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Market snapshot

99285 in NC CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
282
Named-group FFS services
169,792
FFS of Medicare
43%
Services YoY
+2.7%
FFS enrollment -4.7%
Estimated all-Medicare volume FFS + estimated MA estimate
~380,108 services

169,792 observed fee-for-service (45%) · ~210,316 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
$180.0M
Named-group allowed amount
$27.4M
Named-group Medicare payments
$21.0M
Avg charge / svc
$1,060
Avg allowed / svc
$161
Avg payment / svc
$124
Average charge per group
$346 282 groups · avg submitted charge / service $3,444
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Specialty market — Emergency Medicine: 119,976 services across 128 groups; top group 19%. 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 WAKE EMERGENCY PHYSICIANS PA RALEIGH EMERGENCY MEDICINE 275 22,306 $21,088,039 $945 18.6% 7.6% (919) 350-8000
2 WAKE FOREST EMERGENCY PROVIDERS CONCORD EMERGENCY MEDICINE 471 22,253 $19,354,330 $870 18.5% 7.6% (704) 403-3000
3 MID-ATLANTIC EMERGENCY MEDICAL ASSOCIATES PLLC CHARLOTTE EMERGENCY MEDICINE 97 13,458 $14,164,788 $1,053 11.2% 4.6% (704) 377-2424
4 EMERGENCY COVERAGE LLC RICHMOND EMERGENCY MEDICINE 755 9,592 $14,991,436 $1,563 8.0% 3.3% (804) 289-4500
5 RALEIGH EMERGENCY MEDICINE ASSOCIATES INC RALEIGH EMERGENCY MEDICINE 26 5,051 $4,604,009 $912 4.2% 1.7% (919) 784-3100
6 CFVHS ED PHYSICIANS FAYETTEVILLE EMERGENCY MEDICINE 25 4,029 $2,224,008 $552 3.4% 1.4% (910) 615-8780
7 FORSYTH EMERGENCY SERVICES, P.A. WINSTON SALEM EMERGENCY MEDICINE 23 3,150 $3,102,992 $985 2.6% 1.1% (336) 765-9328
8 CAROLINAS EMERGENCY PHYSICIANS PA SHELBY EMERGENCY MEDICINE 28 1,974 $3,018,117 $1,529 1.6% 0.7% (704) 487-3131
9 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE EMERGENCY MEDICINE 785 1,922 $3,055,507 $1,590 1.6% 0.7% (865) 373-1000
10 ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH EMERGENCY MEDICINE 407 1,844 $3,164,438 $1,716 1.5% 0.6% (843) 692-1000
11 MOUNT AIRY EMERGENCY PHYSICIANS PLLC MOUNT AIRY EMERGENCY MEDICINE 8 1,713 $2,476,998 $1,446 1.4% 0.6% (336) 719-5210
12 TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC KINGSPORT EMERGENCY MEDICINE 116 1,570 $3,180,218 $2,026 1.3% 0.5% (423) 857-7000
13 TARHEEL EMERGENCY GROUP, PLLC JACKSONVILLE EMERGENCY MEDICINE 38 1,421 $1,741,060 $1,225 1.2% 0.5% (910) 577-2345
14 ECEP II PA WILMINGTON EMERGENCY MEDICINE 19 1,347 $1,583,285 $1,175 1.1% 0.5% (910) 202-3363
