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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. 99238
  4. Cost Analysis

How Much Does Hospital discharge day management, 30 minutes or less Cost on Medicare?

Cost analysis for CPT 99238 — Hospital discharge day management, 30 minutes or less

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Average Medicare Payment

$61.74

2023 data

Total Payments (2023)

$93.5M

Services (2023)

1.5M

Price Change (2014–2023)

+10.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$55.74$190.7M3.4M—
2015$56.20$179.4M3.2M+0.8%
2016$55.34$165.3M3.0M-1.5%
2017$55.59$152.7M2.7M+0.5%
2018$56.34$140.3M2.5M+1.3%
2019$56.90$129.5M2.3M+1.0%
2020$57.73$99.2M1.7M+1.5%
2021$56.66$85.4M1.5M-1.9%
2022$55.60$74.9M1.3M-1.9%
2023$61.74$93.5M1.5M+11.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $81.83 vs AR at $57.10.

StateAvg PaymentTotal PaymentsServicesProviders
AK$81.83$267.6K3.3K79
NY$68.83$7.2M104.7K2.4K
DC$67.25$216.5K3.2K106
CA$66.44$7.7M115.5K2.4K
NJ$66.16$3.3M49.5K1.1K
AP$65.85$9.4K1432
CT$65.20$893.5K13.7K436
MA$64.38$2.6M40.1K1.2K
MD$64.28$1.1M17.7K416
IL$63.94$5.0M77.8K1.7K
FL$63.13$9.3M147.2K2.5K
HI$63.12$101.3K1.6K45
MI$63.04$3.8M60.5K1.5K
RI$62.87$421.2K6.7K217
NV$62.19$611.4K9.8K190
WA$62.15$857.0K13.8K483
PA$62.08$4.7M76.1K2.0K
DE$61.82$354.3K5.7K167
CO$61.65$813.6K13.2K425
MT$61.59$347.7K5.6K171
VA$61.47$1.8M29.1K818
GU$61.20$12.6K2067
TX$60.96$6.8M110.9K2.3K
VT$60.72$191.5K3.2K79
NH$60.68$460.3K7.6K192
OR$60.64$558.3K9.2K289
ME$60.41$254.9K4.2K137
AZ$60.27$1.3M22.4K578
GA$60.25$2.2M35.8K873
ND$60.12$349.0K5.8K176
NM$59.92$374.5K6.3K189
MO$59.80$2.1M35.2K835
MN$59.75$759.7K12.7K511
OH$59.73$2.7M44.8K1.2K
WY$59.70$228.4K3.8K98
SD$59.66$348.8K5.8K183
PR$59.63$119.8K2.0K68
LA$59.59$1.7M28.2K591
NC$59.44$1.8M30.4K925
WV$59.25$1.1M18.6K408
SC$59.23$1.3M21.6K563
OK$59.16$1.5M25.6K557
AL$59.15$1.9M32.4K720
WI$58.91$1.2M20.3K634
KY$58.80$1.6M26.7K577
KS$58.72$1.0M17.3K449
VI$58.64$11.4K1945
TN$58.26$2.3M39.5K934
IN$58.25$2.1M36.1K897
NE$58.20$850.1K14.6K409
UT$57.99$482.6K8.3K239

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Sukhdeep SandhuInternal MedicineCA$106.8K1.6K$65.05
Aung MoeInternal MedicineCA$106.2K1.6K$65.19
Alexander DejesusPhysical Medicine and RehabilitationFL$75.6K1.2K$63.52
Kevin BernsteinPsychiatryNV$72.4K1.1K$63.04
Lutfi SayyurInternal MedicineCA$69.4K1.0K$68.07
Rajnish PuriInternal MedicineFL$65.4K1.0K$63.25
Payam ShadiInternal MedicineCA$65.0K930$69.91
Deepak WahiInternal MedicineCA$62.5K976$64.00
Madhavi MuppidiPhysical Medicine and RehabilitationTX$55.2K893$61.82
Msonthi LevineInternal MedicineTX$54.7K887$61.68
Rajan KapoorInternal MedicineFL$53.9K856$62.95
W LorenzPhysical Medicine and RehabilitationSC$49.8K825$60.40
Adam ReyburnInternal MedicineIL$48.3K785$61.47
Richard BakerInternal MedicineIL$43.6K661$65.91
Aleksandr OrlovskiyFamily PracticeNY$42.4K573$73.94
Shawnna HamptonInternal MedicineFL$41.9K636$65.86
Geoff WeikleInternal MedicineTX$41.3K669$61.67
Mhd Firas ZakariaInternal MedicineIL$40.2K601$66.90
Rostislav TabakInternal MedicineNY$40.0K544$73.46
Robert LindenInternal MedicineNY$39.4K548$71.88

🤔 Is Hospital discharge day management, 30 minutes or less Overpriced?

Based on the data, CPT 99238 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have increased 10.8% 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.