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Market snapshot

99285 in MO CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
171
Named-group FFS services
87,923
FFS of Medicare
46%
Services YoY
+3.4%
FFS enrollment -3.1%
Estimated all-Medicare volume FFS + estimated MA estimate
~187,152 services

87,923 observed fee-for-service (47%) · ~99,229 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
$95.2M
Named-group allowed amount
$14.6M
Named-group Medicare payments
$11.3M
Avg charge / svc
$1,082
Avg allowed / svc
$166
Avg payment / svc
$128
Average charge per group
$341 171 groups · avg submitted charge / service $2,585
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Specialty market — Emergency Medicine: 53,466 services across 84 groups; top group 10%. 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 MERCY HOSPITALS EAST COMMUNITIES ST LOUIS EMERGENCY MEDICINE 91 5,276 $3,499,459 $663 9.9% 3.1% —
2 CEP AMERICA LLC DECATUR EMERGENCY MEDICINE 960 4,119 $5,157,092 $1,252 7.7% 2.4% (510) 851-7493
3 SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC ALTON EMERGENCY MEDICINE 94 3,110 $4,619,881 $1,485 5.8% 1.8% (618) 463-7311
4 MEP KANSAS LLC OVERLAND PARK EMERGENCY MEDICINE 62 2,792 $3,201,488 $1,147 5.2% 1.7% (913) 317-7000
5 MIDWEST EMERGENCY MEDICAL SERVICES PC N KANSAS CITY EMERGENCY MEDICINE 21 2,740 $1,435,760 $524 5.1% 1.6% (816) 346-7220
6 WASHINGTON UNIVERSITY COMMUNITY SPECIALISTS, LLC SAINT LOUIS EMERGENCY MEDICINE 96 2,620 $4,553,398 $1,738 4.9% 1.6% (314) 362-9123
7 MERCY HOSPITAL SOUTH SAINT LOUIS EMERGENCY MEDICINE 39 2,512 $1,717,301 $684 4.7% 1.5% (314) 525-1906
8 LIBERTY HOSPITAL EMERGENCY MEDICINE PHYSICIANS LLC LIBERTY EMERGENCY MEDICINE 17 2,175 $3,711,629 $1,706 4.1% 1.3% (816) 792-7000
9 METRO EMERGENCY PHYSICIAN LLC KANSAS CITY EMERGENCY MEDICINE 57 2,048 $2,341,779 $1,143 3.8% 1.2% (816) 932-2000
10 GREEN COUNTRY EMERGENCY PHYSICIANS GROUP OF TULSA, PLLC JOPLIN EMERGENCY MEDICINE 110 1,862 $2,216,162 $1,190 3.5% 1.1% (417) 556-2300
11 EMERGENCY MEDICINE SERVICES OF MO LLC INDEPENDENCE EMERGENCY MEDICINE 90 1,828 $1,850,446 $1,012 3.4% 1.1% (816) 698-7000
12 EMERGENCY SERVICES MIDWEST SC BELLEVILLE EMERGENCY MEDICINE 40 1,594 $2,731,579 $1,714 3.0% 0.9% (618) 257-5644
13 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE EMERGENCY MEDICINE 785 1,521 $2,482,475 $1,632 2.8% 0.9% (865) 373-1000
14 OMNI EMERGENCY MEDICINE LLC BLUE SPRINGS EMERGENCY MEDICINE 18 1,317 $577,123 $438 2.5% 0.8% (816) 228-5900
15 CEP AMERICA - CALIFORNIA MORENO VALLEY EMERGENCY MEDICINE 1230 1,101 $1,353,190 $1,229 2.1% 0.7% (651) 243-0811
16 RIPLEY EMERGENCY GROUP LLC KIRKSVILLE EMERGENCY MEDICINE 32 921 $1,789,653 $1,943 1.7% 0.5% (660) 785-1000
