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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. 99221
99221

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes

$918.1M in total Medicare payments across 10 years

🔎 Data Analysis

Procedure 99221 (Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes) received $918.1M in total Medicare payments.

Across 11.9M services, the average Medicare payment was $77.21 per service.

AI-generated analysis based on Medicare payment data.

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesYoY Change
2014$110.5M1.4M—
2015$109.3M1.4M-1.1%
2016$110.7M1.4M+1.2%
2017$109.9M1.4M-0.7%
2018$106.3M1.4M-3.3%
2019$104.0M1.3M-2.2%
2020$83.3M1.0M-19.9%
2021$76.5M972.3K-8.2%
2022$69.5M899.6K-9.1%
2023$38.3M609.4K-44.9%

Top Providers for 99221

#ProviderSpecialtyStatePaymentsServicesAvg/Service
1Stephen VeluzInternal MedicineMO$77.1K1.2K$64.41
2Kung-Ming JanInternal MedicineNY$57.6K767$75.11
3Blakely ReederNurse PractitionerAR$48.7K955$51.02
4Edbert MoralesPhysical Medicine and RehabilitationNY$46.5K594$78.23
5Robert KaylakovPhysical Medicine and RehabilitationNY$40.7K520$78.19
6Orlando RodriguezInternal MedicineFL$36.3K497$73.00
7Mindi GarnerInternal MedicineKS$36.1K577$62.56
8Rachel FetnerEndocrinologyNY$35.7K452$78.94
9Khalida PathanInternal MedicineCA$34.5K498$69.18
10Ashvinkumar PatelNephrologyTX$29.7K518$57.31
11Abraham CherukaraInternal MedicineMA$29.2K413$70.72
12Carol Anne DillonPhysical Medicine and RehabilitationPA$28.7K428$66.96
13Houssein JahamyInfectious DiseaseOH$28.2K456$61.75
14Michael MellmanEndocrinologyFL$28.0K404$69.39
15Woo TakPhysical Medicine and RehabilitationNY$27.4K356$77.10
16Visaharan SivasubramaniamHospice and Palliative CareNY$26.9K348$77.16
17Carlos GuidaHematology-OncologyFL$25.6K350$73.26
18Hana IlanPhysical Medicine and RehabilitationNY$25.3K324$78.23
19Kang LeePhysical Medicine and RehabilitationTX$24.7K391$63.23
20Sabah VaroquaInfectious DiseaseNJ$24.7K351$70.36
21Samin SharmaCardiologyNY$24.6K324$75.99
22Sahib SinghInternal MedicineMD$24.4K366$66.80
23Edith BorgertNurse PractitionerNV$23.8K426$55.96
24Waleed AlbertInfectious DiseaseNY$23.8K390$61.06
25Muhammad Naveed SiddiqiInternal MedicineTX$23.7K370$64.12

Spending by State

StatePaymentsServicesProvidersAvg/Provider
NY$4.3M59.7K1.7K$2.6K
FL$3.7M56.9K1.7K$2.2K
PA$2.6M40.9K1.5K$1.7K
TX$2.2M36.0K1.1K$2.0K
OH$2.2M36.4K1.2K$1.8K
IL$2.1M32.6K1.0K$2.0K
CA$1.9M28.0K992$1.9K
NJ$1.7M26.1K754$2.3K
MA$1.2M18.2K626$1.9K
MI$1.1M18.0K592$1.9K
VA$983.8K16.0K561$1.8K
MO$944.9K15.5K504$1.9K
GA$910.3K15.0K559$1.6K
KY$860.8K14.5K467$1.8K
MD$827.0K12.8K393$2.1K
IN$814.9K14.0K502$1.6K
TN$763.2K13.4K444$1.7K
CT$711.6K11.0K396$1.8K
NC$706.6K11.8K486$1.5K
SC$645.6K11.0K370$1.7K
WI$630.0K11.0K444$1.4K
AZ$478.7K7.9K316$1.5K
LA$453.6K7.4K220$2.1K
MS$424.0K7.3K203$2.1K
AR$413.6K7.4K196$2.1K
MN$412.9K7.0K330$1.3K
AL$392.6K6.6K224$1.8K
WV$390.3K6.4K227$1.7K
DE$358.8K5.8K158$2.3K
KS$343.8K5.9K202$1.7K

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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.