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Market snapshot

99285 in NH CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
57
Named-group FFS services
23,874
FFS of Medicare
64%
Services YoY
+15.8%
FFS enrollment -0.5%
Estimated all-Medicare volume FFS + estimated MA estimate
~36,519 services

23,874 observed fee-for-service (65%) · ~12,645 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
$21.1M
Named-group allowed amount
$3.9M
Named-group Medicare payments
$3.0M
Avg charge / svc
$882
Avg allowed / svc
$164
Avg payment / svc
$125
Average charge per group
$280 57 groups · avg submitted charge / service $2,453
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Specialty market — Emergency Medicine: 4,378 services across 18 groups; top group 41%. 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 EMERGENCY MEDICINE SERVICES OF NH, LLC DERRY EMERGENCY MEDICINE 66 1,791 $2,072,506 $1,157 premium 40.9% 4.1% (603) 432-1500
2 SAN FRANCISCO EMERGENCY MEDICAL ASSOCIATES SAN FRANCISCO EMERGENCY MEDICINE 75 379 $460,485 $1,215 premium 8.7% 0.9% (415) 641-6625
3 NEW HAMPSHIRE EMERGENCY PHYSICIAN ASSOCIATES PC WOLFEBORO EMERGENCY MEDICINE 22 363 $608,315 $1,676 premium 8.3% 0.8% (856) 686-4316
4 BLUEWATER EMERGENCY PARTNERS OF BRUNSWICK, LLC LEWISTON EMERGENCY MEDICINE 141 361 $360,194 $998 premium 8.2% 0.8% (207) 795-5646
5 NORTHEAST EMERGENCY MEDICINE SPECIALISTS LLC WILLIMANTIC EMERGENCY MEDICINE 37 285 $456,285 $1,601 premium 6.5% 0.6% (830) 423-6410
6 EMERGENCY PHYSICIAN ASSOCIATES OF MASSACHUSETTS PC WORCESTER EMERGENCY MEDICINE 41 184 $175,832 $956 premium 4.2% 0.4% (508) 363-5000
7 GREENBRIER EMERGENCY SERVICES, INC. NORTH LITTLE ROCK EMERGENCY MEDICINE 52 156 $68,022 $436 premium 3.6% 0.4% (501) 202-3000
8 CEP AMERICA LLC DECATUR EMERGENCY MEDICINE 960 152 $186,482 $1,227 premium 3.5% 0.3% (510) 851-7493
9 PALOMAR EMERGENCY PHYSICIANS, INC POWAY EMERGENCY MEDICINE 71 144 $242,174 $1,682 premium 3.3% 0.3% (310) 379-2134
10 WAKE EMERGENCY PHYSICIANS PA RALEIGH EMERGENCY MEDICINE 275 95 $89,110 $938 premium 2.2% 0.2% (919) 350-8000
11 EMERGENCY MEDICINE SPECIALISTS INC KETTERING EMERGENCY MEDICINE 114 94 $111,954 $1,191 premium 2.1% 0.2% (937) 702-4024
12 JEFFERSON EMERGENCY PHYSICIANS PLLC BEAUMONT EMERGENCY MEDICINE 96 94 $220,900 $2,350 premium 2.1% 0.2% (409) 892-7171
13 PARAGON CONTRACTING SERVICES LLC BIRMINGHAM EMERGENCY MEDICINE 367 71 $174,163 $2,453 premium 1.6% 0.2% (205) 838-3450
14 EMERGENCY PHYSICIANS OF TIDEWATER SUFFOLK EMERGENCY MEDICINE 165 68 $47,872 $704 premium 1.6% 0.2% (757) 686-3508
15 LAWRENCE GENERAL HOSPITAL LAWRENCE EMERGENCY MEDICINE 112 65 $42,770 $658 premium 1.5% 0.1% 97868340002979
16 THE NEW LONDON HOSPITAL ASSOCIATION INC NEW LONDON EMERGENCY MEDICINE 70 36 $34,090 $947 premium 0.8% 0.1% (603) 526-5215
17 EMERGENCY ASSOCIATES - UNIVERSITY OF ROCHESTER ROCHESTER EMERGENCY MEDICINE 60 28 $21,000 $750 premium 0.6% 0.1% (585) 275-9555
18 GLOBAL PHYSICIAN NETWORK LLC SERIES I SARASOTA EMERGENCY MEDICINE 40 12 $11,808 $984 premium 0.3% 0.0% (941) 917-9000

*"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 →