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Medicare Pennsylvania · CY2024

Who bills the most Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214) to Medicare in Pennsylvania?

Medicare Part B FFS · CY2024 · as published by CMS
1,889
Billing groups
2,760,550
Named-group FFS services
$660,166,955
Named-group submitted charges
$239
Avg charge / service
$116
Avg allowed / service
22%
Top-5 concentration
2%
Independent share

1,889 physician groups billed Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214) to Medicare fee-for-service in Pennsylvania in 2024; the top five named groups hold 22% of that volume, and independent (non-hospital-affiliated) groups deliver 2%.

99214 — Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

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

Payer-mix context

Medicare fee-for-service covers 46% of Medicare in Pennsylvania; Medicare Advantage penetration 45% → 54% 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 99214 svcs Share*Phone
1 LEHIGH VALLEY PHYSICIAN GROUP ALLENTOWNPAPHYSICIAN ASSISTANT 2389 141,277 3.3%
2 ST LUKES PHYSICIAN GROUP INC BETHLEHEMPAPHYSICIAN ASSISTANT 2164 127,801 3.0% (484) 526-2400
3 WELLSPAN MEDICAL GROUP YORKPAPHYSICIAN ASSISTANT 2312 127,087 3.0%
4 GEISINGER CLINIC DANVILLEPAPHYSICIAN ASSISTANT 3426 103,330 2.4% (570) 271-6144
5 UNIVERSITY OF PENN - MEDICAL GROUP PHILADELPHIAPAPHYSICIAN ASSISTANT 3505 98,058 2.3% (215) 662-2777
6 MAIN LINE HEALTHCARE BRYN MAWRPANURSE PRACTITIONER 1157 89,524 2.1%
7 PINNACLE HEALTH MEDICAL SERVICES HARRISBURGPAPHYSICIAN ASSISTANT 1060 59,370 1.4% (717) 782-2100
8 LANCASTER GENERAL MEDICAL GROUP LANCASTERPAPHYSICIAN ASSISTANT 580 54,965 1.3%
9 CARDIOLOGY CONSULTANTS OF PHILADELPHIA PC PHILADELPHIAPACARDIOVASCULAR DISEASE (CARDIOLOGY) 143 54,420 1.3% (215) 463-5333
10 ALLEGHENY CLINIC PITTSBURGHPAPHYSICIAN ASSISTANT 2293 49,650 1.2%
11 UNIVERSITY OF PITTSBURGH PHYSICIANS PITTSBURGHPADIAGNOSTIC RADIOLOGY 4291 45,915 1.1%
12 THE CENTERS FOR ADVANCED UROLOGY LLP KING OF PRUSSIAPAUROLOGY 145 45,477 1.1% (610) 579-3577
13 UPMC COMMUNITY MEDICINE INC PITTSBURGHPAFAMILY PRACTICE 749 45,066 1.1% (412) 281-0322
14 JEFFERSON UNIVERSITY PHYSICIANS PHILADELPHIAPADIAGNOSTIC RADIOLOGY 1570 42,074 1.0%
15 TEMPLE FACULTY PRACTICE PLAN INC PHILADELPHIAPAPHYSICIAN ASSISTANT 1330 37,190 0.9%
16 PENN STATE HEALTH MEDICAL GROUP LLC CAMP HILLPAPHYSICIAN ASSISTANT 700 34,000 0.8% (717) 972-4250
17 CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH. WEST CHESTERPANURSE PRACTITIONER 616 33,938 0.8% (610) 431-5000
18 THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP HERSHEYPAPHYSICIAN ASSISTANT 1599 32,420 0.8% (717) 531-5638
