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. 99283
  4. Cost Analysis

How Much Does Emergency department visit with low level of medical decision making Cost on Medicare?

Cost analysis for CPT 99283 — Emergency department visit with low level of medical decision making

Share:

Average Medicare Payment

$51.08

2023 data

Total Payments (2023)

$46.7M

Services (2023)

919.6K

Price Change (2014–2023)

+17.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$43.59$149.3M3.4M—
2015$44.05$149.0M3.4M+1.1%
2016$43.70$142.9M3.3M-0.8%
2017$43.94$133.7M3.1M+0.5%
2018$43.84$124.9M2.9M-0.2%
2019$44.10$114.5M2.6M+0.6%
2020$47.15$86.0M1.8M+6.9%
2021$53.56$96.4M1.8M+13.6%
2022$52.90$93.5M1.8M-1.2%
2023$51.08$46.7M919.6K-3.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $61.99 vs ID at $45.64.

StateAvg PaymentTotal PaymentsServicesProviders
AK$61.99$231.4K3.7K113
NY$57.15$3.5M60.9K2.3K
AP$56.77$9.2K1624
NJ$54.62$1.2M22.8K890
FL$54.08$3.1M57.9K1.9K
GU$53.87$29.5K54814
DC$53.41$208.7K3.9K129
DE$53.00$114.1K2.2K88
NV$52.57$307.3K5.8K243
RI$52.34$216.4K4.1K158
CT$52.31$852.6K16.3K484
MA$52.00$1.4M26.2K927
IL$51.94$2.3M43.8K1.4K
MI$51.61$1.7M32.1K1.2K
PA$51.43$2.1M41.7K1.6K
CA$51.42$2.8M53.7K2.0K
MD$51.02$716.8K14.0K563
PR$50.60$260.7K5.2K137
HI$50.49$89.4K1.8K78
NM$50.46$382.7K7.6K218
OH$50.41$1.9M38.0K1.4K
WA$50.31$557.8K11.1K424
SC$50.15$1.5M29.4K824
TX$50.12$2.7M53.1K1.9K
GA$50.02$820.3K16.4K658
LA$49.98$366.4K7.3K292
CO$49.81$658.1K13.2K536
VA$49.79$979.9K19.7K773
NH$49.79$278.7K5.6K167
WV$49.71$596.4K12.0K311
MO$49.56$1.2M23.8K713
TN$49.29$870.0K17.7K663
MT$49.18$322.5K6.6K133
ND$49.04$148.0K3.0K78
NC$48.88$1.1M22.6K809
AZ$48.85$937.4K19.2K587
KY$48.74$789.5K16.2K540
OR$48.66$581.7K12.0K388
UT$48.57$243.6K5.0K183
OK$48.51$1.2M25.0K626
IN$48.45$1.0M20.7K724
ME$48.29$468.0K9.7K246
MN$48.14$787.1K16.4K618
MS$48.08$785.2K16.3K356
VT$48.04$247.9K5.2K109
KS$47.87$639.2K13.4K340
WY$47.83$132.9K2.8K63
AL$47.78$563.7K11.8K398
WI$47.60$940.3K19.8K646
SD$47.54$178.9K3.8K84
AR$47.53$648.8K13.7K342

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Carlos AlvarezEmergency MedicinePR$24.9K459$54.31
Shawn SouthwickEmergency MedicineKS$20.9K423$49.33
Susan Hackman-QuintyFamily PracticeSC$18.2K339$53.57
Deacon ViceEmergency MedicineOK$18.0K370$48.75
Fredric De PicciottoEmergency MedicineCA$17.6K368$47.69
Reggie HendersonFamily PracticeTN$17.5K349$50.17
Jeremy CampbellEmergency MedicineOK$17.2K341$50.40
Tuan LuuEmergency MedicineCA$16.8K376$44.76
William ReisingerEmergency MedicineOH$15.9K315$50.58
Arthur Bernard FajardoFamily PracticeTX$15.7K314$49.99
Erica KatzEmergency MedicineOH$15.6K251$62.31
Paul WeinbergerEmergency MedicineKY$15.1K306$49.35
Eric GerdesEmergency MedicineCA$15.0K300$50.07
Claire CliftonEmergency MedicineCA$15.0K293$51.18
Michael ParrottEmergency MedicineNY$15.0K236$63.49
Christopher OcchinoEmergency MedicineNC$14.9K302$49.20
Daniel HarriganEmergency MedicineME$14.0K318$44.02
Kevin RobertsNurse PractitionerFL$13.7K283$48.48
Kenneth MosesEmergency MedicineCA$13.7K249$55.09
John JerstadInternal MedicineSD$13.4K279$48.16

🤔 Is Emergency department visit with low level of medical decision making Overpriced?

Based on the data, CPT 99283 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have increased 17.2% 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.