OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 99223
  4. Cost Analysis

How Much Does Initial hospital inpatient care, typically 70 minutes per day Cost on Medicare?

Cost analysis for CPT 99223 — Initial hospital inpatient care, typically 70 minutes per day

Share:

Average Medicare Payment

$132.98

2023 data

Total Payments (2023)

$1.3B

Services (2023)

9.5M

Price Change (2014–2023)

-15.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$157.12$1.7B10.6M—
2015$157.37$1.7B10.5M+0.2%
2016$155.69$1.6B10.4M-1.1%
2017$156.28$1.6B10.3M+0.4%
2018$157.03$1.6B10.2M+0.5%
2019$158.14$1.6B10.2M+0.7%
2020$160.79$1.5B9.1M+1.7%
2021$157.21$1.4B8.8M-2.2%
2022$153.00$1.3B8.4M-2.7%
2023$132.98$1.3B9.5M-13.1%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $174.37 vs NE at $123.09.

StateAvg PaymentTotal PaymentsServicesProviders
AK$174.37$1.9M11.0K202
NY$147.01$80.4M546.8K8.7K
DC$142.99$5.1M35.8K613
NJ$142.50$58.9M413.4K5.0K
CA$141.78$149.0M1.1M13.2K
AE$141.52$14.6K1032
CT$139.38$12.0M86.1K1.7K
MA$137.76$33.6M243.8K4.4K
AP$137.71$34.6K2515
IL$136.95$64.6M471.6K6.2K
MD$136.68$30.2M220.7K2.9K
FL$134.45$138.6M1.0M11.1K
RI$134.33$3.4M25.6K535
DE$134.22$5.3M39.1K503
MI$134.14$40.7M303.5K4.9K
WA$133.57$16.4M123.1K2.6K
VA$132.64$33.7M254.3K3.7K
CO$132.35$12.7M95.7K1.9K
PA$132.06$54.6M413.3K7.0K
HI$131.94$2.3M17.6K336
PR$131.86$975.1K7.4K199
NV$131.62$17.5M132.8K1.3K
MT$131.61$2.9M21.9K413
NH$131.49$5.1M38.4K700
GU$131.21$146.6K1.1K21
ND$130.69$2.9M22.1K325
OR$130.16$8.0M61.7K1.4K
AZ$130.09$30.3M233.2K2.8K
TX$130.04$94.8M729.3K10.0K
ME$129.97$3.2M24.5K595
GA$129.54$32.3M249.2K4.0K
MO$129.10$22.2M172.0K2.7K
VT$129.10$1.4M10.7K233
ZZ$129.09$53.7K4167
WV$128.80$6.2M47.9K781
OH$128.76$42.3M328.2K5.6K
NM$128.35$3.5M27.5K486
WY$128.30$1.0M8.1K132
MN$128.26$11.7M91.1K2.4K
SD$128.02$2.5M19.6K335
LA$128.00$18.0M140.9K2.3K
UT$127.23$3.8M29.5K763
SC$127.13$17.3M136.4K2.1K
KY$126.40$16.7M132.0K1.9K
OK$126.38$14.8M117.0K1.5K
WI$126.12$12.7M100.4K2.1K
KS$125.91$10.9M86.8K1.2K
NC$125.90$29.9M237.5K4.6K
AL$125.54$17.3M137.8K2.1K
ID$125.45$3.3M26.2K499
IN$125.15$25.4M202.8K3.1K

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Richard BakerInternal MedicineIL$538.7K4.0K$135.19
Satya ChelamkuriFamily PracticeCA$283.4K1.8K$156.77
Ghulam AnwarFamily PracticeFL$213.6K1.6K$130.27
Mordo SuchovGastroenterologyCA$205.5K1.4K$144.59
Yaser DaramnaInternal MedicineNJ$201.9K1.4K$144.55
Jacob AhdootNephrologyCA$197.2K1.3K$155.36
Babadele OyedepoHospitalistIL$193.8K1.5K$128.46
Sophia KangarluInternal MedicineCA$192.9K1.3K$144.73
Philip CassarGastroenterologyNY$187.6K1.2K$158.05
Ravinder SinghNeurologyCA$184.9K1.3K$144.20
Fouad Bou HarbInfectious DiseaseNY$176.8K1.1K$159.74
Reza BagherpourPhysical Medicine and RehabilitationCA$175.6K1.3K$138.38
Neiveen PeterInternal MedicineCA$175.3K1.2K$143.13
Sumit BhutaniInfectious DiseaseMD$172.6K1.2K$139.30
Danny FarahInternal MedicineCA$170.9K1.2K$144.72
Mustafa Al LamiHospitalistCA$169.7K1.2K$136.32
Sam KalioundjiCardiologyCA$169.5K1.1K$148.14
Swati JoglekarInternal MedicineTX$167.2K1.2K$136.80
Gurdarshan SandhuInternal MedicineNJ$166.1K1.1K$145.99
Lutfi SayyurInternal MedicineCA$165.4K1.2K$139.69

🤔 Is Initial hospital inpatient care, typically 70 minutes per day Overpriced?

Based on the data, CPT 99223 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 15.4% 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.