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Market snapshot

99285 in NV CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
82
Named-group FFS services
39,791
FFS of Medicare
48%
Services YoY
+17.5%
FFS enrollment -1.9%
Estimated all-Medicare volume FFS + estimated MA estimate
~80,793 services

39,791 observed fee-for-service (49%) · ~41,002 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
$61.1M
Named-group allowed amount
$6.6M
Named-group Medicare payments
$5.1M
Avg charge / svc
$1,535
Avg allowed / svc
$166
Avg payment / svc
$129
Average charge per group
$360 82 groups · avg submitted charge / service $3,387
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Specialty market — Emergency Medicine: 29,909 services across 40 groups; top group 21%. 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 SHADOW EMERGENCY PHYSICIANS PLLC LAS VEGAS EMERGENCY MEDICINE 115 6,239 $11,682,854 $1,873 premium 20.9% 8.2% (954) 939-5000
2 FREMONT EMERGENCY SERVICES SCHERR LTD LAS VEGAS EMERGENCY MEDICINE 143 6,238 $9,815,058 $1,573 premium 20.9% 8.2% (856) 686-4394
3 BROWN CALVANESE CAMERON LTD RENO EMERGENCY MEDICINE 41 3,382 $3,683,538 $1,089 premium 11.3% 4.5% (775) 324-4040
4 VITUITY-NEVADA MEDICAL SERVICES KOURY AND PARTNERS PC HENDERSON EMERGENCY MEDICINE 65 3,213 $4,467,552 $1,390 premium 10.7% 4.2% (702) 616-5600
5 RENO EMERGENCY PHYSICIANS ASSOCIATION PLLC RENO EMERGENCY MEDICINE 13 1,349 $2,428,014 $1,800 premium 4.5% 1.8% (775) 770-5188
6 CEP AMERICA - CALIFORNIA MORENO VALLEY EMERGENCY MEDICINE 1230 1,244 $1,523,144 $1,224 premium 4.2% 1.6% (651) 243-0811
7 CARSON TAHOE EMERGENCY PHYSICIANS CARSON CITY EMERGENCY MEDICINE 17 921 $1,265,362 $1,374 premium 3.1% 1.2% (775) 445-8000
8 ACS PRIMARY CARE PHYSICIANS SOUTHWEST PA ATHENS EMERGENCY MEDICINE 192 769 $1,106,942 $1,439 premium 2.6% 1.0% (903) 676-1000
9 INNOVA EMERGENCY MEDICAL ASSOCIATES PC SHOW LOW EMERGENCY MEDICINE 71 522 $563,706 $1,080 premium 1.7% 0.7% (928) 537-4375
10 MVP EMERGENCY SERVICES LLC MESQUITE EMERGENCY MEDICINE 7 476 $710,582 $1,493 premium 1.6% 0.6% (615) 221-3722
11 SOUTHEASTERN EMERGENCY PHYSICIANS LLC KNOXVILLE EMERGENCY MEDICINE 785 442 $752,027 $1,701 premium 1.5% 0.6% (865) 373-1000
12 CEP AMERICA LLC DECATUR EMERGENCY MEDICINE 960 437 $518,980 $1,188 premium 1.5% 0.6% (510) 851-7493
13 NORTHSIDE EMERGENCY ASSOCIATES, P.C. CANTON EMERGENCY MEDICINE 37 426 $617,700 $1,450 premium 1.4% 0.6% (770) 224-1000
14 ERX GROUP LLC SWAINSBORO EMERGENCY MEDICINE 15 295 $418,605 $1,419 premium 1.0% 0.4% (248) 972-8725
15 LONGHORN EMERGENCY MEDICAL ASSOCIATES PA AUSTIN EMERGENCY MEDICINE 136 286 $413,039 $1,444 premium 1.0% 0.4% (830) 997-4353
16 TEAM PHYSICIANS OF NORTHERN CALIFORNIA MEDICAL GROUP INC LA MESA EMERGENCY MEDICINE 97 277 $336,001 $1,213 premium 0.9% 0.4% (619) 465-0711
17 EMERGENCY PHYSICIANS INTEGRATED CARE LLC SALT LAKE CITY EMERGENCY MEDICINE 204 272 $315,376 $1,159 premium 0.9% 0.4% (801) 268-7111