19 BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION BRYN MAWRPANURSE PRACTITIONER 134 29,964 0.7% (610) 527-3800
20 GUTHRIE MEDICAL GROUP PC SAYREPAPHYSICIAN ASSISTANT 804 29,586 0.7% (570) 888-5858
21 EINSTEIN COMMUNITY HEALTH ASSOCIATES INC PHILADELPHIAPAFAMILY PRACTICE 195 27,547 0.6% (215) 927-1937
22 FAMILY PRACTICE CENTER PC MIDDLEBURGPAPHYSICAL THERAPIST IN PRIVATE PRACTICE 345 25,384 0.6% (570) 837-5889
23 ARIA HEALTH PHYSICIAN SERVICES PHILADELPHIAPAPHYSICIAN ASSISTANT 489 23,903 0.6% (215) 890-3030
24 TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP LANGHORNEPANURSE PRACTITIONER 383 18,934 0.4%
25 METHODIST ASSOCIATES IN HEALTHCARE, INC PHILADELPHIAPADIAGNOSTIC RADIOLOGY 398 18,366 0.4% (215) 955-6161
26 EXCELA HEALTH PHYSICIAN PRACTICES, INC GREENSBURGPAPHYSICIAN ASSISTANT 470 17,645 0.4% (724) 261-5610
27 EINSTEIN PRACTICE PLAN INC PHILADELPHIAPADIAGNOSTIC RADIOLOGY 740 17,107 0.4% (215) 456-8242
28 TEMPLE PHYSICIANS INC PHILADELPHIAPAPHYSICIAN ASSISTANT 160 16,677 0.4%
29 PENTAHEALTH, LLC WEST CHESTERPAFAMILY PRACTICE 67 16,366 0.4% (610) 235-4100
30 PHOENIX REHABILITATION AND HEALTH SERVICES INC CRANBERRY TOWNSHIPPAPHYSICIAN ASSISTANT 2664 15,670 0.4%
31 PINNACLE HEALTH CARDIOVASCULAR INSTITUTE INC MECHANICSBURGPACARDIOVASCULAR DISEASE (CARDIOLOGY) 113 15,668 0.4% (717) 731-0101
32 VISION INNOVATION CENTERS OF PENNSYLVANIA LLC WEST PITTSTONPAOPTOMETRY 85 15,499 0.4% (570) 602-1010
33 PINNACLE HEALTH REGIONAL PHYSICIANS LANCASTERPAOBSTETRICS/GYNECOLOGY 162 13,716 0.3% (717) 393-1338
34 CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC CHERRY HILLPADIAGNOSTIC RADIOLOGY 825 12,950 0.3% (856) 433-2535
35 ALLIANCE CANCER SPECIALISTS P.C. LANGHORNEPAHEMATOLOGY/ONCOLOGY 44 12,833 0.3% (215) 750-5050
36 HERITAGE VALLEY MULTISPECIALTY GROUP INC BEAVERPAPHYSICIAN ASSISTANT 240 12,740 0.3% (724) 728-8751
37 PREFERRED PRIMARY CARE PHYSICIANS, INC. CARNEGIEPAFAMILY PRACTICE 87 12,679 0.3% (412) 249-1663
38 BUTLER MEDICAL PROVIDERS BUTLERPAPHYSICIAN ASSISTANT 360 12,574 0.3% (844) 765-2845
39 PENNSYLVANIA DERMATOLOGY PARTNERS INC READINGPADERMATOLOGY 75 12,418 0.3% (610) 288-2908
40 SUSQUEHANNA PHYSICIAN SERVICES WILLIAMSPORTPAPHYSICIAN ASSISTANT 608 12,315 0.3% (570) 326-8005
41 REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. LANCASTERPAPHYSICIAN ASSISTANT 259 12,289 0.3% (717) 869-4600
42 ST CLAIR MEDICAL SERVICES INC PITTSBURGHPAPHYSICIAN ASSISTANT 195 12,278 0.3%
43 REGIONAL HEALTH SERVICES INC ERIEPAPHYSICIAN ASSISTANT 588 12,085 0.3%
44 ONCOLOGY HEMATOLOGY ASSOCIATION INC PITTSBURGHPAPHYSICIAN ASSISTANT 193 11,541 0.3% (412) 367-1199
45 CAPITAL HEALTH MEDICAL GROUP PENNINGTONPANURSE PRACTITIONER 439 11,518 0.3% (609) 537-6000
