99285 — Emergency department visit with high level of medical decision making
22,983 observed fee-for-service (43%) · ~30,876 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
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
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: 7,129 services across 21 groups; top group 22%. See Emergency Medicine across all states →
| # | Physician group | City | Specialty | Providers | 99285 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share of specialty* | Share of state* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | BLUEWATER EMERGENCY PARTNERS OF BRUNSWICK, LLC | LEWISTON | EMERGENCY MEDICINE | 141 | 1,587 | $1,497,235 | $943 | premium | 22.3% | 4.5% | (207) 795-5646 |
| 2 | EMERGENCY MEDICINE SERVICES OF MAINE LLC | PITTSFIELD | EMERGENCY MEDICINE | 56 | 1,070 | $1,073,988 | $1,004 | premium | 15.0% | 3.0% | (207) 487-4000 |
| 3 | URGI CENTER MEDICAL GROUP | SANDWICH | EMERGENCY MEDICINE | 83 | 740 | $478,079 | $646 | premium | 10.4% | 2.1% | (508) 833-2639 |
| 4 | GLOBAL PHYSICIAN NETWORK LLC SERIES I | SARASOTA | EMERGENCY MEDICINE | 40 | 439 | $437,632 | $997 | premium | 6.2% | 1.2% | (941) 917-9000 |
| 5 | EMERGENCY MEDICINE SERVICES OF NH, LLC | DERRY | EMERGENCY MEDICINE | 66 | 417 | $406,271 | $974 | premium | 5.8% | 1.2% | (603) 432-1500 |
| 6 | EMERGENCY MEDICINE PHYSICIANS OF ROCKINGHAM COUNTY, LLC | EXETER | EMERGENCY MEDICINE | 5 | 375 | $618,223 | $1,649 | premium | 5.3% | 1.1% | (603) 580-6339 |
| 7 | CEP AMERICA LLC | DECATUR | EMERGENCY MEDICINE | 960 | 313 | $521,995 | $1,668 | premium | 4.4% | 0.9% | (510) 851-7493 |
| 8 | CITY OF CARIBOU | CARIBOU | EMERGENCY MEDICINE | 39 | 292 | $240,419 | $823 | premium | 4.1% | 0.8% | (207) 498-3111 |
| 9 | CEP AMERICA - CALIFORNIA | MORENO VALLEY | EMERGENCY MEDICINE | 1230 | 267 | $326,808 | $1,224 | premium | 3.7% | 0.8% | (651) 243-0811 |
| 10 | NORTHWEST EMERGENCY PHYSICIANS LLC | FEDERAL WAY | EMERGENCY MEDICINE | 261 | 258 | $350,658 | $1,359 | premium | 3.6% | 0.7% | (253) 838-9700 |
| 11 | TENNESSEE RIVER PHYSICIANS, PLLC | CHATTANOOGA | EMERGENCY MEDICINE | 69 | 229 | $372,300 | $1,626 | premium | 3.2% | 0.6% | (423) 778-7000 |
| 12 | ALASKA EMERGENCY MEDICINE ASSOCIATES | ANCHORAGE | EMERGENCY MEDICINE | 26 | 227 | $259,688 | $1,144 | premium | 3.2% | 0.6% | (907) 562-2211 |
| 13 | PARAGON EMERGENCY SERVICES LLC | THE VILLAGES | EMERGENCY MEDICINE | 394 | 184 | $388,202 | $2,110 | premium | 2.6% | 0.5% | (352) 751-8000 |
| 14 | MID-OHIO EMERGENCY GROUP, LLC | MANSFIELD | EMERGENCY MEDICINE | 42 | 173 | $348,709 | $2,016 | premium | 2.4% | 0.5% | (419) 526-8000 |
| 15 | BOSTON EMERGENCY PHYSICIAN FOUNDATION INC | BOSTON | EMERGENCY MEDICINE | 76 | 160 | $84,013 | $525 | premium | 2.2% | 0.5% | (617) 414-5481 |
| 16 | HAWAII EMERGENCY PHYSICIANS ASSOCIATED INC | KAILUA | EMERGENCY MEDICINE | 118 | 115 | $178,084 | $1,549 | premium | 1.6% | 0.3% | (808) 263-5164 |
| 17 | NEW HAMPSHIRE EMERGENCY PHYSICIAN ASSOCIATES PC | WOLFEBORO | EMERGENCY MEDICINE | 22 | 85 | $111,770 | $1,315 | premium | 1.2% | 0.2% | (856) 686-4316 |
| 18 | EUGENE EMERGENCY PHYSICIANS PC | SPRINGFIELD | EMERGENCY MEDICINE | 29 | 61 | $57,645 | $945 | premium | 0.9% | 0.2% | (541) 222-7300 |
| 19 | SOUTHERN WISCONSIN EMERGENCY ASSOCIATES SC | BELOIT | EMERGENCY MEDICINE | 48 | 55 | $65,963 | $1,199 | premium | 0.8% | 0.2% | (608) 364-5566 |
| 20 | WAKE EMERGENCY PHYSICIANS PA | RALEIGH | EMERGENCY MEDICINE | 275 | 42 | $19,782 | $471 | premium | 0.6% | 0.1% | (919) 350-8000 |
| 21 | EMERGENCY COVERAGE LLC | RICHMOND | EMERGENCY MEDICINE | 755 | 40 | $67,912 | $1,698 | premium | 0.6% | 0.1% | (804) 289-4500 |
*"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 →