15 GEORGIA EMERGENCY DEPARTMENT SERVICES, P.C. GAINESVILLE EMERGENCY MEDICINE 69 1,135 $1,871,280 $1,649 0.9% 0.4% (770) 503-3000
16 ROBESON EMERGENCY PHYSICIANS PLLC LUMBERTON EMERGENCY MEDICINE 34 997 $1,302,202 $1,306 0.8% 0.3% (910) 671-5000
17 CEP AMERICA LLC DECATUR EMERGENCY MEDICINE 960 957 $1,203,295 $1,257 0.8% 0.3% (510) 851-7493
18 UNION EMERGENCY PHYSICIANS PLLC TEXARKANA EMERGENCY MEDICINE 67 896 $2,105,600 $2,350 0.7% 0.3% (903) 614-1000
19 GASTONIA PHYSICIAN SERVICES PLLC GASTONIA EMERGENCY MEDICINE 67 851 $1,373,760 $1,614 0.7% 0.3% (704) 834-2000
20 PARAGON EMERGENCY SERVICES LLC THE VILLAGES EMERGENCY MEDICINE 394 801 $1,560,886 $1,949 0.7% 0.3% (352) 751-8000
21 NORTHWEST EMERGENCY PHYSICIANS LLC FEDERAL WAY EMERGENCY MEDICINE 261 780 $810,366 $1,039 0.7% 0.3% (253) 838-9700
22 FRYE EMERGENCY MEDICAL ASSOCIATES LLC HICKORY EMERGENCY MEDICINE 18 751 $903,453 $1,203 0.6% 0.3% (704) 660-4055
23 MID-OHIO EMERGENCY SERVICES, LLC COLUMBUS EMERGENCY MEDICINE 79 709 $1,027,464 $1,449 0.6% 0.2% (614) 566-1997
24 GLOBAL PHYSICIAN NETWORK LLC SERIES I SARASOTA EMERGENCY MEDICINE 40 687 $700,740 $1,020 0.6% 0.2% (941) 917-9000
25 EMERGENCY PHYSICIANS OF TIDEWATER SUFFOLK EMERGENCY MEDICINE 165 633 $445,632 $704 0.5% 0.2% (757) 686-3508
26 SANDHILLS EMERGENCY PHYSICIANS PA PINEHURST EMERGENCY MEDICINE 25 627 $904,976 $1,443 0.5% 0.2% (910) 715-1116
27 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON EMERGENCY MEDICINE 653 623 $820,763 $1,317 0.5% 0.2% (813) 681-5551
28 PARAGON CONTRACTING SERVICES LLC BIRMINGHAM EMERGENCY MEDICINE 367 555 $1,339,675 $2,414 0.5% 0.2% (205) 838-3450
29 NORTH CAROLINA EMERGENCY PHYSICIANS PLLC LAURINBURG EMERGENCY MEDICINE 22 497 $819,410 $1,649 0.4% 0.2% (910) 291-7000
30 EMERGI-TRUST FRANKLIN EMERGENCY MEDICINE 19 485 $843,170 $1,738 0.4% 0.2% (781) 280-1640
31 WILLIAMSBURG EMERGENCY PHYSICIANS WILLIAMSBURG EMERGENCY MEDICINE 8 454 $559,782 $1,233 0.4% 0.2% (757) 984-6000
32 TEXAS MEDICINE RESOURCES, LLP PLANO EMERGENCY MEDICINE 239 440 $692,945 $1,575 0.4% 0.1% (972) 981-8000
33 SUMMIT MEDICAL GROUP LLC CHEYENNE EMERGENCY MEDICINE 36 411 $607,760 $1,479 0.3% 0.1% (307) 634-2273
34 SAN FRANCISCO EMERGENCY MEDICAL ASSOCIATES SAN FRANCISCO EMERGENCY MEDICINE 75 408 $495,720 $1,215 0.3% 0.1% (415) 641-6625
35 HEALTH CARE ALLIANCE, INC. LOGAN EMERGENCY MEDICINE 9 390 $638,590 $1,637 0.3% 0.1% (304) 831-1101
36 MD ALLY SERVICES PA MIAMI LAKES EMERGENCY MEDICINE 22 377 $467,679 $1,241 0.3% 0.1% (203) 350-2116
