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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. 99239
  4. Cost Analysis

How Much Does Hospital discharge day management, more than 30 minutes Cost on Medicare?

Cost analysis for CPT 99239 — Hospital discharge day management, more than 30 minutes

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Average Medicare Payment

N/A

Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $114.31 vs VI at $81.40.

StateAvg PaymentTotal PaymentsServicesProviders
AK$114.31$758.9K6.6K102
DC$95.75$1.8M18.9K238
CA$95.21$41.8M439.5K5.0K
NY$95.18$24.5M257.0K3.5K
NJ$94.84$16.3M171.7K1.7K
CT$92.51$5.2M56.0K762
MA$91.51$14.3M156.7K2.0K
MD$91.26$10.8M118.3K1.2K
IL$91.00$21.9M241.0K2.6K
HI$90.01$1.2M13.1K193
RI$89.96$1.3M15.0K241
FL$89.72$39.8M443.2K4.2K
WA$89.39$7.2M80.2K1.2K
DE$89.12$1.9M21.3K256
NV$89.09$5.7M64.1K533
CO$89.02$5.3M59.8K954
VA$88.62$13.6M153.3K1.6K
MI$88.61$13.0M146.3K2.2K
NH$88.43$2.7M30.5K382
AA$88.36$12.7K1441
GU$87.64$87.2K99518
PR$87.52$192.4K2.2K36
ME$87.35$1.9M22.1K439
OR$87.35$3.9M44.9K845
PA$87.29$21.4M244.9K3.3K
MT$87.05$1.5M16.9K255
ND$86.94$1.5M17.3K206
AZ$86.90$10.3M118.8K1.2K
TX$86.80$32.8M377.7K4.2K
GA$86.38$12.4M144.1K1.9K
WV$86.04$2.6M30.2K369
MO$85.91$9.9M115.0K1.3K
NM$85.71$1.7M20.4K315
LA$85.70$6.3M73.7K984
SD$85.49$1.2M13.7K218
OH$85.48$16.9M197.9K2.7K
VT$85.22$744.1K8.7K139
OK$84.99$5.9M69.2K690
MN$84.98$6.1M71.3K1.5K
WY$84.86$595.4K7.0K86
NC$84.64$13.2M156.1K2.4K
AL$84.55$4.9M58.4K784
SC$84.40$7.5M88.7K1.1K
WI$84.29$6.7M79.8K1.4K
IN$84.24$9.6M113.5K1.3K
UT$84.22$1.6M19.2K369
KY$84.15$7.1M84.8K1.0K
KS$83.75$3.8M45.1K549
TN$83.43$8.8M106.0K1.3K
ID$83.32$1.6M19.0K309
NE$83.23$2.5M30.5K468

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Richard BakerInternal MedicineIL$220.0K2.3K$93.92
Shahin DelkhahInternal MedicineCA$174.5K1.9K$91.82
Kirubakaran SivaInternal MedicineMA$131.0K1.5K$90.06
Mohammed JaleelInternal MedicineMA$127.6K1.3K$95.84
Swati JoglekarInternal MedicineTX$103.8K1.1K$91.59
Ghulam AnwarFamily PracticeFL$99.7K1.2K$85.69
Seema SahibInternal MedicineMA$97.5K1.0K$96.69
Thomas WallaceInternal MedicineCA$96.8K1.1K$89.88
Neiveen PeterInternal MedicineCA$93.1K965$96.49
Robert ThompsonPhysical Medicine and RehabilitationKY$90.8K1.1K$85.13
Rishi KapilaInternal MedicineCA$89.5K867$103.22
Kristofer RichterFamily PracticeCA$85.4K947$90.23
Travis HirdPhysical Medicine and RehabilitationTX$85.0K973$87.33
Geoff WeikleInternal MedicineTX$79.8K921$86.65
Hassan AkinbiyiPhysical Medicine and RehabilitationAZ$75.6K858$88.12
Nasrullah GhafoorHospitalistFL$74.5K827$90.11
Omar Colon GutierrezPhysical Medicine and RehabilitationTX$72.1K827$87.24
Mahdi ParidariFamily PracticeCA$71.4K736$96.98
Joseph PaolucciHospitalistFL$71.1K794$89.56
Brandon HowardInternal MedicineNJ$70.7K721$98.11

🤔 Is Hospital discharge day management, more than 30 minutes Overpriced?

Based on the data, CPT 99239 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

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.