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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. 99284
  4. Cost Analysis

How Much Does Emergency department visit, problem of high severity Cost on Medicare?

Cost analysis for CPT 99284 — Emergency department visit, problem of high severity

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Average Medicare Payment

$87.66

2023 data

Total Payments (2023)

$423.2M

Services (2023)

4.8M

Price Change (2014–2023)

+2.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$85.17$495.7M5.8M—
2015$85.76$501.1M5.8M+0.7%
2016$85.03$498.4M5.8M-0.9%
2017$85.44$493.4M5.7M+0.5%
2018$84.97$474.9M5.5M-0.6%
2019$85.44$457.3M5.3M+0.6%
2020$88.92$348.5M3.9M+4.1%
2021$93.44$368.0M3.9M+5.1%
2022$91.86$363.4M3.9M-1.7%
2023$87.66$423.2M4.8M-4.6%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $116.01 vs VI at $75.13.

StateAvg PaymentTotal PaymentsServicesProviders
AK$116.01$1.6M13.5K164
AA$112.42$26.9K2394
AP$100.09$67.0K6699
NY$97.72$29.6M302.5K4.4K
NJ$95.03$12.0M126.4K1.6K
DC$94.10$1.7M17.7K261
FL$92.71$29.9M322.8K4.0K
PR$91.91$591.5K6.4K127
CT$91.86$5.7M62.2K864
DE$91.57$2.1M22.5K226
IL$90.99$19.4M213.6K2.7K
MI$90.72$17.9M197.2K2.8K
RI$90.70$1.9M21.3K310
MD$90.58$9.1M99.9K1.2K
MA$90.56$11.4M125.5K1.7K
CA$89.67$34.8M388.2K5.7K
NV$89.44$3.0M33.5K494
GU$89.44$168.9K1.9K18
PA$89.15$23.2M260.1K3.3K
NM$88.30$2.8M31.5K457
WA$88.16$6.1M69.3K1.0K
AE$87.94$62.3K7089
TX$87.45$26.5M302.6K4.6K
GA$87.25$10.5M120.9K1.8K
WV$87.18$3.7M42.5K453
CO$87.13$5.6M64.8K1.1K
VA$87.02$11.4M131.1K1.7K
OH$86.91$17.5M200.9K2.9K
ZZ$86.89$41.6K4797
SC$86.81$10.6M122.3K1.2K
ND$86.65$944.0K10.9K128
LA$86.52$6.7M77.6K1.1K
NH$86.48$2.1M23.9K302
MO$86.46$8.7M100.7K1.3K
AZ$86.02$7.6M88.3K1.2K
ME$85.86$2.3M26.6K351
HI$85.52$1.1M13.2K214
UT$85.38$2.5M29.5K487
MT$85.34$1.3M15.6K175
OR$85.21$4.1M47.9K741
KY$84.94$7.1M83.2K1.0K
MS$84.84$5.1M60.6K616
OK$84.71$7.1M83.4K854
VT$84.68$1.2M14.0K140
TN$84.46$8.9M105.1K1.4K
IN$84.38$8.7M102.7K1.4K
NC$84.38$13.1M154.7K2.2K
MN$84.34$6.3M74.6K1.2K
WY$84.06$704.7K8.4K97
AL$83.98$5.4M64.1K873
AR$83.60$5.0M59.8K564

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Michael ParrottEmergency MedicineNY$58.7K537$109.32
Paresh SavaniInternal MedicineFL$57.9K590$98.07
Susan Hackman-QuintyFamily PracticeSC$55.5K614$90.42
Erica KatzEmergency MedicineOH$54.6K500$109.17
Michael BogeyEmergency MedicineCA$54.2K548$98.98
Ruslan IvanovFamily PracticeFL$51.9K551$94.13
Leonard SimmonsPhysician AssistantFL$50.0K637$78.45
Eddie KimUndersea and Hyperbaric MedicineNV$49.8K449$110.82
Kenneth MosesEmergency MedicineCA$47.8K521$91.79
Ronel MillanaEmergency MedicineFL$47.8K484$98.75
Arthur PecoraEmergency MedicineNJ$47.4K497$95.45
Jason GrabertEmergency MedicineNV$46.7K468$99.87
Donal SpryEmergency MedicineMI$46.7K487$95.92
Sally SpeckEmergency MedicinePA$46.0K463$99.34
Jason BrooksEmergency MedicineNY$45.1K440$102.59
Jentry MclaughlinEmergency MedicineOK$45.1K527$85.59
Caleb LeibeeEmergency MedicineMD$45.0K462$97.34
Glen HansonFamily PracticeIA$44.2K503$87.80
Randye BernotEmergency MedicineNY$44.0K397$110.85
Eric GoldenbergEmergency MedicineIN$43.6K449$97.18

🤔 Is Emergency department visit, problem of high severity Overpriced?

Based on the data, CPT 99284 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 2.9% 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.