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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. 99204
99204

New patient office or other outpatient visit, typically 45 minutes

$10.9B in total Medicare payments across 10 years

🔎 Data Analysis

Procedure 99204 (New patient office or other outpatient visit, typically 45 minutes) received $10.9B in total Medicare payments.

Across 96.1M services, the average Medicare payment was $113.93 per service.

AI-generated analysis based on Medicare payment data.

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesYoY Change
2014$966.0M8.4M—
2015$1.0B8.7M+3.9%
2016$1.0B9.2M+2.8%
2017$1.0B9.3M+0.5%
2018$1.1B9.5M+2.9%
2019$1.1B9.8M+3.8%
2020$879.5M7.8M-20.6%
2021$1.3B10.9M+46.7%
2022$1.3B11.2M-0.7%
2023$1.3B11.4M-0.1%

Top Providers for 99204

#ProviderSpecialtyStatePaymentsServicesAvg/Service
1Adam MoskowitzGastroenterologyNY$203.4K1.9K$107.44
2Michael PateteOtolaryngologyFL$179.0K1.5K$118.45
3Vladimir SkorokhodEmergency MedicineCA$178.3K1.2K$154.90
4David HairOphthalmologyCA$177.0K1.5K$116.74
5Jamie DevitoDermatologyCA$131.5K967$136.02
6Jay HaynieOptometryWA$125.3K1.0K$119.87
7David BoesOphthalmologyMT$123.5K1.0K$120.62
8Elizabeth KavalerUrologyNY$111.7K806$138.60
9Rami SartawiInterventional RadiologyNY$110.2K740$148.93
10Jennie YuInternal MedicineNY$110.1K769$143.17
11Rona SilkissOphthalmologyCA$106.9K742$144.11
12Michael BublikOtolaryngologyCA$103.8K731$142.04
13Bernard DuranteOtolaryngologyMA$102.2K826$123.67
14Anish KokaCardiologyPA$102.1K797$128.10
15Krikor TatoyanInternal MedicineCA$100.5K726$138.47
16Wesley HollomonInternal MedicineNY$100.2K690$145.24
17Todd LindquistOtolaryngologyFL$98.1K816$120.22
18Min WuFamily PracticeCA$97.8K731$133.80
19Michael MilliganSports MedicineFL$97.6K747$130.71
20Wayne ShaiaOtolaryngologyVA$97.5K807$120.80
21Furqan MuhammadInternal MedicineFL$97.0K867$111.91
22Stephen LaquisOphthalmologyFL$94.3K783$120.49
23Michael StockOphthalmologyMO$94.2K824$114.34
24Ann-Marie CampbellNurse PractitionerNY$93.2K838$111.25
25Marc ShomerOphthalmologyCA$92.8K813$114.15

Spending by State

StatePaymentsServicesProvidersAvg/Provider
CA$139.4M1.1M19.4K$7.2K
FL$133.3M1.2M19.0K$7.0K
NY$92.9M703.8K14.2K$6.6K
TX$90.9M828.1K16.4K$5.6K
PA$51.3M457.9K10.3K$5.0K
IL$47.7M416.6K8.6K$5.6K
NJ$46.7M365.7K7.2K$6.5K
NC$40.8M389.6K8.4K$4.8K
VA$40.6M366.0K6.8K$5.9K
MD$39.2M323.2K5.4K$7.3K
AZ$38.6M358.8K5.8K$6.7K
GA$37.0M339.6K7.3K$5.1K
OH$36.5M351.9K8.3K$4.4K
MA$33.0M283.9K5.9K$5.6K
TN$28.8M280.7K5.5K$5.3K
SC$28.8M273.1K4.5K$6.4K
MI$26.7M246.6K6.3K$4.2K
WA$24.7M225.1K4.8K$5.2K
IN$23.1M221.8K4.7K$4.9K
MO$20.9M199.4K4.4K$4.8K
AL$17.8M172.2K3.7K$4.8K
CO$17.1M152.3K3.7K$4.7K
OK$16.1M154.7K2.8K$5.8K
LA$15.5M147.1K3.2K$4.8K
KY$15.4M149.2K3.2K$4.8K
MS$12.6M124.9K2.2K$5.8K
WI$12.4M121.3K3.4K$3.7K
OR$12.2M115.1K2.7K$4.4K
CT$12.1M101.0K2.7K$4.6K
MN$12.1M110.3K3.3K$3.6K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

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