46 THE HEART GROUP OF LANCASTER GENERAL HEALTH LANCASTERPANURSE PRACTITIONER 61 10,859 0.3% (717) 544-8300
47 MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC STATE COLLEGEPAPHYSICIAN ASSISTANT 363 9,772 0.2% (814) 234-8800
48 READING HOSPITAL WEST READINGPANURSE PRACTITIONER 153 9,449 0.2%
49 TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIAPAFAMILY PRACTICE 153 8,784 0.2% (215) 829-3521
50 PREMIER MEDICAL ASSOCIATES PC MONROEVILLEPAPHYSICIAN ASSISTANT 111 8,672 0.2% (412) 380-2800
51 VIA AFFILIATES DOYLESTOWNPAPHYSICIAN ASSISTANT 206 8,410 0.2% (215) 230-0600
52 UPMC ALTOONA REGIONAL HEALTH SERVICES, INC. ALTOONAPAPHYSICIAN ASSISTANT 190 8,310 0.2% (814) 941-8811
53 ABINGTON MEMORIAL HOSPITAL ABINGTONPANURSE PRACTITIONER 454 8,225 0.2% (215) 481-2222
54 DUBOIS REGIONAL MEDICAL CENTER DU BOISPAPHYSICIAN ASSISTANT 416 8,088 0.2%
55 TOWER HEALTH MEDICAL GROUP WEST READINGPAINTERNAL MEDICINE 590 8,010 0.2% (484) 628-5455
56 NOVACARE OUTPATIENT REHABILITATION EAST, INC. COLLEGEVILLEPAORTHOPEDIC SURGERY 483 7,919 0.2% (610) 489-7703
57 SCRANTON QUINCY CLINIC COMPANY LLC SCRANTONPADIAGNOSTIC RADIOLOGY 69 7,734 0.2% (570) 340-5079
58 PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD BROOMALLPAORTHOPEDIC SURGERY 216 7,701 0.2% (610) 353-0800
59 RHEUMATIC DISEASE ASSOCIATES,LTD WILLOW GROVEPARHEUMATOLOGY 16 7,562 0.2% 2156576776438
60 KIDNEY CARE SPECIALISTS LLC ALLENTOWNPANEPHROLOGY 75 7,525 0.2% (610) 432-4529
61 HEMATOLOGY ONCOLOGY ASSOCIATION GREENSBURGPAMEDICAL ONCOLOGY 79 7,182 0.2% (724) 838-1900
62 ALLEGHENY CLINIC MEDICAL ONCOLOGY KITTANNINGPANURSE PRACTITIONER 92 7,139 0.2% (724) 543-8657
63 ADVOCARE, LLC HADDONFIELDPANURSE PRACTITIONER 384 7,137 0.2% (856) 354-2211
64 EYE CONSULTANTS OF PENNSYLVANIA PC WYOMISSINGPAOPHTHALMOLOGY 25 7,114 0.2% (610) 378-1344
65 COMMONWEALTH PHYSICIAN NETWORK LLC NANTICOKEPAPHYSICIAN ASSISTANT 63 6,975 0.2% (570) 735-7474
66 GOOD SAMARITAN PHYSICIAN SERVICES CHAMBERSBURGPANURSE PRACTITIONER 105 6,895 0.2% (717) 217-6020
67 WILLS EYE OPHTHALMOLOGY CLINIC, INC PHILADELPHIAPAOPHTHALMOLOGY 143 6,669 0.2% (215) 928-3041
68 FORNANCE PHYSICIAN SERVICES INC EAST NORRITONPAFAMILY PRACTICE 109 6,603 0.2% (610) 279-1500
69 ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC ERIEPAPHYSICIAN ASSISTANT 303 6,063 0.1% (814) 454-2401
70 FAYETTE PHYSICIAN NETWORK INC UNIONTOWNPAPHYSICIAN ASSISTANT 294 5,979 0.1% (724) 430-6899
71 PATIENT FIRST PENNSYLVANIA MEDICAL GROUP PLLC HARRISBURGPAPHYSICIAN ASSISTANT 146 5,854 0.1% (717) 943-1566
72 PENN MEDICINE-PMA BALA CYNWYDPAFAMILY PRACTICE 52 5,811 0.1% (610) 747-3470
73 POCONO EYE ASSOCIATES INC E STROUDSBURGPAOPHTHALMOLOGY 10 5,765 0.1% 57042188421007
74 RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II LLC PHILADELPHIAPAPHYSICIAN ASSISTANT 287 5,652 0.1% (267) 339-3500