37 COASTLINE EMERGENCY PHYSICIANS LLC DUNEDIN EMERGENCY MEDICINE 18 376 $670,408 $1,783 0.3% 0.1% (954) 939-5000
38 CAREPOINT EMERGENCY MEDICINE, PLLC AURORA EMERGENCY MEDICINE 156 345 $384,262 $1,114 0.3% 0.1% (303) 695-2600
39 COMMONWEALTH EMERGENCY PHYSICIANS PC LEESBURG EMERGENCY MEDICINE 39 344 $399,728 $1,162 0.3% 0.1% (703) 737-7520
40 MURPHY EMERGENCY PHYSICIANS, PLLC MURPHY EMERGENCY MEDICINE 27 342 $537,818 $1,573 0.3% 0.1% (828) 837-8161
41 QUALIFIED EMERGENCY SPECIALISTS INC CINCINNATI EMERGENCY MEDICINE 14 336 $298,368 $888 0.3% 0.1% (513) 865-1111
42 FIRST PHYSICIANS CORPORATION FALL RIVER EMERGENCY MEDICINE 28 319 $399,388 $1,252 0.3% 0.1% (508) 973-7215
43 MULTISPECIALTY SERVICES LLC AUSTELL EMERGENCY MEDICINE 2 309 $508,270 $1,645 0.3% 0.1% (470) 732-4000
44 EMERGENCY PHYSICIANS GROUP HUNTSVILLE EMERGENCY MEDICINE 51 306 $201,348 $658 0.3% 0.1% (256) 265-9889
45 CARROLLTON EMERGENCY PHYSICIANS PC CARROLLTON EMERGENCY MEDICINE 33 290 $413,540 $1,426 0.2% 0.1% (770) 812-9666
46 COLUMBUS EMERGENCY GROUP LLC WHITEVILLE EMERGENCY MEDICINE 19 273 $598,962 $2,194 0.2% 0.1% (910) 642-8011
47 VITAL HEALTH PARTNERS LLC WAUKEGAN EMERGENCY MEDICINE 62 269 $438,530 $1,630 0.2% 0.1% (847) 360-3000
48 HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - CYPRESS PLLC BONHAM EMERGENCY MEDICINE 25 259 $392,644 $1,516 0.2% 0.1% (903) 583-8585
49 BRIGHTON COMMUNITY EMERGENCY PHYSICIANS, LPA BRIGHTON EMERGENCY MEDICINE 13 255 $129,112 $506 0.2% 0.1% (303) 498-1999
50 EMERALD COAST MANAGEMENT SOLUTIONS LLC MARIANNA EMERGENCY MEDICINE 15 251 $438,479 $1,747 0.2% 0.1% (936) 240-1639
51 NORTH FULTON EMERGENCY PHYSICIANS, LLC ROSWELL EMERGENCY MEDICINE 15 251 $427,070 $1,701 0.2% 0.1% (770) 751-2555
52 THE CAROLINAS EMERGENCY GROUP, PLLC MONROE EMERGENCY MEDICINE 73 250 $417,265 $1,669 0.2% 0.1% (980) 993-3100
53 OBSERVATION MEDICINE GROUP PLLC GRAND BLANC EMERGENCY MEDICINE 29 249 $410,942 $1,650 0.2% 0.1% (810) 606-5733
54 HOSPITALIST MEDICINE PHYSICIANS OF GEORGIA-TCG PC SAVANNAH EMERGENCY MEDICINE 37 248 $854,085 $3,444 0.2% 0.1% (912) 350-8000
55 TRAVIS COUNTY EMERGENCY PHYSICIANS PA HOUSTON EMERGENCY MEDICINE 256 242 $336,518 $1,391 0.2% 0.1% (713) 790-3311
56 MISSISSIPPI EMERGENCY DEPARTMENT SERVICES PC PASCAGOULA EMERGENCY MEDICINE 47 233 $306,999 $1,318 0.2% 0.1% (228) 809-5000
57 NORTHEAST TEXAS EMERGENCY PHYSICIANS PLLC LONGVIEW EMERGENCY MEDICINE 186 230 $126,960 $552 0.2% 0.1% (903) 315-2000
58 INPHYNET CONTRACTING SERVICES LLC TAMPA EMERGENCY MEDICINE 165 220 $495,880 $2,254 0.2% 0.1% (813) 844-7000