17 ER PHYSICIANS SOUTH, P.A. OTTAWA EMERGENCY MEDICINE 34 920 $1,379,102 $1,499 1.7% 0.5% (781) 280-1589
18 UNIVERSITY HEALTH PHYSICIANS KANSAS CITY EMERGENCY MEDICINE 346 830 $381,329 $459 1.6% 0.5% (816) 404-1000
19 ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH EMERGENCY MEDICINE 407 651 $973,351 $1,495 1.2% 0.4% (843) 692-1000
20 CAPITAL EMERGENCY PHYSICIANS, PC JEFFERSON CITY EMERGENCY MEDICINE 3 629 $782,497 $1,244 1.2% 0.4% (573) 761-7000
21 CENTURY INTEGRATED PARTNERS, INC DALLAS EMERGENCY MEDICINE 331 618 $925,074 $1,497 1.2% 0.4% (214) 820-0111
22 POTOSI EMERGENCY GROUP, LLC POTOSI EMERGENCY MEDICINE 14 505 $984,180 $1,949 0.9% 0.3% (573) 438-5451
23 SIKESTON EMERGENCY GROUP LLC SIKESTON EMERGENCY MEDICINE 19 488 $1,076,290 $2,206 0.9% 0.3% (573) 471-1600
24 SPRINGDALE BENTONVILLE HBP SERVICES LLC BENTONVILLE EMERGENCY MEDICINE 100 470 $508,366 $1,082 0.9% 0.3% (479) 553-1000
25 NAPA VALLEY EMERGENCY MEDICAL GROUP NAPA EMERGENCY MEDICINE 21 451 $476,256 $1,056 0.8% 0.3% (707) 257-4014
26 SHERIDAN EMERGENCY PHYSICIAN SERVICES INC JUPITER EMERGENCY MEDICINE 20 432 $849,744 $1,967 0.8% 0.3% (954) 939-5000
27 BAYSIDE EMERGENCY PHYSICIANS PA ST PETERSBURG EMERGENCY MEDICINE 18 404 $848,400 $2,100 0.8% 0.2% (727) 825-1100
28 EMERGENCY SERVICES OF KANSAS, P.A. TOPEKA EMERGENCY MEDICINE 17 374 $529,851 $1,417 0.7% 0.2% (785) 295-8000
29 SOUTH CENTRAL EMERGENCY SERVICES, PC STILLWATER EMERGENCY MEDICINE 64 366 $325,034 $888 0.7% 0.2% (405) 372-1480
30 MERCY HOSPITAL JEFFERSON FESTUS EMERGENCY MEDICINE 12 363 $186,114 $513 0.7% 0.2% (636) 933-1111
31 ALTON-GRIFFIN EMERGENCY GROUP PC ALTON EMERGENCY MEDICINE 15 325 $407,088 $1,253 0.6% 0.2% (618) 465-2571
32 CAMDEN EMERGENCY GROUP LLC OSAGE BEACH EMERGENCY MEDICINE 34 318 $663,258 $2,086 0.6% 0.2% (573) 348-8000
33 NEBRASKA EMERGENCY MEDICINE PC LINCOLN EMERGENCY MEDICINE 32 313 $382,463 $1,222 0.6% 0.2% (402) 481-9049
34 PARAGON EMERGENCY SERVICES LLC THE VILLAGES EMERGENCY MEDICINE 394 309 $472,152 $1,528 0.6% 0.2% (352) 751-8000
35 CLARKSVILLE EMERGENCY GROUP PC LAFAYETTE EMERGENCY MEDICINE 149 303 $664,782 $2,194 0.6% 0.2% (765) 502-4000
36 EMERGENCY MEDICINE SERVICES OF KS PA OVERLAND PARK EMERGENCY MEDICINE 33 290 $285,360 $984 0.5% 0.2% (931) 541-5000
37 TACOMA EMERGENCY CARE PHYSICIANS PLLC TACOMA EMERGENCY MEDICINE 88 278 $467,446 $1,681 0.5% 0.2% (253) 459-6633
38 SANDY CREEK EMERGENCY GROUP, PC FAYETTEVILLE EMERGENCY MEDICINE 45 257 $473,932 $1,844 0.5% 0.2% (770) 719-7000
39 LONGHORN EMERGENCY MEDICAL ASSOCIATES PA AUSTIN EMERGENCY MEDICINE 136 256 $388,364 $1,517 0.5% 0.2% (830) 997-4353