75 WASHINGTON PHYSICIAN SERVICES WASHINGTONPAPHYSICIAN ASSISTANT 104 5,607 0.1%
76 CLINICAL RENAL ASSOCIATES LLC CHESTERPANEPHROLOGY 33 5,568 0.1% (610) 872-8501
77 LANCASTER GENERAL HOSPITAL LANCASTERPANURSE PRACTITIONER 511 5,309 0.1% (267) 857-7751
78 UPMC HILLMAN CANCER CENTER-PINNACLE HARRISBURGPAHEMATOLOGY/ONCOLOGY 40 5,235 0.1% (717) 724-6780
79 NORTHEASTERN REHABILITATION ASSOCIATES, PC SCRANTONPAPHYSICAL MEDICINE AND REHABILITATION 48 5,195 0.1% (570) 344-3788
80 TRIVALLEY PRIMARY CARE PC SOUDERTONPAFAMILY PRACTICE 54 5,080 0.1% (215) 723-3280
81 CENTER FOR UROLOGIC CARE OF BERKS CO PC READINGPAUROLOGY 16 5,074 0.1% (610) 372-8995
82 GENESIS MEDICAL ASSOCIATES, INC. PITTSBURGHPAPHYSICIAN ASSISTANT 96 5,012 0.1% (412) 369-9943
83 WAYNE MEMORIAL HOSPITAL HONESDALEPACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 54 4,950 0.1% (570) 253-8133
84 HR PHYSICIAN SERVICES MEADOWBROOKPAINTERNAL MEDICINE 178 4,899 0.1% (215) 436-1420
85 LUDWICK EYE CENTER, LTD CHAMBERSBURGPAOPTOMETRY 12 4,616 0.1% (717) 262-9700
86 LEBANON INTERNAL MEDICINE ASSOCIATES PC LEBANONPAPHYSICIAN ASSISTANT 17 4,610 0.1% (717) 273-6706
87 PENNSYLVANIA DERMATOLOGY GROUP PC HUNTINGDON VALLEYPADERMATOLOGY 9 4,602 0.1% (215) 947-7500
88 BRYN MAWR SKIN AND CANCER LLP BRYN MAWRPADERMATOLOGY 10 4,592 0.1% (610) 525-5028
89 ADVANCED SPINE AND PAIN LLC HAMMONTONPAPAIN MANAGEMENT 43 4,504 0.1% (888) 985-2727
90 POTTSTOWN MEDICAL SPECIALISTS INC POTTSTOWNPAFAMILY PRACTICE 39 4,430 0.1% (484) 945-0075
91 INGLESIDE MEDICAL ASSOCIATES LLC THORNDALEPAFAMILY PRACTICE 8 4,399 0.1% (610) 383-6300
92 PULMONOLOGY ASSOCIATES INC PAOLIPAPULMONARY DISEASE 18 4,362 0.1% (610) 648-0553
93 WARREN GENERAL HOSPITAL WARRENPAPHYSICIAN ASSISTANT 50 4,211 0.1%
94 WMC PHYSICIAN PRACTICES LLC WEIRTONPANURSE PRACTITIONER 109 4,176 0.1% (304) 797-6557
95 DLP CONEMAUGH PHYSICIAN PRACTICES LLC JOHNSTOWNPAPHYSICIAN ASSISTANT 280 4,149 0.1% (814) 534-9104
96 LEHIGH VALLEY EYE CENTER, P.C. WEST MIFFLINPAOPHTHALMOLOGY 51 4,107 0.1% (412) 653-3080
97 EAR NOSE AND THROAT ASSOCIATES OF CHESTER COUNTY EXTONPAQUALIFIED AUDIOLOGIST 16 4,106 0.1% (610) 363-2532
98 CENTER FOR INTERVENTIONAL PAIN SPINE LLC WILMINGTONPAPAIN MANAGEMENT 24 4,074 0.1% (844) 365-7246
99 HEMATOLOGY AND ONCOLOGY ASSOCIATES OF NORTHEASTERN PA PC DUNMOREPAHEMATOLOGY/ONCOLOGY 7 4,064 0.1% (570) 342-3675
100 CONSULTANTS IN MEDICAL ONCOLOGY AND HEMATOLOGY PC BROOMALLPAHEMATOLOGY/ONCOLOGY 10 3,934 0.1% (610) 492-5900

*Share of Pennsylvania's disclosed Medicare-FFS services for 99214, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99214 in Pennsylvania — 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 →