59 NORTHERN MICHIGAN EMERGENCY PHYSICIANS LLP ESCANABA EMERGENCY MEDICINE 14 216 $473,904 $2,194 0.2% 0.1% (906) 786-5707
60 EMERGENCY PROFESSIONAL SERVICES, INC. CINCINNATI EMERGENCY MEDICINE 124 213 $315,974 $1,483 0.2% 0.1% (513) 369-2000
61 CALDWELL EMERGENCY MEDICAL ASSOCIATES LLC LENOIR EMERGENCY MEDICINE 19 213 $265,322 $1,246 0.2% 0.1% (828) 757-5100
62 SANTA ANA PHYSICIANS GROUP PC INDIO EMERGENCY MEDICINE 14 209 $346,180 $1,656 0.2% 0.1% (760) 347-6191
63 FLAGSTAFF EMERGENCY PHYSICIANS FLAGSTAFF EMERGENCY MEDICINE 39 206 $213,400 $1,036 0.2% 0.1% (928) 774-1693
64 EMERGENCY MEDICINE SERVICES OF TN, PC NASHVILLE EMERGENCY MEDICINE 134 199 $195,816 $984 0.2% 0.1% (615) 781-4000
65 TEXAS PHYSICIAN RESOURCES, LLP DALLAS EMERGENCY MEDICINE 93 197 $310,548 $1,576 0.2% 0.1% (214) 947-8181
66 CEPAMERICA ILLINOIS LLP CHICAGO EMERGENCY MEDICINE 503 194 $237,766 $1,226 0.2% 0.1% (773) 774-8000
67 RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC ELIZABETH EMERGENCY MEDICINE 780 194 $213,594 $1,101 0.2% 0.1% (908) 994-5422
68 SAMPSON REGIONAL EMERGENCY PROFESSIONAL SERVICES, LLC CLINTON EMERGENCY MEDICINE 7 185 $87,800 $475 0.2% 0.1% (910) 592-8511
69 JEFFERSON EMERGENCY SERVICES PLLC JEFFERSON EMERGENCY MEDICINE 20 174 $275,090 $1,581 0.1% 0.1% (336) 846-7101
70 GEM CAPITAL PHYSICIANS PLLC LOUISBURG EMERGENCY MEDICINE 20 173 $275,570 $1,593 0.1% 0.1% (252) 438-4143
71 VITUITY - MICHIGAN EM PC LANSING EMERGENCY MEDICINE 53 172 $210,590 $1,224 0.1% 0.1% (517) 364-1000
72 CENTRAL COAST EMERGENCY PHYSICIANS TEMPLETON EMERGENCY MEDICINE 25 169 $265,644 $1,572 0.1% 0.1% (800) 962-3303
73 YADKIN EMERGENCY PHYSICIANS PLLC ELKIN EMERGENCY MEDICINE 18 169 $277,490 $1,642 0.1% 0.1% (336) 527-7000
74 EMERGENCY MEDICINE PHYSICIANS OF CRAVEN COUNTY PLLC NEW BERN EMERGENCY MEDICINE 13 165 $256,679 $1,556 0.1% 0.1% (252) 633-8119
75 USACS COMMUNITY EMERGENCY SERVICES OF COLORADO INC. DENVER EMERGENCY MEDICINE 176 164 $242,974 $1,482 0.1% 0.1% (330) 925-4199
76 SHERIDAN EMERGENCY PHYSICIAN SERVICES INC JUPITER EMERGENCY MEDICINE 20 162 $76,626 $473 0.1% 0.1% (954) 939-5000
77 ISLAND EMERGENCY MEDICAL SERVICES PC TROY EMERGENCY MEDICINE 143 160 $266,937 $1,668 0.1% 0.1% (518) 271-3261
78 IMMEDIATE CARE OF GOLDSBORO PLLC GOLDSBORO EMERGENCY MEDICINE 12 159 $142,725 $898 0.1% 0.1% 9195800004109
79 UTAH EMERGENCY PHYSICIANS SALT LAKE CITY EMERGENCY MEDICINE 153 152 $163,102 $1,073 0.1% 0.1% (801) 507-9700
80 THE BORTOLAZZO GROUP, LLC AUSTELL EMERGENCY MEDICINE 94 143 $177,102 $1,238 0.1% 0.0% (770) 732-4000