40 ST JUDE EMERGENCY MEDICAL GROUP INC FULLERTON EMERGENCY MEDICINE 19 255 $310,861 $1,219 0.5% 0.2% (714) 871-3280
41 OBSERVATION MEDICINE GROUP PLLC GRAND BLANC EMERGENCY MEDICINE 29 250 $412,592 $1,650 0.5% 0.1% (810) 606-5733
42 MERCY HOSPITAL SPRINGFIELD SPRINGFIELD EMERGENCY MEDICINE 62 249 $290,583 $1,167 0.5% 0.1% (417) 820-2115
43 ALABAMA PHYSICIANS GROUP LLC ANNISTON EMERGENCY MEDICINE 16 249 $415,092 $1,667 0.5% 0.1% (256) 235-5121
44 EASTSIDE EMERGENCY PHYSICIANS PLLC ISSAQUAH EMERGENCY MEDICINE 56 238 $312,494 $1,313 0.4% 0.1% (425) 394-0610
45 LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES GRANBURY EMERGENCY MEDICINE 66 215 $189,845 $883 0.4% 0.1% (817) 573-2273
46 ELECTRIC CITY EMERGENCY PHYSICIANS LLC BUTLER EMERGENCY MEDICINE 3 214 $195,810 $915 0.4% 0.1% (660) 200-7000
47 CEPAMERICA ILLINOIS LLP CHICAGO EMERGENCY MEDICINE 503 208 $217,626 $1,046 0.4% 0.1% (773) 774-8000
48 EMERGENCY PHYSICIANS OF THE ROCKIES, PC FORT COLLINS EMERGENCY MEDICINE 77 208 $250,469 $1,204 0.4% 0.1% (970) 495-7000
49 EMERGENCY PHYSICIANS ASSOCIATES SAN JOSE PC SAN JOSE EMERGENCY MEDICINE 144 202 $224,018 $1,109 0.4% 0.1% (408) 885-5000
50 EMERGENCY PHYSICIAN SERVICES OF NEW YORK, P.C. POUGHKEEPSIE EMERGENCY MEDICINE 126 201 $292,893 $1,457 0.4% 0.1% (845) 454-8500
51 USACS COMMUNITY EMERGENCY SERVICES OF COLORADO INC. DENVER EMERGENCY MEDICINE 176 191 $282,976 $1,482 0.4% 0.1% (330) 925-4199
52 SUMMA EMERGENCY ASSOCIATES INC CUYAHOGA FALLS EMERGENCY MEDICINE 22 184 $155,296 $844 0.3% 0.1% (330) 971-7000
53 HIGHLINE EMERGENCY PHYSICIANS PLLC BURIEN EMERGENCY MEDICINE 19 182 $297,206 $1,633 0.3% 0.1% (206) 431-5314
54 SUMMIT MEDICAL GROUP LLC CHEYENNE EMERGENCY MEDICINE 36 174 $262,815 $1,510 0.3% 0.1% (307) 634-2273
55 NEWGEN ALABAMA BILLING LLC SHEFFIELD EMERGENCY MEDICINE 90 167 $241,126 $1,444 0.3% 0.1% (256) 386-4196
56 HARVEY EMERGENCY PHYSICIANS PLLC CALUMET CITY EMERGENCY MEDICINE 50 164 $318,488 $1,942 0.3% 0.1% (954) 939-5000
57 METHODIST UNIVERSITY EMERGENCY PHYSICIANS PLLC MEMPHIS EMERGENCY MEDICINE 45 146 $230,944 $1,582 0.3% 0.1% (901) 516-7000
58 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON EMERGENCY MEDICINE 653 135 $134,657 $997 0.3% 0.1% (813) 681-5551
59 SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS LLC MANHATTAN EMERGENCY MEDICINE 12 132 $195,624 $1,482 0.2% 0.1% (785) 776-3322
60 GONZALES EMERGENCY PARTNERS PLLC GONZALES EMERGENCY MEDICINE 9 131 $188,576 $1,440 0.2% 0.1% —
61 TEXAS MEDICINE RESOURCES, LLP PLANO EMERGENCY MEDICINE 239 128 $181,847 $1,421 0.2% 0.1% (972) 981-8000
62 FOUCHER EMERGENCY GROUP LLC NEW ORLEANS EMERGENCY MEDICINE 40 126 $296,100 $2,350 0.2% 0.1% (504) 592-6600