18 EMERGENCY PROFESSIONAL SERVICES PC PHOENIX EMERGENCY MEDICINE 104 270 $509,760 $1,888 premium 0.9% 0.4% (954) 939-5000
19 WINNEMUCCA EMERGENCY PHYSICIANS LLC WINNEMUCCA EMERGENCY MEDICINE 17 250 $398,344 $1,593 premium 0.8% 0.3% (954) 939-5000
20 TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC KINGSPORT EMERGENCY MEDICINE 116 213 $467,322 $2,194 premium 0.7% 0.3% (423) 857-7000
21 NORTHWEST EMERGENCY PHYSICIANS LLC FEDERAL WAY EMERGENCY MEDICINE 261 200 $259,400 $1,297 premium 0.7% 0.3% (253) 838-9700
22 PALOMAR EMERGENCY PHYSICIANS, INC POWAY EMERGENCY MEDICINE 71 196 $333,627 $1,702 premium 0.7% 0.3% (310) 379-2134
23 EMERGENCY PHYSICIANS ASSOCIATES SAN JOSE PC SAN JOSE EMERGENCY MEDICINE 144 194 $215,146 $1,109 premium 0.6% 0.3% (408) 885-5000
24 FOUCHER EMERGENCY GROUP LLC NEW ORLEANS EMERGENCY MEDICINE 40 184 $396,290 $2,154 premium 0.6% 0.2% (504) 592-6600
25 SUMMIT MEDICAL GROUP LLC CHEYENNE EMERGENCY MEDICINE 36 184 $277,655 $1,509 premium 0.6% 0.2% (307) 634-2273
26 CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP A PROFESSIONAL CORP TRUCKEE EMERGENCY MEDICINE 19 168 $206,004 $1,226 premium 0.6% 0.2% (530) 582-6594
27 NEMS PLLC MERIDEN EMERGENCY MEDICINE 36 164 $262,564 $1,601 premium 0.5% 0.2% (203) 694-8200
28 CLARK FORK EMERGENCY PHYSICIANS PLLC MISSOULA EMERGENCY MEDICINE 7 161 $213,003 $1,323 premium 0.5% 0.2% (406) 728-4100
29 SOUTHERN CALIFORNIA EMERGENCY MEDICAL GROUP SAN PEDRO EMERGENCY MEDICINE 25 149 $136,335 $915 premium 0.5% 0.2% (310) 514-5350
30 DENALI EMERGENCY MEDICINE ASSOC PC ANCHORAGE EMERGENCY MEDICINE 21 147 $175,948 $1,197 premium 0.5% 0.2% (907) 264-1222
31 EMERGENCY PROFESSIONAL SERVICES, INC. CINCINNATI EMERGENCY MEDICINE 124 145 $222,264 $1,533 premium 0.5% 0.2% (513) 369-2000
32 EMERGENCY MEDICINE SERVICES OF FL LLC BRANDON EMERGENCY MEDICINE 653 122 $132,228 $1,084 premium 0.4% 0.2% (813) 681-5551
33 HOOVER EMERGENCY PHYSICIANS LLC BOULDER CITY EMERGENCY MEDICINE 15 106 $191,330 $1,805 premium 0.4% 0.1% (954) 939-5000
34 MEMORIAL HERMANN HOSPITAL BASED PHYSICIAN GROUP HOUSTON EMERGENCY MEDICINE 273 86 $110,439 $1,284 premium 0.3% 0.1% (713) 338-6565
35 EASTSIDE EMERGENCY PHYSICIANS PLLC ISSAQUAH EMERGENCY MEDICINE 56 59 $77,467 $1,313 premium 0.2% 0.1% (425) 394-0610
36 FREDERICKSBURG EMERGENCY MEDICAL ALLIANCE, INC. FREDERICKSBURG EMERGENCY MEDICINE 47 38 $27,137 $714 premium 0.1% 0.1% (540) 741-1167
37 PARAGON EMERGENCY SERVICES LLC THE VILLAGES EMERGENCY MEDICINE 394 34 $52,020 $1,530 premium 0.1% 0.0% (352) 751-8000
38 LOLA EMERGENCY PHYSICIANS LLC PAHRUMP EMERGENCY MEDICINE 10 23 $43,424 $1,888 premium 0.1% 0.0% (954) 939-5000
39 PHS EMERGENCY BILLING LLC DAYTON EMERGENCY MEDICINE 70 15 $9,885 $659 premium 0.1% 0.0% (937) 208-8000
40 GREENWICH HOSPITAL GREENWICH EMERGENCY MEDICINE 78 13 $44,025 $3,387 premium 0.0% 0.0% (203) 863-3000

*"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 →