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Medicare District of Columbia · CY2024

Who bills the most Emergency department visit with high level of medical decision making (99285) to Medicare in District of Columbia?

Medicare Part B FFS · CY2024 · as published by CMS
35
Billing groups
10,555
Named-group FFS services
$9,212,587
Named-group submitted charges
$873
Avg charge / service
$181
Avg allowed / service
65%
Top-5 concentration
0%
Independent share

35 physician groups billed Emergency department visit with high level of medical decision making (99285) to Medicare fee-for-service in District of Columbia in 2024; the top five named groups hold 65% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.

99285 — Emergency department visit with high level of medical decision making · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole District of Columbia market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 66% of Medicare in District of Columbia; Medicare Advantage penetration 22% → 34% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99285 svcs Share*Phone
1 MEDSTAR MEDICAL GROUP II LLC WASHINGTONDCPHYSICIAN ASSISTANT 3707 3,642 12.5% (202) 429-2401
2 MEDICAL FACULTY ASSOCIATES, INC WASHINGTONDCPHYSICIAN ASSISTANT 685 1,989 6.8% (202) 715-4000
3 EMERGENCY PHYSICIANS OF TIDEWATER SUFFOLKDCEMERGENCY MEDICINE 165 459 1.6% (757) 686-3508
4 THE BORTOLAZZO GROUP, LLC AUSTELLDCEMERGENCY MEDICINE 94 381 1.3% (770) 732-4000
5 SANDHILLS EMERGENCY PHYSICIANS PA PINEHURSTDCEMERGENCY MEDICINE 25 361 1.2% (910) 715-1116
6 THE EMORY CLINIC INC ATLANTADCNURSE PRACTITIONER 3484 310 1.1% (404) 778-7525
7 PENSACOLA EMERGENCY PHYSICIANS, LLC PENSACOLADCEMERGENCY MEDICINE 43 306 1.1% (850) 469-2313
8 FAIR OAKS EMERGENCY PHYSICIANS PLLC FAIRFAXDCEMERGENCY MEDICINE 19 245 0.8% (703) 391-3600
9 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTONDCDIAGNOSTIC RADIOLOGY 3532 232 0.8% (617) 724-0287
10 FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC ORLANDODCEMERGENCY MEDICINE 310 209 0.7% (407) 303-5600
11 CEP AMERICA LLC DECATURDCEMERGENCY MEDICINE 960 203 0.7% (510) 851-7493
12 MILLS-PENINSULA EMERGENCY MEDICAL ASSOCIATES, INC BURLINGAMEDCEMERGENCY MEDICINE 30 203 0.7% (650) 696-5500
13 EMERGENCY PHYSICIANS SPPS BALTIMOREDCEMERGENCY MEDICINE 20 184 0.6% (410) 332-9000
14 WAKE EMERGENCY PHYSICIANS PA RALEIGHDCEMERGENCY MEDICINE 275 181 0.6% (919) 350-8000
15 MEDSTAR URGENT CARE LLC WALDORFDCPHYSICIAN ASSISTANT 294 166 0.6% (301) 932-5960
16 FEDKO EMERGENCY PHYSICIANS NEW MEXICO, LLC GRANTSDCEMERGENCY MEDICINE 56 164 0.6% (505) 287-4446
17 EMERGENCY MEDICINE ASSOCIATES P.A., P.C. ARLINGTONDCINTERNAL MEDICINE 696 159 0.5% (703) 558-5000
18 EMERGENCY COVERAGE LLC RICHMONDDCEMERGENCY MEDICINE 755 122 0.4% (804) 289-4500
19 TAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION SOUTH LAKE TAHOEDCEMERGENCY MEDICINE 17 119 0.4% (530) 541-3420
20 SEATTLE EMERGENCY PHYSICIANS SERVICES INC PS SEATTLEDCEMERGENCY MEDICINE 40 109 0.4% (360) 658-2488
21 MIDDLESEX HOSPITAL MIDDLETOWNDCFAMILY PRACTICE 229 106 0.4% (860) 358-4821
22 PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC OAKLANDDCEMERGENCY MEDICINE 13 100 0.3% (301) 533-4190
23 INOVA UCC LLC VIENNADCPHYSICIAN ASSISTANT 149 93 0.3% (703) 938-5300
24 BETHESDA EMERGENCY ASSOCIATES, LLC BETHESDADCEMERGENCY MEDICINE 10 91 0.3% (301) 896-3100
25 FREDERICKSBURG EMERGENCY MEDICAL ALLIANCE, INC. FREDERICKSBURGDCEMERGENCY MEDICINE 47 88 0.3% (540) 741-1167
26 PERMANENTE MEDICAL GROUP INC SANTA CLARADCINTERNAL MEDICINE 10890 76 0.3% (408) 851-1000
27 WINCHESTER MEDICAL CENTER WINCHESTERDCPHYSICIAN ASSISTANT 306 73 0.3% (540) 536-6721
28 UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS BROOKLYNDCEMERGENCY MEDICINE 92 41 0.1% (718) 270-1000
29 JOHNS HOPKINS UNIVERSITY BALTIMOREDCNURSE PRACTITIONER 2900 36 0.1% (410) 502-4340
30 SHOCK TRAUMA ASSOCIATES PA BALTIMOREDCNURSE PRACTITIONER 256 28 0.1% (410) 328-6704
31 AMERICAN GREATEST CARE LLC BURKEDCNURSE PRACTITIONER 14 21 0.1% (571) 516-3116
32 MID ATLANTIC MEDICINE LLC WASHINGTONDCPHYSICIAN ASSISTANT 14 19 0.1% (202) 715-4470
33 REGENTS OF THE UNIV OF CA SACRAMENTODCDIAGNOSTIC RADIOLOGY 1608 16 0.1% (877) 827-7463
34 UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS DALLASDCPHYSICIAN ASSISTANT 3200 12 0.0% (214) 633-5555
35 PHYSICIAN AFFILIATE GROUP OF NEW YORK PC BROOKLYNDCPHYSICIAN ASSISTANT 1231 11 0.0% (718) 616-5356

*Share of District of Columbia's disclosed Medicare-FFS services for 99285, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99285 in District of Columbia — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

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 →