63 MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. MARINA DEL REY EMERGENCY MEDICINE 26 118 $135,485 $1,148 0.2% 0.1% (310) 118-5200
64 WAKE FOREST EMERGENCY PROVIDERS CONCORD EMERGENCY MEDICINE 471 109 $106,591 $978 0.2% 0.1% (704) 403-3000
65 PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC OAKLAND EMERGENCY MEDICINE 13 106 $50,774 $479 0.2% 0.1% (301) 533-4190
66 HAWAII EMERGENCY PHYSICIANS ASSOCIATED INC KAILUA EMERGENCY MEDICINE 118 104 $161,412 $1,552 0.2% 0.1% (808) 263-5164
67 EMERGENCY ASSOCIATES - UNIVERSITY OF ROCHESTER ROCHESTER EMERGENCY MEDICINE 60 100 $79,740 $797 0.2% 0.1% (585) 275-9555
68 EMERGENCY SERVICES OF OKLAHOMA PC OKLAHOMA CITY EMERGENCY MEDICINE 58 88 $124,408 $1,414 0.2% 0.1% (405) 949-3011
69 WAKE EMERGENCY PHYSICIANS PA RALEIGH EMERGENCY MEDICINE 275 87 $81,606 $938 0.2% 0.1% (919) 350-8000
70 ECS WESTERN MICHIGAN PC GRAND RAPIDS EMERGENCY MEDICINE 205 86 $81,872 $952 0.2% 0.1% (616) 391-1680
71 CENTRAL PENINSULA GENERAL HOSPITAL INC SOLDOTNA EMERGENCY MEDICINE 120 73 $110,522 $1,514 0.1% 0.0% (907) 714-4515
72 EM ALLIANCE CALIFORNIA APC WILDOMAR EMERGENCY MEDICINE 72 72 $97,333 $1,352 0.1% 0.0% (951) 677-1111
73 EMERGENCY MEDICAL ASSOCIATION OF NEW YORK PC CORTLANDT MANOR EMERGENCY MEDICINE 36 63 $93,380 $1,482 0.1% 0.0% (954) 939-5000
74 EMERGENCY PHYSICIANS INTEGRATED CARE LLC SALT LAKE CITY EMERGENCY MEDICINE 204 61 $78,754 $1,291 0.1% 0.0% (801) 268-7111
75 COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC CHICAGO EMERGENCY MEDICINE 40 60 $42,060 $701 0.1% 0.0% (773) 282-7000
76 UTAH VALLEY EMERGENCY PHYSICIANS INC PROVO EMERGENCY MEDICINE 31 58 $44,816 $773 0.1% 0.0% (801) 357-7850
77 GASTONIA PHYSICIAN SERVICES PLLC GASTONIA EMERGENCY MEDICINE 67 54 $100,980 $1,870 0.1% 0.0% (704) 834-2000
78 STERLING EMERGENCY SERVICES OF MIAMI BEACH PA AVENTURA EMERGENCY MEDICINE 46 53 $137,005 $2,585 0.1% 0.0% (305) 692-1000
79 EMERGENCY MEDICINE SERVICES OF TX, PLLC SAN ANTONIO EMERGENCY MEDICINE 356 35 $34,440 $984 0.1% 0.0% (210) 575-4000
80 NORTHWEST MEDICAL CENTER ASSOCIATION INC ALBANY EMERGENCY MEDICINE 39 26 $12,766 $491 0.0% 0.0% (660) 726-3941
81 INDEPENDENCE EMERGENCY GROUP LLC NEW ORLEANS EMERGENCY MEDICINE 21 24 $56,400 $2,350 0.0% 0.0% (504) 780-6413
82 IES OBS COLORADO PLLC DENVER EMERGENCY MEDICINE 23 20 $24,480 $1,224 0.0% 0.0% (303) 812-2000
83 VITUITY-NEVADA MEDICAL SERVICES KOURY AND PARTNERS PC HENDERSON EMERGENCY MEDICINE 65 20 $29,960 $1,498 0.0% 0.0% (702) 616-5600
84 INTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP-HOUSTON PLLC PASADENA EMERGENCY MEDICINE 217 14 $20,873 $1,491 0.0% 0.0% (713) 948-7000

*"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 →