXAS PA HARKER HEIGHTS EMERGENCY MEDICINE 33 107 $105,288 $984 0.2% 0.1% (254) 690-0900
64 EMERGENCY MEDICINE PHYSICIANS OF CRAVEN COUNTY PLLC NEW BERN EMERGENCY MEDICINE 13 107 $188,268 $1,760 0.2% 0.1% (252) 633-8119
65 VITUITY-WISCONSIN EM SC GREEN BAY EMERGENCY MEDICINE 59 106 $135,602 $1,279 0.2% 0.1% (920) 433-0111
66 EMERGENCY PROFESSIONALS OF COLORADO PC GREELEY EMERGENCY MEDICINE 41 103 $104,965 $1,019 0.2% 0.1% (970) 352-4121
67 CITY OF CARIBOU CARIBOU EMERGENCY MEDICINE 39 102 $89,182 $874 0.2% 0.1% (207) 498-3111
68 INTEGRATED JOINT SPECIALISTS LLC TEMPE EMERGENCY MEDICINE 8 101 $172,902 $1,712 0.2% 0.1% (503) 719-6783
69 PROVIDENCE HEALTH AND SERVICES - OREGON PORTLAND EMERGENCY MEDICINE 217 95 $73,340 $772 0.2% 0.1% (503) 216-2213
70 EM ALLIANCE CALIFORNIA APC WILDOMAR EMERGENCY MEDICINE 72 89 $124,494 $1,399 0.1% 0.1% (951) 677-1111
71 MEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP HOUSTON EMERGENCY MEDICINE 273 81 $92,016 $1,136 0.1% 0.0% (713) 338-6565
72 FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC ORLANDO EMERGENCY MEDICINE 310 76 $120,797 $1,589 0.1% 0.0% (407) 303-5600
73 SERENITY URGENT CARE LLC TUCSON EMERGENCY MEDICINE 3 70 $206,643 $2,952 0.1% 0.0% (520) 207-0028
74 UTAH VALLEY EMERGENCY PHYSICIANS INC PROVO EMERGENCY MEDICINE 31 64 $45,824 $716 0.1% 0.0% (801) 357-7850
75 SHADOW EMERGENCY PHYSICIANS PLLC LAS VEGAS EMERGENCY MEDICINE 115 57 $107,616 $1,888 0.1% 0.0% (954) 939-5000
76 CAREPOINT EMERGENCY MEDICINE, PLLC AURORA EMERGENCY MEDICINE 156 56 $70,406 $1,257 0.1% 0.0% (303) 695-2600
77 MT RAINIER EMERGENCY PHYSICIANS PLLC PUYALLUP EMERGENCY MEDICINE 25 50 $85,940 $1,719 0.1% 0.0% (253) 697-1848
78 HEALTHSOURCE PARTNERS ND LLC BISMARCK EMERGENCY MEDICINE 2 45 $153,800 $3,418 0.1% 0.0% (701) 530-7000
79 DHHS PHS NAIHS CROWNPOINT HOSPITAL CROWNPOINT EMERGENCY MEDICINE 54 41 $20,433 $498 0.1% 0.0% (505) 786-5291
80 PHOENIX PHYSICIAN GROUP PLLC CHANDLER EMERGENCY MEDICINE 10 27 $90,951 $3,369 0.0% 0.0% (480) 284-5867
81 HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK EMERGENCY MEDICINE 10 25 $52,738 $2,110 0.0% 0.0% (840) 566-3300
82 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON EMERGENCY MEDICINE 653 24 $25,776 $1,074 0.0% 0.0% (813) 681-5551
83 EMERGENCY COVERAGE LLC RICHMOND EMERGENCY MEDICINE 755 21 $37,191 $1,771 0.0% 0.0% (804) 289-4500
84 FREMONT EMERGENCY SERVICES SCHERR LTD LAS VEGAS EMERGENCY MEDICINE 143 17 $7,531 $443 0.0% 0.0% (856) 686-4394
85 SPRINGDALE BENTONVILLE HBP SERVICES LLC BENTONVILLE EMERGENCY MEDICINE 100 15 $13,716 $914 0.0% 0.0% (479) 553-1000
86 SOUTHWEST EMERGENCY MEDICAL ASSOCIATES OF NM PC LAS CRUCES EMERGENCY MEDICINE 57 13 $21,736 $1,672 0.0% 0.0% (575) 522-8641

*"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 →