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Market snapshot

99285 in IA CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
87
Named-group FFS services
28,882
FFS of Medicare
62%
Services YoY
+2.6%
FFS enrollment -1.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~45,928 services

28,882 observed fee-for-service (63%) · ~17,046 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
$28.8M
Named-group allowed amount
$4.5M
Named-group Medicare payments
$3.5M
Avg charge / svc
$998
Avg allowed / svc
$157
Avg payment / svc
$120
Average charge per group
$297 87 groups · avg submitted charge / service $3,514
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Specialty market — Emergency Medicine: 12,621 services across 34 groups; top group 30%. See Emergency Medicine across all states →

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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 DES MOINES RIVER PHYSICIANS LLC DES MOINES EMERGENCY MEDICINE 44 3,731 $6,062,600 $1,625 premium 29.6% 5.3% (515) 247-3121
2 VITUITY-IOWA PLLC DAVENPORT EMERGENCY MEDICINE 32 909 $1,115,902 $1,228 premium 7.2% 1.3% (563) 421-1000
3 WOODBURY EMERGENCY GROUP, PC SIOUX CITY EMERGENCY MEDICINE 16 819 $1,322,912 $1,615 premium 6.5% 1.2% (712) 279-2010
4 DUBUQUE EMERGENCY PHYSICIANS PC DUBUQUE EMERGENCY MEDICINE 10 735 $341,040 $464 premium 5.8% 1.0% (319) 589-8000
5 EAST CENTRAL IOWA ACUTE CARE PLLC CEDAR RAPIDS EMERGENCY MEDICINE 6 596 $657,868 $1,104 premium 4.7% 0.8% (319) 369-7211
6 SEVEN HILLS EMERGENCY GROUP PC JEFFERSON EMERGENCY MEDICINE 9 570 $651,381 $1,143 premium 4.5% 0.8% (515) 386-2114
7 ACS PRIMARY CARE PHYSICIANS SOUTHWEST PA ATHENS EMERGENCY MEDICINE 192 507 $730,080 $1,440 premium 4.0% 0.7% (903) 676-1000
8 WATERLOO EMERGENCY PHYSICIANS, LLC WATERLOO EMERGENCY MEDICINE 23 458 $944,927 $2,063 premium 3.6% 0.6% (319) 272-8000
9 CEP AMERICA - CALIFORNIA MORENO VALLEY EMERGENCY MEDICINE 1230 392 $480,676 $1,226 premium 3.1% 0.6% (651) 243-0811
10 EMERGENCY PROFESSIONAL SERVICES, INC. CINCINNATI EMERGENCY MEDICINE 124 391 $655,950 $1,678 premium 3.1% 0.6% (513) 369-2000
11 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, P.C. SMITHVILLE EMERGENCY MEDICINE 88 388 $645,632 $1,664 premium 3.1% 0.5% (615) 215-5000
12 EMERGENCY PHYSICIANS OF THE ROCKIES, PC FORT COLLINS EMERGENCY MEDICINE 77 296 $301,683 $1,019 premium 2.3% 0.4% (970) 495-7000
13 LINN COUNTY EMERGENCY MEDICINE PC HIAWATHA EMERGENCY MEDICINE 35 294 $427,337 $1,454 premium 2.3% 0.4% (319) 832-3950
14 NEBRASKA ORTHOPAEDIC HOSPITAL LLC OMAHA EMERGENCY MEDICINE 15 263 $239,802 $912 premium 2.1% 0.4% (402) 609-1500
15 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON EMERGENCY MEDICINE 653 216 $130,248 $603 premium 1.7% 0.3% (813) 681-5551
16 HOSPITALIST MEDICINE PHYSICIANS OF OKLAHOMA TCS LLC ENID EMERGENCY MEDICINE 17 215 $755,469 $3,514 premium 1.7% 0.3% (580) 233-6100
17 CALDWELL EMERGENCY MEDICAL ASSOCIATES LLC LENOIR EMERGENCY MEDICINE 19 213 $343,790 $1,614 premium 1.7% 0.3% (828) 757-5100
18 AURORA EMERGENCY PHYSICIANS LLC AURORA EMERGENCY MEDICINE 52 204 $227,400 $1,115 premium 1.6% 0.3% (630) 978-6200
19 GULF COAST EMERGENCY PHYSICIANS, PLLC KINGSVILLE EMERGENCY MEDICINE 112 187 $439,450 $2,350 premium 1.5% 0.3% (361) 595-1661
20 SANBURG EMERGENCY GROUP, P.C. CARLINVILLE EMERGENCY MEDICINE 15 169 $370,786 $2,194 premium 1.3% 0.2% (217) 854-3141
21 EMERGENCY CLINICIANS ASSOCIATES, LLC OMAHA EMERGENCY MEDICINE 14 169 $181,844 $1,076 premium 1.3% 0.2% (402) 572-2121
22 EMERGENCY SERVICES OF MONTGOMERY PC MONTGOMERY EMERGENCY MEDICINE 64 148 $264,460 $1,787 premium 1.2% 0.2% (334) 288-2100
23 SANTA ANA PHYSICIANS GROUP PC INDIO EMERGENCY MEDICINE 14 127 $232,790 $1,833 premium 1.0% 0.2% (760) 347-6191
24 EMERGENCY PROFESSIONALS OF INDIANA PC FORT WAYNE EMERGENCY MEDICINE 115 100 $136,762 $1,368 premium 0.8% 0.1% (260) 435-2699
25 JOHNSON COUNTY EMERGENCY MEDICINE PLC IOWA CITY EMERGENCY MEDICINE 30 97 $140,747 $1,451 premium 0.8% 0.1% (319) 339-0300
26 TEXAS PHYSICIAN RESOURCES, LLP DALLAS EMERGENCY MEDICINE 93 75 $118,275 $1,577 premium 0.6% 0.1% (214) 947-8181
27 IHC BEAVER DAM EMERGENCY PHYSICIANS, LLC BEAVER DAM EMERGENCY MEDICINE 24 74 $118,601 $1,603 premium 0.6% 0.1% (954) 939-5000
28 TACOMA EMERGENCY CARE PHYSICIANS PLLC TACOMA EMERGENCY MEDICINE 88 73 $122,814 $1,682 premium 0.6% 0.1% (253) 459-6633
29 ECS WESTERN MICHIGAN PC GRAND RAPIDS EMERGENCY MEDICINE 205 69 $65,688 $952 premium 0.5% 0.1% (616) 391-1680
30 ECEP II PA WILMINGTON EMERGENCY MEDICINE 19 50 $20,144 $403 premium 0.4% 0.1% (910) 202-3363
31 EMERGENCY PHYSICIANS INTEGRATED CARE LLC SALT LAKE CITY EMERGENCY MEDICINE 204 40 $51,461 $1,287 premium 0.3% 0.1% (801) 268-7111
32 ASCENSION CALUMET HOSPITAL INC CHILTON EMERGENCY MEDICINE 15 16 $11,872 $742 premium 0.1% 0.0% (800) 458-4042
33 INDIANA EMERGENCY PROFESSIONALS PC GREENSBURG EMERGENCY MEDICINE 14 16 $23,712 $1,482 premium 0.1% 0.0% (812) 663-4331
34 POCAHONTAS COMMUNITY HOSPITAL POCAHONTAS EMERGENCY MEDICINE 5 14 $10,209 $729 premium 0.1% 0.0% (712) 335-3501

*"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 →