81 BAY AREA EMERGENCY PHYSICIANS LLC CLEARWATER EMERGENCY MEDICINE 10 140 $130,470 $932 0.1% 0.0% (727) 462-7000
82 WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS LLC ABINGDON EMERGENCY MEDICINE 91 133 $291,802 $2,194 0.1% 0.0% (276) 258-1000
83 T M CARR MD PC DYERSBURG EMERGENCY MEDICINE 24 132 $430,125 $3,259 0.1% 0.0% (731) 285-2410
84 EMERGENCY MEDICINE PHYSICIANS OF CORTLAND COUNTY PLLC CORTLAND EMERGENCY MEDICINE 6 131 $188,430 $1,438 0.1% 0.0% (607) 756-3743
85 EMERGENCY MEDICINE SERVICES OF TX, PLLC SAN ANTONIO EMERGENCY MEDICINE 356 131 $179,725 $1,372 0.1% 0.0% (210) 575-4000
86 EMERGENCY MEDICINE SERVICES OF NH, LLC DERRY EMERGENCY MEDICINE 66 125 $67,695 $542 0.1% 0.0% (603) 432-1500
87 PIEDMONT TRIAD PHYSICIANS PLLC THOMASVILLE EMERGENCY MEDICINE 36 124 $201,330 $1,624 0.1% 0.0% (336) 472-2000
88 CAREPOINT HEALTH EMERGENCY MEDICINE IDAHO PLLC CALDWELL EMERGENCY MEDICINE 14 122 $157,508 $1,291 0.1% 0.0% (208) 459-4641
89 FLORIDIAN EMERGENCY SPECIALISTS LLC CRESTVIEW EMERGENCY MEDICINE 21 122 $197,120 $1,616 0.1% 0.0% (850) 689-8100
90 MCLEOD HEALTH CHERAW CHERAW EMERGENCY MEDICINE 40 121 $86,192 $712 0.1% 0.0% (843) 537-7881
91 EASTSIDE EMERGENCY PHYSICIANS PLLC ISSAQUAH EMERGENCY MEDICINE 56 119 $156,247 $1,313 0.1% 0.0% (425) 394-0610
92 ANGELFISH EMERGENCY PHYSICIANS LLC COVINGTON EMERGENCY MEDICINE 11 116 $190,008 $1,638 0.1% 0.0% (954) 939-5000
93 OLYMPIA EMERGENCY CARE PHYSICIANS PLLC OLYMPIA EMERGENCY MEDICINE 29 116 $193,980 $1,672 0.1% 0.0% (253) 403-4901
94 MEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP HOUSTON EMERGENCY MEDICINE 273 113 $128,368 $1,136 0.1% 0.0% (713) 338-6565
95 DELAWARE RIVER MEDICINE PLLC PORT JERVIS EMERGENCY MEDICINE 26 112 $219,163 $1,957 0.1% 0.0% (845) 858-7000
96 WESTERN CAROLINA EMERGENCY PHYSICIANS, PLLC ALBEMARLE EMERGENCY MEDICINE 23 110 $167,160 $1,520 0.1% 0.0% (704) 984-4000
97 FREMONT EMERGENCY SERVICES SCHERR LTD LAS VEGAS EMERGENCY MEDICINE 143 104 $173,676 $1,670 0.1% 0.0% (856) 686-4394
98 NEWBERRY COUNTY MEMORIAL HOSPITAL NEWBERRY EMERGENCY MEDICINE 17 101 $174,831 $1,731 0.1% 0.0% (803) 276-7570
99 MADISON EMERGENCY GROUP, PC MADISON EMERGENCY MEDICINE 10 101 $221,594 $2,194 0.1% 0.0% (706) 342-1667
100 ALLEGHANY EMERGENCY GROUP LLC SPARTA EMERGENCY MEDICINE 10 101 $221,594 $2,194 0.1% 0.0% (336) 372-5511

Showing the top 100 of 282 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*"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 →