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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 99202
  4. Cost Analysis

How Much Does New patient office or other outpatient visit, 15-29 minutes Cost on Medicare?

Cost analysis for CPT 99202 — New patient office or other outpatient visit, 15-29 minutes

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Average Medicare Payment

$44.03

2023 data

Total Payments (2023)

$30.8M

Services (2023)

687.6K

Price Change (2014–2023)

-5.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$46.43$120.4M2.5M—
2015$46.47$117.6M2.5M+0.1%
2016$45.37$110.8M2.4M-2.4%
2017$45.04$103.1M2.2M-0.7%
2018$45.49$97.5M2.1M+1.0%
2019$46.98$96.7M2.0M+3.3%
2020$48.95$87.1M1.7M+4.2%
2021$49.96$66.0M1.3M+2.1%
2022$47.60$46.1M949.0K-4.7%
2023$44.03$30.8M687.6K-7.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $54.38 vs ID at $36.20.

StateAvg PaymentTotal PaymentsServicesProviders
NY$54.38$2.8M51.1K1.5K
NJ$51.73$1.3M26.0K798
DC$50.36$90.5K1.8K67
AK$50.08$118.4K2.4K75
CA$49.91$2.7M53.8K1.6K
CT$48.85$541.6K11.1K356
MD$48.43$928.9K19.2K574
MA$47.89$981.4K20.5K602
RI$47.78$114.7K2.4K78
DE$46.29$223.8K4.8K104
NV$45.73$194.6K4.3K149
MN$45.71$391.7K8.6K357
PA$45.10$1.6M34.6K1.0K
FL$45.03$2.1M47.1K1.4K
PR$44.85$47.7K1.1K38
VA$44.82$1.1M24.0K632
HI$44.39$109.1K2.5K72
WA$44.32$585.2K13.2K391
IL$44.08$1.2M28.1K916
TX$43.66$1.8M42.3K1.2K
MI$43.20$808.6K18.7K622
CO$43.15$372.6K8.6K304
NH$43.14$133.8K3.1K103
OR$42.74$264.1K6.2K215
LA$42.71$435.5K10.2K251
WY$42.59$92.6K2.2K70
SC$42.09$583.5K13.9K377
UT$42.00$176.5K4.2K131
GA$41.97$726.7K17.3K572
KS$41.85$290.2K6.9K199
MT$41.55$173.7K4.2K121
AZ$41.50$649.8K15.7K479
ME$41.39$62.3K1.5K58
AL$41.25$339.6K8.2K250
OK$41.14$362.3K8.8K225
NC$41.00$895.9K21.9K702
KY$40.89$328.5K8.0K254
MO$40.61$521.4K12.8K388
IN$40.28$598.9K14.9K462
IA$40.09$340.6K8.5K242
MS$40.08$351.0K8.8K203
NE$39.99$192.2K4.8K130
WI$39.92$477.4K12.0K416
TN$39.85$570.4K14.3K430
VI$39.71$7.5K1886
GU$39.57$7.5K1907
OH$39.56$1.0M25.7K848
SD$39.38$115.0K2.9K75
NM$39.14$136.6K3.5K105
AR$39.08$320.5K8.2K219
ND$38.65$59.1K1.5K61

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Vladimir SkorokhodEmergency MedicineCA$62.2K993$62.59
Gerald MinkowitzPathologyNY$49.0K745$65.81
Jasmit MinhasInternal MedicineWA$42.7K900$47.50
Sean SwaneyGeneral PracticeVA$42.2K996$42.34
Sheela MehraInternal MedicineNY$40.8K819$49.78
Sachin ParekhFamily PracticeCT$35.3K794$44.48
Douglas DigbyCertified Registered Nurse Anesthetist (CRNA)FL$35.1K783$44.83
Alan MooreNeurologyMS$34.0K737$46.08
Mitchell MeyersonDermatologyNY$31.3K548$57.20
Ross HensleyDermatologyOK$29.6K712$41.58
Soundarapandian BaskarGastroenterologyFL$27.7K536$51.68
Stefan KiesermanOtolaryngologyNY$27.2K418$64.99
Steven FreedmanOtolaryngologyRI$23.6K473$49.80
Peter MorrellDermatologyTX$22.5K524$42.86
John RitroskyPlastic and Reconstructive SurgeryFL$21.9K372$58.82
David BiroDermatologyNY$21.5K386$55.78
Josephine FutrellDermatologyLA$21.3K485$43.93
Wayne FosterOtolaryngologyNJ$21.0K366$57.48
David EdelmanNeurologyCA$20.3K322$63.05
Marc PechaPhysical Medicine and RehabilitationTX$19.3K364$52.98

🤔 Is New patient office or other outpatient visit, 15-29 minutes Overpriced?

Based on the data, CPT 99202 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 5.2% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.